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Home My WebLink AboutPermit Electrical 2005-4-6 'f' . . . I .. . :PAINQFlELD ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-36&%~"" ~1I!lI!i.~ ELECTRICAL PERMIT APPLICATION . '%,r"-'~ o~o:ilBllll.. ' , City Job Number ('ffw\'UJDS-notJab Date irCt/J-0 5 ~ o",;..~'?~,' , ""9: ~ . 0'..0 . v... ' ~ ~., 1. fl!tlLeAilf.l~l~;V...;iNs,TAWrJ4.JJ!dN~ 3. reOMIWE'FEIEEEtS';.fhi.v" .", "E" ,'. ~ Ii~_ _ _. .. \. .. ,1fW _ ~ _..... . ,... _ .....,. ., " '3J(h~ (=-tI<::('.A~~~o":1..\r-t'\. . 1,("" "'''.''''. ':(k~' ::.. ,..;i:tz;.....~~:'l1G!ii.l LEGAL DESCRIPTION , 'D Ju..r' fN.~w,~,:,~den~ial- Single or, !l:!<l!ltiam' p.er,~'11:t\"g~ ~ ILXJ AMP 5(4, nQ.. ,k5cl\i..,. Service Included C).-i....~ JOB DESCRIPTION' 1000 sq. ft. or less 6.00 ~"." -0,. Each additional 500 sq. ft. or . ~ """ " ~ portion thereof <9 Each Manufact'd Home or Modular Dwelling Service or Feeder . 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. t€.Q.~~~R;r~~~t!@~~~~~r~ Electrical Contractor ~ &:k> .C'l-r\ ('. Address t.-ffo<65 z: Sa 1::eI~ City bua.en-e- Phone6$7~770 v' Supervisor License Number '3 <if'? :)-:5 Expiration Date /0 -I- 0'7 Constr. Contr. Number ~7<'R 7C c..cB4 t'J 9' C"r'-'OlIQR Dale / ("'Jq 9 p( 7-/-c7(0 3-/Q-O?; Signature of .; Owners Name ~-k Address. Af\.a... ~ \1 City ~~ Phone OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 B 1..18 I~ali~~ I ~, 'iF~"'li.Il'~I";.~lil"t~~'tJJ;~~;'i.l~"~':'f4..tlri~"!lf'jt'I~ . I..e~..~es ,O,~ 1.,', I"" ~~i' ~~,~'" .~...?n,' -;"I~~!' ~?'~L',~ ,~~~}on: THIS PERMIT SHALL EXPIRE IF/THE WORK /,.-? OP 200Amp.~,o~lesslINDER THIS t'~~ ,"T 'S$I?3.00 (&"') Ll1IIHOnILf:"11 . '-'"'''' , HII 201 Amps to,~OO Amps, ABAND^"~~ ~J$ 75,00 4oVl\~p~';1,lto~ ;:J;'p~~ u,,~v. i125,OO 6%~Xn1~.qoq~U-'}rRJPD, $163.00 Over 1000 AmpsIVolts $375.00 Reconnect Only $ 50.00 C liT'''.. ." '~S,.ftoill. !M:fI!, '!'\J'F "d"'1..'., . ' ~emp'o.!anJ _~r.vlc~:~rl. ,~~ .e,~ InstalIatiou, Alteration or Relocaliou 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69,00 401 Amps to 600 Amps " '... -oS 100.00 ALJENT,II 0, N: Ore on law requlI c.> 1 "'~. : f!lpv~.~~~~.~., 01 ~p.'1?3tl\li9V:,i'( " ' NO., Branc' 'Jr S' ,\'" " OIl ' . in CN~w. i\Jterallon:'or1EXt~iiS1dIlIp.91>Mp2- . OO!ilile'Gitellilay obtain copies of the r~les ~hoo ~!!Hh~dPitiQJlllWltcu(Nw~tf!1e 1t"~j,'''V,.,e 0 '" ~cnyiv'i510f'Ji""T,i",..j",,,,,;ln Utility NOtilicatio$l 3.00 /5. ~' '~':"~~~~~"'~""''''1l~'''''''''''''"'':!iil E. ~1i~~~I".~,~~ous (Ser:vi~~~~.~~,er.:~?~/~~~~~!!~!'p~Ek~11n!EJ!~~~~ Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is 545.00 + Surcbarges 4. Ifs,''Uiffof2rloF1XilO of /,c?'.0'0 It. .a.~. ;. ij 1111.11 .\iI .:. ~L1.., Ii C5 .. 