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HomeMy WebLinkAboutPermit Electrical 2003-9-25 "'. I e' I , submitted has the following 225 FIFTH STREET . SPRlNCFIELD, OR 97477 . PH:(541)726-3753 . ~~,~~~cg9 ~equ" s~eclflc land use' ELECTRICAL PERMIT APPliCATION City Job Number (OlMLOO;S - 00 ? &"1 1. 1F:LocrrTIONCEL&sn;rT'!~0M1i~l<<c%',; ~~...t;""",;l:~:,,'::...'J..;""":'.;:'~"'-~Ol'.~.J.."W.~.::4~;oio6:71""i' -"'~~:::oii~i1;3 ( '-:1'0; i'" ;_:.;;'";~~;;:;' '&/i..~~'-: 'j' . -'. --'r8!W-, " . LEG~p ~~O.N,'-'--___~,L .___ , '70333~'t _0'2.'=00 I -...'..... "'_.".'. _.' .."'.' -" -"'1'" . OJ" .y- ..-----, JOB DESCRIPTION 1000 sq. ft. or less ~ 0{XVirt tD UMS1Y\AcJiU\(l ;:':0~::~~~5oosq"ft.or fermitS are non-transferable and expire if work is IT AI ~~ch Manufacr'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. . - . ' Feeder 2. 'll~~~~~~~m~J-,~ B. t~~~~~~El~f~I~~~m~ll~~~~i~i~zr~~ Ele~tr.!.~o~~~ro~tl:3CrVV) CAtv) 8\BLiI r '0 200 Amps or less I $63.00 Jt'3- I 'SIlIIlY,Y7,11Ir--1fIL2-. ,20lAmpst0400Amps I $75.00 "1J:j- Address I ~\V~k!?:2Y.:.\I"L.::?.l ov. 401 Amp. to 600 Amps l.I.n $125.00 .,. , I r;:J'\ /.I . I : '"-. 601 Amps toJ~~\te~~~\i\i\'l $163.00 City 5,. t ~,.v l! ~ tl!&'Pone !Jug 9..Q'V S~ 00 Nl~u.o~~l~y..o1Qte9 e se\tott $375.00 ., I' ~"E li~~~usetl.lleS~95?.oO' S50.00 . 1((j:HJ/ ~ \o\lOW~~~Gf.f\\!l~.li mi~\:I:P~u~~,L~"~.,.=",~,.,.,,,"'f'l!TO""'_" S -....-U"".- 0- N''':'''''~ :.,...,. "!- J""\ 1-" '\\ce.~-;'~if~~":1 .,s.. .. . .,' "-~"-'''''?""'''~6RF:e'€(l~eJ' ."....~-, .~~~1:~~~-.5l;1~~~~~.:., ""<<~~~..1-'''I~iJ;~~i!'t'::~:'':'':L~ upervlsor eense mue ,(\' oJ '-/ '10\1 S' "" ",I1",!., ".;:k="'t"I"':"c."'.'~' ,.""~~,"""""'j,,,. ..1..~'''''''I'' . ., , . . ' , f\ 9 " _....,....~..". V'."'....""~"~:IT.."" ". -,.~....""",,,,-,_..,,,,,.,,,.,,.... , I 0 0 I OJ I \ O/'. . f{\a'j 0'0 . INO\e'. \he , ilica\IOn Expiration Date '-t" nl'l90. '(OilJtl1Ila.!i<MtA1ter~tb'.J.,I.lltf 'ii~~c3tion ". .' ,. /1 ca\lit\~%.~ Qt~~1 .33'2..'2.344). S 50.00 Constr. Contr. Number b\ Itpl#'t> nl.llt\'o'2~~p!i'lO lId3\JZ"ps S 69.00 . ' 1!..-'JO 1M::.. 40 l' Amp. to 600 Amps . S 1 00.00 ExplT3tlon Date '- Ii'~ Over 600 Amps or 1000 VOllS see "B" above. , I D r;;'"B~;:~~:~~lli~~';:'::'./;i~~l:.~4i;f"Ii:tl:~?'~':;"'~~:'1j("'~"if:lilMf~~~~f.t;';I;r1~~r.l!II~~~,~"l:!':-m;~b;i;~~'lj' ' :'9~ S,o-n.ture of SlI"ervlSlDg ElectnC1~" . r..aDC ...~C:;\UUf.1iII~,"',,;!:.:~ 4:"" ' ~.:""-""~.;.j~.~1ili'~'i!!I4,\:&'",'~N""ll:;.l>:.'il.t i{lj'~ \~-\.. '0-- -t'" , ' ....... . ~"i;,;."ol~~::.'.-::.c.;r:N.~,~"';:~.Ji~~,,':!)t;..: _"ii.}~~""~.~",_':"'~..:J'""",~",,,'..I~~~;..,:_, iit~ 09/25/03 THU 12:57 FAX ~ " C7.. Q '^' 4 ~ /' o C\OT '55"\ C,;l-f'ITO'--- oe:;.L,-:"._ ......p-(..C'"VVI Phonc I. Owners Name Address ~.,.. City OWNER INSTALLATION " . -~ ..' The installation is being made on. ,......l""'..)' I own which is not intended for sale, lease or rent. Owners Signature: - Inspection Req uest: 726-3769 CITY OF ~002 Date .?