The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2004-11-22 ,;-., i"',' ,,-,,! 11111,1" l'." llil.::si~ 'll;i"i:iir.' ,'i~ "l.'-~.l'j,.,I'" & ";~t9 EiPINCoPfU,D-~ '" "",. STI<EET . SPalNGmLD. .;.",'; . PH.,,"_'" ..AXo ''''--'f{~ ~ ~. . . ELECTRICAL:q;EJ!.MlT APPUCATlON, ,\"" I"" f , G-~ ~'o' ',' CityJobNumbtr ('it. l"\lfJ\ Date II vt.1V'-l o.,~ 0,% '~:"c>;o;I> . . ._ &0' \9 0.......,. ,. ... 1. ,~~"'i~ . 3. ~,.. ~ ",'-'- :." ":zGZi) ~'~& ~tLwlrl . I I ~A. \~~~ f)\~ JOB DESCRIPTION JIJl/IDIj) QmJ O)nf'Q( . Permits are non-transferable and ~U-:if-WO--;;r.;- Dot started lI'itbin 180 days ofissuanee or ifll'orkls ' Suspended for 180 days. " If) _ ()'7. Insta1latlon, Alterlltion or Relocation 11 200 Amps orless $ 50.00 Conslr.Contr.Number '2!1- --tL-f-t.- ,201Ampsto400Amps $69.00 B ' 'D O"l ~ON: OregontaJ~8W~s I, $100.00 xpll'3lJon Ilte ~ " TOil rultr.llluu......Jby~'lffl~ ooovol~sce~"Ilbov~.. , _ S;cnature7!JSL' J,' ,~El . CatIon Center. Tho~ l!'i " "'~~ . r OAR 952.o01.()()10 thro~ ~-W . ension Per Panel .......__L . ,_009.Q. You may obtain coRllm Q1i rules Ii, $ 43.00 .L .P', <:ailing tile cerner~ (Not~~tt::t;grplrcuit or with ~""'^" \ Oregon lS~tif~t $ 3.00 Name '\l " 1-80 Address \1:\. \. '^ Eo , City ~c\. c:n R~hone ~1.Il.l./U4 .~ . ! MUN 15:U~ rAA 5417~~~~~Y . "". 2. ! '",:, Electrical Contractor' ~~ P.D. rfI1/)(; l26"?3 Address City 3:UPA1 ~ Ph~e~ -- .~ LW~ Supervisor License Number L.f~-S, ' Expiration Dille OWNER INSTALLATION The installation is being made on property I owo which is not intended for sale. lease or rent. ~.Q.T~~im.: ' ' , , ' THIS PERMIT SHALL EXPIRE IF THE WORK AIITHORlllilIINm:R TI-II<: P~~WIT I~ NOT COMMENCED OR IS ABANDONED FOR ,- In&~JliL,Q~P~69 l;lTY UF SP~lNGFIELV 1l!J00l Service Included 1000 sq. It. or less Each Ildditional 500 sq. It. or portion thereof Each Mmiufact'd Home or Modular Dwelling Service or Feeder $50.00 r 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only , S 63.00 CO?> .CD I, $ 75.00 $125.00 $163.00 5375.00 S 50.00 J ~''''''!Il-'''_~f.t<;\l~';:~'I''>:OM__lOIl'lil c. .' . . ~~~'~.~~~'"::'i~-..::m~~~ Pump or izrigation Sign/Outline Lighting Limited Energy~esidential $ 50.00 S 50.00 S 25.00 7".4 Stale Surch3ii~ 10% Administrative Fee TOTAL Q,W i;~~SViO;';;;.-'-'-^"'ri311 ... . . CITY OF SPRIl'i~J!U.L1J Building/Combination Permit Status Issued PERMIT NO: COM2004-01461 ISSUED: 11130/2004 APPLIED: 11/29/2004 EXPIRES: 05/30/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3520 GATEWAY ST ASSESSOR'S PARCEL NO.: 1703153301400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: PROJECT DESCRIPTION: 100 Amp Panel Change - Emergency Replacement Repair Commercial Owner: CONOCOPHILLIPS CO INC.RETAIL Address: PO BOX 1539 PASO ROBLES CA' 93447 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor NORTHSIDE ELECTRIC License 80593 Expiration Date 03/18/2005 Phone 503-585-4879 BUILDING INFORMATION I # ofUnils: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: unTH'H"'. # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla THIS PERMIT SHALL EXPIR~l,IDEViEIIOP,MENT INFORMATION I AUTHORIZED UNDER THIS PERMIT IS NOT . Frontyard S~th:a'c!i~NCED OR IS ABANDONED F~verlay Dist: Side 1 Setb~~!w 1 BO DAY PERIOD, # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: REQUIRED PARKING Total: Handicapped: Compact: ATTENTION: Oregom~...fWlO~MENTS I Street Improvements: fo"~w rules adopted by the Oregon Utility , Notification Center. Those rules are set forth Stor'." Sewer A~ailablln OAR 952-o01{1010 through OAR 952.001. Spec18llnstrucllon: 0090 Viou may obtal'n ' f h . copies 0 t e rules by calling the center. (Note: the telephone number for the Oregon Utility Notification :':'..1_. :v ;f;al~~~i~-n"\DescriDtion I Sidewalk Type: Downspoutsmralns: Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 on . . CITY OF SPRINuJ<l~LU Status Issued Building/Combination Permit PERMIT NO: COM2004-01461 ISSUED: 11/30/2004 APPLIED: 11129/2004 EXPIRES: 05/30/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I F~~~ ~ Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number $6.30 $4.41 $63.00 11130/04 11130/04 11130/04 1200400000000001666 1200400000000001666 1200400000000001666 Total Amount Paid $73.71 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 ~~ ' . ~uired In~'jl~r.tinn~ I Electric Service: Approval required prior to utility company energizing service. 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 ohny 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 J~5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004.0 1461 COM2004.0 1461 COM2004.0146 1 Payments: Type of Payment CreditCard 11/30/2004 . RECEIPT #: -~ 1Iit. , 1200400000000001666 Description Penn ServlFdr 200 amps or less + 7% State Surcharge + 10% Administrative Fee Paid By NORTHSIDE ELECTRIC Received By llh (,;heck Number Batcb Number PaRe 1 of 1 liii.ty of Springfield Official Receipt .velopment Services Department Public Works Department Date: 11/30/2004 Item Total: Authorization Number How Received 012283 By Mail Payment Total: 8:10:15AM Amount Due 63.00 4.41 6.30 $73.71 Amount Paid $73.71 $73.71