7% State Surcharge r =s 'i' 6 10% Administrative Fee $ 7 $'0 TOTAL $ q I. ::Ub Shared Drivc(T:)lBuilding FormsIElcctrical Permit Application 1-03.doc . . CITY OF SPRINGFIELD Building/Coml;Jination Permit PERMIT NO: COM2005-00403 ISSUED: 04/06/2005 APPLIED: 04/06/2005 EXPIRES: 10/06/2005 VALUE: : Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 3165 GATEWAY ST ASSESSOR'S PARCEL NO.: 1703222003100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration PROJECT DESCRIPTION: Subpanel and circuits for Gateway Laundry Commercial Owner: BENTON PROPERTIES LTD Address: 980 WILLAMETTE ST EUGENE OR 97401 NOTiCE: Owner: GATEWAY CLEANERS THIS PERMIT SHALL EXPIRE IF THE WORK Address: % V ALS DRYCLEANING SERV INC 157 m:;I:>..R<:>~K'iWLAYLiNDER THIS PERMIT IS NOT EUGENE OR 97404 COMMENCED OR IS ABANDONED FOR Owner: GATEWAY COIN LAUNDRY & DAYS EASE\NY 180 DAY PERIOD, Address: 4798 WENDOVER ST EUGENE OR 97404 Contractor Type Electrical Contractor JB ELECTRIC I CONTRACTOR INFORMATION I License 104929 BUILDING INFORMATION I Expiration Date 03/1412008 Phone 541-687-5770 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Lot Size: Height of Structure ~~..p\Fl6o'tS'u to Type of Heat: nEN110N', Oregon ~,\~~~!llool-!ti\ity h Water Type: A rules adopted ~~ FrJt~~eIi6t lort Range Type: 10\10'# tion Center. lhsq1<toGar~/ea1P6Qf- Energy Path: Noti\lca 952-001-001 0 \sl{FI-o~rf';,e rules by Sprinkled Buildiit~!\R v ~n/aobtainot'.ru~int Load:hOne ""Q('L 10U \11"'-' . _ _ tl\\n\e. \Oe ~\J'-.I:. _...;.....n. I DEVELOPMENT INFORMATI()N"-'I~~'Oregon Llti\lt~~:~)':'_. nw"~- 's 1_BOO-332REQUlRED PARKING center' Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type:' Downspoutsillrains: Notes: Paeelof2 . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-00403 ISSUED: 04/06/2005 APPLIED: 04/06/2005 EXPIRES: 10/06/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project F~~~ P,llirl I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Numher $7.80 $5.46 $15.00 $63.00 4/6/05 4/6/05 4/6/05 4/6/05 2200500000000000397 2200500000000000397 2200500000000000397 2200500000000000397 Total Amount Paid $91.26 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. Rough Electric: Prior to Cover 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 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 Date Paee 2 of2 225 Fjfth Street Springfield; Oregon 97477 9"41-726-3759 Phone . 8"~fNQFlIELD . Wirr--'"'--"' '-,-' .1. .,..." ; ~ . , ." )" " ,,;; ~.~." lJ.ty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 2200500000000000397 Date: 04/06/2005 2:55:41PM Job/Journal Number COM2005-00403 COM2005-00403 COM2005-00403 COM2005-00403 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 63,00 15.00 5.46 7.80 $91.26 Amount Paid Check JB ELECTRIC ddk 15594 In Person Payment Total: $91.26 $91.26 , ';1 4/6/2005 Page I ofl