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HomeMy WebLinkAboutPermit Electrical 2009-10-7 This permit is issued under OAR 918-309-OO00.Pcnnits arc nontransferable. Pennits expire ifwnrk is not started ,,'ithin 180 days ofissuantt or if work is suspended for 180 days. .:. . ~~:~~~:~,~I:::E;~[":;?~~~;~~~~{~UI~~'I'f"Y~ost:.$I;';TOtal.",1. :;:\_~~-,t.~~\~. _~~~~!i~r~J~~f~~~\J,~~_8 .:,:~,~'~: ':-.,<r..f ;.~ >?\ea:":-r'~ ;~,!:,c~~tt\'\1 ~de~ti31,per unit, SHVice included: L 1,000 sq. fl. or 1= (4) $134.00 J $ .! " ..::.a. ch additional 5.00 sq. ft. or portion thereof . $ 25.00 $ Limited energy (2) $ 32.00 $ Each manufactured home or modular dwelling service or feeder (2) I Services or feedf'rs: hls/allaliol!, alterat'-o1J.J~relocatfon I 200 amps or less (2) II I $ 81.00 ';' 1201 to 400 amps (2) $.95.00 I 401 to 600 amps (2) $158.00 I 60 I 10 1,000 amps (2) \' $205.00 o..'cr 1.000 amps or volts (2) I ~9_00 ~ecOlmect on~y (2) I jJ . $- 63.09 $ I Temporary ~rvicl"S o~ feeders: instal/atto!), a/teraliqn, re{ocatio~, 1 i 200 amps or less (2) \ ::$ 63:00 $ 1 ] 201 10400 amps (2) ,'. $ 67.00 S 1 I 401 10600 amps (2f I,' $126.00 $1' lOver 6qo ~ps or 1,000 \'olts, see services ~r f~ers section above .1 I Branch circuits: new. alteration. extenSron1jJer panel - a.,Fee for brunch ciryuits with puTCha..~ of a, service or feeder fee: ". AddIe,s: 2..1"5,."';)0(\ ~II01 I Eadt branch circuit I ,I $ 6.00:'1$ I City: ~Vl~l. II rd I State: 0 V I ZIP: q;4.11 1 I b. Fee ~or branch circuits Withoot purchase:of a service or feeder fee: I Phone: ':WI -'14,=>,%'6'0 I Fax:'5l[-1 -14b-3~.ss I I First branch circuil (2) I: I $.55.001 $ I E-mail: '"1P>(@,JK'-Elh(...-L1TI'Y\ . . 1 I ElIch additional branch ci",uit I ! $ 6.00 . $ I CCBliccnse no:: L\6 I loll I BCD license no.: lO-2-nL \ I Miscdlaneous r..s: service orfeedernotir,lc/uded \. Sigiung sUpervisor's license nO.: <4-'il''5 S 1 'ElIch pump or irriBalion circle (2), $ 63.00 $ \ Prinl name of signing supervisor:0fl4k.-~ J.{ W ~.n ~( Each sign or outline lighting (2). . . $ 63.00' S I Sigrutlurc of signing supervisor: ~ ~. a1Sitgnalt.(";fCllitu~.~.-mitcd-energypa~ l s,&rllo sr:....a...OO . ~.......-__/' "'........ . J eralon"orexlenS10il\,,"J.-~ 'v(l' . . u .1 Each additional ins~~on: (1)1 $58.00-' $ ft1Ni;~~.~~}:~~~~>~~iX,;~~~.Jt A~PllCAN.t~OSE;)i;;~~;i.i~~A:.;?i:..:,tf~.1!, '~i~ I (A) Enter subtOtal. of above fees I 50-.. (11 (Minimum Pennit Fee S58.oo) $ U. . I (B). Enle'r 12% surcbrge (..12 x [AD $ 1..0.4\.0 I (el Technnlogy Fee (5% of lA]) $ T[.Gt 0 I TOTAL fees and surcharges (A Ihro.igh C): .~. 6tp Electrical Permit Application 1t~~~~"Mtf~!m~R~;fI~~l~ 225 Fifth S~t.Sprin:tkld, OR 97477.PH(s..D716-37~.FA.X(Sfi)716.3689 \>c': -"\. LOCAL'GOVERNMENT;iAI'I'ROV"'li~'~:':"'~Y/:""''':' I Zoning approval veri lied? 0 Yes 0 No r.~i~~:;;~t~~TEjR~G~:::~~TRUr;~o;:~~::i:; ~ I \' ,;:::,;~~:::;E.\;;~:;O~N~bf:TfO~l~"~:':i~ I City 'e--.nn'{\C\HO~()slalc O\L-- [ Z~4l I I Subdivi:J." . r . ! Lot no.: .. ,..:'-'<':',;DESCRIPTION','OF;>WORK' {.,;;:",:;;;;::. ,.'::' .. \0\.0. \)0 LA _ I T}O'"?5p';;) i_ ':) \"1 AO \ .... ';;.'c;..:.;>."'PROPERTY.J)WNER \ Name: ~O\\:~(\\lm-rf\e~ I Addre~ \i. c:;:. ~ ~f'rf I ~~:~e~~~' . fJd}Slla:~{t;.._. I_ZIP~14111 . 