HomeMy WebLinkAboutPermit Electrical 2005-9-8
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Date
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LEGAL DESCRIPTION
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o 6'{00
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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 '-:-"''' ,
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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
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. 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.
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$ 50.00
$ 69,00
$100,00
Signature of Supervising Electrician
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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
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OWNER INSTALLATION ^Ui\-10RIILimited EfiergylResidentiaD r $ 25,00
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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
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New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
/ $ 43,00
L/(
$ 3,00
Owners Signature;
-
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i% State Surcharge
10% Administrative Fee
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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
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9/8/2005
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RECEIPT #:
G~~A!~~..FlJD..D.'_'_' ... _._P__' .'
Ilat'
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'.'__,..-. ,'_" 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