\ 1-5 (J3 n",~ 5'1~ - D -oct -0 ~ . 3. ~Eg!E~~i~~!;g:?~i!flk~~~~~ '.:;:::':,~.r.'~""~':'I,:;_-~.,~_;::-,..~I\,:o-c-""(,,,.......llC_.~'.~' --..::""'..~.:~":-=-~'~~,:~_~::'-':'''''::~-:='=::--::''..-~:::F...:;tj: A.. ~1::NewLResidentfa('Jf;Sm<.'!;"c;!0l[.MU1~~ffiV";~}a:,~t~fi~l1Jiit~~.r;~ ;{;~.:..~ .,~~~;:'..,::~::,j.;i;;'..",:>':."-:,~'.,,-:.':~/. -,'- --~-..\.~~.~-;:~,;;::.-:.; ::~'\.;..::.J.::~,P.w..~J"L-i::;':~l::":'::~';';~'.:._"";;:'!~-::: Scrvice Included S I 06.00 $ 19.00 $50.00 New Alteration or Extension Per Panel , One Circuit ,,. \~I(\?\<.$ 43.00 . E~~.1-dditiona1 Circei~l9\'twtlf: il '" 15 NO\ 3'-. ~\J~er:viCe or Fes#'Pet'triitI5 \l'C.RW.\ S 3.00 , HI\',':"". ~f..I;)\~~.]i~n'.' .~.,: ..ii1."J.'~' Q,.i~"""",""",.",,,,,,,,,~,,",,,,,,,,,,,""''''''," E. i'\1fic'dta'rle6W.-E!:i,,;'," , . ~~iit.'iRd\i'did~:aar'l'ii~r;tillii$ ~~~\e1rJ\QO~'""""'''-':"'.<'~;~~~:.'''~'''"-'~''.''< isil!hiQ'?;tline Lighting $ 50.00 Limited EnergylResidential S 25.00, Limited Energy/Commercial S 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surch';:_g~ .1~~"'-('"i1~:;;~2i!.:Iu:~~t~I~~~''''::'1.''~::-l'm':cli'::'!lU'C'.li.!r.~,-'!'.w\r-;'~~\1I.'!o'll;;''' 4,'~';D;';~M;{OFilfir(jld:1':"~'~lo;t:.T~~;.1~.1'fi: " I \. ;.;: ti.:;~i-f1t~;;~~;'~~~~~SB:~g41fJ.~~\~~~~~~-~ ""1' t'.9D _I.. ,IQ lt7Lj..~ 7% State Sun:barge 10% Administrative Fee TOTAL Slu:1rai Drive(T:)l8uilding FonnslElectrie:l1 Penrut .A.pplic::lrlon ~ ..Q,3.doe '. " ,I, IL. ;''''1..., . . v' J ......;.,1'1. , /lU(J 'lr . f.: .. ":)1~.~..J }{J6;O(irf' f'J{,.\.. I "bCt'ia J~''ft ~..' ")1"\ f~ d'n, '.. j"Jf~. . oJ I. \ v., .:J.,. .J,L~ ( -l,t. ... . --.I("."\, FI'iQ I Ui'Or'-," _,J ''';';) .$'....1, ", . ;.. I /> rt' I" I .J ..1t . . ~)'!I~ "tp J - PIJC',-4'{I .'...Jfrr..... "";,. 1 ,..4 -". ) .....~lJ.. "" ; nr'~ ~.' ~,\( I. ~~.. .' (.0'/4'" .~,j'10"" " ) tvr ,'... ..Jlf ,4 '"It._",...:;/3J~l!l~ ,~~ ... f"S/.;}. '-!":'Cf!;q.l,.,~ \ .10t I 't .,:j.II'/f\ v ""~""'1 ",) , ""/ I..,.j' "/ 'I.l~' 'h ",lln\' () /t. not .J, '110' -"I'~.'j qr~/ . RI . (? \,..." .,.!Aln.... /, . i)nt"lt. , /11"\ ., ~ . , . . "rt! " 7\1.' 'I I. tVJ,1't '"\ ~'.,"' -', II " " - - . PAID IN FULL . Ie diS " ,/ 'i'~' -,'- '. CHERRY CITY ELECTRIC \ . . . \...11 f OF ~t't<Jl'oiu1<l1!,LU Status Issued Building/Combination Permit PERMIT NO: COM2003-00984 ISSUED: 10/0312003 APPLIED: 09/30/2003 EXPIRES: 04/03/2004 VALUE: 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3001 Franklin Blvd ASSESSOR'S PARCEL NO.: 1703334402600 Eugene TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Service to construction trailer Owner: OREGON DEPT OF TRANS HWY COMMISSION Address: 355 CAPITOL ST RM 119 SALEM OR 97310 Owner, STATE LAND BOARD Address: 355 CAPITOL ST RM 119 SALEM OR 97310 I CONTRACTOR INFORMATION I Contractor Type Electrical SETBACKS Contractor License E.\wration Date MORROW MEADOWS CORP 91668 ."'S 'l0~.