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Home My WebLink AboutPermit Electrical 2007-4-18 .\ ~\)'~~~ ,:PRlf"11\.'i\.(}.O#Jilit"t/%ittt ,~ .~~ &h ,,,;;$;i<; '.''C-'';, ,_ d....~.'c:b:::.;::.:.:.:::~.\:).i:...._.;} 225 FIFTH STREET - SPRINGFIELD, OR 97477 - PH:(541)726-3753 -FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION ~ City Job Number C6vY\. z..oo 7-00 56 Date 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only \0 \res'lOU. . I(tJ 795 -\ON'. cS\e, J\'rn:,N \ s ado?te e ru\es '2.-00'\- ~()\\0\j\J ru\e cent€!flSfR'n~~gt\~@r"aliJh~{e~t8'fation 0 (" . ~9\W\cat\0~_00,\ -c~ ~~D~~e~ID' t~~ r \lone / $ 50.00 57J"-- ~ - 3> i't O~ u rna'l (2(}lI,8A9W{'0\ce1li1o.e\~Pt~\cat\on $ 69,00 J OOgo.:o t\le c€..4fit.)3~~Sf\CU>.9.o.'AWt~2 $100.00 Expiration Date '7 I () ~ ~\\ng, r tn:~pfe~Oon'A?'fY0404 'v I "B" b tt ( bef \0 . er ' , mps-u 0 ts see a ove. S' f S "EI '. "urn ceD:'el Ignature 0 U,j ervl7 ./?tn~lan . ~iew Alteration or Extension Per Panel ~ One Circuit $ 43,00 {/ C Each Additional Circuit or with I \ '.,fl .:>. ,-r"" p ~~ LL-L Service or Feeder Permit Owners Name U v-l(.. '- ~VL.. ;I Address 5/r W /- ?~H- e,L City SA \4- L.AkeutJ"'Vhone _\_.. 0-\ CbU r ~\D~ \. OWNER INST ALLA TION NOli C E : Limited Energy/Residential $ 25,00 !he in,stallation is being made on prOPfffS~M~Tc1iHALL E)w1\1R~ci\EJ~M~rcial $ 45.00 IS not mtended for sale, lease or rent. AUTH 0 R IZE DUN D~lihJHn IEt~M~Tp~JlAhspection Fee is $45.00 + Surcharges COMMENCED OR I~. )2} 0':::- ANY 180 DAY PERIO ' 8% State Surcharge 10% Administrative Fee Tb~~L \'t--(..4t' 1. t., "'" LEGAL DESCRIPTION /703 Z7(0 e3~OC JOB DESCRIPTION ~ I I ~p S\/ (-' i Permits are n m-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor Gh ~I 'Jf~ 5// tlLe-' !?, ))~d ~ Phone & ~ . it I )- ( Address !J1J {) City t(L-tih<- I Supervisor License Number Expiration Date IC:/o7 Constr. Contr. Number Owners Signature: Inspection Request: 726-3769 ~ Du l,O~l -- 6) () 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. $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50,00 $ 3.00 E. Pump or irrigation Sign/Outline Lighting $ 50.00 $ 50.00 ~bl~ ~v.::- ,jlJ"::'- ~s-o 1--7 /J I'-L ' .~ J / .--- Shared Drive(T:)/Building FormslElectrical Permit Application I-06.doc CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00568 ISSUED: 04/18/2007 APPLIED: 04/18/2007 EXPIRES: 10/18/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6 W Q St ASSESSOR'S PARCEL NO.: 1703271003300 Springfield TYPE OF WORK: Use Initials PROJECT DESCRIPTION: Temporary power only TYPE OF USE: New Commercial Owner: SKYVIEW LLC Address: 515 W PICKETT CIR 400 SALT LAKE CITY UT 84115 I~ONTRACTOR INFORMATION I Contractor Type Contractor o~ \.~ License , Electrical CHRISTENSON ELE~~~~~<,,'$\ 458 \0-~ <"1 ~mt~t&~_~~RMA TION I o~ ~ ~e':>! ~~- ~e'o # of Units: . O\e~eO 'O~ ~e~.,y. ~l#)~~d~~\\~ ~ Primary occupancY~ Gou '\O~'0-00~ ~ '\'\\~'\\<"O~~e~~,~~ture: Secondary Occupanc ~e':> (;e\\\.e ~\\:).~ <:P~'I. .