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Home My WebLink AboutPermit Electrical 2006-2-7 (I~ o>h/of,r? ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRlCA!:- PERMIT APfLlCATION City Job NumWI1l2/f05 -UI7...21 Date ()2/htJ/ 0 0 1. 1;;10," cA:r.ioNOitiN's'F;4 T:r.",('ii(jIV~~ It.:,...' .;"".....__,.,;,n;;...:~_.~__'" ._.~~ ...!:L"7(o6 tYJlJ-.{,J sT q"JL/7~. LEGAL DESCRIPTION . {\J!Jfl.f,Jh;: IPH~;; fool! 5GtaUl~ JOB DESCRIPTION '. 3. lJ:.edM.PEET1f.'!EE:.S~~EDf!EEHiEi2am' A. tI&~;V1Re.=~~.~"~'t.~i~S'ih~~e'orj~,~I!i~F.a:ffi~~r1P,~~a,~~~.rn~:~hit. . Service Included --r;.., S ('riM':; .::JIM A. I.0II2E m 1000 sq. ft. or less Each additional 500 sq. ft. or t.Jl'lS~!:{P.eyCjiclfiion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder ," ~--~nr, 'a'.v requirp~ \/nlllo $50.00 -. . . ..""" fll"r)nf"'ln 1ltilit" ... . B. s~~i~?b!~~F~a~~1:;tt'ii:ti~bWAli:rnnmsl!)6r,1R~'I~'~im~~' ~d'" .,. II. II "",'I,"~U.I' ., r ' . ri'10 lhrounh OAR 952-UU - (I f)N ~.CH c:'-Ci:.<-m ~ 0:. c 209 A~p~ otl~~(a\n copi~S of th" ,hAs t$}63.00 (os.~ r- ~ ' 201'A'l'Pt t8~,qp,,~mf.~ote: the tpl"nhoo~ $ 75.00 ~CA.c.,a.,.JTC:::~'" C401 Amps to 600Ampsll Utility Nntificatlor$125.00 flLlI "'j.;~ IUr u1e Vi l;;'Su 601 A~BJ.f&'990jA_n:m.s332-2344). $163.00 Over 1000 AmpslVolts $375.00 Reconnect Only $ 50.00 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 F~<2.J\;TIiA'C1:@kl1NsTJiiJM'1:ldN(dNL'f~ . ,.U..........~,"Ilo. 1.111, ,".III,hl~111 ~ Electrical Contractor Address .,:;) / ~3 ,- -- City CUbGrvc;. Phone h-> 7 - 3 cf <.(7 Supervisor License Number q~ 79 <) Expiration Date I ~/ f) ~ II') 7 Constr. Contr. Number ,-;)0 -ffR.2. c. , Expiration Date 7 II) / If)(~ / ' S~o~l;2 Owners Name {','1"0 or- <..pj7~D. Address ;;t:;/S ("'>~ ST, City ~ flFL.. 0 Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. 0wners Signature: Inspection Request: 726-3769 $106.00 $19.00 Installation, Alteration or Relocation t26bUfu~or Jess .. i~O l2Oi~~MlroGl.kJ,9tlJ- EXPIRE IF THE ,~ 0 AAJifW1itpsiiHbllJ)JhljiJI THIS PEl\lvllT IS .00 D~:~~lt~~i~~~~Pe\J~t~~~~"r ".f"'" New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with II Service or Feeder Permit ....t (Q $ 43.00 $ 3.00 'I~""" ~::~"~~'t~f""~'Ft.~~~.....,~~..;.;:.,~.,,i,;""~"~'II!v.'~~'~ E. 'M~,~~~,I,la.~~oJ!~,(~,i~~~~;e~~r\P.,~iI~I.~~~~l~~~,~.~~it~MlaJ~n, Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee Is 545.00 + Surcharges 4. rl~?T~~~!Vi' ~7% State Surcharge 10% Administrative Fee -7.7 7J 8', ~ tJcL I~. ~7 TOTAL Shared Drive(T:YBuilding FormslElectrical Permit Application I.03.doc /3D , tJ~,V\- . . CITY OF ~rKJ.l~GFIELD . Building/Combination Permit PERMIT NO: COM2005-01771 ISSUED: 02/07/2006 APPLIED: 12/23/2005 EXPIRES: 08/07/2006 VALUE: $ 0.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4765 MAIN ST ASSESSOR'S PARCEL NO.: 1702320000102 Springfield TYPE OF WORK: Commercial MisceUaneous TYPE OF USE: Alteration PROJECT DESCRIPTION: Electrical and plumbing work at Fire Station #2 Commercial Owner: CITY OF SPRINGFIELD Address: 225 FIFTH STREET SPRINGFIELD OR 97477 Phone Number: 541-726-3753 'CONTRACTOR INFORMATION I Contractor Type Electrical Plumbing Contractor CONRICH ELECTRIC LLC VOS PLUMBING INC License 149509 41805 Expiration Date 11/0212007 04/04/2006 Phone 541-607-3447 541-485-0551 BUILDING INFORMATION' ,# of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Typc: # 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 Garage/Carport Sq Ft Other: Occupant Load: n/a , DEV"'Lum'lENT INFORMATION' 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' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Pal!e 1 00 . . CITY OF :srKll~GFIELn- Building/Combination Permit PERMIT NO: COM2005-01771 ISSUED: 02/0712006 APPLIED: 12/2312005 EXPIRES: 08/07/2006 VALUE: $ 0.