1 E-mail: This instal1ation is being made onre:sidential or (~rm property owned by me or a member of mv immediate tamiIv. This property is not intended fOT sale~ exchange~ lease, or rent. OAR 479.540(1) and 479.560(1). Signature: \,_,"::; ", :CONTRACTOR';INSTALLA TION ;'0", Business name: ~)Kc." ?-_ll/ r+vtt--!'<::Cn(.J ~~v t:x.N c- s~~ r.::;~[)~~ARi~!~@~~S>~~~!fil ~~, Penml no.~ q. V\\oS Date '\D'l'CA 1 $ 63.00 I $ . I '$ I $ ) $ 1 $ I '$ I 1 1 .VJ~<f' ~. ~ ~~ -'40.2584-J (9/08iCOM) . :,. Status Issued' , , ~ ": ,',': ,; U 1 Y OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01463 ISSUED: 10/02/2009 APPLIED: 10/02/2009 EXPIRES: 04/06/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection' Line' . :~" '. h.; -;-:;:.~. ,'., ;.,. ,<" , ,SITE ADDRES~:';; ;, ,188 W B ST ASSESSOR'S PARCEL-NO::.: 1703352312401 Springfield TYPE OF WORK: Electrical Work Only .. " TYPE OF USE: New PROJECT DESCRIPTION: Replace light fixtures and relocate six receptacles, Commercial , , Owner: JOLLYlNVESTMENTSLLC' Address: 175W B STBLDGL"~' SPRINGFIELD OR 97477 . . ' ~i. J ~r ,.,~.. , I CONTRACTOR INFORMATION' Contractor Type Electrical Contractor r, J K GUCKENBERGER ELECTRIC INC ,License 45129 Expirati!lD Date 04/24/2010 Phone 541-746-4656 ,;},': . BUILDING INFORMATION I # of Units: ," ,; Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range'Type: Energy Path: Sprinkled Building: Lot Size: SqFt I st' Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft O'ther: Occupant Load: ~ nla " ..;, :.; i' I DEVELOPMENT INFORMATION' REQUIRED PARKING " Frontyard Setback: ;-- Side 1 Setback: Side 2 Setback: Rearyard Setback: ' Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: 1"': Notes: NOTICE: THIS PERMIT SHAll F)(PIPi: IL'T"~ ,,,__ COM1U;~I~tU'UNDER THIS PER/I1;i-,~.~,'~'~ I f\,1!:f\I~E!j'OR is ABANOONEV~Ii1~tion DescriDtion , ' ANY 180"DAY'PERI " 'un. ,,; 00" $ Per Sq Ft Square Footage DescnptIOn "Type of ConstructIOn I ' I' ' B'd l,r ' ~, or mn tip Ief or I Amount I PU~LIC IMPROVEMENTS iriON: Oregon law requires youto " f6i1ow rUleSSiiiewalltTyp€:e Oregon Utility Notification Center. Those rules are set forth in OAR 952_cBq't'!.,sP.9!1\~iP..r~a\n~:\R 952-001- 0090. You may obtain copies of the rules by cailing the center, (I~ote:, the telephone number for the Oregon Utility Notlilcatlon Center is 1-800-332-2344), ;1 Street Improvements: , Storm Sewer A vailable:'~ Spccial Instruction: Value Date Calculated Page I of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ,', '--"i);V;;\J<RECEIPT,. #: City of Springfield Official Receipt Development Services Department . Public Works Department 2200900000000001146 Date: 10/07/2009 Job/Journal Number COM2009-0 1463 COM2009-0 1463 COM2009-01463 De~~~iption' '.' Low Voltage - Commereiallndus + 5% Technology Fee . + 12% State Surcharge . .:{\.;:.,:;{:,~~:itl'l":" Payments: Type ,of f'ayment "., "Paid By CreditCard ., " 'JENNIFER BELL- ~ " ~i'" -, ~, ,';." '''.':' -, -'" ,}. .r . .;~r.'~ ;:.;- " , ('" ~: ~ '; ~ l~ ~ I .<r.: ~.~~~ ~ J-..{ . _.~ .._'....~.... ;- " " ~ll..$\.i:ii .:to; .:[ .. '. --. I I., '.;;:1. , \\ ': ~:. \~: ; " J: I; :\ .. ., tl ' ,I ~:. : j' . , ~ .- -;1 .. 'j.': - ;, , " f' ~. 11 I , . ~l j! \ _:_ ; , . .\ ~! I' ~! 'ii cReceintl Received By Item Total: Check Number Authorization Batch Number Number How Received 015551 In Person Payment Total: Page 1 of I 9:S6:2IAM Amount Due 58.00 2.90 6.96 $67,86 Amount Paid $67,86 $67,86 10/7/2009