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Home My WebLink AboutPermit Electrical 2005-2-28 ~ ~o &~ . . ~.'.- II . -~. .. ' "-',;. ~ .m.._ .. o ~ R?~..~, , ...:f:....,:., ~if .", ,~"~ ""J't:.. ,. : 'f~"" , 1::. City Job Num. 2{]lJ5- OOd-.4/cJ . Date:Jo ~"'9. ~6..,: .' . i>. ~~ ~ 1. ;'L.OC;;TIOi:rqF.i1jSTAii;1TIONi,,~:'~jd:r 3. S:~OM.p.fi.l'~F#sCiiEDocii:E~~ Woo ~:~:,!y,: IcfIT---T~~~(~-'"'"5t-""---'--'---"> -'~'- --."'-=......-.----.~"_...~-~.. <=-~ ~- .s~;;~:< . '_'_. .,:..-.:'.~ '-'t..~...-.;,. .--_o"<'".'~",,.-~.;:...:.-..1;""r._..;. -. ',~..< ,.. r.., _O"',~'l A. -;~ew. ,Res!!i;,D~~I..i.,~iI1gle:.o~Multi.Fairul. . '\Ii;;it..~~^ ......<""".,.l'T~IttJN',.Oregon law requu .Ul ...- .<><. ~ - 'r Service Fo~ou~~'es adopted by the Oregon I ' 1000 '1I1~R[;~~n Center. Those rules are s~b . Eac~ ay Ii&AWg92:&:l ~(~1 0 through Ul-\~ 952-0 portIon ~fyou may obtain COPies of the ~Wo&y Each Man~!t.lill&\\flter. (Note: the telepho~e Modular ~m\iQg Set-hC:e Qregon Utility Notification Feeder Center is 1_80Q-33?-?::\44\.S50.oo , \ .1 . Supervisor License Number L fA Expiration Date 10 / o..s - Installation, Alteration or Relocation cc.!'J B 2-0-'1762ooAmpsorless Constr. Contr. Number I 17 b 61 CL-E 201 Amps to 400 Amps /- 401 Amps to 600 Amps Expiration Date 7 /V,S' \ Over 600 Amps or 1000 Volts see "B" above. S7~~il ~'=:;:~f:2:'::;:~:~~~; . Each Additional Circuit or with OwnersName{)/Z;SOI1 .JhdL;.J-hz/ttL [&c.~ceorFeederPennit S 3.00 ~~~,...~:~.~;~~~~~.Ifl,.~.-:.-;;;;, ~.' !i,-:".r....-:;:-T . .:::"'":'"'";-t"_" ," .... Address n /'1 Ltu)Jq 51- E. ;~M!5-"eIJaA~~:(~~i'yi~f~~uotin~~d~d);:-~~.I,n-"-~~~.i:~~_ City S,pr,' ~w\'ie.t 0\ Phone '1 J.s 82 28 Pump or irrigation S 50.00 Sign/Outline Lighting S 50.00 Limited EnergylResidential S 25.00 Limited Energy/Commercial I S 45.00 ~ ::>. ; Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ':k~lt'c.'_'."',-r';---,;,;.~?~t)l:7' ',< ....:~~:?''7T";~i';l.r;: 7~t: ~',~ . '-.~'. ~ ',' "'.1 o-V 4. :"SUBTOT.AI;01"ABOVE;J;'r-.:.r:'i....,,';: :",'~.;.~ J /5 ,.;.4,,;;.~i(...;~i.'~~:.*.~,,:;:.',:;O'.:i<r: ~.~..:.<....!l.~~-:h..'::..:.!.:..;"..:_:;...:'. ........,;.y < ;: ./) 7% Stite Surcharge -" 100;' Administrative Fee q. 5 0 .[; ;; J,., { . LEGAL DESCRIPTlON /7()3 J7/(J7)S;)oV JOB DESCRIPTlON 5icv v:ty . Permits are non-transferable and expire if work is " not started within 180 days of issuance or if work is Suspended for 180 days. .....'. ~_' ... .p~;r~::'~_ '~"~."-:' "":-~", ...._.. ':. .... "-<'--"'7']< CONTRACTOR INSTALLATION ONLY:, 2. -..A~~..;:..l.b_:":' ...liu.....;.......:;.:...:-.C!..:~.i..wL~'t:..;....;:c.~~.....::.'::lA.:.:~' Electrical Contractor ;5 e.. c. W re. T e. <:. h. Address 5"" } LI No. l's I-vt ,'+-/-, e J vd. Phone 0'21 - 2.lJJ' 7 City [lA,qel1e.., 32.'1S OWNER INST ALLA nON The installation is being made on ~._~.. ~/ I own which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 r;f-,,"_r:f':::":-E;:p~J. '-''!;,"'~FP;'' '. ~".- ,'":"\:-:', ~ ,- "', '.. ' ..,..:' ~:. - ',~ B. ;.S.eryicesoi" Feeders:'d.!'.stallation, Alterations or Relocation: .~ . ::....u~:....,'"..~' ....',~'O':L..~~~.:i-:_:.~:....--:..........__:~~~ ~. . 200 Amps or less S 63.00 201 Amps to 400 Amps S 75.00 401 Amps to 600 Amps S125.00 ., - 601 AIDps to 1000 Amps $163.00 Over 1000~~wJltsSHIILL E;;PiHE IF nS375,00W R::j~lv~t~t~P'Q~~,~A1~~~~~~I~~~~Jr_...; " .' C ~'.:remi<p'.'o";arvS.er.v..~".r'~.'6r)Fee."'ders."'