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Deseriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fpp< PIili\J . Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Clrc Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid $11.10 $8.88 $48.00 $63.00 2/7/06 2/7/06 2/7/06 2/7/06 Receipt Number 3200600000000000059 3200600000000000059 3200600000000000059 3200600000000000059 Total Amount Paid $130.98 I Plan Reviews , Public Works Review 01105/2006 01/05/2006 APP SB SDCs added :.. 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. Uenllirp.'Un~nections I Rough Electric: Prior to Cover Electric Service: Approval required prior to utllity company energizing service. Final Electric: When aU electrical work Is complete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to f1l1ing trench and Including required testing. Sanitary Sewer Line: Prior to ruling trench and Including required testing. Final Plumbing: When all plumbing work is complete. ~ Pal!e 2 00 .... . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . CITY tn' ~rKlNGFIELD Building/Combination Permit PERMIT NO: COM2005-01771 ISSUED: 02/07/2006 APPLIED: 12/2312005 EXPIRES: 08/0712006 VALUE: $ 0.00 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 ofany 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 r it card is located at the front ofthe property, and the approved set of plans will remain on the site at all times durin ons uction. ~^~~,<J Owner or Contractors Signature ~ Paee 3 00 qh~~ Date 225 Fifth Street . r..o 'Springfield, Oregon 97477 541-726-3759 Phone . ~.--'. ~ Job{Journal Number COM2005-0 1771 COM2005-01771 COM2005-01771 COM2005-0 1771 Payments: Type of Payment CreditCard , - ';f' :' '~l' '( :' ':1' " 2n /2006 y RECEIPT #: 3200600000000000059 Description Perm ServlFdr 200 amps or less + 8% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Ea Add Paid By RICHARD SALAHOR Check Number Batcb Number Received By njm Page I of I Jlllliity of Springfield Official Receipt .velopment Services Department Public Works Department Date: 02/07/2006 Item Total: Authorization Number How Received 007584 In Person Payment Total: 1 :54:00PM Amount Due 63.00 8.88 : 11.10 48.00 $130.98 Amount Paid $130.98 $130.98 -I '~ ., ," n5 Fifth Street Springfield, Oregon 97477 51'1-726-3759 Phone Job/Journal Number COM2005-0 1771 COM2005-0 1771 COM2005-0177I COM2005-01771 COM2005-0 1771 COM2005-0 1771 COM2005-0 177 I COM2005-0 1771 COM2005-0 1771 COM2005-01771 PJyments: T~~e of Paymeut CreditCard " :' !.I... ;, 11 .~' ) . :~ .' J" 2/8/2006 . ~~ Wi: RECEIPT #: .ty of Springfield Official Receipt Development Services Department Public Works Department 1200600000000000131 Date: 02/08/2006 Description Fixture Sanitary Sewer - 1st 50 Feet Water Line - 1st 50 Feet Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Sanitary Sewer - Reimbursement Water Line - Each AddtllOO' Sanitary Sewer Each Addtl 100' + 8% State Surcharge + 10% Administrative Fee Paid By JIM F VOS Received By slm I of I Item Total: Ll1eckI'lumlJer Autnonzatlon Batch Number Number How Received 418000 In Person Payment Total: 11:57:30AM Amount Due 42.00 45.00 45.00 114.40 13.24 150.44 14.00 28.00 13.92 17.40 $483.40 Amount Paid $483.40 $483.40 <lII~.-J. .' \~ . . CITY OF SPRHlGFIELD DEVELCftf:NTAl SVC. OEPT. 225 5TH STllEET SPRltcl"IElD. M 97477 (541) 726-3791 Sale 10: OOC1 ttercnllnt: 70046G8 ,,~ VISA 4833490000023356 ~r Code: 418000 Total: 12:28:08 Exp: 0\109 Invoice<<: 2 14M I lIgrl!e to PlIV abovl! total 1I1110UI,t according to card l~5Urr oil'ilrel!..mt (Kerchant lI'i1r'l!l!Mnt 1 f crl!d1 t voucher) . ~ (~:_:__z_~~---- ~~ VOS/JIMF t1en:ni:mt CoPY THANK YOU