HomeMy WebLinkAboutPermit Electrical 2003-11-14
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. , 0 CITY OF S,--jfNGFIELP, ~REGON . () ,
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH;(541)726-3753 . F~I(>lj4111)r1!Jp~9a" submilled has the lollowing
ELECTRICAL PERMIT APPLICATION 0) zoning. and does nol require specific land use
, approval.
City Job Number Cbll-izoo3-0 1100 Date /11'1 OJ Zoning C-.R-------
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,1 3.1 COJl.fPLETEFJ:!;b~l.,l'1-"-LJUL.'" <>1:'-,-,':'''' ....J' ,"I
",",u,horTzeOSTynawrc -0' -
New Alteration or Extension Per Panel
One Circuit, -L VitO.ill /'/3/00
Each Additional Circuit or withlalN I e'ii-lIl"'S ~""\ty "00
Service or Feeder'INrftiiiegoll t~O$\ 3,00 ~/tJ,
Jl\{ I r.'" ',: ~,;no~ed bY "~J)~" :jre set tor.
"'" Il"'W,'M\~~'" "':Tl'nl:>"''''' "," "G-\.>V ,." I
E.,Misc~l1aill'ou~ I<;;enlice,', f~ed.r uObincJu'li"ll)''-'Eaeli luslallation
'. . . H \;j:- - r:rt'f'ful.I ..- "._"\O~'." '
'~C;2_001-Uv, ies o!ln", ',~"
Pump Q~JiilaiionllaY obtain cOP" ''''D te$1~0:60"1e
, ~o'" i':C'!U I /Nv"" ' "'",,,,'ivlO
Sign'l0utline Lighting-ellter. \ , ..\1\\\/ N,$bO,uu'
~a\linu '''~ - !il ego" '-" "
OWNER INST ALLA nON Limitedn~rn;r~f-,~id~~~~~ ~ _SOC '~'l?234s-25,OO
The installation is being !TIade on Rf'(l'fftL9Wll which LImIted Energy/€bmmercIaI $ 45.00
is not intended for sale.,leaseor r<M1. t. Minim"um"Elee, Ir,ie, Permi, I, Inspection Fee is $45',00 + ,surcharges
, THIS PERMIT SHALL I:XP~Tl-l~ '^J9-W ,.' ,
Owners Signature: ~~~H~:~~EE~ UO~I~RA~~~t:0'~f0t~(Jf:~OrE',,;.~ ,/ 1fCj.(Jt)
HIV 1 Rn n6V PERIOD. 7% State Surcharge ), If 3
~~ f\Vj#::~..~ti~'~ "t.1f3
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I. I LOCATION OF INSiALLAHON ,
VIA;" FfifH.JttIN BLVD.
LEGAL DESCRIPTION
;7,:)/7 r?r p.~'Lf YZ!i.o.oq 0 0
JOB DESCRIPTION J.., ..1
f.Jit/fr;-t-II1U-r U6ttf? 1(1'-/(/ ,/
/lA/II rf{.~ t:e-;VAlt-e-T1QIIJ
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Permits arc non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. [CONTRACTOR/NST,fLUTW^.'i?NikJ
Electrical Con~E-eN :L:::TAIC. 'iN~.
