HomeMy WebLinkAboutPermit Electrical 2007-12-12
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225 Hf.IH "iIREET . SPRINGI<IEIIl,OR97477 . PH ("41)726-3753. FAX (541)726-3689
Bl.ECPRICAL PERMIT APPLICATION
CIty Job Number CA)W\:2.l:O-r- 0\<&:2-4
SIgnature of Supervlsmg ElectnclaTI
"JJ~ \\ Lk ' ~
, l> U Each Addltlonal Orcult or wIth
{' ~..-l l /1__. _ Servlce or Feeder Permlt $ 400
OwnersNdme'-."""-YlUl.,t l}... 0\ a~V,)l.-\.)rvt<.k ' ,', _ '
Address ~<:::, 0WCo-... eJP E _,,,,I:~ell:l,neOI~' (~elvl<elf~d,er '!'!t~n~liie(l1'J2<11 '.!,.:i:lif~;(ji.~l
CltyS 1 ~fV"lj pHone Pump or lrngatlOn $ 55 00
A'IT TIO' nv.J I Slgn/Outltne LIghtmg $ 55 00
" ' N~Ufegon aw reqUires you to
OWfoll8~~!ldif~R~ by the Oregon Utility LImited Energy/ReSldenlJaI $ 28 00
Th~ll1Im\llJs(j;llli\wmaJjIJOO<jl1f0jJMyalreVlJ:lMI:!lI:lIn LImited Ellergy/CommefClal I $ 5000 So
IS nlf1~lilill@~a1epQ:t,a,t1troogh OAR 952-001. MlDlmum MlJJICIlirmlt InspectIOn Fee ,; $50 00 + Surcharges
~ 0090' You n.ay obtain copies of the rules by" sUIlfWlHlJfilflfrAAlL IXPIRE IF TH-:::1E\WOtrr.l\ ,00
Own~IOO~ center (t--jote. jhe telephone 4 , [)1f\-'
number for the Oregon Utllltl{ Notlf''''itlon 8%~~VlJtR~1~D'UNDER THIS'PERMIT IS N01i,.,d'l)
l.iemer Is 1-600.332-2344) 10%tA1;lMMik,~Ij}JlR IS ABANDONED FOR ') _ cr1)
5% 1I\:N,'lIo100 flAY PERIOD _ 'L ~o
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LEGAL DESCRIPTION A
1) U \J \'1 0--:< ~ \ Goo S"d tr"'J
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JOB DESCRIPTION
~~ S'1~~
Permits are non-transferable and expire If work IS
not started wlthm 180 days of Issuance or If work IS
Suspended for 180 days
: (X)j\lTIUtG'TOR INS1~LATION-oJviF~
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2
Electmal Contractor MlAL-tJt.. LlC.
Address \'-\! 4:~ N <g, ~
CIty ~:>,~ OPpj,onc 563 -Hl'-JlS 1.(,)'
SuperVIsor Llcen,e Number - .:i-Dlla \.E...B
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\clo~
EXplratl?n Date
Constr Contr Number
l '-\ L..lloa
51o'?'
ExpiratIOn Date
InspectIOn Request 726-3769
\'1...\ 1"'-<\",
Date
COMl'L111 E F1IESCllFDULj, BELOW
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;~~!.;-RC~~~!~tl~-,:~~~~; ~r ~}~ii~"a!l~;lt'lle:~!"eli;ng u~t __1
Service Included
J 000 sq ft or less
Each addltlOnal 500 sq ft or
portlOn thereof
Each Manufact'd Home or
Modular Dwelling SerVIce or
F ceder
$]]700
$ 2100
$55 00
- ~ ~ ~~-~-~ ~ "'::~" ~~- ~~--~ ~~
B ~('rVtl C'" 01 Fecdl'r::. -ln~t.lllahon. Alter;lfl~)ll~ or Rt'h~ldtIOIl u 1
,,~,- ~"""Y'>_ ~~ ~~~_ ~~ ~ ~G-~ ;;,~.. '"''''.-? J
200 Amps or less
201 Amps to 400 Amps
40] Amps to 600 Amps
601 Amps to 1000 Amps
Over] 000 AmpslVolts
Reconnect Only
$ 70 00
$ 83 00
$] 3800
$]8000
$4]300
$ 55 00
r "M~
c ' I ('mp~~ ~~ y Sen It(.~ ?!_l' e~der!o.
