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HomeMy WebLinkAboutPermit Electrical 2004-3-2 , t.::~\?::::::V~;;;!;;'~,~ C1TY: bP.~Ph'.lNdFtEtjj, OREGON '." j: "r': I.,' IJ~.,!.t."'J..~[~ '..:...11.':. ~ "....... .;:~'.~_n~.'.., ... .... " ..,..... ~ ...r.. .:-/__. , . 225 FIFTH STREET. SPRINGFIELD OR 97477 . PH:(541)726-3753 . FAX: (5~&=~W~I)!}.l/ ojecl8s submitled hes the fOllowing , "'II''lIII8W6es nOI'reqUlre specific land Use ELECTRIC PE IT PliCATION approval. . City Job Number (l,. Date Zoninr' (l (L , Date _3..-;l. -O'f ') 3. liie.oMPi.iEl'EiFEEc..,q" -'-'iiiiiiiRl<'J'iiijiill.;t,''& """,'1 II '..~,'I [I'.;, ._""',.',,---- ".""""" .$filWi'/J"'~"".".~~cRiil:1J4ljn!atlJI A.I~N~W'Rfiiarri:iiiii:~si~lli~'~rM~Ii:i.!ilrinlii":"'!;l;liiUi~jjjli"'trit~'W' 1t;.l~i.i,~,~"""",_"lr'="'YJ1..g,..IA:.ti.. ~.~ """'-~'. ,'" t....",Y,1P,..,....~t;'K.......~..,~1 .; . Service Included 1000 sq, ft, or less S 106,00 , Each addilional 500 sq, ft, or portion thereof f.~~~!"TJt4" ~'OR1NSfAiJiMTiONf(f-'iQ" 2. .' ~. ,~~...",~CI!~t.~lihllr...t->':'!tM)~.Ut..'Yl.H~?; ,~ Electrical Contractor r, i S y:'lfdYIC I III\C, . Address rD. SDi \ L\ ~ )_ City ~{\ f\cL'eld, Phone iY 1- 223/... 'I '0" Supervisor License Number Lj <g q L\ S Expiration Date \ D - 0 \ -O~~!ICE: Installation, Alteration or Relocallon ..-, I I ( AU;,v t'f:RMIT . 200 Amps or less $ 50,00 Constr, Contr, Number .)?; '1 J Cg,t.HORI?€IJ ~HAL12PJ<.~es to 400 Amps S 69,00 o _/_AtrJ:;IIV/f:N. CED 0 DER4fij1 \hPsI.IOmlWps SIOO,OO Expiration Date 7 U'I 780 fl, 'R IS Ae S, ; lbHo\v , "., , 1)'PERIOo f,';,a .' > . '1i!~~'lll;:i~~~~~~l~~~l.1l~,"lllW>1;li~~ Signature of SupervisIng Electnc18n 11:1. ..:I';;m:.\:W.:l:t M. ~~~~~ijwml~1'.~If^"I-11ml~~~~\r~ JJ~~ ~ New A1terallon or Extension Per Panel One Circuit \ Each Additional Circuit or with rz ~::: N:uJ~S( n s TO~ E. ~~;J;;;;;'~;;;&!~till!~lf!~~:;O ~~~r~~!~t!U Ci . Phone ~ Pump or irrigation S 50,00, Sign/Outline Lighting $ 50,00 ATTENTION'OregGn law p'Qulr",s you to OWNER INSTALLATION ' r.:imited EnergylResl1e/ltial $ 25,00 f How rules adopted tly,tne ur"yull I "~ S 45,00 . The installation is being made on propet1Y.Q,OWDtWhich-enter, 1'n'BY'G1&Ill'IgZ;I,C;;,o!lLllms,al , t' d d r I I OtIflCi:l luT. \J ..... .....'r. n,.., IS no mten e .or sa e, ease or rent. I OAR 952'001.~!n!l!I\llJ1tEltctric,IP.,ermlt'lnsp~ction Fee Is $45.00 + Surcharges Owners Signature: :>090, You may 0~:;l!stmJ2149'f'l1'li~:i!E~~"IIIiift!,~~ 00 calling the centeb.'<m ill ~~~J~ ~. number for the Ore"7.Pr1sUtilis'V Nhotlflcalion " ~fl.. . 10 late .urc arge .. . V - "..~l__:~ 1 '~~~~~W~i;:ti~eFee It>. 0 Inspection Request: 726-3769 TOTAL ~ ffi. I(, ~ 'Sham! Dri~~;)IBUildingFOnnsIEI"'~ Permit Application 1'()3,doc ~~-<X15100l =?\M ~~,^~O\)aO.~1, Ofuta.o U\~ '1. kfL6CA'ij6N/ojj'iNStAEiJA"ijbNM~' "';.~,\;\ ~....,.,._, ',h -.":=kL.U.""''''''''''''' ""tr.\ll1il]:~ 'lJ:P.. c:-. ~. :H ~ LEGAL DESCRIPTION . \ 'If) 3'l'l1 7) rtUl9 JOB DESCRIPTION Permits are non-transfe a Ie and e f work is not started within 180 days of Issuance or If work Is Suspended for 180 day.. S 19,00 Each Manufact'd Home or Modular Dwelling Service or Feeder S50,OO 1'e'{a1161IP~~;R~liI~Titi&~r 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolls Reconnect Only $ 63,00 $ 75,00 $125,00 $163,00 S375,OO $ 50,00 $ 43,00 4?rP? t \ PC)- . