The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2003-6-19 .225 FU'TH STREET- . SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE, 726-3759 J. LOCATION OF INSTALLATION 4475 Franklin Blvd, #12 LEGAL DESCRIPTION n033Y!.f1f 00/02- JOB DESCRIPTION 2TAC Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor JB ELECTRIC. INC, Address 4685 Isabelle 51. City Euaene, OR 97402 Phone 541,687.5nO Supervisor License Number 38725 Expiration Date 1011/03 Constr Contr. Number 37587C CCB 104929 ELECTRICAL PERMIT.LICA TION City Job Number CO..wzoo3 - OOL\b 7 , , ad has the followIng . . ec\ as 5ubmltt T land use 3. COMPLETE FEE SCHED&IllBEf:'!?,f6~~ nol raquira spacllC lOnlng, an ~(L ap\Jrova\ A. New Residential-Single or Zoning q _0 '?-I- Multi-Family per dwelling unit. (, -I ?lXaJ Service Included, Dala - :::2J - .dOl""alur. - !>-"lhOnZ""""'" Cost Sum 1000 sq. ft.. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder $106.00 $ $19.00 $ $50.00 $ B, Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 40 I amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $63.00 $ $75.00 $ $125.00 $ $163.00 $ $375,00 $ $50,00 $ C. Temporary Services or Feeders Expiration Date 10/1/03 3/14/04 ,,-0 200 amps or less $50.00 $ ~o\) ''i..I!Io.~ 201 amps to 400 amps $69.00 $ Si upervising Electrician ~~l<)'" ~ \j\~ .,0<:--, Over 40 I to 600 amps $100.00 $ ~eO: ~e~O e ",e\;r:f)' Over 600 amps or 1 000 volts see ,,?>~ ~~ ~~ e'" '('13 above $ /1.-nc.G'.' ",,-\ ''''~(.,s.e'''n'Y:-~ e ~~ ~e - V' v s- ~, .~ ~O ,~~. . ~. R,e -\'('.0 O\)~ 0' .~Q~gl!!ch Crrcults Owners~ame ~\U ?>c:P e~' \j'S'~ ~\0'" ~0'~0~'~ New,AlterationorExtensionPerPanel ~ Gary Misey ,\~~ .~e'" r.<t,"'~ ,,\j'\ ." c,O ,e~ ,,,\ ~ .~. ...,\)~ ~ ..."\ ...\ '\V v \,v ~,. _\0'" .~\\., nor .. t..~' ~\.OJ Address _SlIlt'~N' :."<:'-..::" ,;"'" ,\\- ,,' \~ .'r-" One CirCUIt ..'t-'\,.I.~ ~ .00 $ 43.00 , City 'Euaene, 0R ~74,~3~Ph~~;9.t2,J087~O :',"'~':>~' . Each Additional Circuitorwith~'\' ~ OWNER INST;At'.lj.TIQ,~-'> ~'('.0C.~,,00\.'(-C' or Feeder Permit V,,~'I. o"'<-~!'1> ~<;S $3.00 $ 3.00 '''(,'-),)' ':\\<:'-~ ,O~" ri'C, ~ '\~"O..~\)\)"('~ The installation is being m!JOO o~p~ r,e<:" E. Miscellaneous ervi~ ~& it!~i/d!iI) property I own which is n%~ded~ -E' '\:)~ f;l ~ for sale, lease or rent. Pump or .~. .~ ~ ~ ~~."'~~. ''''.00 I Si ~~. ik '(" $50.00 $ Owners Signature, Limit ~ttY ~!!:vF $25.00 $ Limited ~~ mm $45.00 $ 5. SUBTOTAL OF ABOVE IIINIlIIOM $4500 $ 46.00 7% State Surcharge $ 3.22 10% Administrative Fee $ 4.60 JB Job # _03-393 TOTAL $ 53.82 Status Issued . . CITY OF ~rK11'\ju1'1~LJJ Building/Combination Permit PERMIT NO: COM2003-00467 ISSUED: 06/17/2003 APPLIED: 06/06/2003 EXPIRES: 12/17/2003 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4475 FRANKLIN BLVD SPACE 1 Eugene ASSESSOR'S PARCEL NO.: 1703344400102 TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install AC Owner: GARY HISEY Address: 4475 FRANKLIN BLVD 12 EUGENE OR 97403 Contractor Type Electrical Mechanical Owner Phone Number: 541-746-3879 I CONTRACTOR INFORMATION I Contractor JB ELECTRIC MARS HALLS INC GARY HISEY License 104929 25790 Expiration Date 03/14/2004 12123/2003 Phone 541-687-5770 541-747-7445 541-746-3879 I BUILDING INFORMATION I # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: A~ ' Rearyard Setback: .. ~\~'l Solar Setbacl<S:' ,- ....'i,.... ~vo\',' \<'- r,,<?J\)' "" Street Improvements:\" " .