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Home My WebLink AboutPermit Electrical 2009-8-27 Ele<;trical Permit Application , 0 D 225 FifthStreett Springfield, OR 97477 t PH(54t)726-3753 t FAX(541)726-3689 ~~W'Z';Yi-,,,,c_'.:";>>;"\'>;;"~',;;f'iC'Y~A:.g~~ 1,,~g:~\!3.I:~'?~Jll":'!~~JJi,~~~~!t'!~'~ I COH:'\ ZOO ~ -o/utf 8 PermIt no,. - I Date: i-Z-7-0 ( I I: " This permit is issued under OAR 918-309-0000. Permits are nontrausferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . ~Jll!i,~!iI;E~s,g![~PJ:riEX: ~,)'M~YK~~~~~~~f(,11~IIQ'mIBOa'~~,'~ l$uj1>"c;t';..~,g;.~~~~;i'~~~;~::u'~ ~lJ;; :ii'iO~~..._"~'~ I Residential, pe-r unit, service inclu4ed: 11,000 sq, ft. or less (4) I Eachadditjonal 500 sq. it Dr portion4; theteof 1: I Limited energy (2) I Each manufactured home or modular dwelling service or feeder (2) I Services or feeders: installation, alt~ration, relocation I 200 amps or less (2) $ 81.00 $ ~~~R8PP.E:Rjlji'i'I:GI,WNEl~'ii1iif.~"~~iil;;';rili~~ 1 201 t0400 amps (2) $ 95.00 $ Name: QM-+L..."t.f-e VillA Jle 1401 to 600 amps(2) $158.00 $ I Address: , "3 Z g (jrS. fu~ .j:l.cl 1 601 to 1,000 amps (2) $205.00 $ I City~, k f....l,~~-sr State: tfh:owb'ZIP: cq(!jrt)Jl, 1r:I~?:e~~:'~~;~'ls or volts (2) i 1 $469.00 $ Phone'. I F '~llow rules aoop'''u uy 'Reconnect.onlxill) ,I $ 63.00 $ ax,;1 .. ~ .' -:_ f"'..........nr ThoSE flJ no:.: ~I... ,"",c.;~ .....n _ I . E-mail: ~\iOUIl\,ja~''-'' '.;0-0-1' -001 0 thro JO ) ,(Jin.poraqrse~\~ces or feeders: ins!allation, alteration, relocation .... r.~Q q52 . I ;vi 'no. rIJ'H~.I.JY , Th.. II' . b . d 'd'" 1 .''&' -.-,..,,, ^h1"':'l~q t;UI Co, 2uQ-amps ot less (2)- I: $ 630 $ IS msta atton IS ell)g ma e onreSl J!1Yil, orc,arm.property N \,' :.~ ::~:;;hM" " . 0 ownedbymeoramemberofmynnmed~~~:K"!Jl!ly~Thtster. ( 0 "'.I<\Pljtoi~Q,Qi?lilpa(2) . I $ 8700 $ property is not intended for sale, exchangl:l\\,~~~,\lYrJ1lnt. Ol>\?E:on Jt~ \, ;' . . 479.540(1) and 479.560(1). . "center is 1.800-:l3,~-iflli]1to)600 amps (2) ,/ $126.00 $ Signature: . lOver, 600 amps Of ],000 volts, see services or feeders s~ction above 1~~C.0'rijjf:MCiIi0~BJ!INSmJ,i;l!Ilf~i1Il'>I\l~fil~l!'1 I Branch. cir~uits: ne';'. alteration, extension per panel I. Business name: ...J.. [" c<< f-~-' I ~._J" ~ -r' . ~ I a.' Fee for bqmch circuits with purch~e of a service or feeder fee: 1 Address: 8~"f!Y,TCL. """hF I2J 1 Each hranch circuit I $ 6.00 1 $ I City: ,<:::;OC''-\, -rIState: Or r ZIP: Q7c(7"'f.: I b. Feeforbranchcircuitswithoutpufchase~faserviceorfeederfee: 1 Phone' / -,:::,-41 7Aq-/6741 Fax: /51/- ]fIb 07l) 1 First branch circuit (2) I $ 55.00 $ 1 E.mail: I Each additional branch circuit $ 6.00 $ I CCB license no.: /t:,/:J.~ s-I BCD license no.: ;:}tJ ,');}..7c I Miscellaneous fees: service or feede~ not included 1 Signing supervisor's license no.: 0/ 700..:5 . 