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Home My WebLink AboutPermit Electrical 2007-3-22 ZON -?-, 0 INITIALS )\1 /VI DATE :5 -d :.:> - 0 'l SOURCE 01 S 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERJMIT APPliCATION City Job Number (l ~ /)..g1) '7 - 00 ;2.5 ( Date '3 - t '7 - 0 7 l.L'c)C.4TioNOF'INSTALLATioN:";1Y; 'f"' ~ ".'", . "".~-:.,.' .j :. ""; _ ',,,,,., '." , "'._,..~'."" ....'::.0"... '^" '" "" ..J.. '" ..,;' :" < : .~~^,"":' :~.. 3. ~-~COl~IPLETEFJ3ESClIEDULE BEio~v ':::n'~" __.;._.," _/,',-. .....v.._,....,iv~....~ ~- ;"'. ._'~" -~." :-.".,. S-.l ~ IY\ " \\ ~T LEGAL DESCRIPTION: 2:. "" <;... ~ u \ ,-"\) l '--' \ JOB DESCRIPTION: S ~<:...uL:..\\ ~A,..lA.." \c:>~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ,'," '<'" """t-;FF,' "";/.,': ''te."." ....,..-- ".' . , ,-. ' .: ' A. :N'~wRes~d,~~!~~~",: S~ng,I~_or~Mul!~-F,~rililyper dwelling urut. 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 2. . ~.~: .~;."".~L'r ' :--J.'>~.,,, .-V?;W~;..:'; :';;it.:~;""" ',T~;':t...)'~ S;_>~-'J:'~"; ";.X;; 'i ~,:,> "~,>,,'~,, :,~'.'" C,QNfRACt.QJ{'INSrA1-LATlo'N .oNLY' .:;~".,' , ";,~' ;,.d~.;\ ''-':::,?i;_:,~:''''1.:,:dt:::':. ,'. ',si' :>,.?,~~:-:;i<:.,;_~,' . ;:: ";.., ., i::>~;:::i:W:.'/\':r:~t'<:'~ - :./~,_::; ,_\_"...", . ',,:, . "',: ',:-,:', "-'_ :.-' ',: ,'.-," B. .. Services or Fee~ers.,-Installation, Alterations or Relocation: "."..:i:"".,:.",,"".;,. .,,;;,,,, '0-"" ,_,.... v~, , '_0'" ....~,., . ,~ City Phone 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63,00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Electrical Contractor Address Supervisor License Number ( 6 73 If ) Expiration Date I D I 0 ( . <.,;.., ",~'W,~_,,(:, _ .'."-' '~:~.,:'-~ff-'~>~' :.<>: :,'.";": ~~":. ",~>~l C. ~jerJ.lporary Ser~iCes"~rFeedeis i v^, ... . '., l...., ~ ,0_;" . ~ ,. ",. _ >.,. ,." -..'. . . " ',' .\;.' ",,' . Expiration Date Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 D. Branch $ 50,00 $ 69.00 $100.00 Constr. Contr. Number Signature of Supervising Electrician r ( -!J~ \ Own SSP ~ Ii ., ._.".. ,. " .,,'_ '_',," .;:-".,.,~-::....~ ,.... _,," ,"c' , .~o - ess , ..I:. ,(;'J.o-;; -kJ}_~'~' :"d.."I..,.,.. ~;~~~~ Uhf:';.. E. Miscella~it<Sftice/feed~r 'not included) -Each Installation A1 \ L-'~:I~~~(tqtJter.1\X~',,:..H ar~ seUO\, -,""-- --'--"THIS PERMIT SHAtL'EXPIRE fF THE WORK --' --~ City. .i~r.~~r if~0il~ f\1'~~~q>~~f:oo P~mp or i~~~ORIZED UNDEn TIIIC rl~~ I~JOT \l~atlo~~1_00~? lnrO~g~ of the ru\es Sign/OutlIne l~iki1tl~ICE OR IS ABAND ~OI1 o\YNER\fN~fAL . A,T3l1~\t'\ COple k t.o~aphone Limited Ene~ ~dbtla9 _ 5.00 A(\OO. )'0\' ':''1 ,(Note'. tile '0. .J:' '? ., 11 V 1 AQ n11Y PERIOu. :me 1tt.sta~1tl'f;~1~\~~lqg3m\1~:'~n ;r'\!}1ffity ~.\Wn$HO. ' Limited Ent!!' rYCbmmefcml $ 45.00 is not m~~~~Jr~o~I~~~,~~~332r23t,~.