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HomeMy WebLinkAboutPermit Electrical 2005-10-17 . ,JG . project aU8.~iT,itted 1.. s the following 8' . . .' doe~'1.oJ~/~1t<l~'!:1 use :~,;;~~~=;;::-:,;;,:;;~,;, ,",(~",,,-,,,, · >AX, "'~:;:-~...'"'~ ;,t; City Job Number r 1) I'Y\ z.crns - 0 IAs 1- DateAuthOn~S~')"~r~C1)' . 1. f:'iocATioN'OJ.~INSTALi.ATfoN: :):i; .,: 3. '.:co~fPLiHii'FEESCHiiD[fLijjiiiow';.'~1~7;;~1:If~;,(;::?:~;-: i : ..... .,~":.,,\.:,, .;.,..~.: :-T.,_..~ ,: .:.j;<'",,,,,';~',< ",' - ~~::......". _~. '~:..~'';P .:: ~r~..', ,.; 'l',~.,,,:::,--, .";'._'~'. ..." .... . -. ; ."..;.~ " ....~~"".. ~ ,.,.... ~.~""~..~..;;.~.,..:.,.4,A;_":;....,,:::;S1...~:i,.::.).. l~~ '\ / .). ') 4h:<-?>- /.1 Iv J _ r ,-..\{,';--"'" ": <'/"..> c~ ~T.\-,"; ..~W1~ii"'-'- ,''I.,~ ~.,,;, ;'~fT7">'_"f-~.;';:q,t>;''l::::~"':..r):-~,~,.r.>:'.:.rY'" LEGAL DESCR9ITlON \flO?<Tn ,..... J::z..\..--A)'l'1C\,r~esi1~ntial-'::S!ngl"'~fM~I!i'Family;~erd"Wi~g uliii: !~1 /II/I-<, 1M fh,:~ JaJ..)../\./J ~:~~C:'I:C;~~~~~~-"'" ..~" ~.., _.._.....~~-,,,.,,''"...,.,-,,.._, JOB DEScRIPTION 1000 sq, ft. or less $106.00 Each additional 500 sq, ft, or portion thereof Permits are noo-transferable and expire if;'ork ~O liCE: ""<;IJ,~~fN~mF.,,(HE WO~K not started within 180 days of issuance or if work Tiki IS PERMMo~'Dw'emn ~~"PS IS NnT $5000 Suspended for t80 days. AUTHORIZEilMJllDER THIt1MII ~ . '" .".:' ,,1::'< -,-', ,-"'1' ',~'; -,-." ~'. =~,,,,'-< ~MME~EQ'OR IS ABANDONEOJ'o~+..".,., "-1' .,,,~~,,,~r,,:<;;&",,";:','.-,., 2 . CONTRACTOR INSTALLATION ONL" ^..sI'f~kl\!l,N' Feeders~ Insiallation; AlterationS'or Relocation:;',:; . a:: ~::':~-~.e..: \,.._.:!..1':"~..&""""'~'~~_'....J.".<:f~.~-,,~": NY 180 "l.-r~mu".~.. ,..~- '.:x.,.~'t.:a'-:.'~""_:!.~~ ....:..e<.r..:- A4~:b',;~z.A.........;..:...J Electrical Contractor ~; LJ ('L.,7?t~, );;:.r,i-9,> 200 Amps or less $ 63,00 201 Amps to 400 Amps $ 75,00 401 Amps to 600 Amps $125,00 601 Amps to 1000 Amps $163,00' Over 1000 AmpsNolts $375,00 Reconnect Only $ 50,00 ^ , '; , Address 1Q7 ( w.//r1 City I3v-jPN ( ../ Phone ~ P',) -<7;2 0 'L Supervisor License Number ] '/ J c; j <?AJ- Expiration Date /C>r/~o\- t-<- hlTr' --y /7.;-- /?~"'d............1 Constr. Contr, Number' /" tf ~() L Expiration Date J- r,}.- ) -0 '7 Signature of Supervising Electrician c--=--_b~ /7 r-c-. r Owners Name ?(" {~)-'V-/ Ill-i.dU,! Add;ess ~~~~:^ City <(I '{'~M.-' Phone _!L/il'r,J9,(j; OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. ' Owners Signature: Inspection Request:. 726.3769 :, $ 19,00 h. 7,' '0i:',;~!:>~~::r7I""'-~~~'~ ....-:~~,. ":;'-;'tf7!~~.r,;,~~"'~,r-C?~~r~ c. Temporarv.Scr."lces'or. Feedcrs'r;;)::":~,1'j.(.f.~'i-<j.~ ~.>.~,",ll' f', ;<,~' ~:-.:..{ "t....<I~A."'>.:.r..:;:_-"-...:'~u.....:..;<.u......"...,., ,,,.,.,......,',~,,--, """','"' '...;! Installation, Alteration ~r Relocation 200 Amps or less $ 50,00 2PJ~p.S:t€4001An\P'!;')n law requires YUl$,tli9,oo i\l;11b-!1'~~to:600,tAmp"sj by the (JregulI JtS\~<J100 :b~~~,~~~~f:6g~iX~~0~~~!~tii~9~~:"~'M;;t'"~""-'~C';."'1 D.f\;.~r,~nc~'~,l,n;u~ts,'t!:.~L~~","', ;:!;. i'-"'f~~'~::o'-'''''f'~t..t;evtru' fd's";l5y" :"t;~i]i1jot;:~'~-1"1."~'"~{" ng9o, YOlIl}1ayoU1atn'~GPfes.' :~: .. t\.L_".x_"'~~_ N eW,Alterat,on.or.Exteni,on IPe.'l?aneI3phone tled1111~ ~I\G ......."......'. , . - ..' Ol\~,f.\\~giljor the Oregon Utilitv NotilicaS''4~,oo Eacn Addilio,!llll,fircuit.or.wit!B2-2344). 'ljlll.31l..J . .......,.... - $ 300 Service or Feeder Permit . !":!~!~",,,:::,.,<~;. t'""r-'f-~i?"' "'J~." \.~'\,.....) "t.'Y""""''(~,,~ ;;Cir,,:::'-r";'-~~~T:~'~~';;,';~~r~7' E. ':. I\lis'cellaneous.(Ser\'ice/feeder ~not' i Deluded) ~Each Installation: ~ .;;Jil'>....:.',...;..... ~'.,e;.. "',.~:'..~ .:...... ~,. .:.':...:.c_:"....:-' ....... ,~..:.. ~"'. n;;wii.r~~.~~(.,~. .n.