The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2007-1-31 -{-'. ZON'~,' , INITIALS (k\' DATE A. t. tTt SOURCE lJ. t'" 1 r'\~ 225 FIFTH STREET - SPRINGFIELD, OR 97477 - PH:(541)726-3753 -FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION. . City Job Number CLJm ~O'7 -lJOISJ Date 1. i;'LOCA:TIONOF.I.NsfALLArloN:, 4I$"":"C;;~;;;~;~ A ~, LEGAL DESCRIPTIOJi.. \f\f!l1JWu '. O\?s:;i) JOB DESCRIPTION: .-- l.ernp' EUtYx/~ Permits are non-transfenlble and expire if work is not started within 180 days of issuance orif work is .Suspended for 180, days. 2. ." ';'.~' . ~:<',~ '. '" 3, ::.,',.,,'~ . ,'",__:::':'>:.';'i "".~ ,. . ',', ''o,<':,,''';:;::':':;::''''''~~4'''' A. Service Included 1000 sq. ft. or less $106,00 Each additional 500 sq. ft. or . . . . portion th"ftfnCE:'. . . ..'. $ 19.00 . . Each Man~~~\CtSHALLEXPIRE IF THE,WORK Modular DWa1 ~TIR1!rn UNDEli'T,HI,S PER~I^ i NOT Feeder A . ABANUUNE1ff J'R B. s~ .i;::"j7;t:I'ii'~lqt;.~~!," e ()f,~,}!&u Electrical Contractor V (. f J( ) f 0 S 200 Anips or less Address P 0 IOn 'I . tv q 7~~ ~ ~:~: ~: :~~~:~:: Cityt~: (1 r - f i V; . ~ Phone 7 4FJ7 2-Y ~~::;nr:;~ ~~:'/::.:s . Reconnect Only . . Supervisor License Number Y ~l'~ 15 lOin '7 Constr. Contr. Number' . '/'?J(PY. ~ [, . 10/D'7 I Expi.ration Date. . Expiration Date dV):=jiS~je~~iNll / Owners Name 4-2nd <If-Cbl}?~'d Li..C.- Address 60c51 ~nd If ~ City Phone OWNER INSTALLATION . . The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: ',aP' 4 . ~. . $J~ ~ .... . ro~ Inspection Request: 726-3769 ? $ 63,00' $ 75.00. $125,06 $163.00 $375.00 $ 50.00 c. Installation, Alteration or Relocation 200 Amps or less .'f $50.00. ,t:;t).OO 20 1 Am~W~R~oregofll~ vv I tt'\i.ill ~&J,g~ If. 40 1 A'BflbCW~ lltWidoptedby the Or8gdflClJality Over~iji 'onC~1l1te>:r1slft~'r_.are set f~rti D'l;~€@~):: ,:~~i~@~~;: New Qg~lifnt~'l~ii.~N .1het~l~pho~e * One clrc~'tI~~I' the ~~~~l NOtffl~l('\n Each, A~ ~fs1rl@JOO~~-2'M4)" " $emce or Feede ~rmr[ ~ .).00 E. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50,00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ,S(j J on 4Jln . t:;.00 (;). rn ~r.W 8% State Surcharge 10% Administrative Fee 5% Teclmology Fee TOTAL Shared Dlive(T:)/Building Fonns/E1ectlical Pennit Application 8-06.doc Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00151 ISSUED: 01/31/2007 APPLIED: 01/31/2007 EXPIRES: 07/31/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4155 Commercial Ave ASSESSOR'S PARCEL NO.: 1702320001300 Spfld TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Temporary Electric Owner: Address: 42ND & COMMERCIAL LLC 362 42ND ST SPRINGFIELD OR 97478 i4(jfl~~. THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT l,Jlviivici'4lJCU Ulil" AIjANUUNtU t"Uti CONTRACTOR IN I ERIOD. Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 08/20/2009 Phone 541-747-2724 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a Frontyard Setback: Side 1 Setback: Side 2 Set!Jack: Rearyard Setback: Solar Setbacks: DEVELOPMENT INFORMATION vU lU ATfENTl: th~~ti~~~6ri Utl~QUIRED PARKING Ov~BiS.U\eS adoPt~h~e rules are settoi1ll: # ~o$(litOO~lP.nter.10through OAR 952.Jl1)~dicapped: ~'Yf~\@~1.':a\n copies of the ru\~!pact: Yo 009\1. ~~~y 0 (Note: the telephone caUing the~~nnUtiUty Notification I PUBLIC IlittJU}V~.eOO-332-2344). . Sidewalk Type: Downspouts/Drains: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal?:e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00151 ISSUED: 01/31/2007 APPLIED: 01/31/2007 EXPIRES: 07/31/2007 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 Temp Power 200 amps or less Amount Paid Date Paid Receipt Number $5.00 $2.50 $4.00 $50.00 1/31/07 1/31/07 1/31/07 1/31/07 2200700000000000140 2200700000000000140 2200700000000000140 2200700000000000140 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 Reouired 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 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 Pal!e 2 of 2 ~ 225 'Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00151 COM2007-00151 COM2007 -00151 COM2007-00151 Payments: Type of Payment Cred itCard cReceintl RECEIPT #: Cit-- "f Springfield Official Receipt D~ ,opment Services Department Public Works Department 2200700000000000140 Date: 01/31/2007 Description Temp Power 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BURRELL BROS, Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 05581B In Person Payment Total: Page 1 of 1 2:59:41PM Amount Due 50,00 2.50 4,00 5,00 $61.50 Amount Paid $61.50 $61.50 1/31/2007