HomeMy WebLinkAboutPermit Electrical 2005-8-26
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ELECTRICALPERMITAPPLICATION ....
City Job Number CO*- too S -011 b b Dll1ll cg - Zb ~O:S-'
wcu ~.1:U~ YAA b411ZaaUaY
CI.n OF SPRINGFIELD
1. ~~"~..RI~?~f~~_ --; ~~~~:~1r';'l:t~'~~,~~~r--
~~ -:~8--~.t~~~~ i:~~~~___~>~..'1_"" ~$.,"i""'''-~~
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A. l?' " .. . 6' t.~+t '~A<<
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170 J :.s I.(,.:c::rrz-CO-O- Se~!.~~. - I
JOB DESClUPTION 1000 sq. It or less
Add '3 C-lrc........-K :::=500 S'l-,ft9or
Pennill are I1OI>>lr8JlSI'enIlJe and aplre If work Is Each MlII!lIfilct'd Homo or
not started within 180 days of issuance or itwork Is Modular DwclliDg Service or $50.00
__Suspendedfod80dayI. _ ...-.. ________foocloL ---- -. --- -----1---------------
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. .,r..', (>. . " 10.. 0 ~V'" . regon f.
- -- 'E1octrical c.......~.... ' bJ.fln ~ '- Eo I . r -h-/~nJ I .......2l!P.:Of'o1eDstoPte. ,sw re./'llil...:. -- $ 6:too ..'
,- .. - -0 . .' in211.l\~'IaQool\nms.dbYtheo:"."ryOSl~oo
----- AddR:ss I~-o-----nil /)",<-' ,- ~'\:.- -:- --- -, . - OC4q).:!E:;f;_iii~hOserulp~ :"... /'tJS"U1lO .-
'n - _:0.. --~~'?Qi'ooo, -thr(jugh~setil~oo- .. 'n_
City EU<-\!--\Il~, Phone 3lj4-'2,"){,,/ nt~vs~ji~~oPiesOf~52~a.oo
o R.... RI &1yo~ ote; the 4", '~s~.oo
_ ... _.. " __:en~;:i~1_~~onUtil~IJrJi.""~""Dn~ " _' ,
~~5"f"~.:;.~~~~~~~?3~~~~.~==:;~;~';;~~'~~,
200 Amps or less . $ 50.00 .
201 Amps to 400 Amps S69.OO
40i Amps 10 600 Aiupo ! $100.00
Ov::r600~rlOOOVOI!S~"B~..,,~, ,_' .
D~. ~".' --'. . ""....., ~'",j~
~ to. '. . ~\"t~ ..... -- " ,--.~~~~
New Altentloa 01' 1L....,..~,. Perl'Rj!l 11 J
ODe Cin:uit . / $ 43.00 f
tl Each Additiooa!'CirouiI or with Z b
OwncnN=c ,sb/lEl".... Xtv~kEKf~~orF~~ _ ." $ 3.00, '. .~.
. ......... ~..... ~ ...... 7 U E. : '. . ,*,. .,""""" ""~.., l<>. ,~~~'~""<';. _. ~,.?
n.IoiW I'-" ~Lo'r 'I., " ." '..-: '. . _ ~~. ..~1.;
City 'S pp).
$106.00
S 19.00
C
Conslr. Comr. Number q D~()O
~,~..:._Dll1ll .31 Of
Si__ of Supcrvlsing Elcctrici1Jn
~~ -1. Pa::t~.Ie .
Pump or irrigation .
!.- SijpJlOutline Lighlina
lV-._. .'
OWNER lNSTALLAJION . .. LimiIod ~ I $ 25.00
. TH/~ ,.,,,;.: ,,_,-;.,_oU> .. I $4500
1be ilIslaDatioIl is tieIJig ii1ildo on . .,f I own which '-""""" ~IU'~' . .", - ..... .
. DOl iDlalded fi)f SiI,e; lcaSe' ,... ^ r J.