~t:.... '_'d:'o~. .:..3 Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50,00 $ 50.00 $ 25,00 $ 45,00 y-jr'" Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~', 'c.').;;:>,,: .t::'~'>~:"': '.' !1'.~'''':.J''r.';;'~::;:''"'f'~'':>''i'1:;,''~-l''::. !::~.~~,":;'~ 4. ~'SUBTOTAL OF,ABOVE:~/";:".~:~~'l."::,;~f,;;; H'r. dO ~.~~~. ::;':;;;;.,"1,., :..~ '): '.' .::-:,;,;,~~::~)~r;;'~:~:~',~d..;:f,.~.u_7.J ' ~_ (,5,.- 4-. S'b ')')._ 6) 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)lBuilding FonnslElectrical Pennit Application I-OJ.doc , . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01452 ISSUED: 10/17/2005 APPLIED: 10/17/2005 EXPIRES: 04/17/2006 VALUE: " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SlTEADDRESS: 3157GATEWAYST' ASSESSOR'S PARCEL NO.: 1703222003100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Burglar Alarm for Restaurant Services. Owner: Address: BENTON PROPERTIES LTD 980 WILLAMETIE ST EUGENE OR 97401 NOTICE: ' THIS PERMIT SHALL EXPIRE IF THE WO~~ ~J ITHf1RIZcQ .LJJ"mt_H I HI:! rtnl~1I1 I" l\V I I. CONTRACTOR,UlmeMWfIWN1ABANDONEO FOR ANY 180 D~Y PERIOD. .. Contractor License Expiration Date RUlZS CUSTOM SECURITY SYSTEMS INC 108202 08/25/2007 Phone 541-687-9202 Contractor Type Electrical BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla ~_..!_-_..._....- Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ';1' . .-.,,".. ";:l . "\..o~......, ....... . -,-..' - . ~ I DEVELOPMENT INF.ORMATION~'pted by the Oregon Utility Notification Center. Those rule~WRBDtpARKING Overlay Dist:in OAR 952-001-0010 through OfJla?:'52-001- # Street TreeslI!q4:, You may obtain copies ofH'aDdit\i'pp~.y: Paved Drive Rq'!ialling the center. (Note: theeiliitp'affi6 % of Lot Cover~g~;lber for the Oregon Utility NotificatIOn Center is 1-800-332-2344). I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paeelof2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Fee Description + 10% Administrative Fee + 7% State Surcharge Low Voltage - Commercial Indus Total Amount Paid . Amount Paid $4.50 $3.15 $45.00 $52.65 Total Value of Project Fp.p.~ PHi" I Date Paid 10/17/05 10/17105 1 0117/05 I Plan Reviews I . CITY OF SPRINGFIELD: Building/Combination Permit PERMIT NO: COM200S-01452 ISSUED: 10/17/2005 APPLIED: 10/17/2005 EXPIRES: 04/17/2006 VALUE: Receipt Number 2200500000000001448 2200500000000001448 2200500000000001448 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 Rp.I1IJir~p.~tion.1 By signature, I state and agree, that I bave 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 times during construction. Owner or Contractors Signature Pa!!e 2 of2 Date 225 Fifth Street < .-springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 1452 COM2005-01452 COM2005-01452 Payments: Type of Payment Ch~ck 10/17/2005 . RECEIPT #: ~~.-..-.-..._.'.. ~l ~.,i ~ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000001448 Date: 10/17/2005 Description Low Voltage - Commercial Indus + 7% State Surcharge + 10% Administrative Fee Paid By RUIZ'S CUSTOM SECURITY SYSTEMS, INe. Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 1703 In Person Payment Total: Page 1 of 1 8:59:56AM Amount Due 45,00 3,15 4.50 $52.65 Amount Paid $52.65 $52.65 Search Results . ' ' . . Page 1 of 1 Results of your search Your query for: 108202 Name: RUIZ'S CUSTOM SECURITY SYSTEMS INC EUGENE, OR 974023101 County: LANE License No: 20-404CLE License Status: ACTIVE Expiration Date: 07/01/2006 License Category: ELECTRICAL License Type: CLE CCB Registration No: 108202 View construction contractor detail~ Signing Suprv. Info: Total Records Found: 1 Note: It may be necessary to run your search in both categories if you are unsure if the person is licensed as a contractor or an individual. The data file was last updated Mon Oct 17 11 :57:54 2005 Go Back to Ouerv http://www.cbs.state.or.us/cgi-binlbcdllicensingllicensing.p I? 12= 1 08202&x= 1 10/1812005