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HomeMy WebLinkAboutPermit Electrical 2005-9-8 -;,.' ~'O":\.- 'O~VJV 1~'O'Oo:~\,(0 Ci' ~0 \\0\ . . " 1,1, . ': .'.1', ~, _ ,_'. ., ~ >., ';"::~,>:'< ", CITY-OF SPRINGFIELD" OREGON " "-,' .' ....::-....4..'.'..~'~:, .,~.~. ,.' _, ""., _'. ~. " Date 1. 'i'todi'FION"DF;riNSTAiJJAii(jNtFi,'t~:''Ii-'1J!.J ~~~~~- ",:!,I"""r:-t .:.!:.::.:..l~,__~~' .~ r. il!!tii.t,..."\i 4..f(Oz... FrA,^~c..(,_ '"'LS(oI~ LEGAL DESCRIPTION /70s..'3'{l{ Z. o 6'{00 A. :~~\f:I!~H_~~~i!~~gl~~~!fEf~ijy.tP~~:4~~II~g~.~,(~il Service Included JOB DESCRIPTION 1000 sq, It, or less I Each additional 500 sq, It, or e;X'Ie::Al ~ Ll .rc...v....~ -t- portion thereof Permits are nou-transferable and expire if work is ATTENTIOO1lilan@ltl'\llRdiiletbYreS you 10 not started within 180 days of issuance or if work is follow rul~Jl!~~"".elli'JgtSe{}'c<!)6r:)n UII\1ty $5000 Suspended for 180 days. N 1'1' lio~'e~1Ier. Those rules are set '-:-"''' , o Ilea ~,~ ^,^ ""1 \~ONfR.AcrOR.1NST.41~T},tTION:oWi10AR ~2.~~lNs~:?~fF.:,~d~~~t:I~i~fitiJ~.~W~ti~~Ti;~Rm.~ii~Jtr:\\1 2. ;si>;.:x-...^,,...,,......~~~."~-,-;: ..,~~.,\,._-=,,~::;_.., ,','.."'"' 90. You ~ay~fJtltaln:~UI..""~..,U"-~.-.:J_,...,-...... ,,=-,._...,-..~,;,-_..J;.,........_.::.,....~f::ii i7" . C ~L r Ii e"tor 'Note' the teI8pnO-f' Electrical Contractor ~",t. In =, r::\fI \('CCa1Ing lJOWmps'or less',\, Nt'" $ 63.00 I, numberiijj \\WipQ[b'~Oo'\~k~~ 1,-' >,[,<1. $ 75,00 Address :;2 \ -j=, LU :_.:J ,'''' t\u' >2 C4ij\lWfu~'j, !of6'o~'X~p/J.,~1 $125,00 601 Amps to 1000 Amps $163,00 Over 1000 Amps/Volts $375,00 Reconnect Only $ 50,00 $106,00 $ 19.00 City r--' i.. i/) C \~. k' Phone ';".H---?),l;:;{i ') Supervisor License Number ',-:)S;:z,C,;j C . 1"""':"'-''''~'''rS~.''''''';''=. '...,ii'''';;,.'LtfJl'.!ili.~.. ""i",,,,,,,,,,,Wi""'''l',,,,,rir.i!l').'',,j . Jl~ e,~porar:y~ e.r.vu:e5ior.l~~~ers'~;-;'~;:~~~'JD:r!l.,t:;1~N:,"';-r;tt':'!'t"~...1n-:t};i:l Expiration Date \ e 1(', \ / ;:)C;O"J I Constr, Contr. Number \ '} ~ S ':) Expiration Date [', ~/ Co 3 /:.y- QCJ '\ Installadon, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. o ij:B~,:,'::'}hffiG.:-;!:fH.~~tj~;;t~'t"~~~l~~~~r':iNtit~l~~~~":Q,>it~~'1~~1?~~~ . f_t ~.n~~.. . . .lrCUI Y.!l'$~~._~~it",~,/,p;~;;i'tdY~~~t~~, W,1.~'~;-.!1/.1 . , $ 50.00 $ 69,00 $100,00 Signature of Supervising Electrician ~. own{?me ct.....;. ~J. ~Pt:"''' ~/f 17 Address 7 ~ 00 Str "J" .ltk-~_ c.(,- E. ~1'M~~~~I!~~~.~.{~~~]~J~~~~i{~li!1E:i~di~jl,S~~~~lh~~(f~'l.ih~t!~;'~ City ?~c.!. Phone Mnile!:.: Pump orinigationRE II' i\-1E WO~~ $ 50,00 :;':;\S PERWsT~oJlli}e 'i..i~htingERM'i IS ;'U , $ 50,00 ,,, -" >\l\'D~K I ",u. - COR OWNER INSTALLATION ^Ui\-10RIILimited EfiergylResidentiaD r $ 25,00 " lOrn, nQ I;:' ",-,,,..- - , The installation is being made on property [own whichOMMEN'L!lmnenEnergy/Commerclal S 45,00 , , ' ,^[' nf\Y Pt\iIUu. IS not mtended for sale, lease or rent. r-NY Minimum Electric Permit Inspection Fe~ Surcharges ,,;,!~.: -'~:},N:~:::;:r,r, "..,~~q,--.':'1;t::&~.::~:-~~::;- :,If.~i! 4. ';'SlI.o.I o~AL~O~.ABOVEt:::~: :'-::"?;:''';'''';{i;;~ ~~","-'!'" "-~-~~~"':'-:'''~:'\''''',\~:~,~:~;;:-;'' ,) .1"r-.....,~~'\;:.~~_.l?:'r New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit / $ 43,00 L/( $ 3,00 Owners Signature; - 1.I} i% State Surcharge 10% Administrative Fee -/ J- J '7......... S-lb~ Inspection Request: 726-3769 TOTAL Shared Drive(T:)IBuilding FormslElecnical Permit Application I-03.doc Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . . CITY OF ~rKli~GFIELD Building/Combination Permit PERMITNO: COM2005-01122 ISSUED: 08/22/2005 APPLIED: 08/18/2005 EXPIRES: 03/08/2006 VALUE: SITE ADDRESS: 4102 FRANKLIN BLVD ASSESSOR'S PARCEL NO.: 1703344200400 Eugene TYPE OF Plumbing Only TYPE OF USE: Addition PROJECT DESCRIPTION: Install trench drain. sewage ejector and holding tank for LuckyDog - Owner: UNITED PIPE & SUPPL Y CO INC Address: 7600 SE JOHNSON CREEK BLVD PORTLAND OR 97206 I CONTRACTOR INFORMATION I Contr~r-::NTION: Oregon law requires YO:i'~ense 6~~"""'''''''''''=ted by the Oregon Uu",. REYN ,"""..,,,E<::I'KJ(!;, JJ252 ROBINsON;P\iJmJilmef'IN<:ose rules are se,11rH24 _ . . _ I; 'I - . _I.