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Home My WebLink AboutPermit Electrical 2007-6-25 Date ZON m u.ey INITIALS N M DATE Co -Cleo r ("Y7 SOURCE m~ 0f?-0/U"7 225 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH:(541)726-3753 0 FAX: (541)726-3689 ELEt:l KlCAL ^ERMIT APPLICATION City Job Number l~ '2JJDi - Q9q,~ S ~ COIn,t.ll.tinn, Alte"llnn n' Relne.linn "" 200 Amps or less I $ 50.00 6;\) \l:2. "" 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 D.;Btan~h J.f~ .qiY{)U:ffr ...... ...fNOdf,. ., '.~........" .... L,_.. ..:.... . . . n emo "rh gon Util't New Mfeli.ati()'nloFrExt~!lsio'"n perJBlPl,.AL/es a _ I Y .., vOC:-UU1-00 ~ re set., A One CiFcGifO. YOU m"'V h 2.0 throuoh n.<;,$i1.~.odor!h E h d..u' 1 C' q 0 t'.Ii'n c' ;;:1:)')-00 I ... ac A uitto.~.a,9 dw?g~r Wit Opl8S of tho ._,,- - ",,:,,'<.~.-_,<'-,>.<<.~ ,--,-,-, Phone Pump or irrigation $ 50.00 . . " Sign/Outline Lighting $ 50.00 OWNER INSTALLATION Limited Energy/Residential $ 25.00 The installation is being made on property I own which Limited Energy/Commercial $ 45.00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~ ~~ Ow~Signature:/ 4. oS U - _ ..-~~ 8% State Surcharge . ~"OU ~.~~ \ \~ r.~ _ '(~,W~\~~~~:=~~:~::Fee . oi.~~ \ lns}A~~~~MV- : ~ TOTAL Inl.S"D .:A~~d.. ~ l}jCJ. VV\. \) \'KO'{\ l\. '1m"" Dri,~T,YB,Bdmg F'm.E1Mri~1 P,<mil AppliHi", '''6d" ..... ,', "'",','.',','- ;_..--":~'~.: ;-"V'<'";1_ ,.',.:,...~,....,,/:...;::::-:'..,.~:,:;;.~,:.. ,<,-,'-"':'~""::'S'._< _.:.-;,}'V, 1. (LPC:1TION,/J11IlfST4+.LATI9I-i. ;; 5~":::";~1746~ 'S:ffi"'i~ '," LEGAL DESCRIPTION: a-o c.rf.J..... W f.,S r Q)/g tJ e e JOB DESCRIPTION: 1G4~ S/) F'Lb c!2JAJG f;L /5 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~\ Eledt.ical Contractor Addre~ . City \ ~B / / Expiration Date 3. t'cd:AfPLETE$E;$CiiED~triEBEloH..;;, ~...:_, :. :""" ',.~ ;:<:. , . . '..____ ,,~.~w~..,,--..:,~:c.::.'>~,,~ .~-.:,.":,__:_:_~L:.,>:,:':..'_';}.x:,""'-:,'.--:,';,:.w',,.;,,' '<_':;..... '~:. ;.10-",.~-__.:'..; ." .,.,.~,,__~-k-.:..:'..: ..-'" ",_',,/ . .';;..-, . ",.- ,. .. ," ~ .< . "'-;-: ~ ..'^,'''... .., ~':'.>:l: ,"-,:, ~ <-.. '" ~ ~ "'^'~_-'n:~";\:-""'<:~_:~'/.:2:YX:(~.;<':"}/ ::"t's'y,;_'>t~:.,,<,..: :Vk~",{T _'. "i. _'_.' __ '. ">.; W..; \"' '>_~:' \,-' ,'" ,<t< '.--^; A. ;;Ne\" Residentiaf:'..Single:or'lVbdti-FanlHyper dwelIin:g UWt.'...' ;; '_-, -:~)..:;' "'. .._,:;." :._.-_"';::^~:., ',.".,.'.>:,,;~-,', ';-,:> :.;"~.:,,,,.J,~_; ." .'"' <'.-/' ,:, ! ",;'." ,._,,;:. .,:',:;' "<'c-;:.' ,~,::;'~_L.f ~ ;:',,'.-.. - '., ;,,;".> . .:..::'-:','~ A '''.,.-,.:;l:~':",. . ':. '. .,-- '-~.' Service Included 1000sq,1~'-9rfI'1,e~s $106.00 Each a~aiti'oti1aH600 sq. ft. or portioifl1\f5eptRrVilT SHALL EXc'-- $ 19.00 AI In or. . i/tit It- I HE WORK Each N1'anufa~r.4M<fln~ffOER THIS PER' - Modl.Elaf)1Viwelling,Serv,Oi~tt9.r, IIJJlT IS NOT F d - 'I.VI!-I~ur:U 'i1I~ ABAA!.Q-"~'En ,...,$5.0.00 ee <ANY 180 ~ . "..I. v OJ J UK //e/'Y'F'- .........DAV,PER/QO,. i(--"~- ,::~0;;;::.":::;~);:'- ,-::.;.-~r:;" ,. ~-.: -.; ..'-, '-':: ",'\(}) ,:/":':/:';/7, ::',,'<\;'.: i, ::. ;,./:. - .5;':;.,:",,' . " ;.-: .-'. ':.-: '~" ':'-'.. . ~.' . .----'. ,.,._ B. ;,.Services~J:' Feeder~'-::-:J~stallation,Alteratioils or Relocation: '. t>J:;,::-"..tf_:",-~:;&:;;--:;<;\:",-/1.~;~:;':;:::,<~::J-;\.;'<j:if;.:':~'L<lit.f-::.::-C;~':;"l-:-/<:'>,::-io ,':' ,,,,;,,:,,:' .' . :i; ,,', ;" " .....,. '''-~ 200 Amps or less 201 Amps to 400 Amps .4PJAmps to 600 Amps .601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 ~/3 5'1'4N (Y\ T', ........lv. _~...:a. .. I (\ " ":1 "ot.l\......C.... r ..",. '''- .Je ..s ~~f lvL.o.YD I . , i ~-'. . i r i.N ----- 7 st'l-3 70-S. " ,i f' ,...... r[--) r-\ I ~ \ ',)1' \,-,Jl Iy! _.: -\ '-1.. P'\ · ," )j"'. 