\~\{lf/2012005 BUILDING INFORMAp~lb~aC60~ ;e\\~' aQ,u" \'(\'" s e\a 1O'l..IJ" # of St fil'$:'P\ ~aO 'O'l sa \\)\a O~ g Wt18Iz\: ~~tit\1~trt~re-<;'(\0 ~o\)~'(\ 0' \'(\0~'fI~~t Floor: 1'-':t:h!f'Or'Hett;;~~O'\ 0 \~ o~\a'" a \e\'S:l!l~\l Floor: ,tWfltCJ,\~';bO'\' 'X)\1,).fI C o\a'. \~ ~cSli'Ft Basement: NcJ\i>>l~ 'l)yPe~e'l 0 ~a\' ~ ~ u\\\\1~'Ft Garage/Carport \~~Y-!biih: e cafl O\a~O .'?J'?Jrz.' Sq Ft Other: 009 .~\~~ \~ ~ \'(\a ,\,'000 Impervious Surface Area: ..a: _.\0 _~\'" -)'- -,\~'" I DEVELOPMENT INFORMATION . REQUI~D PARKING , '~\IJ?\ Overlay Dist: \'i' \\'I'lltll :N.IJ\ # Street Trees Rqd: 'i:.'/..?\~'i:. ~~tf\ll.'iticaPPed: Paved Drive Rq<<!:.~., <;\\~\.\. ,,<\\\S?t: 'c~ij1p'il'tt: ,,\('i\ \"" ~\'" f:J'i:.~ \ ""f:JIJ~'c . % of Lot Coverl!g~:I:.\\ "I;) \J~ S ~'O~\~ \\\\... . (;)\\\1':t. IJ~ ~ .,\\~ ...,r.'C.\l jO\('l'i). I PUBLIC IMPROVE~EN;;&.~ ~\>.~ \ .: ""~ ' .... Sidewalk Type: Phone 503-399-7609 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: DownspoutslDrains: Notes: Pa2e 1 on Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Perm Serv/Fdr 201 to 400 amps Total Amount Paid . I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount . CITY OF ~t'K11~GFIELD Building/Combination Permit PERMIT NO: COM2003-00984 ISSUED: 10/03/2003 APPLIED: 09/30/2003 EXPIRES: 04/03/2004 VALUE: Value Date Calculated Total Value of Project l.Fee~ Pfclid . Amount Paid Date Paid Receipt Number $14.10 10/3/03 1200200000000002267 $9.87 10/3/03 1200200000000002267 $3.00 10/3/03 1200200000000002267 $63.00 10/3/03 1200200000000002267 $75.00 10/3/03 1200200000000002267 $164.97 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. l.Renuired In~nection~ I 1 Rough Electric: Prior to Cover '2 Final Electric: When all electrical work is complete. 3 Electric Service: Approval required prior to utility company energizing service. By signature, 1 state and agree, tbat I have carefully examined the completed application and do hereby certify that all information bereon 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 tbat NO OCCUPANCY will be made of any structure witbout permission of the Community Services Division, Building Safety. ,I furtber certify that only contractors and employees who are in compliance with ORS 701.005 will be used on tbis 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 Paee 2 00 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2003-00984 COM2003-00984 COM2003-00984 COM2003-00984 COM2003-00984 Payments: Type of Payment Check _~. Cl!"1lLD " Ui!"."""".'.."'=.._,.....,,.i ,- . ..... " '>.," 'r :1 '- 1_1 ".;.~=""".,"",........_' "'""-.- Receipt #: 1200200000000002267 Description Perm ServlFdr 200 amps or less Perm ServlFdr 201 to 400 amps Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By MORROW MEADOWS Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department" Public Works Department. Date: 10/03/2003 l1:21:12AM Amount Paid Item Total: 63.00 75.00 3.00 9.87 14.10 $164.97 How Received In Person Payment Total: Amount Paid $164.97 $164.97 . .