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HomeMy WebLinkAboutPermit Electrical 2007-8-22 r~ -' " .. " " .~-~~.~ - - tk-/ ~-QL ~",~~'d~ CJ ':>-) <6 J- , i225... m~STREE~(f~(~;~:~:1~~~~~:;):J:~~~~, (54:::3:' co """v,",," ELECTRICl?PER1UITAPPUCATI0N Q _~'").._ Or City Job Numbet\ ~_1:rQlJ&JJ ". () II d 'f7 Date 0 1. !;OCA. nON OF INSTA.I_.L4 nON 3. C05f?H~TE FEE SCHEDIJI,ERELOli-- S'5() Tf\t~r-y\(l.t-. o(\.~ t ~l-t LEGAL DESCRIPTION A. New Residential - Single fH' Multi-Family per dwelling {miL l103lS 4 c:J\.)"'D ( ~ Service Included JOB DESCRIPTION 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 ~! f(\\)\),,-, ~N-o..(h L~rll...'\<' ',V\'f(\Cr Permits are non-transferable and expire if work is (C)~W\ not started within 180 days of issuance or if work is Suspended for 180 days. $ 19.00 $50.00 2_ COi\TRACTON. iNSTAl-LAI10I"! ONLY Electrical Contractor C1l.( (1 c... 1,\ ~~ \ Q l:h , L Address 1 Sq to 1-:l. ~ . ~ S t.. B. Sef"vices or Feeder; -lnstalilltinn, AlteraHous ur Rchw:lHon.: City S-tllL W\ Phone 5o:b .. SId/)" S 10 () b 200 Arn~.'It \~, Oregon law requires V~~l~ 201~Ps'~0 ~~ ~ted by the oregun ~1~~ 40lo.ltRw r~ Those rUle::! o.l~ ~~ ~Q@~~~1 0 througl' o;J\-9 '.lM1 60\nro'P<Rtggg"-\W"Ul~. Op',es-c;'i theJ~es.11It/I .".-a\J nbtalO c ...nn8~ Ov&ll:AAO'(gwE:lf,......lts (Note: thA te\el-"''''':~o RecoIffim~e center. UUlltV Notit~sMcm number tor the. O;:jg~_332-2344). c. TemfXrr:JT:()e.Q\~fl.:\?or N:NkI'S Constr. Contr. Number -~ 1 -Co 1-0 C cc 12.>i\. <\ \ <t, <0 <6 Expiration Date ' Supervisor License Number 13 88 --5 Expiration Date I' CJ - Q I - () ry ~f .11o'lo~ ~.~ . '-J1,-%1 Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 ~~~1~~~ Over 600 Amps or 1000 V oIts see "BOO above. D. lJranth Circuit:; New Alteration or Extension Per Panel /tt. One Circuit I $13.00 ~ Each Additional Circuit or with '" A C'.~ /I ~ /7. L' Service or Feeder Permit ..j $ ~.Oo 't. CO OwnersNam,e~.. V (.)U~Y(.l/f (1Yl AddresDt 03 8:tP w ~ ~ I L. E. (\'Hsc!OHancou;; (Scr'dccffccuer not in.dudcd} -E2dl Inst:.\Hation C~O Phone Pwnp or irrigation $ 50.00 (' A- Q~) LL Sign/Outline Lighting $ 50.00 OWNER IN8'r~LLA TION I Limited EnergyJResidential $ 25.00 Limited Energy/Commercial $ 45.00 48.@ /d. <nJ The installation is being made on property I own which is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges NOTICE: . 11..:"" 'UA.n\( THIS PERMIT SHALL EXPIKt IF m: vvun ~ED U~QER THIS PERMIT IS NOT AUr:~~CE[r5~~'A~tAN~~tl FOR ,,"IV 180 DAY PERIOD. 8% State Surcharge 10010 Administrative Fee 9:L.Q)() !../....+f;. -t:;- ..1 r) ~o. UV 3.cJO <tgo (p , (JO Owners Signature: 4. Sv"RTOTAL OFABOVE TOTAL fat. 3b Shared Drive(T:)/Building FonnslElectrical Permit Application 1-O6'~7 3 . g() Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01247 ISSUED: 08/22/2007 APPLIED: 08/22/2007 EXPIRES: 02/22/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 555 INTERNATIONAL WAY ASSESSOR'S PARCEL NO.: 1703154000700 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: use initials Commercial PROJECT DESCRIPTION: Add/move branch circuits in MDF room Owner: SYMANTEC CORPORATION Address: 20300 STEVENS CREEK BLVD CUPERTINO CA 95014 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor MORROW MEADOWS CORP License 91668 Expiration Date 07/01/2008 Phone 503-399-7609 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 REQUIRED PARKING Overlay Dist: ATTENTION: Oregon law rIBt1lJ~akou to # Street ~rees RqdYollow rules adopted by thJI6?g IUtIi,ty ~aved Dnve Rqd: Notification Center. Those r&a~~et forth Yo of Lot Coveragf~ OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by r'(lllllll:J lilt:: l,;t:lIll::ll. \I~V'C, (.,..l",h_~.......:. I PUBLIC IMPROVEME~er for the Oregon Utility Notification Ccmd~tv~kl ~;332-2344). Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: Description Type of Construction !J'u, '(;11::: Valuation Descri tionT IS PERMIT SHALL UTffPBIZED UND EXPIRE IF THE WORK o~ ~~I~~I~:r ~~~i~76MJ\il!NCED OR I~AltJIS PERflvjj;rt~l\~q1ated ;..\~yI180 DAY PERIOD.BANDONED FOR Pa2e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01247 ISSUED: 08/22/2007 APPLIED: 08/22/2007 EXPIRES: 02122/2008 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 I 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 Receipt Number $6.00 $3.00 $4.80 $48.00 $12.00 8/22/07 8/22/07 8/22/07 8/22/07 8/22/07 3200700000000000563 3200700000000000563 3200700000000000563 3200700000000000563 3200700000000000563 Total Amount Paid $73.80 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. 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 Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01247 COM2007-01247 COM2007-01247 COM2007-01247 COM2007-01247 Payments: Type of Payment Check Check Job/Journal Number COM2007-01247 COM2007-01247 COM2007-01247 COM2007-01247 COM2007-01247 Payments: Type of Payment Check Check cReceiotl RECEIPT #: Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By MORROW-MEADOWS CORP MORROW-MEADOWS CORP Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By MORROW-MEADOWS CORP MORROW-MEADOWS CORP 3200700000000000563 City of Springfield Official Receipt Development Services Department Public Works Department Date: 08/22/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM NJM 20712 20714 In Person In Person Payment Total: Item Total: Check Number Authorization Received By Batch Number Number How Received NJM NJM Page 1 of 1 20712 20714 In Person In Person Payment Total: 11 :32:45AM Amount Due 48.00 12.00 3.00 4.80 6.00 $73.80 Amount Paid $61.36 $12.44 $73.80 Amount Due 48.00 12.00 3.00 4.80 6.00 $73.80 Amount Paid $61.36 $12.44 $73.80 8/22/2007