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Home My WebLink AboutPermit Electrical 2009-4-24 ~ '. 'Electrical Permit Application 225 Fifth S'm"Springfield, OR 97477+PH(54t)726-3753tFAX(541)726-3689 rr~."FS'se~R.'t[.mit~Ef0N~~1 !~4S~0i~m'I;'G;i~~_~\'fA%t'~;J%~~ pe~:';CCc) ".00 s:" I I Date: '1- 2Y- 0' I j;-l:'~-..'~:...J";:w'l,'. .....,..~. _ "'"_ _. ..' - .~~-- ;i@lTWOF SPRIN<:i'FIELD ~:'ORE<10N' ,-'. ~~~,~-.::..- .-"'-'" -,;;:~"" ...,,"""" ""~...." - .""i~'it," f ", - <~..' 9"'1 ," ,b~ This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuan~e or if work is suspended for 180 days. 1tlr~_I!O"C:A:IE[~:eY:E,a,Il!ME:ll!rt1i~~~~\:!SlALl!l:iI~~1 ~;~';~i'~~~i~~;~f>FJ(C~Il!~;;~Uj~:f:fQ~~~1 I I J Residen.ial, per unit, service included: i~~~~~~:::I;E,i~~~i~;~~~:~~~~t~~~~~~~1 I ~~;~Oo;~i~O:~II:S;O(:~ ft or portion :1::.::: I I City: sf'f'il I State: c-IL I ZIP: ., 7l{"g I I Limited energy (2) $ 32.00 $ I I Subdivision: /70 l-:!OO c I Lot no.: ()/ 'z b I I Each manufactured home or modular I IK~~"~PE,$~~!e,f:1QN~rc:i1liIWQR~~~.1!1 dwelling service or feeder (2) $ 63.00 $ I .,tJ L I A L rtrc. L c..c rc.c.A.. ~ h I I Services or feeders: installation, alteraLion, relocation I I I I 200 amps or less (2) $ 81.00 $ I 1~:::~Z'~~Ra,OFl~R~W~0riE:~~--?J~11 :~: :::~~::::;~; :1:::::: : .t ~'In -'V' .,L ,r I I 601 1 000 (2) $ $ I Address: 10 b 5t= ~71';rr;e:irLA'I'/OA/' (r '0, amps 205.00 City: ~~"""CMb. I State:ctt04lzi!i;:9l1:fEj~, I Over 1,000 amps or volts (2) I $469.00 $ I I Phone: - - I Fax:Q ~~ j./:6~'0C.SI)/,~P{e'l)a~econnec.onIY(2) I 1$63.00 $ I ~(J. (l, 1"'1.. fJ~ 06 . r. I E.mail: 11!.;/).....ll{J t; 0q hOO' rl)(J '} ~!.irtp'o.J/~ryservices or feeders: installation, alteration, relocation I .'i"^ ,,~, ry,,-, In,. r.of '.u ~. . Th.' II. . b . d 'd' ]-' '0< <" Vf~. "It: t~Ov'a'np;; Or lp,<s (2) $ 6300 $ I l~ msta atlOn IS emg roa e on.reSl e~tlawr\j~9).rp~p'etty? t),::. fl::J:; u"'.. .)'Th, . . owned b~ me or a member of my Immedlate'faf\llIY!<T\':jf (A,c'o,c i' r'2,Ql,S/40Q ~,(,fjw(2J $ 8700 $ I property IS not intended for sale, exchange, lease,~r/.sen(tQARat$' s~ o~ ~:;" "~/T'",'~J . 479.540(1) and 479.560(1). "a~OI) U/ tl)., ~o:rJIr'6OJ!>.a)1'pS!Xt) , I $126.00 $ I 0'3 (Ih' .",,/. i6" 'V1 . . Signature: \Y..?,... Vi /!V,eb9-.. u'a.Jl1RS'or 1,000 volts, see services or feeders sectIOn above I )~~~~W~;0~~~rA.:~t~~~j~~&~Y1.(~~~~~::s~ ~::~~:t:~~:r::::s:fn::~i::e~r feeder fee I I Address:,!] 0 h r; 'J. l..u!l...i ... I Each branch circuit I I $ 6.00 I $ I I city:Wf:JlilrVl'!lf I State.;(jyf J ,?IP(1 Vi I b. Fee for branch circuits without purchase ofaservice or feeder f ee; I I Phone: l1:l:.l....21l~ I Fax: ,. 0 I FlfSt branch circuit (2) 1 $ 55.00 $ S ')[" I E-maiLhv~pbrOSrjlhNtJr~6nl.n1.(c....v Eachaddil10nal branch circUit I $ 6.00 $ b I r eCB license I)q : I ~e no.:;J() - tf42 ~ I Miscellaneous fees: service or feeder nol mcluded I I Signing s~4~r~ I ~se no : ~I,)'_ .. I Each pump or irrigation circle (2) I $ 63.00 $ I I printna~Af~~~iSO(~'7Jli'FM~ fI ~vYr7'Jt lEach Signoroutlinel.igh.t.ing(..2)... I . $63.00 $ I I Signat'Jff.1Jr::f4,b. .,~,.("^ I '., \ ~ I Signal. circuit or a Ii~ited-energy panel, I $ 63.00 $ I ~~~~!. _ /..1 , alteration, or extensIOn (2) V(/ 04;0 o~ (('1' ;;:;' . Vv I Each additional inspection: (12- I . $58.00 $ I P~,f/O I'J' if' ~JJ ~iU!J~Bi!i~~li!lr.jrSE1:~~1 . Z? !1-too Z:-,f-0 Itf' * (A) Enter subtotal of above fees $ ~~O 'l'/J' VJ$I,r (Minimum Permit Fee $58.00) ,,{"O,f -to/, I (B) Enter 12% surcharge (.12 x [A]) ..^'-~ I (C) Technology Fee (5% of[A]) ~~fi<S' ~~ I M,c 0.... ,,,~.""