~. Min~m~;m ~I~~,~~,i~, ~~~~..~t ~~~p~c~io~,!~e is $45.00 + Surcharges~. - Owne1~i/ 1u'r::'" IS , " . 4. ":~~[~f:~r~~rYE' 1:~. :: :it ""-.. 10% Administrative Fee LI-. <:;6 '\ 5% Technology Fee d, d-t:::: Ins cti:n Req::;, 726-3769 TOTAL C;C; . OJ c.;-- Shared Drive(T:)/Building Fonns/Electrical Permit Application 8-06,doc'-'" ' New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit I $ 43.00 c/ 3 92. $ 3.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 525 MILL ST ASSESSOR'S PARCEL NO.: 1703352304500 Springfield PROJECT DESCRIPTION: Interior security partition Owner: SPRINGFIELD SCHOOL DISTRICT 19 Address: 525 MILL ST SPRINGFIELD OR 97477 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00251 ISSUED: 03/19/2007 APPLIED: 02/2012007 EXPIRES: 09/19/2007 VALUE: $ 2,000.00 TYPE OF WORK: Interior TYPE OF USE: Alteration Public I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor OWNER OWNER License Expiration Date Phone BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 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: 1.f.l)~.J.JLIC IMPROVEMENTS A " " " l-IC' ~'"'11".41 . . ,,,,\n _ .. StreetImprovements:J,v::i-""'\"~' nregonUt".y N ~aewalkType: RE IFTHEWORK :1-q::.N \ \..;I~' <ed bY tli8 '. e settor, THIS PERMIT SHALL EXPI Stor~~~,\erri~~t!a:.b'l\G';:h 1hOseru\es?f 952.-00 AUTHO~~'lY~~~af~=s PERMIT IS NOT SpeclaDI~#qct~~n':"enter. gh OAR ' Not\"ca:uo Oo~-OO~O \.nfO~ s oi the fu\es . COMMENCED OR IS ABANDONED FOR Note~h O~R 952.~ay obtain COP~~thete'ep.hO~e , ANY 180 DAY PERIOD. 0090. :OUthe centc,.(NotUtmW Not\hcat\OL ' ca\\\ng tortne Of~gO~ t"l30~2.344). numner ' :'...... \s ~ .80\1-0 '- Cefho' Paee 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Structural Review CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00251 ISSUED: 03/19/2007 APPLIED: 02/20/2007 EXPIRES: 09/19/2007 VALUE: $ 2,000.00 I Valuation Description I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 2,000.00 Value Date Calculated Total Value of Project $2,000.00 $2,000.00 02/20/2007 ~ Amount Paid Date Paid Receipt Number $4.50 2/20/07 1200700000000000170 $2.25 2/20/07 1200700000000000170 $3.60 2/20/07 1200700000000000170 $45.00 2/20/07 1200700000000000170 $4.50 3/19/07 1200700000000000294 $2.25 3/19/07 1200700000000000294 $3.60 3/19/07 1200700000000000294 $43.00 3/19/07 1200700000000000294 $2.00 3/19/07 1200700000000000294 $110.70 I Plan Reviews I 02/20/2007 02/20/2007 APP DJB 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. ~eouireCUnsnections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pal!e 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-00251 ISSUED: 03/19/2007 APPLIED: 02/20/2007 EXPIRES: 09/19/2007 VALUE: $ 2,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Page 3 of3