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Home My WebLink AboutPermit Electrical 2003-11-19 .; .' .>.\~::::; ',".:' CITY OF'sip . -GFrnLD"OREGON "::.:: '..~.' ,;... :;, .<';'-~~ ::_.<'.... ,.:., . -, ,,-.. .... ....... _ '. '._ .. :'.. .' I.- ~'_ ;._ 225 ./>IFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F",*~ ~1'oU~~tj,M~S as submitted has the toll0:m9 ELECTRICAL PERMIT APPLICATION zOOlng, and does not reqUire S[.'IIC land us City Job Number C0i<1200] - 0 /I by Date )f~1 7. 03 approval. (l.- (' ZOning \'_.!)LL~ 1. t~sw2:.ifl{e;>l@'st~mr6~H.~1 3. f{~1ffiir.El8Babiih"'ffi=!Rt:~;,.;;, \-f~:-c ,"" ~lr~ ~ - . ~iQ.~_~~~.....~~~f~ .~ .l:--~-""'''''''''-n::u2..~",".....~"",,,.~-tio..~~...~~u.~~K~ F. ~k~~ 303 0 ~ew A-.;. s. ,.. AuthOrized Signalure - LEGAL DESCRIPTION 1 A. Jj~i>~ilI~ffiiilT~J$;~I'gfo~M1iftifFl'ifiiim'€.fci'l1'~~;;j,.t;g~zl, ~~!':-'~'r-:J::I,,~<:.':~ .o':'r.~~'~"'~~ '. '_''''-'.''',~.....,.._..li.l'.,/il''~:"j.>@ /7D32.2-<:)0 JOB DESCRIPTION 02-10'1 ftp~ z c( e-C..oA ;1-s Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. . 2 I11GbNm'''~WieR~~;;~m(iij@~@~ . ~~,.,.<ilO"'1..i.\t~~''''Jt.~...~~'i+.w: Electrical Contractor J:: IJ (.;f: ~r, F miL Address \ ~D (Y)OrJR.Ot:; City fU{,aJE. Phone 34~-35lDL Supervisor License Number ,~7 ~;; ..C: Expiration Date / ()- /~ CI ~ Constr. Contr. Number _I' (l,~ ~() Expiration Date ~-n-()6 Signature of Supervising Electrician ~~aLA ~~tRz-.. Owners Name ~,\-Tt"l-V 11-. IYI ~t I Address /I D AI LJ k~t1..... City C~ lc.A-;o 0 J T L Phone OWNER INSTALLATION The installation is being'made on property I own which is not intended for sale, lease, or rent Owners Signature: Inspection Request: 726-3769 Service Included 1000 sq. ft or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. &~~1Ititf~":pst~ttf~~~1~l.t~=~~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 AmpsNoJrs Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 "i?~,e!.~4\'1ij ,...'t:~..>>iaq~~ Installation, Alteration or Relocation $ 43.00 $ 3.00 4J :s E. ~~~,J:;l'fii~~s~~~~ilim,.'~'BW'~i:ri,tftlifti~j m:t.:::V!''K''_''~~I~;'~-' '1l'O-<<!:~~~~,~'~:~r. ~n :t.......,....""'<...,..,.~~ '.011'" Pump or irrigation laW r",QUlres $ 50.00 .. "' .nregofl reI "\"W Signl0utlineUigliting d by tpA Crego $ 50.00... 1"\' I....' . ,I <:ldno1e re ~~t lOl' LimitecbEnergylResiaential-hOSe rules a $'25.00J IV" '., n r'eflter. I UI-\r\ YO~'V Limitea'Eilergy/Conunercial,thrOUgh ... $r"5.00. \ --.' 0,2 QU1-VV . - . IE:: ...'~- M.. -GEI'l.R9.p' . I' '''''''~''F''\e~uS415''OO+S--h Immum 'ectrlC crout nspectIoo" ee IS . ~.'1 urc arges ^nf\ YOU III""')' '''In A'lIlt' \.....-r . 1:.~,~:i"*N" ':~~tt.tNH'~' . , t\On 4.' '(1) ,.. @ . .~ , -:-_ .~..... " . . "':Ii. nU"llJ.... .. . 1~ '1\1~,..h"""- r............rIC 7% State Surcliarge LIb 10% Administrative Fee 3'Z'Z '-(&0 ~ S38!:. TOTAL Shared Drivc(T:)lBuilding ~ormslElectrical Pamit Application 1-03.doc Status Issued 225 Firth Street, Springfield. OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . LIl i' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01l64 ISSUED: 11/20/2003 APPLIED: 11/19/2003 EXPIRES: OS/20/2004 VALUE: SITE ADDRESS: 3030 GA TEW A Y ST ASSESSOR'S PARCEL NO.: 1703220002109 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Add 2 circuits Owner: GA TEW A Y MALL PARTNERS Address: 110 N WACKER DR BSC 3-04 ATTN PROP TAX ADMIN CHICAGO IL I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor EUGENE ELECTRIC SERVICE INC Phone 541-344-3561 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes; Description License 90200 Expiration Date 03/17/2007 BUILDING INFORMATION I # of Stories: Height of Structure Type or Heat: VN Water Type: Range Type: NOTICE: E.,,~r~ E~E IF THE WORK THIS PERMIT SHI' IT IS NOT . . ._. .~",~cn 'IMn~R 1HIS PERM COM~~QEY~~@P~NJt9~A~1UN I ANY 180 OAY PtKIUU. Overlay Dist: # Street Trees Rq d: Paved Drive Rqd: % of Lot Coverage: Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS IITION:Oregon law reqUires you. ~o follow ru.lesSIiI'ew~Iit-TypJ:"'e Oregon Ulihty .Jotification Center. Those rules are set forl Downs)loutslDrains:"'AR 952-00 In OAR 952-0\,1 ,-\)__ I v .... VU~" -.J 0090. You may obtain copies of the rules: calling the center. (Note: the telephone number for the Orego_n ~_t~ity~~~ification I Valuation Descriotion I \ _'1' "." '-' I-uu~r.........<- __....... .,- $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Value Date Calculated Total Value of Project Pa!!e I of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . . CITY OF SPRIN\J1'lJ!.LU Building/Combination Permit PERMIT NO: COM2003-01164 ISSUED: 11120/2003 APPLIED: 11/19/2003 EXPIRES: OS/20/2004 VALUE: L.F....s Paid I Amount Paid Date Paid Receipt Number $4.60 $3.22 $43.00 $3.00 11/20103 11/20103 11/20103 11/20103 1200200000000002496 1200200000000002496 1200200000000002496 1200200000000002496 $53.82 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. R..ouired Tnsnections I I Rough Electric: Prior to Cover 2 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 certiry 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 or the City of Springfield and the Laws or the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made orany structure without permission of the Community Services Division, Building Safety. I rurther 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 cllrd is located at the front or the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pa2e 2 or2 225 'i<'ifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01164 COM2003-01164 COM2003-01164 COM2003-01164 Payments: Type of Payment CreditCard ~-r~.~~~F1~ "'..'~ i, ..,.~~ . "..,3 ~ .._..~. ""'-<'~- .,...' Receipt #: 1200200000000002496 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Received By djb l.:heck ~umber Batch Number Authorization Number Paid By EUGENE ELECTRIC 000226 020333 City of Springfield Ofilcial Receipt Development Services Departll}ent Public Works Department Date: 11/2012003 7:51:35AM- Amount Paid Item Total: 3.22 4.60 43.00 3.00 $53.82 How Received In Person Payment Total: Amount Paid $53.82 $53.82- . .