HomeMy WebLinkAboutPermit Electrical 2006-6-26
SPA.'ELD -----" ZON CU,
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'225 FIFTH STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 '~~';;;~ ~~~:C~
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LEGAL DESCRIPTION
1703 ozzz-c> c:>Z ~o 0
2-- '
City ~ 0 9 7f1 p Phone 50/-SbS"D
9f/O S
-j& /Oy
Constr. Contr. Number :;) /3 s /
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. Over 600 Amps or 1000 Volts see "B" 'above.
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City rn&c:A.f ~ Phone Pump or irrigatio~-.
Sign/Outline Lighting
Limited EnergylResidential
Limited Energy/Commercial
, JOB DESCRIPTION
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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2.'; S?ff!}~:1g"!}?,*',[lf~:r1::hf1RB]'f;;gtl~,K~~
Electrical Contractor B il]/) r t /'f;;j))
Address .:(/ 7d jU, / / f2
Supervisor License Number
Expiration Date
Expiration Date
OWNER INSTALLATION
The installation is being made on property I own which
is not inlended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
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A.:,N e~~Rc_si<!~~!ial.-:'.Sillglc,.o!~Iulti_',F a,mily'pcr~o ,veII!Dg' ,unit":;'j<'
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Service Included
$106.00
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
.~TT.f:'",,,,,,
Each Mamifact:d.Home or
I(!'.....I: , .....ur.:!
NModulaf,Dwelling SerVice;or" $50 00
..'/1r-,..... -., auu .....Vy re .
in 6eeder.,on Cent/ted by the qL::.",~ You .
Qil-dt;J',~:2ia,' Af"i;:{,:~'.rtro,W.c', ,;.Q,-!,;~gpn :fT/i't'~~' 'r;:';'~',"i">':'V.';f'll'f,'I;:!;;
B.9!JServlces or, F.",,4erli..~mit'a.jt:J.tlO'" AlferSWonsor Relocation: '(8
ca'itiii~~:!<!fiJl3ia;~";~<)l:igh"bA.R~~~fortrl"'_i.,",;'e;"',",,,;:d,~
nLJ~QOct,.mps 8fIe~r. IN PieS Of th~ _ 2-001$ 63.00
'vr the e:h .' ote' th ~ . y
201 ~ps to .~\lUqroP;;U'.. e tel"'.~" 'tiS bys 75.00 '
.Iter Is," tllity N ,- --Vile
401 Amps to oW~P~32 otif;^~.. $125.00
-234 ~"vn
601 Amps to 1000 Amps 4). $163.00
Over 1000 Amps/Volts $375.00
Reconnect Only $ 50.00
$ 19.00
c. ~r!fii~;;f~m[:~~;f~~~~;~~;;if~~~$~~1~~
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Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
, 40 1 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
..n._.
$ 50.00
$ 50.00
$ 25.00
$ 45.00
l\1inimum Electric Permit Inspection Fee is $45.00 + Surcharges
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Shared Drive(T:)JBuilding FonnsJElectncal Pennit Application ).Q6.doc
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.
.CITY OF ~rK11~lJI'IELD '
Building/Combination Permit
PERMIT NO: COM2006-00574
ISSUED: 05/31/2006
APPLIED: 05/16/2006
EXPIRES: 12/26/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3220 GATEWAY ST
ASSESSOR'S PARCEL NO.: 1703222002400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Replace roof nnit - Taco Bell
Owner: WEBER PROPERTIES LIMITED PRTSHP
Address: PO BOX 23408
EUGENE OR 97402
Contractor Type
Electrical
Mechanical
I CONTRAC1:0R INFORMATION I
uires yOU to
'I c-r,nonlaw req l.\tiill""
Contractor ",:),< UC,ense the ~1XPjri\mr wate
, ~ ad"n1p<I uy \mf.
BILLS ELECTRIC ~10' 2-l351hose rules aoot/2!1t
COMMERCIAL AIR INC ,011 Ceni)~q9~~h'nuah OAft~!8/!z ,.:
I BUlLDING:INFO'RMA'T:H5N:in copies 01 \n\ep'~~~;'
vV~V' t' (Note' the te e
'ing the cen et. "\'''~N~'lication
# of Stories: \ I the Oregon Uti i',cllr Ize:
Height (jf,'Sfr'iitiu~r ter is 1_800-332-2S~ 1st Floor:
Type of Heat: Cen Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
Phone
541-501-5650
541-461-4821
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
VN
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:'
",,,".'
REQUIRED PARKING
Total: .
Handicapped:
Compact: '
Street Improvements:
Storm Sewer Available:
Special Instruction:
, ~')T'N:', ... :Yr'D~ If iHE WO\\~
I PUBLIC IMPROVEMEj'f~"~ttJ\MIi "'';illER 1\-115 PERM\l \~R~J
{>.\l1 \iORlzs.l~\'6Y~Ft{>.NOONEO fO
COMMENe\:u nO.
{>.N'1 ~ 80 ~y#d$liWlSlDrains:
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.'(\.:
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Notes:
Paee 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% Slate Surcharge
Heat Pump
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
SUB Review
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00574
ISSUED: 05/3112006
APPLIED: 05/16/2006
EXPIRES: 12/26/2006
VALUE:
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amouut
Value
Date Calculated
Total Value of Project
Fpp< P\UaJ
Amount Paid
Date Paid
Receipt Numher
2200600000000000687
2200600000000000687
2200600000000000687
2200600000000000687
2200600000000000687
1200600000000000967
1200600000000000967
1200600000000000967
1200600000000000967
$10.00
$4.50
$3.60
$12,00
$33.00
$4,60
$3.68
$43.00
$3.00
5/31/06
5/31/06
5/31/06
5/31/06
5/31/06
6/26/06
6126/06
6/26/06
6/26/06
$117.38
I Plan Reviews I
05/1612006
OS/26/2006
APP JF
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~r'~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pal!e 2 of 3
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00574
ISSUED: 05/31/2006
APPLIED: 05/16/2006
EXPIRES: 12/26/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is trne and correct, and I fnrther 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 strncture withont permission of the Commnnity Services Division, Bnilding 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-7,26-3759 Phone
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Wit",- ,
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, , . -, ",' - ~".
. . " .
Caof Springfield Official Receipt
~Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-00574
COM2006-00574
COM2006-00574
COM2006-00574
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Date: 06/26/2006
1200600000000000967
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
WEBER COASTAL BELLS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 011327 In Person
Payment Total:
Page I of I
2:01 :22PM
Amount Due
43.00
3.00
3.68
4.60
$54.28
Amount Paid
$54.28
$54.28
6/26/2006