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Home My WebLink AboutPermit Electrical 2006-10-16 SPRINGFIELD ., ZON .L~ ~. - ." . lJ:'lITIALS iJM 'ii>"...._' . '.': DATE 10- i (0 -(.,c.. ~. ,-'--'> .".,. .,' >'. SOURCE ~~ "'~~ Date' 10/0-' . . 0( / I COMPLETEFEE8CHEDVLEBELOW '" . CITY OF SPRINGr- -~LD, OREGON --, -' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753.. FAX: (541)726-3689 B.I Servic~s or FeederS~ Installation, Alterations or R,elocation: '-1>-.. 200 Amps~ l~s,;' /'~. $ 63.00 201 Am!i$>54Q9.%a1'-?a $ 75.00 Address ~c.oo ?:'t..';'c<. (eyv-vJc-" 401 M?p&to"6<Jll~~{s~";~O~ $125.00 . V /)t/; "('\ "IX 61 601 ~i?.l800~P5l). 0.0" :9o~ $163.00 Phone '-rLic' 3000 overtf1)if~p.'f.;,"6~'(g,. ~19~ :'0'6.' /"1"" $375.00 . ~ Reconnect~Ef?o;!' 0600'0 110/' t~o '$~) 50.00 . : C", 0-:,,,, -"'J). ~~'.. ~"" e>.... 0,., ~/'&~ Supervisor License Numb~ ~E:'7 Lf. f!. h ,C. I Tempora~~~;r.<W!t:e,l\~~$.>h"I"", -'l';;>~'; ~Ou . .' ; 1- ); "l/. I" '. 400-')' I"~'-:~o V~~'19~ v~~.'() Expiration Date 7/1 /<:> ~ ? 4/,~cS '\ ~~. . ' . Installation, Alteraif6lP.y~~G,,!~:r~e /)S,,;tt"o ?Y 8"l11f~~ <'~.. '_ 100 Amps orless <?~~?Y ~ Gl~^/<t/..$qoflO Constr, Contr. Number &'1. L" ~/.. ~- ~iff(lsaJ 201 Amps to 400 Amps ,~,~t0l-^",'~J)~'$~,OO . / J 70'" ~A 0.'Y..t( 401 Amps to 600 Amps ~o~ $100,00 Expiration Date 77":JX 3-,s',:",,,&~/-, 'yo (~T (' / ' U -19 (('1> :L~7i. 600 Amps or 1000 Volts see "B" above. Sign;;r;:rf upe ising~EleCtrio'an' -,' ;.o~~'<S>-4,it4.~.hCi1'CUits . f/ .' /Ob (9-1, "A ,,... 'm/J )18 ' , ~~te~~or Extension Per Panel ~ . ~I/.^~*.:.. o. . . Eacli 'lio; vlt"uit or with L Service e ~Permit . Owners Name Of 7> \ 2 <10 . Address 2.ou..O S,u.), -r.;+o,., AJc.. City"-;:'" I" -hv. Phone 5',," .&"11 -S100.. Cj7 Olp 7- OWNER INSTALLATION ELECTRICAL PERMIT APPliCATION City Job Number COM 'Loa ~ - i ') I '31- c., 1: liOeATIONOF INS.TALLATION:" I 3. z){ b ( ? A-IL.~ (JNt..~'--v . . / LEGAL DESCRIPTION: 170 l-:}Ol J 0 CIO 1. 28 <0 \ <(;-eftt ?N\.(vJ,,"V. /-,;'?r''''1 (, Id. I. I JOB DESCRIPTION:, . . (.U,..,.(, u...J2..LJ" ,( 3 "ht-. j-;, .~ 11.. f(. \u~. I Permits are non-transferable and expire if work is Dot started within I80 days of issuance or if work is Suspended for 180 days. 2~ I CONTRACTORINSTA,LLATION ONLY \ Electrical Contractor r- iJI1 S k" vIA.th I . . City ~?c,'j h-d d. " The installation is being made on property I own which . is not intended for sale, lease or'rent . Inspection Request: 726-3769 A. I New Residenti~l~ Single or MuliHfa!"i1y per d,,'elling unit. Service Included . 1000 sq. ft. or less Each additional 500 sq. ft, or portion thereof Each Manufact'd Home or . . Modular Dwelling Service or Feeder . $106,00 $ 19,00 $50,00 $ 43.00 $ 3.00 E., I'!\fiscellaneous (Service/feeder not included) -Eacb Installation j . . ... . Pump or irrigation . $ 50,00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 . Limited Energy/Commercial 'f!