The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2007-8-3 3. ZON~ INITIALS tJ tv\- 4M. DATE r'-} ~ - 01 ~JlI SOURCE :{YVf?Sr-{}? . I~ 8 3)2cOr I I . . '. COMPLETE ~EEBCHEDULE lJELOW $PFtINOf'IELD 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number c.o~ 'Z.-()O 7- 0 I "Z. sO 1. LOCATIONOFIN.S1'.ALLATIQN: , .3ZoO 6l~ Sr., d~AL- D~SCRIPTION: . /7D'] 27.70 0' 7co JOB DESCRIPTION: Nt{).) diSPI~ hrok lLp. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. -: -;~~':~;:'-'~-, ,:'" ':_:_~;:' ',' _ - - _' - -':.,':, " _ ,'~~ _~;:,~-- ,', ", "~:???i;;'l~ :1::~'.l.;~~-,-:fF:-~':_' 2. ,CONI;R1lCTORJNS1'ALlJATf(!!jj;;fQNi:Y:~: Electrical Contractor 'Ber:Je-t e.C:tn C-. Address (002-LD NE. I 12Th Ave.-. City Por=t-l0Jt4. Phone =X>3-2!5f;-ICOICO d?-, q., z...z. 0 Supervisor License Number 5 ("::J..J5 Expiration Date _! ~ Z() }1..0@8 , Expiration Date 1\ 05 ZJ '2) 2-0 12-c08 Constr. Contr. Number Signature of Supervising Electrician ~#~) / F' (-- Owners Name BfST" Bu'A I L? Address '"7LP Q I P-E..N rJ AVe. Sold"Y7 City !Z;cf,!ie./d,MN' Phone ~/Z-2.qJ-72.0J . 55 '12..3 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Date A. ' N~wResidential;;c~iligleor, M;ulti-FamHy per~,y~,llin.g unit. 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 $117.00 $ 21.00 $55.00 ~~- -~ "', ,~'";"- ....,.., - -,,::'~:'_:",,?::',?~~:;:-~"-':T_.~ B. ,.'SeJ"vices '6 ~'Feeders--lpstaJI a tio'Ji~.\.~ltefl!t.fQnsj:~r(cli~locaHQ'n: 200 Amps or less $ 70.00 201 Amps to 400 Amps $ 83.00 401 Amps to 600 Amps $138.00 601 Amps tlfleeps $180.00 Over 1000 ~~MIT SHAll EXPIRI$Jf31JdE~~~ Reconnect A I THORIZED UNDE~ T~ P€aMlT I~ Nu I .,~. .., ,'cl\lnr=nl\BJS.,.ABA~[)ONEB;;~P~:,. C. 'T~,ITIPor:l~~~tW!lDA~ep~~iOO: .',..::;'<~'f~<'/; :,"'c:: Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps $ 55.00 $ 76.00 $110.00 Ov~r:~O~.__~~fi_,or 1000 Volts see "B" above. D. k!~lj#~n,cl~~t~()~~( New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with 5 Service or Feeder Permit $ 48.00 $ 4.00 4B 20 E. " Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Affl~&.f:r~~t!W requIres you.t.o $ 28.00 foIJdwi~.tm.!?ld~ctb19 Oregon ~tJl~ 50.00 M~~fi~Ilfa~~~&~l!~tff,~~~::,.surChargeS ~ooalfcmM66~s'9!ttl'trUles~_, l!>B dWifl,,~oemtftl\. (Note: the tel~pho~e 5 . # n&lfflb'IJr..~.tkttllQr6!SQn Utility Notification \j;) . ~ 5% Te@e~seH00-332-2344). 3 .4 t B3.lrl TOTAL Shared Drive(T:)/Building FonnslElectrical Pennit Application 7-07.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3300 Gateway St ASSESSOR'S PARCEL NO.: 1703222001700 Springfield PROJECT DESCRIPTION: 6 circuits for new display hookup Owner: NEWGA TE LLC Address: 840 BEL TUNE RD STE 202 SPRINGFIELD OR 97477 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01230 ISSUED: 08/20/2007 APPLIED: 08/20/2007 EXPIRES: 02/20/2008 VALUE: TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BERGELECTRIC CORP License 110521 Expiration Date 12/20/2008 Phone 503-255-1818 BUILDING INFORMATION I Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport NOTICE: Sq Ft Other: THlgtPERMI~arM*E IF THE WORK I DEVELOPMENT INFORMA~*H~HILtU UNUtH I HI:) PERMIT IS NOr H ENGED OR IS A~IPI1mING '. ANY 180 DAY PERlon .. . Overlay Dlst: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: # of Units: Primary Occupancy Gr~up: 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: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: A~NTfON: Orepon raw requIres you to follow rules . . Notification C In OAR 952.Q01.Q010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Noti1lcatlOft Center 18 1-800-132-2344). Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Date Calculated Type of Construction Pa!!e 1 of 2 Sidewalk Type: Downspouts/Drains: Value , . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01230 ISSUED: 08/20/2007 APPLIED: 08/20/2007 EXPIRES: 02/20/2008 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 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $6.80 $3.40 $5.44 $48.00 $20.00 8/20/07 8/20/07 8120/07 8/20/07 8/20/07 Receipt Number 2200700000000001323 2200700000000001323 2200700000000001323 2200700000000001323 2200700000000001323 Total Amount Paid $83.64 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. Reouired Insoections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 Pa!!e 2 of 2 , (, 22S Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01230 COM2007-01230 COM2007-01230 COM2007-01230 COM2007-01230 Payments: Type of Payment Check cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200700000000001323 Date: 08/20/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BERG ELECTRIC CORP Item Total: Check Number Authorization Received By Batch Number Number How Received djb 6565 In Person Payment Total: Page 1 of 1 2:16:13PM Amount Due 48.00 20.00 3.40 5.44 6,80 $83.64 Amount Paid $83.64 $83.64 8/20/2007