HomeMy WebLinkAboutPermit Electrical 2006-7-26
Date
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7 - 2(P -0 ""
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.~ CITY OF S~ 'lNGFIELD, OREGON . '...
, ' .
225 FIITH STREET' SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPliCATION
City Job Number ~ ~ h - ()[) '1./3
E. LMI$~ei!ail~l!us.(~ef\'lee{fieder ~otinclud,,?) ~Each Installotion I
/"\1 I CI\lIIUI\l. VIt:!dUllldW re4UHe~ yuu lU
Pump or imgationules adopted bv the Or$c50!00Jtilitv
Sign/OutliilelEightingCenter. Those rules$;5o.oo.t forth
LimitediEn~,.gy/R-.si'drrrti~1001 0 through 0$'25:002-001-
L. . df.'E",on '/~" m~"'-Ibtain copies of $'1: - "Ies by
The installation.is being made on property I own which .mlte neIW -oommerc.a 45.00
. . 'd' "'fiL. I I v.. call1nq th" center. ('~ole: ine telenhon6
IS not '"t~\ISUPt~~~IFi s~s5\'1."cet'kpIRE IF THE Ws ~~T"inimu.'P.Elecrr~~1~~.r!I'iLl~7PJ~PJ'oFJ.~ ~1~11~v~~6t~,'I!cf~~Ws
Owners Siiin'a'tUr'e!ZED UNDER THIS PERMIT I 4.1..SlJlJWrAf,OF':ABOVH't-i3~~''33N!.:l44J'1 4
C;OMMENCED OR IS ABANDONED FOR ' .... .,.... ...', '. .. . ,'. c,. -
'd" "n n:,v p~Rlnn. 8% Sfafe Surcharge .'3 10 g
10% Administrative Fee -4. f.L"o
5'-1 ). i
;)7)1;
I. I'LoCA.TIONOF-INST.4T,T,IJ,TI()N
.;"..,,, ~J~~
I
'2..-~
LEGAL DESCRIPTION
17 0 ~ '2. 2.- 000
JOB DESCRIPTION
Ili.J. (!'lI'fI.-ud.5
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. kC()lvpi4.~1!,!N:si)r.K;4'IT9~,QN,Lr:.1
Electrical Contractor
BEACON ELECTRIC
Address 2585 ROOSEVELT BLVD
City EUGENE
Phone 541-461-0291
Supervisor License Number
34855
Expiration Date
10/01/07
Constr. Contr. Number
38497
Expiration Date
01/10108
Nam (nLG.~~
Address '-:PD. 0u-/', {ott/qOS
City Ck<ca.(f'. 1.LL- Phone
OWNER INST ALLA TION
In'spectlon Request: 726-3769
1
3. f-COMPLltm FEESCHEDuLEBELOW
A, ~ N~~J{esiaentinl--:SipgleQt !\1ulti-lIam.ily,'per dwelling nn!t.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling SeNice or
Feeder
$106.00
$ 19.00
$50.00
B. 1_~e~i~es,,!~;Feeder~:7 ,n~ta,lIaiio~, ~lterntlons. or R~location: .\
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolls
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c. I,T~Jriporary ServiccslorFeeaers
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over 600 Amps or 1000 Volts see "B" obove.
D. I,Br~ric~'(:lr~uitll,.
New Alteration or Extension Per Panel
One Circuit I
Each Additional Circuit or with
Service or Feeder Penn it
$ 43.00
$ 3.00
43. -
3
I
TOTAL
Shared Drive(T:}/Building FonnslElectrical Pennit Application 1-06.doc
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00943
ISSUED: 07/27/2006
APPLIED: 07/26/2006
EXPIRES: 01/27/2007
VALUE:
Status
Issued
.225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2750 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703220002300
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Additional circuits for car sale
Owner: GA TEW A Y MALL LLP (REIT)
Address: PO BOX 617905
CHICAGO IL 60661-7905
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Cnnstruction 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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I 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 l
. __ 1_'" rp.quireS you .a
Street Improvements: ATTENTION: S'dewalk'l'ype:O gon Utlltty
GCloted by 11\e re f th
Storm Sewer Available: folloW rulel' a DownsP:u'J~p.!lIins:re set or
SPi&ilNr~t~~ction: NotiliGation center'1~'thrOugh OAR 952.001-
Not'e's~IS PERfv\IT SHALL EXPIRE IF THE WORK in OAR 952-001-00 . copies of the rules by
. 90 You may obtain . h telephone
AUTHORIZED UNDER THIS PERMITIS~NOT 00 _~;,;nn the center. (NOt.~:,:,,~ t>.\ntilication
COMME:NGtU UK I:' I\OI\I~UU"CU IV'- ml 3rfortneul"\,lv," - 2-2344).
ANY 1 60 DAY PERIOD. . I Valuation DescriDil~n I Center is 1.800.33
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00943
ISSUED: 07/27/2006
APPLIED: 07/26/2006
EXPIRES: 01/27/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fp.p.. P"irl I
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$4.60
$3.68
$43.00
$3.00
7/27/06
7/27/06
7/27/06
7/27/06
Receipt Number
1200600000000001149
1200600000000001149
1200600000000001149
1200600000000001149
Total Amount Paid
$54.28
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 Reou~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he done in accordauce with
the Ordinances of the City nf Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Buildiug 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 2 of2
:;Z25.Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00943
COM2006-00943
COM2006-00943
COM2006-00943
Payments:
Type of Payment
CreditCard
cRcceinl1
RECEIPT #:
· iiL=-
Wk' of Springfield Official Receipt
.elopment Services Department
Public Works Department
1200600000000001149
Date: 07/27/2006
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
BEACON ELECTRIC
Item Total:
(;heck Number Authorization
Received By Batch Number Number How Received
Ikw 048661 In Person
Payment Total:
Page 1 of 1
10:OO:16AM
Amount Due
43.00
3.00
3.68
4.60
$54.28
Amount Paid
$54.28
$54.28
7/27/2006