-..... $ 45.00 \.f ') Minimum Electric Permit Inspection Fee is 545.00 +' Surcharges 4. I SUJJTOrAL OF4BOVE I 4 ') 8% State Surcharge :> ".... 10% Administrative Fee C( ro- 5% Technology Fee Z ~ f TOTAL >S~r Shared Drive(f:)IBuilding FonnslE1ectrical Pamit Application 8'()6.dnc . . CITY OF ~rI(m\Jt<IELD Status Issued Building/Combination Permit PERMIT NO: COM2006-0I329 ISSUED: 10/16/2006 APPLIED: 10/16/2006 EXPIRES: 04/16/2007 VALUE: 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2861 PIERCE PKWY ASSESSOR'S PARCEL NO.: 1702302300102 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Wire thermostats and relays for training setup Commercial Owner: UNITED ASSN LOCAL 290 APPRENTlCESHI Address: 20220 SW TETON AVE TUALATlN OR 97062 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I CON~RACTOR INFORMATION I /O/~ -, '//U/ . Contractor .'VOtlfi~l1I rUIe;s a~UregoJticense Expiration Date FM SHEET METAL fNOAo :tiOfj Ca._OPted ,&1f1.1I reol';, 03/15/2007 ('~OiLDiN'G IN"oiiiVIA'rn~;~'~ Oreg~~YOU to -ql/1fjo h "QYObt ,~~I)ro~ lesare Utility nUtnh19;r~to~ie5;7tera~n COPle'9h O..qA S8Li!1ifize: He~li'( O!l~~ctur'e'Ote: S Of fha 9S<~ I t 1st Floor: Type'OfiH,'S'V 9gon Uti ~he tele rlJla~'h It 2nd Floor: Water Type: -800-33 illy NOt 'Phon~q' It Basement: Range Type: '<-<34.,) '/flcatiO,$q Ft Garage/Carport Energy Patb: .! Sq Ft Otber: /lfOl'lC Sprinkled Building: n/a Occupant Load: ?", J;:. IIU~~ PfRMpEVELOPMENT INFORMATION I C041 ORI1fD "fillii IINy MfNCfD UNDf,9fJG~'i~J.: 180 D OR /s 'Ii sfWlt lle~d.:. 'Ill' PfRl ~t,t4-.Il iG'emjl : WaR/( aD, % cil"i.4l~fl'~..r feNor I-O/i Phone 541-726-3000 Contractor Type Low Voltage Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPR~VEMENTSJ 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 Paee 1 of2 -wr; . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01329 ISSUED: 10/16/2006 APPLIED: 10/16/2006 EXPIRES: 04/16/2007 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 F~~. tiW.I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Amount Paid Date Paid $4.50 $2.25 $3.60 $45.00 10/16/06 10/16/06 10/16/06 10/16/06 Receipt Numher 2200600000000001444 2200600000000001444 2200600000000001444 2200600000000001444 Total Amouut Paid $55.35 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. Low V oUage: Prior to cover. ~ I By signature, 1 state and agree, that 1 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 structnre 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 Paee 2 of2 225 Fifth Street SpJ'ingfiOOl, Oregon 97477 541-726-3759 Phone . irii Wit. . ~of Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2006-01329 COM2006-0 1329 COM2006-0 1329 COM2006-0 1329 Payments: Type of Payment Check cReceint 1 RECEIPT #: 2200600000000001444 Date: 10/16/2006 Description Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By FM SHEETMETAL INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 5258 In Person Payment Total: Page 1 of 1 IO:29:32AM Amount Due 45,00 2.25 3.60 4,50 $55.35 Amount Paid $55.35 $55.35 10/16/2006