(,,""",",), ~. ~~ ".:lllSeHE(;)l!Jl!E,,,""'''''~'.-'-'-1 #~....^^" ""'_ __ -__tm'V~;):*l",Bt;;;r~ '."'~fiI'. .,-T' "I' ., eo. Sf.... ~. '.". ...o.ta. I . ;~~M ~~!- _ it t?MC:ost" ' bf. $ 73l..j $ 30r $ 7/371 440.2584.) (9/08/COM) _6PrAtl\l~F,IELI:\:' . ' v Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00S19 ISSUED: 04/24/2009 APPLIED: 04/17/2009 EXPIRES: 10/24/2009 VALUE: $ 4,800.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3422 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1702300001926 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Commercial PROJECT DESCRIPTION: Install gas pack Owner: DOUBLE S LLC Address: 106 SE EVERGREEN AVE SUITE L REDMOND OR 97756 Phone r;umber: 541-923-8511 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor License E L . ~'-4" \0 BURR L BROS ENTERPRISES INC,,, leqUII'Bui! o.,.\V - - ~011 \8... - - \ III I STEDMAN SHIj:!';rd':1l'il'$!.; INe~_A "" tile ore1J75729f",\h i~\lo\]1 'BUibi),iN.~~..INFORMAilbklo'2-001- \.\'1' ",.., , I,. '(.., ,J,,,.\,,\.1IesbV No I vV'.. 001-0 1U ,,--.- \ \\18IU ill OP\R ~5J#rII~ttJitillA" COf~~~h~ \ele,p\1Ol1e 0090" 0 \~igbnof1StP\l2tffi\\ity Notl\lca\IOl\ ca\ll~~l fJi1l~of'ftAA&~.332-2344). I1UIli ~MeJi' 'Fy~e~ Range Type: Energy Path: Sprinkled Building: Expiration Date 08/20/2009 04/3012009 Phone. 541-747-2724 541-923-8511 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: \NO,,~andicapped: P~r~~ Rqd: f)tl'\ll.t. ''f1~t. NOl{ompact: oiJ'b5&OPE~"lW'l~\\r>.\.\. \'I\S I'E"RWlII \S . . ~~\~~.H"\R\lE? U~~~; ;o.t>.MnONEO fO~ . I PUBLIC ~,~~~~on. AN~\ ou U, Sidewalk Type: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: Pa!!e 1 of 3 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-00519 ISSUED: 04/24/2009 APPLIED: 04/17/2009 EXPIRES: 10/24/2009 VALUE: $ 4,800.00 225 Fifth Street. Springlield. OR 541-726~3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrio~i'!~.1 Description Tvne of Construction Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 4.800.00 Value. Date Calculated Total Value of Project $4.800.00 $4.800.00 04/20/2009 . . Fp~r P'iri J Fee Description + 12% State Surcharge + 5% Technology Fee Add. Alter, Extend Circ Add. Alter, Extend Circ Ea Add Mechanical-Value Amount Paid Date Paid. Receipt Number $17.79 $7.41 . $55.00 $6.00 $87.25 4/24/09 4/24/09 . 4/24/09 4/24/09 4/24/09 2200900000000000434 2200900000000000434 2200900000000000434 2200900000000000434 2200900000000000434 Total Amount Paid $173.45 Plan Reviews I SUB Review 04/20/2009 To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. ~irprlln~,np('tJ.gW Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of 3 Sta tus Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-005I9 ISSUED: 04/24/2009 APPLIED: 04/17/2009 EXPIRES: 10/24/2009 VALUE: $ 4,800.00 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. 1 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 "MG:="~ ownez9=ontractors Signature Page 3 of 3 0;?<-!,07 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00519 COM2009-00519 COM2009-00519 COM2009-00519 COM2009-00519 Payments: Type of Payment Check cRcceiDIJ Item Total: Check Number ,Authorization Received By Batch Number Number How Received RECEIPT #: 2200900000000000434 Description Mechanical- Value Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By DOUBLE S LLC djb Page I of I 1004 City of Springfield Official Receipt Development Services Department Public Works Department Date: 04/24/2009 11:44:31AM Amount Due 87.25 55.00 6.00 7.41 17.79 $173.45 Amount Paid In Person Payment Total: $173.45 $173.45 4/24/2009