1(', J.G 'I j 1 u, \ ...,; ..J ! ,i}...j ) , /'.)"'oA.~.':::.j '. . v. -.-A -, I . ," ~ ...\." \ f;-....~ t /-~ -i--. t--:, ',. ..........""tl ../ J. J f ~ / :7 t~.. r'~ C)/\.~) ~. ~ .r....... :.) ~...\, ,r. .-' r- f.,.1 t" ~, / \.t r....."J _...' "'~ 1'1' I I _ \.r., ; . , ~r It........ ~ ' }. I \ 1 ( . ," ~ " I ." I ! "\ I' .,) '". If'" ~ '( I " . (I, V . \1 /J.I '..,j,# ~ IO" ;" t . -..." 'I / .c; d v V ]'i\~J.A /j '_ . fA ,\\ \ i) I' } f' t.J. tv lY \Ii 11.' i . . '--".1) /~ ...\.J/ \..,1..) :'J. J VV 1 \1 '\..,.'f. i I.. <.I't .. /' ! :~,. . t" ..- I'. I' . /1 \..' ~, \ !. '!i 1 . r I / iff 1 \ / / (J~ 1. ,r J' ,. )1 I !jl 1)1.. hi' II)1'V1 ! . .U'''' I r,'J/ii/i f:... .' I \.//\1 '_ .1\./ V}j ~ \.... ( dl /,..J..JJ\,.<"/ ,r ,,,I \../ L/ ~J\. : I ~ / Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00935 ISSUED: 06125/2007 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: 140 5TH ST ASSESSOR'S PARCEL NO.: 1703353105200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Temporary Power for summer concert series. Owner: GRIGGS & ASSOCIATES LLC Address: 140 N 5TH ST SPRINGFIELD OR 97477 Owner: MOORE & KARNS Address: 140 N 5TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OWNER License Expiration Date Phone 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 I 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: f'.-:-~-L:NT:Of\J' 0' -y-,];", !C;..I ~,;r~L!li8S "PUBLIC IMPROVEMENTS I "fC.!iO\JV rule~, [. ,-:.(;i.: "; _ ~~' ~~~S i,Jj'2'~()n V..l,,") Street.ImPrOV{lm.ent~:,;.. -i'~ Y '" 'u1es are se'l" forth I _ .....e ~.ul j '-.J...... j _"..It. I. ,"-..... '.' I I '- I I Storm8ewer Wv.ailableDC1 0 ihrough OAR 952-001- Specili'Ilnstrtictionay obtain copies of the rules by calling the center. (Note: t:1e telephone Notes: number for the Oregon Utility Notification Centel is 1--800-3322344). Sidewalk Type: ;.r. 'F,....: (".7'. Downspouts/Drains: ~\J \lJ I, Ill~ l-: . THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COIVlMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00935 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 I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Temp Power 200 amps or less Amount Paid Date Paid Receipt Number $5.00 $2.50 $4.00 $50.00 6/25/07 6/25/07 6/25/07 6/25/07 2200700000000001017 2200700000000001017 2200700000000001017 2200700000000001017 Total Amount Paid $61.50 I Plan Reviews, 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. I, ReQuired Insoections I Temporary Electric: Approval required prior to Utility Company energizing pole. 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 furt.her agree to ensure that all requir..ed 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. ,~= J/V\ .~r:~ Owner or Contractors Signature Date Pal!e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00935 COM2007-00935 COM2007-00935 COM2007-00935 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Temp Power 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By KEITH MIYATA CITY OF SPRINGFIELD City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001017 Date: 06/25/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 047015 In Person Payment Total: Page I of I 8:58:41AM Amount Due 50.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 6/25/2007