HomeMy WebLinkAboutPermit Electrical 2007-6-22
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115 F1ITH STREET. SPRINGFIELD. OR 97477 . PH:(541)716-3753 . FAX: (541)716-3689
eLECTRICAL PliIWl1AP,fHCATlON
City Job Number l '" U . <'-\'/...,""\
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LEG\rr~~~ O[)f!:CO
\B OESCPJmo~ r't (J'( ~ Q .
:~~lr.njferable a,d :XPlre If work Is "6
not.taned wlthlD 180 days oflllulllIce or If work ..
S...peDded lor 180 dare.
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Electrical ConlraclOr LII" /oJ :S E Ifc~'-
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Addres. ~ A-
City ~""J( Phone 72,1,C'1~)
Supervisor LicOtllC Number 1- -$S 7 - :>
Expil1lI,,,n Date J tJ /0 I / I'll
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COMtr. Conu. Number
Expil1ltion OSl.
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Phone
OYVSERINSTALLATION
,he insraJlabon is being made on property I own which
is not intended for sale. leue or ",nt.
Owners SipalW'e:
I..peetloa IUqlleat: 716-3769
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S 106 00
519.00
$SO.OO
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B. :!:N:~;~~~;~'!l~;';!.~;~~~~;~~;;
200 Amps or less S 63.00
201 Amps to 400 Amps S 75.00
<Wi Amps to 600 Amps 5125.00
601 Amps to IOOOAmpl $163.00
9:-:efll.00!l1~o\lS.)'1 IB'" ref" ,,"'~ V')U S3ci5.00
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C~"'1 .YI''1 m'l" olJl~in C(\r];fJS of the rules by cO
hlllUlAIlciJl, AlteratlOD or Rtloeadon h ~
r.R!llnq tne center. (I\lOtt:. lilt:: ltlel\' one
~W!I~ R311~re Oregon Utility "~"f\,~t.twoo . .
201 AmpI"tgr'IAA ~JOO-332 ?.,""~ S 69.00
401 Amps 10 600 AmpsSlOO.OO
Over 600 Amps or 1000 Volts see "8" above.
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New AlteradoD or EJtenlloD Per Panel
One Cin:uit
Each Additional Gita.liPL~th
Service or Feederft~t 5 3.00
E.iii'~jl"':"V~,~~.lf,,_QB.K
"...,.:.jl'~'Clifvl'~f\F6"ED~~ED FOR~(;
Pump or ,mgahoJlNY 180 DAY P--" - 550.00
Sip/Outline LiahriD8 LnIUU. S 50.00
Limited EnerS)'IR"llidenrial S 25.00
Limited EnergylCo<nmoreial S 45.00
MIIIlmllm Electric: P.rmI~ In " ..\ D Fee .. 545.00 + SlIreb;G
4:!:":'~i~~~;tji,~JJ!ii~~~~im&"!!i t::..1 rfJ
. ::~~.~~~j~!:'lf~i:rt:;iI&.~::i~_~ ..,J \
8% Stale Surdwse ~ I'D
IQ% Admini8lr11tive FllC\ '^ nTr
WT:.L . \~ 1J~.sO
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5 43.00
.
. CITY OF SPRI~td<l~LD
Building/Combination Permit
PERMIT NO: COM2007-00929
ISSUED: 06/22/2007
APPLIED: 06/22/2007
EXPIRES: 12/22/2007
VALUE:
Status
Issued
225 Fifth Streel, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5755 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334400800
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Temporary Electrical Permit for Fire Works Sland - Slate Fire Marshal Permil
Numher RS-0078-07
Commercial
Owner: MCKENZIE CROSSING PARTNERSHIP LTO
Address: 281 lEST STE B
EUREKA CA 95501
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
LYNNS ELECTRIC
License
102316
BUILDING INFORMATION I
Expiration Date
10/14/2007
Phone
541-726-7895
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Conslruction Type
Secondary Conslruction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupanl Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Fronlyard Setback:
Side 1 Selback:
Side 2 Selback:
Rearyard Selback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lol Coverage:
Tolal:
Handicapped:
Compact:
A TrENT/ON' 0 . I PUBLIC IMPROVEMENTS I
fOIl"W . Fegon law .
Slreet Improvements: ru/ef< adopted b reqLflres you to Sidewalk Type:
'~o:lf:cat'oll C Y the Oreg .
Slorm Sewer Avai!~~I~~52_ enter. Those rules on Utility DownspoulslDrains:
Speciallnslructi~!!u. You m001-0010 through OA~e9set forth NOTICE:
Ca!lmg the ay obtam Copies of the 52-001_ THIS PERMIT SHALL EXPIRE IF THE WORK
Noles: number for t~:6r~()(:::o~~.: ,the tele;~~~~ by AUTHORIZED UNDER.~~I.~!:~~~~~SoNOT
u"//(eJIS 1 800-33212~:~I~~~i~'~'bescriDtion I ~~~~;~~~~~ ~~~'I~~~n..~~..--
Description
Type of Construction
$ Per Sq Ft
or mulliplier
Square Foolage
or Bid Amounl
Value
Dale Calculated
Paee 1 on
-~.,
~.
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00929
ISSUED: 06/22/2007
APPLIED: 06/22/2007
EXPIRES: 12/22/2007
VALUE:
Status
Issued
225 Fiftb Slreel, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Tolal Value of Projecl
L.F~fr~ P3illl
Fee Description
+ 100/0 Administrative Fee
+ 5% Tecbuology Fee
+ 8% Slate Surcbarge
Temp Power 200 amps or less
Amount Paid
Date Paid
$5.00
$2.50
$4.00
$50.00
6/22/07
6/22/07
6/22/07
6/22/07
Receipl Number
1200700000000000803
1200700000000000803
1200700000000000803
1200700000000000803
Total Amount Paid
$61.50
I Plan Reviews I
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.
I ~en..;rprl In.np~tit\n. .
,,'-
Temporary Eleclric: Approval required prior to Ulility Company energizing pole.
By siguature, I slate and agree, tbat I bave carefully examined tbe completed application and do bereby certify that all
information bereon is true and correct, and 1 furtber certify lbat any and all work performed sball be done in accordance with
llie Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to tbe work described berein, and
lbal NO OCCUPANCY will be made of any slructure withoul permission oftbe Community Services Division, Building Safety.
I furtber certify lbal only conlraclors and employees who are in compliance witb ORS 701.005 will be u.ed on this project. I
furlher agree to ensure that all required inspections are requested at lbe proper time, lbal each address is readable from tbe
slreet, lbal tbe permit card is located at the front of lbe property, and lhe approved sel of plans will remain on lbe site at all
limes during construclion.
Owner or Contractors Signature
Date
Pa2e 2 of2
225 Fifth Street
Springfield;Oregon 97477
541-726-3759 Phone'
Job/Journal Number
COM2007-00929
COM2007-00929
COM2007-00929
COM2007-00929
Payments:
Type of Payment
CredilCard
cRcceintl
RECEIPT #:
Description
Temp Power 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administralive Fee
Paid By
JOSHUA DONALDSON
.
~
~.
C& of Springfield Official Receipt
.Iopment Services Department
Public Works Department
1200700000000000803
Date: 06/22/2007
Item Tolal:
Check Number Authorization
Received By Batch Number Number How Received
njm 534496 In Person
Payment Total:
Page I of I
9:35:38AM
Amount Due
50.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
6/22/2007