- ,.... ^ 0 0.1::. h'~'. . ~ In ut\n ':J;.)(;..... ".1. ~.l:;: ~ . :. - --, 0090. You m~,BlJlLDING-lNr.ORMA'FIONI/ calling the center. (Not~: the telepnone number for the $g~\'/I3~~;tY NotificatiOn Center i WJ-g!32-2344). ype of Heat: Water Type: Range Type: Energy Path: Sprinkled Contractor Type Electrical Plumbing # of Units: PrImary Occupancy Group: Secondary Occupancy P'rlmary Construction Type Secondary Construction # of Bedrooms: Front yard Setback: Side 1 Sethack: Side 2 Setback: Rearyard Sethack: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: n/a IDEVELOPMENT INFORMA nON, Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: IPUBLIC IMPROVEMENTSI Commercial Expirlltion Date 02/08/2007 07/13/2007 Phone 541-343-7297 541-345-6909 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspoutslllrabts NOTICE: EXPIRE IF THE WORK ~~H~R~~~6 G~~~~ THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, 1 of 3 . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone _ 541-726-3676 Fax 541-726-37691nspection Line I Valuation Descrintion I Description $ PerSq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project FP.es Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Fixture Minimum/Adjustment Plumbing Sewage Ejector Pump + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Fixture Minimum/Adjustment Electrical Amount Paid Date Paid $4.50 $3.15 $28.00 $3.00 $14.00 $7.30 $5.11 $43.00 $28.00 $2.00 8/22/05 8/22105 8/22105 8/22/05 8/22105 9/8/05 9/8/05 9/8/05 9/8/05 9/8/05 Total Amount $138.06 I Plan Reviews I . CITYOFSPRlNGFIELD Building/Combination Permit PERMIT NO: COM2005-0I122 ISSUED: 08/22/2005 APPLIED: 08/18/2005 EXPIRES: 03/08/2006 VALUE: Value Date Calculated Receipt Number 2200500000000001139 2200500000000001139 2200500000000001139 2200500000000001139 2200500000000001139 1200500000000001319 1200500000000001319 1200500000000001319 1200500000000001319 1200500000000001319 To Request an inspection caD 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. wiD be made the following work day. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work Is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 2 of 3 . . CITY OF ~t'Kl1'<1GFIELD Building/Combination Permit PERMIT NO: COM2005-01l22 ISSUED: 08/22/2005 APPLIED: 08/18/2005 EXPIRES: 03/08/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 certilY 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 pertaininl: to the work described herein, and that NO OCCUPANCY wiD be made of any structure without permission of the CommWlity Services Division, _ Building Safety. I further certilY that only contractors and employees who are in compliance with ORS 701.005 will be used, on t 's project. I fu her to ensure that all required Inspections are requested at the proper time, that each address is readable from the treet, at t ermil card is located at the front of the property, and the approved set of plans wiD remain on the site ra times u c ~;t:tOIL q. 0 . os ------------- Owner or Contractors Signature Date 3 of 3 j, 225 Fifth Street .., Springfield, Oregon 97477 . 541-726-3759 Phone , Job/Journal Number COM2005-01122 COM2005-01122 COM2005-01122 COM2005-01122 COM2005-01122 Payments: TWe of Payment Check i; ~ "j I i - " ,; ~, , 'I . J " ; t- o . ~~ 9/8/2005 . RECEIPT #: G~~A!~~..FlJD..D.'_'_' ... _._P__' .' Ilat' , . .~ ! j WJJ ; '.'__,..-. ,'_" I ) City of Springfield Official Receipt .velopment Services Department Public Works Department ' 1200500000000001319 Date: 09/08/2005 Description Fixture Add, Alter, Extend Circ Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Paid By LUCKYDOG DAY AND NIGHT CARE Item Total: L:heck Number Authorization Received By Batch Number Number How Received djb 503 In Person Payment Total: I of I 1:37:24PM Amou nl Due 28,00 43.00 2.00 5.11 7.30 $85.41 Amouut Paid $85.41 $85.41