HomeMy WebLinkAboutPermit Electrical 2004-3-2
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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~
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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\~
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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?
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. 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
.
.