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Home My WebLink AboutPermit Electrical 2007-3-20 ZON C G INITIALS ijJ (\1\ DATE 3-#';;)':l-- 0-' SOURCE (Y\ '- 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRIC~,rERMIT APPLICATION City Job Number W/l12/Tl/7 - (]/)<--;;,9(o Supervisor License Number t/ / )S c E~ Expiration Date ;0/' (/;2 O~, C E. . Installa%Or~ ffif~"W Relocation .u/)T~ERMIT S\1ALL2~~~IJ}\'-,S qs! \S NOT $ 50.00 Constr. Contr. Number ~38 ~f\C?_llED UNOEf20l1\1t~ps~lf Ohfilps $ 69.00 / () ._'1 . -0 frruMENGEO OR \S~Ii3~~OO~ rMips $100.00 d ro ':;;', all 'JAY PER\~er~oo Al11e~o~IOOO Volts see "B" above. D. c.. Branch Circuit One Circuit Each Additional Circuit or with Owners N~me . S-rtrvt _ e Lnrp,U~?' (~.t:fS.~~~~:.~.~Jr,~d,5~:r-.5nnit Address Xli (\ UM~, ..1;;0 '''~ff\~!~!~ C.J-r-1,"f. )~~. . .. . ., r' "hill " . City ~\'\.. 0 @J Phone/4G....~~.-,.. ~ ~~:'~.,. .~~~..~t'if.i\tgati~lij ~ .. ..... .. $ 50.00 {_\~ . _. . - II Il' ::;-:, ~L r ',~/Cn \ se~~::'~~O qf.);~:igm'qllt1Olfr~i.~'l}~i~~)\~,_:'j.,~~\\:, $ 50.00 OWNER INSTALLATION ')()-f~~.:~-,.~""... ';;GI\u4.im1iledtEA&rgy'7R~si~.~I1-tjal>C'\ $ 25.00 The in.stallation is being made on property I o~4~~~h~;L~(~,H~. ;Lirriited'Energy/C~~mercial ,~ I $ 45.00 <!-'5 1S not mtended for sale, lease or rent. ";~,"\,_ " Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 1. LOCATION OF INSTALLATION: b?pr\ ~F LTU JUjC ~.\) LEGAL DESCRIPTION: / I 0-5 / 5 3()?J"V 9 OD JOB DESCRIPTION: t-1W V~fa~ P~rmits are non-transf~jble and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor ~'c (~f) ~ L.-E:" coy..." Address '-::Y t 0 ;Ba 'I-. City [::U(7F IfYI?. .=ta a l) J , Phone (';J-LfJ) 7-;)(;;'-/'163 Expiration Date S:SI!O";'~S Owners Signature: Inspection Request: 726-3769 S /"dO- dOO7 Date 3. A. - SingleorlVlulti-Fanlilfpe,rdweUingunit. 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. 200 Amps or less 20 1 Amps to 400 Amps 401 Amps to 600 Amps 60 1 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C. New Alteration or Extension Per Panel $ 43.00 $ 3.00 4. 4:5. OU I 'd-;:}(" ~- Co 0 Lf. S"L:> -55.3J 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Dnve(T:)/Building Fonns/Elec1ncal Pennit Application 8-06_doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectionLine Description Tvpe of Construction Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Total Amount Paid CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00396 ISSUED: 03/1612007 APPLIED: 03/16/2007 EXPIRES: 09/20/2007 VALUE: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number $5.80 3/16/07 1200700000000000285 $2.90 3/16/07 1200700000000000285 $4.64 3/16/07 1200700000000000285 $43.00 3/16/07 1200700000000000285 $15.00 3/16/07 1200700000000000285 $4.50 3/20/07 1200700000000000300 $2.25 3/20/07 1200700000000000300 $3.60 3/20/07 1200700000000000300 $45.00 3/20/07 1200700000000000300 $126.69 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. l..R~ouirecUnsnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Page 2 of 3 Status Issued CITY OF SPRINGFIELD . Building/Combination Permit PERMIT NO: COM2007-00396 ISSUED: 03/16/2007 APPLIED: 03/16/2007 EXPIRES: 09/20/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 840 Beltline Rd 202 ASSESSOR'S PARCEL NO.: 1703153000900 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Tenant Infill- REMAX TI Owner: Address: SYCAN B CORP 840 BEL TUNE RD STE 202 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Low Voltage Electrical Contractor JB ELECTRIC ACCORD TELECOM & CABLE INC. License 104929 138254 Expiration Date 03/1412008 10/26/2007 Phone 541-687-5770 541-726-1463 BUILDING INFORMATION. # 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 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: 1 PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Pae:e 1 of 3 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2007-00396 ISSUED: 03/16/2007 APPLIED: 03/16/2007 EXPIRES: 09/20/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 3 of 3 225 FiftlJ Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00396 COM2007-00396 COM2007-00396 COM2007-00396 Payments: Type of Payment Check cReceintl RECEIPT #: , of Springfield Official Receipt k_.elopment Services Department Public Works Department 1200700000000000300 Date: 03/20/2007 1 :28:34PM Description Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ACCORD TELECOME & CABLE Amount Due 45.00 2.25 3.60 4.50 $55.35 Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid nJm 8700 $55.35 In Person Payment Total: $55.35 Page 1 of 1 3/20/2007