HomeMy WebLinkAboutPermit Electrical 2006-9-22
. CITY OF sf ~NGFIELD, OREGON \ -',
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2}5 FIFTII STREET. SPRINGFIELD, OR 97477 . PII:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPliCATION
City Job Number ~eco'- D IZZ"
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LEGAL DESCRIPTION
I 70'S Zzoo (;>2- 300
JOB DESCRIPTION 'E.efflN~ I~Cr
Z c... "'C-\4~ ~ ~. CML SA.{-
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A, fjN~WiR~~i'~t~tl.I;':Siriltie(ij, M~I~I::.,a'mllY!~er,dwelllng .unit. '" I
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Permits are non-transferable and expire If work I~...... NTII"\!;;~Qi\M~IW\\9qwioes you to
not started within 180 days oflssuance or IfworllW IE. VjJb'd'ula~"@'iallJ"6Y~9n Utility $5000
Suspended for 180 days. follOW':l110F1gdlljlt Those rules afe set Iv. I: .
I" ..,.'", ,~tionC~.~~'P~~""(/.' . '1,
2. ;CQ~grQ~{!N~T;#l1lIT01Y}~~:=~~ ~~~ 'oH~~~'B3""t.I~rations or Relocalion;'
Electrical Contractor BEACON ELECTR~~ ~Q!l~tl!Ps Qi'<lliSSl: the tele~h~e $ 63.00
n;'nberqo~{l.\rt\UipSl!9-'lIoOJA'M~ Notificat,UH $ 75.00
Address 2585 ROOSEVELT RI.vn Cetl{tlf~~slMl~li1afif~)' $125.00
601 Amps to 1000 Amps $163.00
Over 1000 Amps/Volts $375.00
Reconnect Only $ 50.00
$106.00
$19.00
City
EUGENE
Phone 541-461-0291
Supervisor License Number
34858
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Expiration Date
10/01/07
Constr. Contr. Number
38497
Installation, Alteration or Relocation
200 Amps or less
20! Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Expiration Date 01 / 1 0/08
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Signature of Supervising lectrician
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ownl1am/ {,~~tf..; /M.t-{(
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City f.klul~t:>.:n Phone
Over 600 Amps or 1000 Volts see "B" above.
D. rl\Jra,,~IiC:lii4iifts~:)f:J' ; ,
New Alteration or Extension Per Panel I
One Circuit $ 43.00
Each Additional Circuit or with
Service or Feeder Penn it / $ 3.00
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OWNER INSTALLATION
0.,. ,.Eel' Mlscelia~~ii"u'si(~ltrn...;",.e..I1::Jal~lbded) -'-Each' Installoilon I
tl ,\I~r';~d' ,..,~l;."""l'ffl'!' --' .. \
1\1\5 P~~p\'~~~~n1\1\5 P\:.RM\\\S;V' $ 50.00
Mn\10~gnv&thnI\1~lJl.iBt-.NQONEQ ,0 $ 50.00
COMlN;i&lfit&i'1Jgerf{\~Idential $ 25.00
I\N'{ ~~i01lM1\E~.&gy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is 545.00 + Surcharges
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8% State Surcharge ~b B
10% <,jlministrative Fee ...0. '(60
:5 '" 'Te&f- ~ i -I ~ ........
TOTAL S~ -Z;,-
Shared Dnve(! )!Building Fa s/Electncal Permit Application 1.06 doc
The installation is being made on property I own which
is not intended for sale, lease or rent.
'Owners Signature:
Inspection Request: 726-3769
.
a:ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01227
ISSUED: 09/22/2006
APPLIED: 09/22/2006
EXPIRES: 03/22/2007
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:
Add ress:
GA TEW A Y MALL LLP (RElIl.-NTION'Oregon law requires yUU ~v
PO BOX 617905 AT 1'1: . ed b the Oregon Utility
CHICAGO IL 60661-790Sfo~I?~~I~~~~:. TIl~ ru\esare s_e!~o~t
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.n """ EuNTRAGl:OR JISF,ORMl\1IT0N"r '
. 0090., - _! (N0t8: me telltl./I ..Ale
Contractor caIIlnQ..:- :nt~on UtlIlt\llicll~1tIO"Expiration Date
JOHNSEN ELBUIFit!e'lJ."_~...."'1J1nn-g32.~9Y, 01110/2008
BUILDING INFORMATION I
Phone
541-46 J -0291
Contractor Type
Electrical
# 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:
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
Fronlyard 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:
Notes:
't-lO\\~
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I PUBLIC IMPWN-a~1ENTS ~t>.\.\. tf-\,\I'\'?'t.\\\tI\i \~~-
I'll) ! \''t.\\~\\' w ~\D't.'Sid~~~"('lJi~ rQ
i\\\'2l l't.D \J\~ b,,\)r.\W
t>.\Ji\\\l\\\ 't.D 0\\ \b6~nspoutslDrains:
\lw.w.'t.~c. ~ \''t.\\\0 .
C. '\ 'O\) Dr>:
t>.~'{
Street Improvements:
Storm Sewer Available:
Special Instruction:
I Valuation DescriDtion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculaled
Paee I of2
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.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01227
ISSUED: 09/22/2006
APPLIED: 09/22/2006
EXPIRES: 03/22/2007
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
Fees P.~irl I
Fee Description
+ 100/0 Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$4.60
$2.30
$3.68.
$43.00
$3.00
9/22/06
9/22/06
9/22/06
9/22/06
9/22/06
Receipt Number
2200600000000001339
2200600000000001339
2200600000000001339
2200600000000001339
2200600000000001339
Total Amount Paid
$56.58
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 Reouirerl Insnections I
Final Electric: Wben all electrical work is complete.
Rough Electric: Prior to Cover
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 furtber certify tbat 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, tbat 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 Fifth Street
Springfield', Oregon 97477
, 541-726-3759 Phone
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c.' f Springfield Official Receipt
D opment Services Department
Public Works Department
Job/Journal Number
COM2006-0 I 227
COM2006-0 I 227
COM2006-0 I 227
COM2006-0 I 227
COM2006-0 I 227
Payments:
Type of Payment
CreditCard
cRcceinll
RECEIPT #:
2200600000000001339
Date: 09/22/2006
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
GARY JOHNSEN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 046204 In Person
Payment Total:
Page I of 1
3:29:51 PM
Amount Due
43.00
3.00
2.30
3.68
4.60
$56.58
Amount Paid
$56.58
$56.58
9/22/2006