HomeMy WebLinkAboutPermit Electrical 2003-10-9
,~ cIty OF S-~INGF]ELD, OREGON '. -':,
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s submitted has the following
225.~ '0 STREET 0 SPRINGnELD, OR 97477 0 PH:(541)726-3753 0 FMi!~~A'l't~t require'specific la~d use
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ELECTRICAL PERMIT APPUCA710N Zoning
CityJobNumberWYII20D"}-OI02-C) Date 10-2-03 ':'31e, /O-()'1-~,,<)
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2750 ~atewav Strppt Snring-ffplil
LEGAL DESCRIPTION /70.S 2200 02300
Install Parking Lot Light Target Store
JOB DESCRIPTION
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or jfwork is
Suspended for 180 days.
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ElectricalContractor L.H. Morris Electric_ Inc.
Address 483 Shelley
City 5nrinQfield Phone
Supervisor License Number
30065
Expiration Date 10/4 I 01
Constr. Contr. Number 1838
Expiration Date 6/8/05
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Owners Name TarQet Stores
Address II (j 1(1 v/Jk.~'O.1t.
City Q{..( (.J-c; 0 JL Phone
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OWNER INSTALLATION
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Maoufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 50.00
$ 69.00
$100.00
$ 43.00 43.00
$ 3.00 6.00
The installation is being made on property I own which
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is 545.00 + Surcharges
Owners Signature:
Inspection Request: 726-3769
4.
.~$JI~1. ...
. , . ..
49.00
3.43
4.90
57.33
7% State Surcharge
10% Administrative Fee
TOTAL
Sh8J<d Drive(T:)lBuilding FonnsIElcctrica1 Pennit Application 1-03.doc
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-01020
ISSUED: 10/08/2003
APPLIED: 10/08/2003
EXPIRES: 04/08/2004
VALUE:
SITE ADDRESS: 2750 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703220002300
Springfield TYPE OF WORK: Electrical Work Only
PROJECT DESCRIPTION: Add 3 circuits for parking lot lights
TYPE OF USE:
New
Commercial
Owner: GA TEW A Y MALL PARTNERS
Address: 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN CHICAGO IL
Contractor Type
Electrical
, CONTRACTOR INFORMATION'
Contractor
L" MORRIS ELECTRIC
License
01838
# of Stories:
Height of Structure
Type of "eat:
Water T~e:
Ranl;~)t~~l
o.~Ii'i[1~"l{t;<' ,
:-Il ~0 O~9r:s .e 'De ^J:F
\t,i\;' '" 4' _c.:... _ \
o~e~O~'lcDEYBC1)PMl~1\.fN'FORMA TION ,
SETBACKS O~. oo~\e ~'(\v- 0'1)-" 0\ .~e~~! ~o'
<O~~~ !;9' -'.e~' o~~ ~r#I~"! ,4\C'I>
Front yard Setback: ~" .$-0 Ge\~~' (jO'uY.8$ ay~15!::
Side I Setback: ~ ~o-:l ~ \O~~... :o\~~.~dl-lS'~~~'Rqd:
Side 2 Setback: \0 ,'S.,(jv.\~'t v.'\ 0 ~e~'" dt""~.9Hve Rqd:
Rearyard Setback: ~O\~t-~ -{0'V <\" e (j0~ O~~~;J~ot Coverage:
, ". ,,'S' ~0 ....
Solar Sethacks: \)\)9~~\~"'..( \O~ _,0~ \'"
~'I)~y \f' I PUBLIC IMPROVEMENTS' ~ ~\J~~
Si~~Iftl~'\':l ~\J
~ ~~\.\. ~W&'P~~~:
~f;)1.\f;.; t.~~\' ~~\Jt.~ '\ ~~~'U\j
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# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
BUILDING INFORMATION'
. .... ''o:r-
I Valuation D;~lnti~n I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Total Value of Project
Paee I of2
Expiration Date
06/08/2005
Phone
541-747-081 I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value
Date Caleulated
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01020
ISSUED: 10/08/2003
APPLIED: 10/08/2003
EXPIRES: 04/08/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541.726-3769 Inspection Line
I Ff'f'~ Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$4.90
$3.43
$43.00
$6.00
10/8/03
10/8/03
10/8/03
10/8/03
1200200000000002285
1200200000000002285
1200200000000002285
1200200000000002285
Total Amount Paid
$57.33
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 Reouired In~nection~ I
I Rough Electric: Prior to Cover
2 Final Electric: When all 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 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 he 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
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-0 I 020
COM2003-0 I 020
COM2003-0 1 020
COM2003-0 1 020
Payments:
Type of Payment
Check
Paid By
LH MORRIS
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Receipt #: 1200200000000002285
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt.
Development Services Department .
Public Works Department
Date: 10/08/2003 9:36:27AM
Amount Paid
Item Total:
43.00
6.00
3.43
4.90
$57.33
How Received
In Person
Payment Total:
Amount Paid
$57.33
$57.33
.
.