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Home My WebLink AboutPermit Electrical 2004-2-23 ~ !;~'-t':"J;:~)<~ClfY bP SPluNGFtEtb; tlkEGDN ., -.. ~ .~...... ': .;. .. '.~~. . .~~ . - ~.._.., .. .' . ..t ,.. .. . . . .. ..... as submitted has the following 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FMOn.I1~lIl1l\J689ot require spedfic lan~ use ELECTRICAL PERMIT APPliCATION approva .. C. e. . "^' 1"\ V Zoning City Job Number {))w\ZOOt; - U'-<-'-" COate D '2 Zo C:. '-I _ 2. -:l3,6 4- . Ud.e , 3, !';;.COM..PLEl'ES 1l.ill~!ijQfI..titoWj~f"f,=!'\~i'.,!\'-'~'~l?~ llh:"'-_~'r\.o...~~:::..L1~.L:u..1u...t.!.1.<:a"'''' .,<. "-' -~"'ltt..._...,,, ~-<t't ~~Y.Jal~:UM.Si' I, ~~LOCA....ti6N.Qit,INSiiJWIi4.Tibj,j,~!~~~." ',1i')!'j{i::l I:. ". ...., ,....~J.:.t.....i;...........-...>... 'ill~.1111J~"~~ L{"7Lii-'"~~(I:-" ~Jvc1. A. Ij:N~; Re,;ld~iltilli'YJSlli"ie'iilfM~iti:E~mil~1"~~'i'ilj;:~iiil'!m"1liI.1"1. ft;;~.: :i~:"''t ;:..:c.:1.i<J::c."'):n-1-"'i--"r~g..~..'l!' ".f,,_._ ',c."... .1Pr>~~." "'1,!lK~'2;J"~ ~ Service Included LEGAL DESCRIPTION J~b303(1 JOB DESCRIPTION A-"*'P ~ Cl (2..c..lA\ t-S 03200 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufacl'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 Permits are non-transferable and expire if work Is not slarled wllhln 180 days of Issuance or If work Is Suspended for 180 days. $50.00 ft.~2~~fipRdNstA1a''''oN'6NiJEj 2. . ' .' ," l'i~i1f~~t"~t.i!I"f'l:1;1;' "'1.,.:l!l:"I~ifiJll1~.t'J~~tt Electrical Contraclor . C ~ s r~ /fdr Ie ,J::II\C. . P. D. BDi \L'~)_ City Sf{\I~r"ld'Phone IYI-223b Supervisor License Number Lis' q L\ S \ 1)-01-04- 3'6'LjC} C/-/-dJ ; -~'iilla=f,j~~R~ib~~tf:it: 200 Amps or less 201 Amps 10 400 Amps 40 I Amps 10 600 Amps 60 I Amps 10 lOOO Amps Over 1000 AmpsNolls Reconnecl Only $ 63.00 $ 75,00 $125.00 $163.00 $375.00 $ 50.00 Address c. ~5tm"~oiqr~.-~~s~r&lc'~i?iF~eiie~s__ fJo"i.:...-u..P..-_. ry.. .~-'....,.~'.~,)......... """'~ ~ , Expiration Date '" Inslallallon, A1terallon ~jRelocallon . u\taS . ,\\\i\'1 . . 200 Amps orJe.s'o; "01' U {'. $ 50.00 . ~ \-a;,' ""fa", a\ \0 . 2qlt.~mps to{\Q9 >\'mp~ te S 0(' $ 69.00 ",...\",\\0~~OliI11P}'tt,s600'~p.~~ 95'2.- ; \ $100.00 :f'\~'~ 0.dO.. ~"O ~ '" Or tu\b~ " I>N tu\aS Qv~rJ600.AmpS'o~ tOOt! Vilils ~.~\B" above. \O\\~ iorD,?~jj"dffii-$~a~; . "". . .[Wm1~. t'~ l .\~.... "_ .~.. \i\\C0.\ Z.-~.Ji.,U"~'~' ..... ~ ~o ..09'=' ." Q'Cj' 'NO . '''' (\0"''' " tNew AIle~ation orrEttensiollPer panel, 1/'7 '{Ov tc""'- 01' u - '2.'3~~ ,. . J ,,(\90.. 9 \0TI<:'Circ.!!iI3<} [1_';>,3'2.- $ 43.00 - c0.\\\1\ t ~ach't'~dditioHfJ Circuil or with ~ I Y'" . l\ui(\'oa Service or Feeder Pennit .;> $ 3,00 Constr. Contr. Number Expiration Dale Signature of Supervising Electrician ~~~.~ Owners Name W~'d.ISh.. bev pO 1'0)<" 1'1 Z 8 City evt.L -C-7'/C::'" Phone E.IIM1t~r.tiijii~lff:(sr'iM'l;~f?la:j!fh1l1mjl!IfflJm-.r&El8f.}i;illiilfli.'~1l~ t1:~........_._,EtE~'lJ""";'" ""'_'~P'_'"Y'm.'~"""IK~"""''''';''_\'''''''-':...........""....,~;:.g Address Pump or irrigation $ 50.00. Sign/Ontline Lighting $ 50.00 OWNER INSTALLATION Limited EnergylResidential $ 25.00 !he in.slallation is being made on property I own which Limited ~ne\ft{~~~ial $ 45.00 . . IS nol mlended for sale, lease or rent. 01\C\::.. \1~~'l!iiil\~~~~1~1~"f9'lilirispectlon Fee Is $45.00 + Surcharges . It C'?ERWlllS ~~)'~~. <1l@w">ii"..'IilI>t""'.tt,;:;j[~..~_t;! " ..'