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