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Home My WebLink AboutPermit Electrical 2005-9-28 " :~:;;~'.::~~~';~.~~~.~: ~:,-,'~~~~::'i~; :'~)_" ~'~'~J. '-.._.~!', ..-"~:~-~~ +'::'~;: ':"0 __>',:r'.~ City Job Number 1. . .;iJOeATI()N.OFilNSfAtUTUiiv.{,1i,i:.;}'!::M ~"...... .. ,"'L~',.." '1<Iti:...........--~'r....- .. """"C~~,~_ _r..,_ ~....... .--'..')'''''''''',1i2&d (3 C I ~ 11\;,l; '"' SI, LEGALDESCRJPTION 115sesh<,H.$ P<lr(~l-# \"70 <-31 31Q'1 '7CJ() JOB DESCRIPTION TC' ~ -f\ " c. S; ~ N \ S <;! (' v: n. . Permits are non-transferable and expire if work is Each Manufact'd Home or f not started within 180 days of issuance or if work is U~m~welling Service or $5000 Suspended for 180days. .' ~Mrp 'Ml S.. . .' . l!fCONTRJiCTOii;OOTXi'r!4TIONoNi"1? . B.A~~~~tW~~!~I1e.~g~. ~,nt;n~~ti.;'/i;f~ 2. fW=-,,,..,.,_._"N'~"""_~-~'~~ . ctjr:;~EmOR'lSABAN)~cnMWI~~"~'~'>l Electrical Contractor Ck e. N'I (It "\ E\ <?ar,c MiO'~@;DMrSPER10D. DONEDlOR $63.00 (,3,- [_<Q 7 1 JS-1-' >J+(Cb 201 Amps to 400 Amps $75.00 Address _ v IE, ,-Z", <l. \r.~ \ 0~_' 401 Amps to 600 Amps $125.00 S \ . 601 Amps to 1000 Amps $163.00 City " 'I.... 9.13()2..!'hon.(')Q3)3't"l-'[G()"\ Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 200 Amps or less $ 50.00 2IA.Ir~~1~0~~0n law req:.:'::: ;. . $ 69.00 4pJ.lo.wP~fe,?Q.Qj6lneSj by the O.M . $100.00 ~OV~k60tiOOn'j)S'6iEl OOOIVolts see:'B" above. ~.~Bm;~i\!€i~e'fiitsJ_ '~~'!!;!~lI.~:'~Il:f~~~ 009tt.~ I cOc-,J .' ,. New""Alteration,9rtExtension Per Panel \" 11l11~ lllC .......:.;11 Cf. V>lv." t. Q\1slf!!s~ifor the Oregon u; ; $ 43.00 EachAdc181~W~!lqLrc~.ti~;8D~i~. .. -"\ . J .;~? Owners Nam; ;>C Jt1 ~ ~ 5 f 1"; ~, t;e IJ S;I=:,~~:~.~::::~~:~"~.",~~;':~*n'^.,~~.,,..,".~ Address '-'-V <.}I\-', S1('.Qtt E. k-'~~l!a..!l.o!is.1~i~~!tf~1l,J;i'ii'!'tin~I~4~~ji."g~'I.ni.\.}.!~~ City 51' (', ~~-\>; ~ IJ Phone(s'\)) 1 (6-37<53 Supervisor License Number \3'8B-S Expiration Date \ 0 - \ - c.. 0 () '7 Constr. Contr. Number "I \ G b ~ l-c.G'-O' Expiration Date Signature of Supervising Electrician -K~ W~("~ OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 I $ 19.00 c.ltwW~[~b~~.~1!~~_lI Installation, Alteration or Relocation Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ~SmrrOTAtOF:4BcrVE~..a'Ht~),~~kt~ / / .~ t. :S"_~,~t~~t'l~~~-~ ~,)"&~~~\:~,~y..it;r~;"~~ <<0 \.) 4,~ &,~ 11.~ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)IBuilding Fonns/Electrical Permit Application 1-Q3.doc " . . CITY VI< ~rK11~uJ:'1J!,LU Building/Combination Permit PERMIT NO: COM2005-01323 ISSUED: 09/27/2005 APPLIED: 09/27/2005 EXPIRES: 03/27/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 3214 MAIN ST ASSESSOR'S PARCEL NO.: 1702313104700 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Traffic Signal Service at 32nd a'W O'rite: Owner: CITY OF SPRINGFIELD JU+~~~iZE~ ~~~LL EXPPbbdE1VI@I\~RR41-726-3753 Address: 225 FIFTH STREET rt0MMENCED ER THIS PERMIT IS NOT 4 SPRINGFIELD OR 97477 AN-,~,'" 1";'" OR IS ABANDONED FOR ,r, "n nAv "'~~I-r . . ...r, Ju. I CONTRACTOR INFORMA nON I Contractor Type Electrical Contractor MORROW MEADOWS CORP License 91668 Expiration Date 07120/2007 Phone 503-399-7609 BUILDING INFORMA nON I . # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: law rec'.';reSq'Ft'Basement: Ra'1grWyjil:ION: Oreg~nbV tl:c :',- Sq Ft Garage/Carport En~tgy,J\'!Ith:eg adopte _ Sq Ft Other: Sp'~inkled,Building;ter. ThO"n/a Occupant Load: I....ULlll..........~:..... "Ai nn1 n thrn, ' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMEN:f,INFORMA:rJOWI: calling the cent"'. \"", , . -lor the Orego11 v Over!!IyrDlSt:~ n'~ . 1-80(;''';'''' -.' . ., # Street Trees.Rqd:.[ IS Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!elof2 . . CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2005-01323 ISSUED: 09/2712005 APPLIED: 09/27/2005 EXPIRES: 03/27/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fp.p.~ P,llid.l Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid $6.60 $4.62 $3.00 $63.00 9/27/05 9/27/05 9127/05 9/27/05 Receipt Number 2200500000000001347 2200500000000001347 2200500000000001347 2200500000000001347 Total Amount Paid $77.22 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 RP.nIlirfl1 Tnwp.ction~ I Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all 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 Contractors Signature Date Pae;e 2 of2 ~ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 1323 COM2005-0 1323 COM2005-01323 COM2005-01323 Payments: Type of Payment Check .~ " :l :, ': i , 'C :, " '. 9/27/2005 . 9 JiiiilY of Springfield Official Receipt .elopment Services Department Public Works Department RECEIPT #: 2200500000000001347 Date: 09/27/2005 Description Penn ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By MORROW MEADOWS CORPORATION Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 18977 In Person Payment Total: Page I of I 2:48:55PM Amount Due 63.00 3.00 4.62 6.60 $77.22 Amouut Paid $77.22 $77.22