\\\\ Storm Sewer Availa6le: Special Instruction: Notes: R-3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: '1.0 "u, ..1 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: VN ~\\"'i' ilEV'ELOPMENTINFORMATION I (1301, e~ ':>~ f,)v ,,j.~ 130' 'a-,0 6W .., 'Q'J ,/ 'o'\~ (.s.e'i> ~<?--~ \gve~~yDist: "",0. u",0 '(:;,y;\ 0 ~.;s.0 !,\l!tr~~~{Trees Rqd: " ,\~ \~,oV>. r>'i> 0 'I.0\epa",ed'Drive Rqd: ,', \\" o<:r 1(\0 ~~" d,) ~<'- c; 0'l.e"~'\'I.'\ ~ %,of Lot Coverage: " "v;o." ~" \ \~\\ ~I)f< fiJ'?o,T-. , " ' _,(',. ~r-.(,\ _n..W'" ~U<;. ~ '\"~ ,(,~,(' 0\'\.i~", PUBLIC IMPROVEMENTS I o,(l'\'?o,~ \'\'o.~~\\ \';) ~ ' .,' , c. ' '(:1" fi"\~' 'tfiJ" , d') ,. t'~ .. S'(.!I..\:h,~""I/il e~"'t.\) 1'\,\\'\1 '~\\ ~~;,t~ !I..~ ~'\I S '?'t.~ 't.'V ~\"'D''3$YJoiItsmrains: \\\\\\fiJ'?o,\'V c,~\) fiJ~'?o,\fiJ'V' \'o~ ~~'t.~ ~'? cf:J l'{ \'O<;)'V \'o~ REQUIRED PARKING Total: Handicapped: Compact: Pal!e 1 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00467 ISSUED: 06/17/2003 APPLIED: 06/06/2003 EXPIRES: 12/17/2003 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion , Description Tvpe of Construction $ Per Sq Ft Square Footal!e Value Date Calculated Total Value of Project ]?pp<, p"w Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fee- $10.00 6/6/03 1200200000000001463 + 10% Administrative Fee $4.50 6/6/03 1200200000000001463 + 7% State Surcharge $3.15 6/6/03 1200200000000001463 Air Handling Unit Up to 10,000 $8.00 6/6/03 1200200000000001463 Minimum/Adjustment Mecbanical $37.00 6/6/03 1200200000000001463 + 100/0 Administrative Fee $4.60 6/17/03 1200200000000001567 + 7% State Surcharge $3.22 6/17/03 1200200000000001567 Add, Alter, Extend Circ $43.00 6/17/03 1200200000000001567 Add, Alter, Extend Circ Ea Add $3.00 6/17/03 1200200000000001567 Total Amount Paid $116.47 I Plan Reviews I 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. I Rpowrp,! In~ 1 Rough Mechanical: Prior to Cover 2 Final Mechanical: Wben all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complete. Page 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00467 ISSUED: ' 06/17/2003 APPLIED: 06/06/2003 EXPIRES: 12/17/2003 VALUE: 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 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 Pal!e 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00467 COM2003-00467 COM2003-00467 COM2003-00467 Payments: Type or Payment Check 6/17/2003 City of Springfield Development Services Department: Public Works Department. Official Receipt. Receipt #: 1200200000000001567 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Eo Add + 7% State Surcharge + 10% Administrative Fee Paid Ily JB ELECTRIC INC 8,40:28AM Received By djb Date: 06/1712003 Amount Paid Item Total: 43.00 3.00 3.22 4.60 $53.82 l.:heck Number Conl1rm No How Received In Person Payment Total: Amount Paid 53,82 $53.82 Page 1 of! . . cReccipl.rpt