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Home My WebLink AboutPermit Electrical 2007-8-21 _N_'~ ~CZON ~ ~ ,INITIALS ,,"" ~ 6!. DATE {y ~.O \ ...,. SOURCE ~~ Date ~.;2.\. (J( ~~,;:~ ;~~~;:@-I'T~~t~E$~8'Bl~TNGfllEtJ.:jD~f@ItBG'CjN~~~,:1{~~ :~~:~~:':'~~;~1~. .~ ,~'--~~:tr'J) ~~ ~,~~~:_~~~..:. ~'t:~.~~ ~ ". ~ ~j' ::~4~t;~ ~/ .--~. ~I~'~ ~~~~~t~5~~';~~;~ 225 FIFTH STREET. SPRINGFIELD, OR 'n477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION / City lob Nmnber CO~ e.oC7 -0 ( '3{b 1. LOcxfIi:iNr:OFfNST:At//.~I4Ti6N,if)' . ~lo3 rY\~g(-e_o_+ LEGAL DESCRIPTION: /70'3 J S'( I A. New Residential '- SiIiglcorNlldti~Famiiy per dweilingunit. -L_' +-h(,?l_ \O~-1{)TQA.J o70l:>u Service IncIuded JOB DESCRIPTION: :~::-n.~~t,.:'~;~.~~::re ~~ ~UL 9 not started within 180 days of issuance or if work is Suspended for 180 days. 2.:q6MfRA(fjjzq.iil!#~t~;~~~ft1NJ.~~ir,:'- B. Sctvices or Feeders,,; ,J.ii~t~H;'~O~~'A.lter~ti(jns 'or ~~i~catio,Ji:.. Electrical Contractor Dm \.1 {'\. Ct" v'\r\'i~l~)~ntlt.~~>;~9? ~!?~or less $ 70.00 . .", .... 201 Amps to 400 Amps $ 83.00 Address 157 ~. U7~ _~~~ Oregon hf~~!fo'5'OO Amps $138.00 . . .- N()1I.01,.,~"~e.g,by~2f~~toslO(~OAmPS $180.00 CIty ~Or-I 11 (lA.(/o 1,/ Phonm =::=10th~fflOOOAinPs:,vOlts $413.00 ~ 0090. Youmayobtaln;;~~?fpnect~y: $55.00 SupetVisor License Nmnber 5 J ~:':~~~~~:~~niP'o'r~~,_~i!t~~'.i)f;F~ti~rs:. ExpirationDate JD - \ - a 'fjt .' . Center 181-80G ~~J!-1l:,.::t~ ~...:\O\. >"..' ~.' '-." Constr. Contr. Nmnber .QU - 47~(j E Expiration Date -, - 1- D ~ ~~-- Z It:..l-l,~ I ];/:.r---r ':p~~~ ~ City .s:;>ro Address Phone 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 3. COMPLETEFEESCHEDWill1JEt;OW . 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $117.00 $ 21.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $55.00 Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 55.00 $ 76.00 $110.00 Over 600 ~ps or 1000 Volts see "B" above. D. nia.h~kcif~uii~" . New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with SetVice or Feeder Permit $ 48.00 $ 4.00 . '. '.'. " -- .' E. MiscelIllIICQus (s.e~ic:Wf~~d{611l)t.i.~Ciuded)"';-'-Eact! I11stallatlO"D' Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 NOJH9~ Energy/Residential $ 28.00 THIS-"'tffMt~'Cornmercial \ $ 50.00 J.,t==jD. D a t4191JftJil~~~WtmK 5mb"." :'~~~_~~~:Not. L/. DC) 10010 Admini~IMYFee ~ , 00 ~ 5rJ { Q I. 50 5% Technology Fee TOTAL Shared Drive(T:)lBuilding FormslElectrical Permit Application 7-07.doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01316 ISSUED: 08/30/2007 APPLIED: 08/30/2007 EXPIRES: 02/29/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 863 Main ST ASSESSOR'S PARCEL NO.: 1703354207000 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: low voltage sprinkler monitor Owner: HUTCHINS IMPORTED MOTORS INC Address: PO BOX 88 SPRINGFIELD OR 97477 Contractor Type Low Voltage Electrical Expiration Date 12/15/2007 Phone 541-741-1775 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 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 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: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I 'l'JO~\( Sidewalk..I>\mQ,~ \f 1\\~ S ~01 ~..~'HCt: ~~M-.h~R~lJ\\'t ~ . r\\S ~t~~~U U~O"6'\ t.B~OOtltO fOR \'J1\'\OD D OR \5 J" ~OW\,,^t~Ct:t\'l ~ER\OO. r~N ,\\}O 0 I Valuation Description I Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01316 ISSUED: 08/30/2007 APPLIED: 08/30/2007 EXPIRES: 02/29/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Amount Paid Date Paid Receipt Number $5.00 8/30/07 2200700000000001370 $2.50 8/30/07 2200700000000001370 $4.00 8/30/07 2200700000000001370 $50.00 8/30/07 2200700000000001370 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. Reouired Insoections I Low Voltage: Prior to cover. 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 Pa2e 2 of2 225 Fifth Street Sprin~Ueld;Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01316 COM2007-01316 COM2007-0 I 316 COM2007-0 1316 Payments: Type of Payment Check cReceint J RECEIPT #: 2200700000000001370 Date: 08/30/2007 Description Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By OMLID AND SWINNEY Item Total: Check Number Authorization Received By Batch Number Number How Received djb 33859 In Person Payment Total: Page I of 1 3:31:30PM Amount Due 50.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 8/30/2007