HomeMy WebLinkAboutPermit Electrical 2005-10-17
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. project aU8.~iT,itted 1.. s the following
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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~~
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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
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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
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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
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. 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
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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
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