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Home My WebLink AboutPermit Electrical 2007-6-20 CITY OF SPRINGFIELD, OREGON 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-J753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number 300/ ....- 0(') ((Cl () I. 'r1!l?J/i!.1.:tit@Yf(~ij;2lJ'!$'J!.I1!f1!y/Flf)N: I 3. I COMPLE!..i!'.iiisCHEDULEBELOW _ _. . 2.SCC\ N\~ 1 ~'\M~le,& .... LEGAL DESCRIPTION: \l A. I New Residential- Single,or Multi-Family perdwelling,.unit. ~~ D~\e \Cl~. . Service Included JOB DESCRIPTION: l' SoC ~ 1000 sq. ft. or less a ..... Il h f'I (\ .., I \ ""'. Ie-, ,,'..l- n Each additional 500 sq. ft. or .........., \1,)1\ ~ l...'-tu.J V ~\ I L.Xr-. portion thereof Penn its are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days ofissuanee or irwork is Modular Dwelling Service or Suspended ror 180 days. Feeder 2. IcCi/$W~g:tg.ff;i11XScPt':f!l:4:'t1'@NiONLY i B. I Services or Feeders - Installation, Alterations or Relocation: Electrical Contractor ~\ et.. -\'rt~ 200 Amps or less $ 63.00 T'e~c;pic...o 1-;;""- 20] Amps to 400 Amps $ 75.00 Address ~ 7_30::::l 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over ]000 AmpsIVolts I $375.00 ~''5.00 Reconnect Only $ 50.00 ~ City ~1f~.I_) ~A Phone ~ Z9fL{ Supervisor License Number JJsJ liS Expiration Dale ll) \, \ 1..COi Constr. Contr. Number I ~e c..J 0 ~ Expiration Date \ \ \ a f\ ~ J J"tJ \ . ing Electrician - Owners Name ~t)S t>\Vn l A~ Address '?D ~1"'X W . City ~~~ Phone~ql{ OWNER INSTALLATION The installation is being made on property I own which is notlint~~,e.d[f~:s.al~'~i!~\'Jf1'1[.el!tfeql1ires you to O foIISt).W [Illes adopted by the Oregon Utility ";~'b71IfG~~j'g'~eCenler. Those rules are set forth :;~ 2/".~ ::: ::~ ::~: ::-.;'.:~;:-. 2.^.~ ~=,~-001~ 0090. You may obtain copies of the rules by calling the center. (Note: the telephone Inspei:don':ReqiJisi~l72~37691 Utility Notification Cenlel is 1 .800-332 2344). ZON CG INITIALS -AJ1V1 DATE in '.dO....- lY1 SOURCE Date J.p (~ . ()j $106.00 $ 19.00 $50.00 --,- -,._--- -.-.--.-- C. } Tempo.raryServices:oJFe,e<I.~.rs" - ._-~ Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Ampst0400'1\tmJ'~'ICE' $69.00 401 Amps to 600 Amps' $100.00 THI<; PERMIT "HAIl EXPIRE IF THE WORK Over 600 Amps or 1000 Volts see "B" aoove. D. I Branch Cireuit~UtHOR1ZCD.tJNDERllflS-PERMrrrS-NOJ L. U MMrNCEn-tTR1S7\llA"NDUNElrFOR New Alteration or ExtensionD"Aer "anel One Circuit ANY 1 IlU Y PtKIOD. $ 43.00 Each Additional Circuit or with Service or Feeder Permit \ $ 3.00 3.00 E. ! Misc~I;~neo'~ (S~;"iCe/reed;; not included) -Each Installatio~l 1_ _,_ __ __..~......_ _. .."._ ____..____ ____ Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50..00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit InspeCtion Fee is $45.00 + Surcharges 4.1 S{JBm1,'M,()F~(j)~. i .~i")e.n:) 8% State Surcharge ~~. 7,.4 10% Administrative Fee ~.,. ~b 5% Technology Fee , fIl _ q Q TOTAL '-\ la4. t\4 Shared Drive(T:)lBuilding FormslElectrical Permit Application 8.Q6.doc . . CITY OF SPRINl.t<l~LD Building/Combination Permit PERMIT NO: COM2007-00890 ISSUED: 06/20/2007 APPLIED: 06/18/2007 EXPIRES: 12/20/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2509 MAIN ST ASSESSOR'S PARCEL NO.: 1703364102300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Install 2400volt switch Owner: Address: ROSBORO LUMBER CO PO BOX 20 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License ADVANCED ELECTRICAL TECHNO LOGIE 138408 BUILDING INFORMATION I Expiration Date 11/08/2007 Phone 360-636-2544 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # or Bedrooms: # of Stories: Height or Structure: Type or 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 I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: (1)\18<: <:88-0:'\1 , SI nlU8:) " . , J;:bO aLII JOl JaqW'1U ,'1"'\111:>""11101' ~ 1_.lllln Uv ,.. ...._.... I PUBLIC IMPROVEMENTS'IOLld8\81 aLII :aloi~) "'ql~O;E;;~~A:'OGOO a nJ M~110 se:do:J U!81 Street Imp.rovements: ^q ~ \ Sidewalk-Typ.e:a ,00- ,00-<:96 ,NO U! ,"U ~ '_':~'.. WORK -,00-<:96 t1V~_:'::-:;e"::". 'Jf! ua uO!lE:J!l!loN Storm Sew.~~~v~!!~!i.\e:T SHALL EXPIRE IF THE - LllJollas DownspoutslDralOs:1 ~a nJ MOIIOl - Specialln~U'fg~n-\IZED UNDER THIS PERMIT IS NOT AWIn u05aJO aLII Aq paldoPE 1 N311V' COMMENCED OR IS ABANDONED FOR 01 noA saJ!'1beJ MEI u05al0 .NOll . Notes: ANY 180 DAY PERIOD. Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %of Lot Coverage: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 ~~. ~_. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 1000 amps/volts Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00890 ISSUED: 06/20/2007 APPLIED: 06/18/2007 EXPIRES: 12/20/2007 VALUE: Total Value of Project Fp.p.~ P.9id I Amount Paid Date Paid Receipt Number 3200700000000000412 3200700000000000412 3200700000000000412 3200700000000000412 3200700000000000412 $37.80 $18.90 $30.24 $3.00 $375.00 6/20/07 6120/07 6/20/07 6/20/07 6/20/07 $464,94 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. Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, 1 state and agree, that I have carerully examined the completed application and do hereby certiry that all information hereon is true and correct, and I rurther certify that any and all work performed shall be done in accordance with the Ordinances or the City of Springfield and the Laws or the State or Oregon 'pertaining to the work described herein, and that NO OCCUPANCY will be made or any structure without permission or the Community Services Division, Building Sarety. I rurther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I rurther agree to ensure that all required inspections are requested at the proper time, that each address is readable rrom the street, that the permit card is located at the front or the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date' Paee 2 or 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00890 COM2007-00890 COM2007-00890 COM2007-00890 COM2007-00890 Payments: Type of Payment Check cReceiotl . RECEIPT #: ~... Wi:~ fi', .'. _ . ._..'~' . . a.r of Springfield Official Receipt .velopment Services Department Public Works Department 3200700000000000412 Date: 06/20/2007 Description Perm Serv/Fdr 1000 amps/volts Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ADVANCED ELECTRICAL Item Total: l..:heck Number Authorization Received By Batch Number Number How Received njm ]3560 In Person Payment Total: Page] of] 9:50:52AM Amount Due 375.00 3.00 18.90 30.24 37.80 $464.94 Amount Paid $464.94 $464.94 6120/2007