HomeMy WebLinkAboutPermit Electrical 2004-11-24
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (. ~~~-%89
C 0 () "'q/ q.,O' P.or.
ELECTRICAJ,-l!ERM1T APPLI 'ATl N ",. <Z a
City Job Number(D(Yl' 7'<Y'I4 -01 ""\1'2~ale I / / /) r1fI.;L'& ~ 0'&',."'&'"
V<-JV "".:;u.j ::;)L//o<OU'''\,. 0',,0. "O/"'~~
3. C;MPLETE l;ni&~ - ~U ; B~r~9, v~~~&O'
~"r$l' ~lS! ~q
't '- C"/i.;- oS,^
"'I$' I'C' ....9
~ -0
A, New Residential - Single ar lu .~~ ' per d?9'iJfltlll unit.
:;:""9 ir6-~
Service 1~T10N: Oregon la u to
1000 s . ~1,I9-VfeWles adopted by the. eg . :
Each a 'NlitifhS'r~68 peRt'5~ Tho~" I u,,,,, ~ _s~ orth
portion1~QM 952-001-0010 through OA~?9((/()1-
0090. You may obtain copitl:; o11fte rules by
Each ManC!filfi\i~ m~ter, (Note: the telephone
~~~~;ar Ru-rrlijgr~m~()'regon Utilit\, Notif~ajQ(ll
Center IS 1-800-332-2344).
Signature of Supervising Electrician
- ~)i,~
Joh4{;en Each. Additional Circuit. or with
/\~lr I V pn ,'lk fJ-r7 Service or Feeder Penllll
LlJlI,n1 Ei2{)f-k. ',N. IW(.CoILI/(,S
Address -' (" no<) V~ J r::v 1(11 tJE:1Z.. OIL -tt. /W E. Miscellaneaus (Sen'iee/feedel' nat iUcluded) -Each Inslallalian
Cily _H Jr...J-A IS:. Phone 5L/l-lo8ft8Qgo
I.
LOCATION OF INSTALLA110N
~ ~matJay I (lOP
LEGAL DESCRIPTION d 3
/'703 'd:l 000 lJU
JOB DESCRIPTION
SEfAilA---n::: ~. H)(Z.. ~
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended far 180 days.
2.
COI\'TRACTOR INSTALLATION ONLY
EleClrical Conlractor Beacon Electric
Addrcs< 2585 Roosevelt Blvd
City Eugene
I'hone ( 54 1 ) 4 6 1 - 0 2 9 1
Supervisor License Number
3485-S
Expiration Date
10/01/03
ConstL ContI". Number
38497
Expiration Date
01/10/04
Owners N
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
B. Servicrs or Feeders - Installation, Alterations or Relocation:
200 Amps or less $ 63.00
201 Amps 10400 Amps S 75.00
40 I Amps 10 600 Amps S 125.00
601 Amps to 1000AIl1ps Si63.00
Over i'OOor~1 ol"s/Volts S375.00
..w" wI""
Reconl1e,1scp~~MIT SH S 50.00
AUTHOR E ALL EXf'IHE IF THE WORK
c. Tempal'm ~nqcVl'lIW~eTiHl$ PERMiT IS NOT
~U~lll'ltN(;ED OR is ABANDONED FOR
I nsla I,:N io 11.~Q1IQ!l,yi6'.EI?J (i'illloca I i on
200 Amps or bs S 50.00
20 I Amps 10400 Amps $ 69.00
40 I Amps 10 600 Amps $ i 00.00
I),
Over 600 Amps or 1000 Volts ~ec "B" above.
Branch Circuits
New Alteration or Extension Pcr Pallel
One Circuit
I
B
43. DO
21./.00
$ 43.00
$ 3.00
Pump or irrigation
Sign/Outline Lighting
Limiled Energy/Residenlial
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fce is $45.00 + Surcharges
4. SUBTOTAL OF ABOVE
fo 7. 00
tI..Jo~
{,,2(L
783L
7% State Surcharge
10% Administrative Fce
TOTAL
$h,ln:d [)ri\'~(T:)IBuiIJitlg F(lnl1~IEkcll'il;;,1 P\:i'lnil Applic<ltlllll 1.(1'\ dlle
.
