The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2005-7-6 approval., C C' " ' . ,,".. 7/~j~,,:~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 gnat { ^, ",~,-: ~~:C;~~~"":1~P~~~h no. Ji!. .. . .. 1. ~,W.c::rTION'OEINST~TfON~ 3. i'!?roMP'KK,WFEE'Sc;;{Dbu~i]ELmv," :It::lto:.::~~dS::iY~'''''~~ ~~~,,"w.;p'-"-=-~~"""-'~'-'-""U'.A";"""""""~-.r.. c'" /3 fJ6'Q'IYlA-/N ST ' If) - / - 07 InstaUation, Alteration or Relocation ,-1 200 Amps or less S 50,00 Constr. Contr, Number 0.'0 -5 9. 7 C 20i AmpS(to tOO Amps,S 69,00 401 tr?~ I~Lq~~~P~\ALL EXPIRE IF TH[sY<i61Od( EXPiratiOno~e 7 - I - 0 (, Over:600\~mps?oi{l<ioo~ils 1~d~If'Fa~~4~T ~S NOT s-r.7't""~ ___/ D.;~~~~;',,""oo'''',:: ~' JUlf,::v;;:- One Circuit $43,00 Each Additional Circuit or with ,/ ,,/ Service or Feeder Permit S 3,00 or.e ame CN e1.~C'lA_~ I g'O'jl ~ / ~""$rtlS'"~~'h"""l~"'-'~~'~""~~"-~"':~i~~~~l:.~~'Y.J!~~'1','t''''~ Ad ss' "'-0 ~, 711 E. ~~!&ceU~,!!~.W:~(~~ce/fee!!e~llJ?J~i.!.tSl!.<<!e~~a.Ei;WJ~~~ City ~v.~ ./ X Phone Pump or irrigation S 50,00 Sign/Outline Lighting S 50.00 Limited EnergylResidential S 25,00 Limited Energy/Commercial S 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~~~~"~o!'~,:1t<"'t.t~""joi"'~~i~~~~~iI('t' ~~'~. - - --,' b ""l: 4,,'SUBTOTAL:iJF'ABO,VE~. ,.,w.; , ",,? .J if.~~~:~~~~~~':::''';''_~~:'*,ii\.~::':, .:'\.~~. "'.";... -40:"_\:;" 7% State Surcharge 1; If I ;,,0 ~ '::.. ~~. D\o ~:~:~mistratiVe Fee ; > ?-!- ~ ~ "\ ' Shan:<! Drive(T:)IBuilding FonnslElcctrical Pennil Application t.()3,doc LEGAL DESCRlPTION 1703.Jb3~ C> J So I JOB DESCRlPTION \2.6o{1J~ 0~r.,J- bl.'-~ I , Permits are non-transferable and expire if work is .- not started within 180 days of issuance or if work is Suspended for 180 days. ' ~coNTIDfctORfi1YST~TIO#6&iWl 2. !'~':l'vtl"-~\i'!\.~1Mitl.:#..'~J":lI.."'~_~;~ ~Tf,~ o 7:2I1.J Phone 7:1Q-107'-1 Electrical Contractor Address tfJ. 9 ~p-C-l. City Supervisor License Number L{ 700 ':) Expiration Date OWNER INSTALLATION The installation is bemg made on property I own which is not intended for sale. lease or rent. Owners Signature: ~ Inspection Request: 726-3769 A. ~il~~frgl;i~~tYli"~i1',i~i.I~p'~~w'elli ,unit; ..~ .;:;o,i.\6i:i.__~~~~~~r.." Service Included 1000 sq, It or less Each additional 500 sq, Ii. ,or portion thereof Each Manufact'd Home or , Modular Dwelling Service or Feeder S106,00 S 19.00 S50,00 ~~mm~~~~~~~ follow rules adopted by the Oregon UtilitY / 3 o Notit.~l1Mm:'?:frlffif. Those rules ar.. "..t,fn~t$ 63,00 b in Cf,ql, ~tJl91400~'ough OAR 952-001$ 75,00 oos~Ply6!J1P!