!11II.a.. ~O Owners SIgnature: 1\11" Irl:O U\'\t4r, '~.. : t~. ~~44f1Y..!fb' . "i'.\I; 5 D Ul\10R" R I . ~;.. "", .,\<:ll.",,,.,,. . ..... ~(\MWlE\'\CE~ ~ERlow.. Slale Surcharge '-t 06 1\\'\'1 1 \)0 0 10% Administralive Fee S80 b7~6 Inspection Requesl: 726-3769 TOTAL Shared Drive(T:YBuilding FonnslElectrical Permit Application 1-o3.doc . . CITY OF ~rK1j~GFIELD Building/Combination Permit PERMIT NO: COM2004-00208 ISSUED: 02/20/2004 APPLIED: 02/20/2004 EXPIRES: 08/20/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4748 FRANKLIN BLVD ASSESSOR'S PARCEL NO.: 1803031103200 Eugene TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Add 6 circuits Owner: WILDISH INDUSTRIAL DEVELOPMENT CORP Address: PO BOX 7428 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor C & SELECTRIC License 3849 BUILDING INFORMATION I Expiration Date 09/0112004 Phone 541-741-2236 # 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: Energyalla}b:J to on laW requ.. UtilitY __...nnN:Oreg .. ",hQ oregon . ..-+' ;~;\~; rules ad~~~:i~DEv'EL(i)PMENT.JNFi>RMATION I SETBACKS'otitication ceo~ _001 0 tnrO~Y" -to tne rules l 0952.-0' ." o",os 0 Frontyard Setback: \ O{>..n ay obtain c .q~ff~rc.J?j~hO~e Side I Setback: 0090. '(aU rn enter.lNot'i) Street.TrootRqa!' tne c 1..!.,IIt" '~U"'" Side 2 Setback: calling he oregon rave~.Dr!rl~ Rqd: ber tor tn (\n-?~2.-~~" nurn ,..._'^';" 1_P. % of Lot Coverage: VN Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Rearyard Setback: Solar Setbacks: ., Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I \\lOiICE.. 'CXPIR'C IF 1\1'C wut\l\ 1\1IS PERMI1 5\1i\~~ 1\1\5 p'CRM\1 IS N01 i\Ul\10R11'C0 UNO IS i\Bi\NOONtD FOR COMM'CNCtD OR 00 i\N'{ 1BO Oi\'{ pm\ . Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pa~e 1 of2 . . CITY OF ~rKll~ld<l~LD. Building/Combination Permit PERMIT NO: COM2004-00208 ISSUED: 02/20/2004 APPLIED: 02/20/2004 EXPIRES: 08/20/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fpps tiWU Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Aller, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $5.80 $4.06 $43.00 $15.00 2/20/04 2/20/04 2/20/04 2/20/04 1200400000000000233 1200400000000000233 1200400000000000233 1200400000000000233 Total Amount Paid $67.86 I Plan Reviews , 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. LReauirpd Insnpction'lJ 1 Rough Electric: Prior to Cover 2 Final Electric: When aU electrical work is complete. 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 oCany 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 aU required inspections are requested at the proper lime, 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 2 of2 225 Fidh Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00208 COM2004-00208 COM2004-00208 COM2004-00208 Payments: Type of Payment CreditCard _~__.!!J;l'.'.!!LD.'._. .. wr.r' .............. j -~,"''''''c . '\ 'i ..,.,.~_._,..~. .,'A .-;.!...~,.,:.' '- ""'~ ., Receipt #: 1200400000000000233 Description Add, Alter, Extend Cire Add, Alter, Extend Cire Ea Add + 7% State Surcharge + 10% Administrative Fee Received By djb Check Number Batch Number Authorization Number Paid By MELISSA GEHRKE 000303 020669 City of Springfield OffiCial Receipt Development Services Department Public Works Departmentt Date: 02120/2004 2:S8:41PM Amount Paid 43.00 15.00 4.06 5.80 $67.116 Item Total: How Received In Person Payment Total: Amount Paid $67.86 $67.116 .' .