. CITY 01< ~rKll~uNEL1J
Building/Combination Permit
PERMIT NO: COM2004-01213
ISSUED: 11/24/2004
APPLIED: 09/30/2004
EXPIRES: OS/24/2005
VALUE: $ 60,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1144 GA TEW A Y LP springfiel~~/;m~~1W6tt'K!n l;)mtequlres you to
ASSESSOR'S PARCEL NO.: 1703220002300 N . o~ ~ es adopted by the Oregon Utllityun
I ~lfviiE~SK: ThOAltmltl9l!lre set'ffllllf'ercial
PROJECT DESCRIPTION: East wall siding replacement (facelift). ~09~Ry,952'001-o01~ through OAR 952-001.
. ou may obtam copies nf tho .. ,'O~ ",.
~~'''''l:I &"., centBL(Nnt . fh ·
Owner: COMMERCIAL INVESTMENT PROPERTIES number for th 0 PJroll-e ~,!~Il~lefSltWi86-8080
Address: 1600 VALLEY RIVER WAY EUGENE OR 97401 Ce ~ regon UtIlity Notifica!lon
nter IS 1-800-332_~~\
I CONTRACTOR INFORMATION I
Contractor Type
Architect
General
Electrical
Contractor
AFFOLTER WEST & JONES
GALE ROBERTS CO INC 49237 10/2112006
JOHNSEN ELECTRIC INC I\InT:~fIi!!7 01110/2006
I BUILDING INFORMATIeNII11T SHALL EXPIRE
flU I HOR1ZED UNO IF THE WORK
# of Stories: COMMENCED OR ERJ~ISk\lERMIT IS NOT
Height of StrucWiW 180 DA IS ~'Ftlii'{jW!i@lroR
Type of Heat: Y PERIOQ;q Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
License
Expiration Date
Phone
541-342-651 I
485-4253
541-461-0291
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
VN
, DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspoutsffirains:
Notes:
Pa~e I 00
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review CommlIndlPublic
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review CommlIndlPublic
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Initial Review
Structural Review
Structural Review
.
. CITY OF SPRIl~ul'lJ!,LD
Building/Combination Permit
PERMIT NO: COM2004-01213
ISSUED: 11/24/2004
APPLIED: 09/30/2004
EXPIRES: OS/24/2005
VALUE: $ 60,000.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
60,000,00
Value
Date Calculated
Total Value of Project
$60,000.00
$60,000.00
10/05/2004
Fpp< PiWLI
Amount Paid
Date Paid
Receipt Numher
2200400000000001219
2200400000000001260
2200400000000001260
2200400000000001260
2200400000000001260
3200400000000000354
3200400000000000354
3200400000000000354
3200400000000000354
$202.90
$40.97
$28,68
$409.65
$63.37
$6.70
$4.69
$43.00
$24.00
9/30/04
10/8/04
10/8/04
10/8/04
10/8/04
11/24/04
11/24/04
11/24/04
11/24/04
$823.96
I Plan Reviews I
1 % 1/2004
10/01/2004
10/20/2004
10/01/2004
10/05/2004
10/22/2004
OK RJB
APP JMP
10 JMP
Received 2 drawings by Ralph
Wilson to detail structural repairs a!
a result of water damage in
replacing the center portion of the 3
beam series.
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
~" In.npr~
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections bave been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Paee 2 00
.
,
. CITY OF M' Kll~\.d< IJ<..L1J
Building/Combination Permit
PERMIT NO: COM2004-01213
ISSUED: 11/24/2004
APPLIED: 09/30/2004
EXPIRES: OS/24/2005
VALUE: $ 60,000.00
Status
Issued
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 carefuUy 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, thallhe permit card is located at the front of the property, and the approved set of plans wllI remain on the site at all
times during construction.
)Y~d/x!/~
II/A '-I/O Lj
Owner or Contractors Signature
Date
Paee 3 00
225' Fifth Street
"Springfield, Oregon 97477
541-726-3759 Phone
.
G~._.'.
~
.... '
Job/Journal Number
COM2004-0 1213
COM2004-0 1213
COM2004-0 1213
COM2004-0 1213
Payments:
Type of Payment
Check
11/24/2004
JitY of Springfield Official Receipt
.elopment Services Department
Public Works Department
RECEIPT #: ' 3200400000000000354
Description
Add, Alter, Extend Cire
Add, Alter, Extend Cire Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
BEACON ELECTRIC
Received By
njm
Page I of 1
Date: 11/24/2004
Item Totai:
Check Number Authorization
Batch Number Number How Received
19850 In Person
Payment Total:
2:40:47PM
Amount Due
43.00
24.00
4.69
6.70
$78.39
Amount Paid
$78.39
$78.39