P.O. BOX 23154
SUGENE, OR 97-4S~
Phone '5'1'1-tf9Zg
Address
City
Supervisor License Number ~ 3Cf"J ..- 5
Expiration Date/)CT 2OtJ'I
Constr. Contr, Number ;0,t:}1 c
Expiration Date ftJc'i jlttt::) tf
, r
, , j: ' 1#1.--
Owners Name /I /;;J I TttJ Ml ~I//Id
Address -2it1J- tMJIt'-trtfJ l3LvD /
. City jdj(,tM, 17 Vol Phone En 77'S L
Inspection Request; 726-3769
A. ,I New Residential~ Siiigle or Multi-Family per dwelling nnit. ' I
Service Included
1000 sq, ft, or less
Each additional 500 sq, ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106,00
$ 19,00
$50,00
B. rSer~.ir;~'';:~'F~~d;r~:.;..blst~lIaii~'II" Altera't'i?l1s ol"R:;io~~tro~-:~ -1
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpslVolts
Reconnect Only
$ 63,00
$ 75,00
$125.00
$163,00
$375.00
$ 50,00
c. l?J~~inpiJra"rY.Se.~~'i~~~'t)r ,Feede'rs~':~. :
;.."',
,;..,.,
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
$ 50,00
$ 69,00
$100.00
Over 600 Amps or 1000 Volts see "B" above,
D. L B'nu:"ch~Cii:cu.its, . .. ..,
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_ CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01I00
ISSUED: II/17/2003
APPLIED: 10/3012003
EXPIRES: 05/17/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4102 FRANKLIN BLVD
ASSESSOR'S PARCEL NO.: 1703344200400
Eugene
TYPE OF WORK: Miscellaneous
TY.PE OF USE: New
PROJECT DESCRIPTION: Greentag on existing system, replacement lights and unit heater connection
Commercial
Owner: GUTHRIE JIM
Address: 1475 S BROOKLYN ST EUGENE OR 97403
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
SAVE ON ELECTRIC INC
License
56697
Expiration Date
05116/2004
Phone
344-4928
BUILDING INFORMATION'
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
Lot Size:
Sq Fl 1st Floor:
Sq Fl2nd Floor:
Sq Ft Basement: VOu to
, . . ..t:Ionll'r~S
ENTION:OregSql Ftl Garage/Carp,Qr.tility
ATT Sq\Ft 0th~rregOII Ul
folloW rules adoptEJI- , . -"'S' "ff'" !';AAt tori
t 'ml!er;v,ous' u ace. rea:
"_.:..",,tion Cen er. "'- ,_h (,,\ll.R 9oG-UO
I DEVELOPMENT INF0RM~T10N';I01-~~~n:'~;Pi~s ot the ru~:: \
. OO~u. 'VI-' .,,'J.y 0 ar (Not~!:!mRE)}lp~RKING
. calling the cent. U"IH,' Notification
Overlay DlSt: r tor the Oregon ,!,~t!!,I;'L\<1
# Street Trees Rqd!1Umbe C tP,r is 1_800-3Hanilicap~ed:
Paved Drive Rqd: P" Compact:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
SETBACKS
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
'1 "'... "'...
...~ . I.......
I PUBLIC IMPROVEMEllIifS:lpERMIT SHALL EXPIRE IF THE WORK
AUTHORliSJl!'elYIIlRfi!Yp'i:lIS PERMIT IS NOT
COMMENfi{,Q,Q~llisfu'V:\fl\Q,ONED FOR
ANY 180 DAY pfRIOD.
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paee I of2
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_ CITY OF :srK1I'l~t<mLU
Building/Combination Permit
PERMIT NO: COM2003-01100
ISSUED: 1I/1712003
APPLIED: 10/3012003
EXPIRES: 05/17/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I F....s Pairl.
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Miscellaneous Mechanical
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$45.00
$4.90
$3.43
$43.00
$6.00
10/30/03
10/30/03
10/30/03
10/30/03
11/17103
11/17/03
11/17/03
11/17103
1200200000000002393
1200200000000002393
1200200000000002393
1200200000000002393
1200200000000002482
1200200000000002482
1200200000000002482
1200200000000002482
Total Amount Paid
$119.98
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 Insnectinns I
1 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
2 Rough Electric: Prior to Cover
3 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 arc 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, 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
J 225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01100
COM2003-01100
COM2003-01100
COM2003-0 II 00
Payments;
Type of Payment
Check
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Receipt #: 1200200000000002482
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Paid By
SA VB ON ELECTRIC INC
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Departmept
Public Works Departmen~
Date: 11/17/2003 3:34:48PM:
Amount Paid
Item Total:
3.43
4,90
43.00
6,00
$57.33
How Received
In Person
Payment Total:
Amount Paid
$57.33
$57.33
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