~e~{)i:teat: Primary Constructio~ . 0" R)$VCj ~\.?f:-" ~o\.~~'fh ~: Secondary Constructi'fRl ~~C?><0tt' ~~ 0 ~e<". 0" 'Ri~qg1'?>fype: # of Bedrooms: ~o O~~ ~o~ ~ (jef:" O<,e~~cp~ergy Path: \" B\)- 9> ~e :<, ~e . ~ V Sprinkled Building: n/a ('\Cj ,,\\~ J ,0 tP'i. '\ \..1;"\>-<,,'0'0' (;e\ " DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Rqd: Paved Drive R~ % of Lot ~~~~~ \t ,\\ ~ ~\) _,OY. ,(~ '\ ~. ~~lWll~~IM:p~~\\E~i-ENTS I Street Improvements: ~~\\t;..; \:.\\~\'\ S'0~\)\:.y... ~t>-.~\)() \1~<O \l 1\:.\) \<0 ~ ' Storm Sewer Available: '\ '\' '0~\\\/" ~\) ~\\ ~\), Special Instruction: t>-.\J'\ ~\:.~\.; ~ 1(\:.\\\ r:v~~ <Q\) \)~ t>-.~'{ \ , , Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Expiration Date 05/01/2007 Phone 541-688-6121 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Paee 1 of2 Value Date Calculated Status Issued CITY OF SPRINGFIELD C Building/Combination Permit PERMIT NO: COM2007-00568 ISSUED: 04/18/2007 APPLIED: 04/18/2007 EXPIRES: 10/18/2007 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' 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 4/18/07 4/18/07 4/18/07 4/18/07 1200700000000000430 1200700000000000430 1200700000000000430 1200700000000000430 Total Amount Paid $61.50 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. I Reauired Insnections 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 Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . r"~r of Springfield Official Receipt lelopment Services Department Public Works Department RECEIPT #: 1200700000000000430 Date: 04/18/2007 Job/Journal Number Description COM2007-00568 + 5% Technology Fee COM2007-00568 + 8% State Surcharge COM2007-00568 + 10% Administrative Fee COM2007-00568 Temp Power 200 amps or less Item Total: Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Check CHRISTENSON VELAGIO djb 1251 In Person Cash CHRISTENSON VELAGIO djb In Person Change CHRISTENSON VELAGIO djb In Person Payment Total: Job/Journal Number Description COM2007-00568 + 5% Technology Fee COM2007-00568 + 8% State Surcharge COM2007 -00568 + 10% Administrative Fee COM2007-00568 Temp Power 200 amps or less Item Total: Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Check CHRISTENSON VELAGIO djb 1251 In Person Cash CHRISTENSON VELAGIO djb In Person Change CHRISTENSON VELAGIO djb In Person Payment Total: Job/Journal Number Description COM2007-00568 + 5% Technology Fee COM2007-00568 + 8% State Surcharge COM2007-00568 + 10% Administrative Fee COM2007-00568 Temp Power 200 amps or less Item Total: Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Check CHRISTENSON VELAGIO djb 1251 In Person Cash CHRISTENSON VELAGIO djb In Person Change CHRISTENSON VELAGIO djb In Person Payment Total: cReceint 1 Page I of I 1:37:50PM Amount Due 2.50 4.00 5.00 50.00 $61.50. Amount Paid $59.00 $3.00 ($0.50) $61.50 Amount Due 2.50 4,00 5.00 50,00 $61.50 Amount Paid $59,00 $3.00 ($0,50) $61.50 Amount Due 2.50 4.00 5.00 50.00 $61.50 Amount Paid $59.00 $3.00 ($0.50) $61.50 4/18/2007