~" ,', ",,' "'\ ~' ... ,".':. "ll . ~~,j:i~_~..:!~~,':;;~>>.!::-L"'~l.._\i(.i,i'i.-...;~.;1}'.. .,.:..::.. :~,.:._."~':'o\~::~'. -1'..:":': _:.~~'l._: S 50.00 S 69.00 SIOO.oo $0 TOTAL Sbarcd [)rivc(T:)I8uikling FonnsIElcctrical Permit Application I-OJ.doc . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00240 ISSUED: 02/28/2005 APPLIED: 02/28/2005 EXPIRES: 08/28/2005 VALUE: . r ~, ~i .1 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1919 LAURA ST ASSESSOR'S PARCEL NO.: 1703271003200 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Secnrity System TYPE OF USE: Addition Commercial Owner: 0 & S CONTRACTORS INC Address: PO BOX 70325 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor SECURE TECH License 156618 BUlLDlN-. m,.ORMATlON I # of Units: # of Stories: Primary Occupancy Group: Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction;Type'N _ Water Type: Secondary Construct,\gp.J;~e:7 IUN:Orego_ Range Type: # of Bedrooms: Notif; ~U/es adopt ., law r(~nefl:Y. Path: in OA ~atlon Center er:d by the ~!in'iii~a..lIUi1ding: n/a _ n Q~') ^_ . 'h,.,,,,_ nOn I,.:,.. uV;U,' .You m~~'~~Ut 1,0 '/IoDEMELbpMENTfIN'FORMATlON I a/myth am cop' ..,.,,, '0 nUmber~ e center, (N les of the ru <:.- 01 Front yard Setback: Or the Ore 0 ote:. the Q,,;,~'ilj!,Y, ~iSt~. Side I Sethack: Center is 1-8~ n UtIlity JI!~f,ee'Ffrees Rqd: Side 2 Sethack: o-aa:?-:?3<!'41vd5finve Rqd: Rearyard Sethack: ollof Lot Coverage: Solar Setbacks: Phone Number: 541-913-8228 Expiration Date 08/08/2005 Phone 541-521-2837 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: I PUBLIC IMPROVEMENTS I . NUll" I: . Sidewalk Type: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT r?;o~BsroutslDrains: COMMENCED DR IS ABANDONED FOR ANY 180 DAY PERIOD. Street Improvements: Storm Sewer A vailahle: Special Instruction: Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pal1e I of2 Value Date Calculated . . CITY OF ~rK11~ld<11!,LD Building/Combination Permit PERMIT NO: COM2005-00240 ISSUED: 02/28/2005 APPLIED: 02/2812005 EXPIRES: 08/2812005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Ff'f'S P,llid I Fee Description + 10% Administrative Fee + 7% State Surcharge Low Voltage - Commercial Indus Amount Paid Date Paid $4.50 $3.15 $45.00 2/28/05 2/28/05 2/28/05 Receipt Numher 2200500000000000228 2200500000000000228 2200500000000000228 , Total Amount Paid $52.65 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wiU be made the same working day, inspections requested after 7:00 a.m. wiU be made the following work day. I Rf',m;rf'd T~ Low Voltage: Prior to cover. 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 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 tim:zz:uc~~ 2- m; ~C Owner or Contractors Signature Date Page 2 of2 225 Fifth Street " . 'Springfield;Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2005-00240 COM2005-00240 COM2005-00240 Payments: Type of Payment CreditCard 2/28/2005 RECEIPT #: .!'~"'!"-'!!"~--"-I ~_. I . - I ~.! J --.-.. - ", ,ay of Springfield Official Receipt .elopment Services Department Public Works Department 2200500000000000228 Date: 02/28/2005 Description Low Voltage - Commercial Indus + 7% State Surcharge + 10% Administrative Fee Paid By NATHAN HUDDLESTUN Item Totai: Check Number Authorization Received By Balch Number Number How Received 028317 In Person Payment Total: Page 1 of 1 9:06:59AM Amount Duc 45.00 3.15 4.50 $52.65 Amounl Paid $52.65 $52.65