\~li9.9tl!;wRl\)pies of the rules b~125,00 c601~to"..looo-,Alhpste: the telephone S163.00 m(i)VCrJlOOO l\m~6Iisn Utility NOlitlcalion $375.00 Recon6'eet1lilt11ft; 1-800-332-2344). S 50,00 c. ~fm~~~Ti~~ zoning, anc coes nOl reqUire spec;lIlc; li:111U u::>~ . . CITY OF SPRlNG1'1ELtJ Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspecdon Line Building/Combination Permit PERMIT NO: COM2005-00856 ISSUED: 07/0612005 APPLIED: 07/06/2005 EXPIRES: 0110612006 VALUE: SITE ADDRESS: 1396 MAIN ST ASSESSOR'S PARCEL NO.: 1703363203501 Springfield TYPE OF Electrical Work Only TYPE OF USE: Repair Commercial , PROJECT DESCRIPTION: Replace burnt bus Owner: SEVEN ELEVEN #18092-2351 ~ Address: % SOUTHLAND CORP PO BOX 711 DALLAS TX 75221 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor JEM ELECTRIC INC License 161235 Expiration Date 09/0712006 Phone 541-729-1074 I BUILDING INFORMATIONI # of Units: # of Stories: Primary Occupancy Grou\!.1TENTION: Oregon I WJ~.w.:_- OU to S~ondary Occup~cy follow rules adopted b ' e f'mi~UtTty P'nmary Construction Tvp-e. , , ~? II Secondary Construcdo~NOllflcatlon Center. Thow,j f :e,set forth # of Bedrooms: in OAR,952-001-o01 0 thr~1l ~ 2-001. 0090. You may obtain c~~MtI(f.Mie rules by ,..~lIinn tht:ll ,..~nt~r '''Into.' the tolo.nhnl"'llo. Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: number for the I\DEYIlLtJlI..,.",.....iI!ilmRMA TION I Center i::l '-ouu-,)U-.t~4.\J. Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street IPUBLIC IMPROVEMENTS I NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, Sidewalk Type: DownspoutsIDrains Storm Sewer Available: Special Instruction: Notes: I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Dale Calculated 1 of 2 . . CITY OF SPRINGFIELD Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone , 541-726-3676 Fax . 541-726-3769 Inspection Line PERMIT NO: COM2005-00856 ISSUED: 07/0612005 APPLIED: 07/06/2005 EXPIRES: 01106/2006 VALUE: Total Value of Project Fees P~jd I Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 200 amps or less Amount Paid Date Paid $6.30 $4.41 $63.00 7/6/05 7/6/05 7/6/05 ReceIpt Number 1200500000000000952 1200500000000000952 1200500000000000952 Total Amount $73.71 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. Electric Service: Approval required prior to utility company energizing service. 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 wiD be made of any structure without permission ofthe 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 ': 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 Ibe front ofthe property, and the approved set of plans wiD remain on the site at all times during constructlolL Owner or Cootractors Signature Date 2 of 2 225 Fifth Street Spril!gfietd, Oregon 97477 54r:726-3759 Phone . lII!RJN~~,"""""" "____ .... ~( ~. -~ ~ _ity of Springfield Official Receipt , ~evelopment Services Department Public Works Department RECEIPT #: 1200500000000000952 Date: 07/06/2005 10:33:18AM Job/Joornal Number COM2005-00856 COM2005-00856 COM2005-00856 Descrlptlon + 10% Administrative Fee Penn ServlFdr 200 amps or less + 7% State Surcharge Payments: T)Ile of pal'l1erit CreditCard Paid By JEM ELECTRIC Received By djb , Item Total: Check Number Authorization Batch Number Number How Received 916353 In Person Payment Total: Amoont Due 6,30 63,00 4.41 $73.71 Amount Paid $73,71 $73.71 - , ~ w 7/6/2005 I of I