1 I Each pump'or irrigatio'!. <,lff~~' r $ 63.00 1 Print name of signing supervisor: 1ISO~ ( ~j)),t~b.;J)'T10 ~f"op ~iltB\f<lUt\rn~\)iJ<~~~gh~T " $ 63.00 I . /miR'iS'i\\;;,.i:Lf,,:.:.:.:! Sil I""-',lfidilt,rl'd~, ' I Signature of signing supervisor: 1"1'1'i\ ... ,~, @ U 0\i1\~~Ip;r.r\1I;\~~ f.1')" ,orgy p~el, $ 63.00 $ I f"\U" - -.. '\- j , COMMENCED: ~~~)\~itional inspection: (1) I $58.00 $ I ANY 180 DAY ~~~f~~ggJ!iQ~N1filli$~~~~ (A) Enter subtotal of above fees (Minimum Per~it Fee $58.00) I (B) Enter 12% surcharge (.12 x [A]);, I (C)Technology Fee (5% of [A]) 1 TOTAL fees and surcharges (A through C): f=~~~:~~~~~~E~NM~~~eR~~Y6~~~ '.~"{G~ml;~:!D'B.:xLGf;J!C:l'>'tiS;iifl..I!1~illt0J~Jl~ll.i!lr~~~~ ~11:esidential l 0 Government l 0 Conunercial 1~:~:;:;~~~~it~m!(ii;~~~1\V!l'>~~~(D~~~ 1 City: 50? F \,,:> 1 State: oL-l ZIP: 77'f77 .1 Subdivisio~: 170 52$; ~ I I Lot no.: 0 Z2'OC 1~""DES'CRIRm10N!'i01;1f,V\r0R~ii.""'~~"i'i . ~,. :". ,.'!l., ,~...___._.. _.----'__..,.,..._I,:"."..^'~~~ ,,_~,~....~,. ,., ~__,i~s.x~c e."'~~,"._. ~.:t.:"t~ galll tf..t A" , Fi U ~ ~ ,,\^-O ~~~ r:J'- ~!IJ:; t#.~ ~w. 440-2584-) (9/08/COM) { 1 $ (gl.( $134.00 $ 25.00 $ $ 32.00 $ $ 63.00 $ $ $ $/"1C{ , $ 160~' $ b 7'1 $/("h r$ CITY OF SPRI~l.1'1ELD Building/Combination Permit :L 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541'726-3769 Inspection Line PERMIT NO: COM2009-01048 ISSUED: 0~/22/2009 APPLIED: 07/20/2009 EXPIRES: 02/27/2010 VALUE: $25,000.00 Status Issued SITE ADDRESS: 1480 16TH ST APT 3 ASSESSOR'S PARCEL NO.: 1703253102200 Springfield TYPE OF WORK: Apahment Building PROJECT DESCRIPTION: fire damage TYPE OF USE: Remodel Commercial Overlay Dist: # Street Trees Rqd: NOTI0f3;,ed Driv~Rq'FxP\RE \f 'THEWOR\\ 'THIS ptflif\l!o6tloVe~~''RIS PERMI'T IS NO'T AU'THOR\IED U~.?~! ~PANOONEO fOR - . ~ ~ "\ "'.. ... ~ 1 ",. .- 11p0BL'ii!N~j{i:),Y,E1WNTS I J-\d, "oJ Owner: NORTH GATE VILLA LLC Address: 1328 LAS PULGAS RD PACIFIC PALISADES CA 90272 Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION I . s yoU to Contractor 0 egon laW leqUlte nlltiliW ~J(EItN,&N~d~Pted by the Ole~~ set tOlth tJElMJ E)\,lECTRI~ Il'\1I1JSe lu\e~J\R 952'OO~- NXX5i9INr" vOO";':OO~ 0 thloUgh t the rules by '" ~~~7' . _ "",,,es 0 ... ne ilT"~'VK):;'W\:NllNGJS,Jt~~1 <\'kINGj)"o.. _" 159425 vU~~liing the ~~~\lo~i,iBUmDiNG:iNFORMA nON I numbel tor . ~ .\:\UV'UV- . . center \S # of Stories: RI Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: License 109867 161235 ' 109867 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB 1 DEVELOPMENTINFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Page I of3 Expiration Date , I1/09/2010 09/07/2010 I1/09/2010 05/12/2010 Phone 541-747-5413 541-729-1074 541~ 747-5413 541-607-8879 No . Lot Si~e: Sq Ft 1st Floor: Sq Ft ~nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Dr~,ins: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description + 12% State Surcharge + 5% Technology Fee Temp Power 200 amps or less + 12% State Surcharge + 5% Technology Fee 1 st Appliance Building Permit Fixture Minimum/Adjustment Plumbing + 12% State Surcharge , + 5% Technology Fee Residence Wiring 1000 Sq Ft "Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit .. PERMIT NO: COM2009-01048 ISSUED: 0.7/22/2009 APPLIED: 07/20/2009 EXPIRES: 02/27/2010 VALUE: $': 25,000.00 I V!lluation Descdotioo , $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 25,000.00 Value Date Calculated $25,000.00 . 07/29/2009 Total Value of Project $25,000.00 '~ FPllf' fqill . Amount Paid Receipt Number Date Paid $7.56 $3.15 $63.00 $50.31 $20.96 $79.00 $282.25 $19.00 $39.00 $16.08 $6.70 $134.00 7/22/09 7/22/09 7/22/09 7/29/09 7/29/09 7/29/09 7/29/09 7/29/09 7/29/09 8/27/09 8/27/09 8/27/09 1200900000000000826 1200900000000000826 1200900000000000826 2200900000000000856 220~900000000000856 2200900000000000856 2200900000000000856 2200900000000000856 2200900000000000856 1200900000000000996 1200900000000000996 1200900000000000996 $721.01 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. RponirprlJnsnections I Temporary Electric: Approval required prior to Utility Company energizing pole. Wall Insulation: Prior to cover. Ceiling Iusulatiou: Prior to cover. Drywall: Prior to taping. Rough Plumbing: Prior to cover and including required testing. Fiual Plumbing: When all plumbing work is complete. Paee 2 013 CITY OF SPRINGFIELD Building/C(}mbination Permit Status Iss u ed " PERMIT NO: COM2009-01048 ISSUED: 07/2212009 APPLIED: 0''712012009 EXPIRES: 02/27/2010 VALUE: $ 25,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Final Building:, After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. By signature, 1 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 wo'rk described herein, and that NO OCCUPANCY will be made of any structure without permission of the Commuliity Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 wiIrbe 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 Pa2e 3 01'3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone -a:o''"._IlLO....~''....,. -.: U " IlL. .' City of Spr,ingfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-0 I 048 , COM2009-01048 COM2009-01048 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200900000000000996 Date: 08/27/2009 Description Residence Wiring 1000 Sq Ft + 5% Technology Fee + 12% State Surcharge Paid By !EM ELECTRIC INC Item Total: Check Number Authorization Received By Batch Number Number How"Received djb 081150 In Person Payment Total: Page 1 of I 8:52:29AM Amount Due 134.00 6.70 16,08 $156.78 Amount Paid $156.78 $]56.78 8/27/2009