II, CO -';'<.cu'1ltj-L EXPiRE MlnlmnmElKtticP8I1IIbLJ ..:... 'i'eels3f'5.00of-SordIarges
~-S' . MMENCED 0 DER TNIS P IF THE IA''',~-~ ,~~..... '..,. ,-.' y c"
vwn... \"""""-1 R is . ERM '\4.:, ~.. " . '. , ,
. 80DAYPE ABAIVDO iTiSNO' '" ". I,
n' RiDD. NED FOR T7'K,~!Bf-OSlIrcbatso,'. '. _ C-".- " 3 C/3
- -- ,,- . - l~ Adinii',: '~:" Fee '-: . LI ~()-,
LJ. .."J1Requesl: n6-a7/i9 . ..~~ TOTAL " 733
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PhoJlc
$ 50.00
S 50.00
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. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01166
ISSUED: 08/26/2005
APPLIED: 08/26/2005
EXPIRES: 02/26/2006
VALUE:
Status
Issued
225 Fifth Streel, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1475 HENDERSON AVE
ASSESSOR'S PARCEL NO.: 1703344312100
Eugene
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition
Commercial
, PROJECT DESCRIPTION: Add 3 circuits
.:. Owner: SKILLERN INVESTMENTS
. Address: PO BOX 714
SPRINGFIELD OR 97477
Contractor Type
Electrical
I CONTRAdbi{,NFORMATI0N 'W requlr
' · "..... es you to
, , '-.~~ QUuprea by th
Contractor .Notlflcation Cen~icen~se r~ij;'Edlidli'ityate
EUGENE ELECTRIC SERVI~~9.NG,952'00190200 throunh ~.MWgf!o'1h
I BUlLDING:INF.ORMAiiHIiff COPi,es of the ~~~;;;~.
number for the '. (Note.. the telephone
# of Stories: Ce t ,Oregon Utility Nel!1tit\3lfu
Height of Structu'J.~r IS 1-800-332-23~ Ft Ist Pioor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Palh: Sq Ft Other:
Sprinkled Building, nla Occupant Load:
Phone
541-344-3561
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construclion Type
, Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Slreet Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Slreet ImprovemermT!C~:
Storm Sewer Avail~,i!'t; PERMIT SHALL EXPIRE IF THE WORK
, Special Instruction':'UTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Foolage
or Bid Amount
Value
Date Calculated
Paeelof2
.
. CITY OF ~r1Ul'lljt<lJ!,LD
Building/Combination Permit
PERMIT NO: COM2005-01166
ISSUED: 08/26/2005
APPLIED: 08/26/2005
EXPIRES: 02/26/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
~, 541-726-3769 Inspection Line
Total Value of Project
~
Fee Descriplion
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$4.90
$3.43
$43.00
$6.00
8/26/05
8/26/05
8/26/05
8/26/05
2200500000000001165
2200500000000001165
2200500000000001165
2200500000000001165
Total Amount Paid
$57.33
I Plan Reviews ,
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 ~"~r"d rnsn~
Rough Electric: Prior to Cover
Final Eleclric: When aU electrical work is complete.
By signature, 1 state and agree, thai 1 have carefully examined the completed application and do hereby certify that all
, Information hereon is true and correcl, 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 Stale of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any slruclure without permission of the Community Services Division, Building Safety.
, 1 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 al the front of the property, and lhe approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 of2
,
, .
I 225 Fifth Street
~ Springfield, Oregon 97477
~5rl-726-3759 Phone
e
8P~,'
~,
City of Springfield Official Receipt
evelopment Services Department
Public Works Department
RECEIPT #:
2200500000000001165
Date: 08/26/2005
2:38:08PM
i" Job/Journal Number
<-
,: COM2005-01166
"CPM2005-01166
C,OM2005-0 1166
COM2005-01166
Description
Add, Alter, Extend Circ
Add. Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administralive Fee
Payments:
Type of Payment Paid By
CreditCard RUSS ROBBINS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 026414 In Person
Payment Tolal:
Amount Due,
43.00 .
6,00 '
3.43
4,90
$57.33
Amonnl Paid
$57.33
$57.33
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8/26/2005
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