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Home My WebLink AboutPermit Electrical 2003-6-26 IS fi'::> A , ~lf.::~?EEV 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-~68~ APR 012003 /E,fJ ELECTRICAL U' 1J{J;~CATION CHERRY~! City Job Number . fJ Date (.,- ~, ~ <) 0 :3 . . CITY EL6fJij 1,....- .',,"'""" ," '" ,.. ,"" '," ," "I f'?7 ,...,_... ....' . . , '""""-~'" ,....' . ',TRIG --'~j L l~fflJ<wg~~~~l~11~~~{,~~;;~ie::ras sJbm;$fct~Clfhf:foJilUiif,}J$.ClfJiP2!!Jk!1lJ&l~:~d20:':,,,- .,' '",}. ~rD' ES~RlMmpTION ((J, "~,';''':''d~,nd does nO~i,lf\re SP~:,;~;;~;cl~;Ji;r~,~f;r~,~'6;::~f~Tti~~~ii;n~p"'-'~;~~&~~ii~:~';~T;~'it~";';~"'""J 1/1 .A'."'2j ) .n lq, {) \ , ' zon~ ~, ;- I ' '<;,;;..'"'-.r' . " '~-~""-"~-_..,., JOBDESCRlPTION 4Z h ~ Sin1~ }:Z-.RD~ . ~;;;f:: :e:~:: $106.00 Q ,y ~\ .5,";;1' o+- P\ .("c" ~~t Each additional 500 sq. ft or $ \'\-.,~ {>-,\" 5e,y,c-t. pOrllOnthereof $19.00 '( New Alteration or Extension Per Panel One Circuit $ 43.00 ~. ~ E =:C::;~::",o,~"..:) '::~ ("'~::o'l ne"11 l..o "3' ~~I"S YOp.Jcip or irrigation $ 50.00 . th' ur"gon l'+'l1tl' ,'k.. A";!Jl30 oy e ~ Sigii/Outline Lighting $ 50.00 . -', )~-, I Ul0S a-a SI"\t lOr OWNER INSTALLATION, ", :.' , "l__~, . ". ,,,',LirnitedEnergylResidential $25,00 , .:.,._" ,-,,\~"It, l>1~('I'I"h i)l\R 9:):..::~uy . !he in.stallation is be~~ m~d~ 9~,~\9P~~II \9~.:.1Hic9 01" the n..l~~~~? Energy/Commercial $ 45.00 IS not mtended for sale: lease ~r :,en~~ ':~r, ,1\1 ote: the t(l\!~imu,m Electric Permit Inspection Fee is $45.00 + Surcharges Owners Signature: "._.'" . i ')'~"on Utility NC~:II;srfJJIT@t.Ah'OF A'BQV"E" , , ' " ", "" I / CI ~ . ' : "'O-3"?-?:}44i. ""'F,' -,,:"'" , ",'" .....~ ,. ~ \ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. 1'<,;i:I"TJ{~€r,-Q~~~t.v.:r2gr:ok:9Nt:K.l Electrical Contractor C l,,-(' (:\ C;1j ~ \,,~ ",' L Address \S~~ ZL,l $1'('0:;'\ SE City 5 ':l \ ~'" ~ 'l3()(,Phone (sv3);3 0[ '1- '16\l or \3 ~3--5 \6-\-04 Expiration Date Constr, Contr, Number '1 \ t, G ~ 1-<:() -0-5 Supervisor License Number Expiration Date Signature of Supervising Electrician ~~0i\~ Ci NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT Inspece~m:~~ttHH1rfl39ABANDONED FOR cg3<;9IJlJ9180 DAY PERIOD. Each Manufac!' d Home or Modular Dwelling Service or Feeder $50,00 B." ~~~r~,iif~'~_~gr:'~ ~eqii~~;;:ti!~t;!~!.a~i.~li;~:Al_t!raii'~!!s,~oi:R;eiQcat~pJt:~ '1 (,~ 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN oils Reconnect Only \ $ 63,00 $ 75,00 $125.00 $163,00 $375,00 $ 50.00 c. f'ft~Djpof~iy,Set,'i~t's;~ir-je~.der.~" , " Installation, Alteration or Relocation ' 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 VOIlS see "B" above, D. t,'~ra~c!1IGircuI~~ co $ 50,00 $ 69,00 $100,00 '1 o.;:s S?- . la.aD ~~ ,..nrtdi TOTAL BO~3 8 \P-~~) Shared Drive(T.)/BUlldmg Fonns/Electl;cal Penllit ApplicatiOn 1-03 doc . AfC; I 7% State Surcharge 10% Administrative Fee e . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00567 ISSUED: 06/30/2003 APPLIED: 06/30/2003 EXPIRES: 12/30/2003 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4200 Marcola Rd ASSESSOR'S PARCEL NO.: 1702300000000 Springfield TYPE OF WORK: TYPE OF USE: PROJECT DESCRIPTION: Add Electrical Service and Two Circuits to Bike Path New Public Owner: CITY OF SPRINGFIELD Address: 225 FIFfH STREET SPRINGFIELD OR 97477 Phone Number: 541-726-3753 I CONTRACTOR INFORMA nON I Contractor Type Electrical Owner Contractor MORROW MEADOWS CORP CITY OF SPRINGFIELD BUILDING INFORMATION' License 91668 Expiration Date 07/20/2005 Phone 503-399-7609 541-726-3753 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer A vailahle: Special Instruction: Sidewalk Type: Downspoutsmrains: WO"'CE: PIRE IF THE WORK THIS PERMIT ~~~~~ ~IS PERMIT IS NOT ~~~~~~~~D OR IS ABANDONED FOR ANY 180 DAY PERIOD. ,~ . ".J' ...~.\.,~H-'..ll...\, 10L:ull~~. f~"().. r "ics ClUOf.lioo DY the Or .:yo'j '-'~, \JOl:tiL. <~IUr. CCtltl.'l. fhev-',:': !1I!'~.~.' ':".' 5:-:1.' "U' /'\- "J......J.lH11-U01rtr...nllr'!:1'\,~'~.-,~ rj . I ,.. I . ~ I . 0"1) \1""1) rT\.Y' obt''':n r::;'li ... ,.,.:. tl:",: . 'I!;" v ;:J . 1_ . (.;,-~:lj!1r ~il:' crntr.r. (~JJto: ~~::"" '21-:0" '"' . .; -t... :\1 ,:'l;-.- nu.;lu~:-f(li~:1~'l~?p8n II~,.I'V' fl, . Notes: ( '..., ~+~'p' 'l"" ,"''''' ," . Pal!e 1 of2 e . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00567 ISSUED: 06/30/2003 APPLIED: 06/30/2003 EXPIRES: 12/30/2003 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project l..Iu~ Pair! I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number $6.90 $4.83 $6.00 $63.00 6/30/03 6/30/03 6/30/03 6/30/03 1200200000000001679 1200200000000001679 1200200000000001679 1200200000000001679 Total Amount Paid $80.73 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I ReolJired In~nedion~ I I Rough Electric: Prior to Cover 2 Electric Service: Approval required prior to utility company energizing service. 3 Final Electric: When aU electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contracton Signature Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~ ~--, Job/Journal Number COM2003-00567 COM2003-00567 COM2003-00567 COM2003-00567 Payments: Type of Payment Check Change Job/Journal Number COM2003-00567 COM2003-00567 COM2003-00567 COM2003-00567 Payments: Type of Payment Check Change Receipt #: 1200200000000001679 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By CHERRY CITY ELECTRlC CHERRY CITY . Check Number Received By Batch Number Authorization Number llh 16874 llh Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By CHERRY CITY ELECTRlC CHERRY CITY Check Number Batch Number Authorization Number Received By llh llh 16874 City of Springfield Official Receipt Development Services Department Public Works Department Date: 06/30/2003 2:39:41PM Amount Paid ~ Item Total: 63.00 6,00 4.83 6.90 S80,73 How Received In Person In Person Payment Total: Amount Paid S81.21 (S0,48) S80.73 Amount Paid 63,00 6.00 4,83 6.90 S80.73 Item Total: How Received Amount Paid In Person In Person Payment Total: S81.21 ($0,48) S80.73 ~~ , , . .