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HomeMy WebLinkAboutPermit Electrical 2007-6-25 Date ZON l^\) .Lt't\. ,~U INITIALS ~ DATE :-+J" Lp -).,Ib ul SOURCE II""\. ~ - (p (;;>.Ej / 6 -, \ . ~ , 225 FIFTH STREET. SPRINGFIELD, ~..,.:17477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERM I]; ~f1?1TION City Job Number C1J,. 't:f , ~ 1. f~!.l()(JJ!WJl;~'QFJixS7;! .{$3rl5.......,.,...~.~.(~)'..... LE\~if)\o: 03?:i:O JO~trdr;~ \ W~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor Nf'w Wi'l.Y Electric, inc. Address P.O. Box 21403 City Eugene Phone 5 41- 6 8 6 - 2 365 Supervisor License Number 52528 Expiration Date 10-01-07 Constr. Contr. Number 51088 Expiration Date 06-27-2007 Signatu" OfSUP"';'in~;cian ~/%!~ . Owneffi k:: . ~~U2-0 Add~ 'b U) ~ toH:., Ci _. ~ o.~~ '..t 0 \.l ~.i""".. ,~~t Ill" ,X;... T S P E h M \ \ ,) \l A l. L , \ 1 O~~r~~~lriL~~'Ui9~"rH\S PE \1F~SRNO Th~.IP\s(lM~!'1Rn'1~ \gelIJ~i It13Qe;\P>A ~~ ~ own which IS n€lt~tW~etJ\ded for sa]t~ Jea]se-pr rent. ANV\ 8D \JAV \-',j-.(!\ \J Owners Signature: '''pect;o. R~~C~i; \ S 3. A. 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 B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN oIts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fe $ 50.00 $ 50.00 $ 25.00 $ 45.00 " s $45.00 + Sur arges cxJ ~f6~ folloV8%l~ah?s\?~2f[aFgp)1 t e ICCCl:l ..;,,,,~I Jij" .lt10 No';ifiC<Il~~llJ.\Qfi1ffiWtralv~F€erules &: e sc; u, 'l . ~ in Ot:' ,fio/o5f...eEhtiblrag~ w&,i'Qugh C -'\:"{ S~.:::" - ~ ~" I . ;:;;J oo~o. You maY obtain copies of th2 IL':3.3 ''J ~[/\ 11 ca:li1if?lr-#center. (Note: t:1e t2:'::;r~hona vJ .:::::>0 n' n"ber t"or Rh!!fed'RnMF,(,T-'I)!,E!uilding:IiormslElectrical Permit Application 8-06.doc U II OT0 U '-'t:.r\..;J1 ........lill.J' '''I...r'~III\..lU.'.IVj. Center is 1800,,332 2344). M~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-00934 ISSUED: 06/25/2007 APPLIED: 06/25/2007 EXPIRES: 12/25/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1810 Pioneer Parkway West ASSESSOR'S PARCEL NO.: 1703271003300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Conduit for one circuit for McKenzie Commercial General Contracting Commercial Owner: Address: SKYVIEW LLC 515 W PICKETT CIR 400 SALT LAKE CITY UT 84115 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor NEW WAY ELECTRIC INC License 51088 Expiration Date 06/2712007 Phone 541-686-2365 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: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a 1 DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: 1 PUBLIC IMPROVEMENTS I Street ImprovementS':r,.:=j\'TJC): 01":':',- Storm Sewer Avail~~-I~?'.V rule:E::c:rr; . Special Instructiorl~' r. .'C'2.~iCJ(:jr. ,~i. ir ~"'" ~ :~,~2 :1, -; -C',~I I" Sidewalk Type: Downspouts/Drains: Notes: C'-ru'J. )lc;u i. , / C'J I ~ >. c~',;:L'js th~ Ct;. .:r (,-'. n",:"'.1':;8r iOr m8,~. '- ' C81-1~81 is -1 c:'. ~l.valuation Descriotion I ;) , I.. 111VII i J II ALL Li-: II;~; ! !~i II v') ;} I~ , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount enlZED UNDER THIS PtRM!T IS I~O r " ':1 i eED OR IS ABANDONED FOf~ ~;ilptPERIOD Date Calculated Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-00934 ISSUED: 06/25/2007 APPLIED: 06/25/2007 EXPIRES: 12/25/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Other Electrical Permit Amount Paid Date Paid $4.50 $2.25 $3.60 $45.00 6/25/07 6/25/07 6/25/07 6/25/07 Receipt Number 2200700000000001014 2200700000000001014 2200700000000001014 2200700000000001014 Total Amount Paid $55.35 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. 1 Reouired Insoections I Special: See Plan Review and/or Inspector notes. 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 will be made of any structure 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 Pa2e 2 of 2 225 Fifth Street SpMngfie1d, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00934 COM2007-00934 COM2007-00934 COM2007-00934 Payments: Type of Payment CreditCard cReceint I RECEIPT #: Description Other Electrical Permit + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By NEW WAY ELECTRIC City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001014 Date: 06/25/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received llh 905265 Phone Payment Total: Page 1 of 1 7:57:09AM Amount Due 45.00 2.25 3.60 4.50 $55.35 Amount Paid $55.35 $55.35 6/25/2007