~
InstallatIOn, AlteratIOn or Relocation
200 Amps or less
20] Amps to 400 Amps
401 Amps to 600 Amps
$ 55 00
S 76 00
$]]000
Over 600 Amps or 1000 Volts see "B" above
, ~ ~~ ~- ~~~~!r- -r'~~~ ~~~J' ~
D BrAllthClluuh ~
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New AlteratIOn or ExtenSIOn Per Panel
One CIrCUIt
$ 48 00
TOTAL
Shared Dnvc(f }/BUlldmg FormslLlectncal PermIt ApphcatlOn 7 07 doc
'Vl~A- P\eCv<Lc.-CcJQ
tJ4 C-tQ.D ~ 'i?-t>J - 1-\{ 1,,-1'1 1..[
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01824
ISSUED 12/14/2007
APPLIED 12/12/2007
EXPIRES. 06/14/2008
VALUE'
225 Fifth StJ eet, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726.3769 InspectIOn Lme
SITE ADDRESS 204 30TH ST
ASSESSOR'S PARCEL NO 1702310005200
SPRINGFIETYPE OF WORK ElectrICdl Work Only
TYPE OF USE
AlteratIOn
Commercial
PROJECT DESCRIPTION Sound System
Owner GOODWILL IND OF LANE COUNTY
Address 855 SENECA RD
EUGENE OR 97402
I CONTRACTOR INFORMA TION I
Contractor Type
Low Voltage Electncal
Contractor
MUZAK LLC
License
142760
BUILDING INFORMATION I
ExpiratIOn Date
05/1112008
Phone
800.331-3340
# ofUmts
PrImary Occupancy Group
Secondary Occupancy Group
PrImary ConstructIOn Type
Seconddry ConstructIOn Type
# of Bedrooms
# of StorIes
HeIght of Structure
Type 01 Heat
Water Type
Range Type
Energy Path
Sprmkled BUlldmg
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT Ii"I>vKJvLATION I
Front yard Setback
SIde I Sethack
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst'
# Street Trees Rqd
Paved DrIve Rqd
0/0 of Lot Coverage
REQUIRED PARKING
Total
Handicapped
Compdct
I PUBLIC IMPROVEMENTS I
Street Improvements SIdewalk Type
Storm Sewe.Jt..'TJ1ifiIrIPN' Oregon law reqUIres you to Downspouts/Drdms
SpeclOllns,!I?PillN.rules adopted by the Oregon Utility
'Notification Center Those rules are set forth
Notes In OAR 952-001-0010 through OAR 952-001- NOT'
0090 You rr,ay obtain copies of the rules by CE:
n~~~~;~i~~t~;~,~~~~~gi~~~isfc;~~~~n DescnJ~;~~~ZE~ ~~;~~ ~~~~R~i~J~E,~~~:
4" vU"i1 ENCED OR IS ABANDONED FOR
DeSCrIptIOn Tvpe ot ConstructIOn $ Per,tSqlFl Sq.ilBl\1:d~Af9l!HJJW PER/ODV dlue Date Calculated
or mu Ip let or I mount .
Pa~e I of 2
CITY OF SrKll'lhl'lJ!.LD I
Building/Combination Permit
Status
Issued
PERMIT NO, COM2007-01824
ISSUED' 12/14/2007
APPLIED, 12/12/2007
EXPIRES' 06/14/2008
VALUE.
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 FdX
541-726-3769 InspectIOn Lme
Total Value of ProJect
Fee~ Paid.
Fee DescrlJltlOn
+ 10% Admmlstrallve Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Commercial Indus
Amount PaId
Date PaId
Receipt Numbel
S500
S250
S400
$50 00
12/14/07
12/14107
12/14/07
12/14107
2200700000000001843
2200700000000001843
2200700000000001843
2200700000000001843
Total Amount PaId
S61 50
I Plan ReViews ,
To Request an mspectlOn call the 24 hour recordmg at 726-3769. All inspections requested before 7,00
a,m, will be made the same workmg day, mspectlOns requested after 7:00 a,m will be made the followmg
work day.
I Reolllred Tnsnechons I
Low Voltage PrIor to cover
By signature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby cerllfy that all
mformallon hereon IS true dnd correct, dnd I further certIfy that any and all work performed shall be done m accordance WIth
the Ordmances of the City of SprIngfield and the Laws of the State of Oregon pertammg to the work descrIbed herem, and
that NO OCCUPANCY will be made of any structure WIthout permISsIOn of the Commumty ServIces DIVISIOn, Bulldmg Safety
I further cerllfy that only contractors and employees who are m comphance WIth ORS 701 005 will be used on tblS ploJect
I further dgree to ensure that all reqUIred mspectlOns are requested at the proper lime, that each address IS I eadable from the
street, that the permIt card IS located at the front of the property, and the approved set of plans will remalll on the Site at all
times dunng constructIOn
Owner or Contractors Signature
Date
Pa~e 2 of 2
225 Fifth Street
Spnngfield, Oregon 97477
541-726-3759 Phone
City of Sprmgficld Official Rccelpt
Development Services Department
Puhhc Works Department
Job/Journal Number
COM2007.01824
COM2007-01824
COM2007-01824
COM2007-0 1824
Payments
Type of Payment
CredllCard
cReLcmtl
RECEIPT #:
2200700000000001843
Date. 12/14/2007
DeSCription
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% AdministratIve Fee
Paid By
WILLIAM HIGGINS
Item Total
Check Number AuthorlLatlOn
Received By Batch Number Number How Received
ddk
180888 Phone
Payment Total
Page 1 of 1
I 09 28PM
Amount Due
5000
250
400
500
$6150
Amount Paid
$61 50
$615U
12/14/2007