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00222 ISSUED: 01/26/2004 APPLIED: 02/26/2004 EXPIRES: 07/2612004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2095 Laura St C ASSESSOR'S PARCEL NO.: 1703271002117 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Wire office for new lease tenant Owner: ACCORD TELECOM & CABLE INC Address: PO BOX 70041 EUGENE OR 97401 Phone Numher: 541-349-0905 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor C & SELECTRIC License 3849 BUILDING INFORMATION I Expiration Date 09/01/2004 ' Phone 541-741-2236 # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: NOTICE' Sq Ft Garage/Carport THIS PER' Sq Ft Other: AUTHOR MIT SHALL t~~O'ious Surface Area: /7en '~.. YIH!= Ie TI/- , I DEVELOPMENT INY6RM'AilIION, i~~tH fHIS pEflM1./,:rUHK ,l.~, f~u DAY PERlg ABANDDm:tYfDR.NiJiARKING Overlay Dist: D. Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: % of Lot Coverage: Notes: ATTENTKJi'<l;uregon law requires you to J' 'I 1 ,.."., 8 L~'J" ,f",..." "'~_ ,.:...:1......_.:1 ~J :,.- . -,c,.... Q,'\(...." I PUBLIC IMPROVEMENTS I'otlflcatlon Center. Those rules are set forth in O~d2~10 through OAR 952.001, 0090b You m~)!.QQtajn copies of the rules b~ camV.'Q'\W3~Hlet~~f..iote: the telephone number for the Oregon Utility Notification Center Is 1-800-332.2344). Street Improvements: , Storm Sewer Available: Special Instruction: I Valuation Descriotion , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 of2 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00222 ISSUED: 01126/2004 APPLIED: 02/26/2004 EXPIRES: 07/26/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Ff'f'~ tiiILI Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ , Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $6.40 $4.48 $43.00 $21.00 2/26/04 2/26/04 2/26/04 2/26/04 2200400000000000183 2200400000000000183 2200400000000000183 2200400000000000183 Total Amount Paid $74.88 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. ~dion~.1 1 Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. By signature, I state and agree, that 1 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 ofany 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 times during construction. Owner or Contractors Signature Date Paee 2 of2 225 Fifth'Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00222 COM2004-00222 COM2004-00222 COM2004-00222 Payments: Type of Payment CreditCro:d oF .,~ ~ ~.~/ - . ,J' Receipt #: 2200400000000000183 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Received By Ilh (;heck Number Batch Number Authorization Number Paid By C & SELECTRIC 000308 026928 Cily of Springfield Official.j{eceipt. Development Services Department Public Works Department ' Date: 02/26/2004 1l:15:32AM Amount Paid 43,00 21.00 4.48 6.40 $74.88 Item Total: How Received Phone Payment Total: Amount Paid $74,88 $74,88 . .