HomeMy WebLinkAboutPermit Electrical 2004-4-29
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. . INSPECTI0N~RE"'I:JEST:i~726.3-, 69~
~iQf,FrGE1~726'i37'5~~~.~. f,k. ~ ill -
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The following project as submitted ha~ the following
JOB DESCRIPTION zoninlL. and deep not require specifiC la"llJllVlsq.ft. or less
.It]) j) I 0 .(.,kf....~ ,r-.:;: ~ . Eac~ additio~al 500
. . . Zoning '::'''J.> ~~ "'4 t'.)rtlOn
Pem,its are non.transferable and expire ...r-~ '1-0 U:. tlw"ot:.- '. $ 19.00
if work is n~..I~t.arted W.ittlllltt8U aays, q.( v.J Each Ma.nufd Home~ o~ '.. - fi.'k,'.~.".:"
of issuance ~~;if work is sUilfteifi!ll!lll~nature lYloaular Dwelling J.~~ . i::.. ~~
180 days. M. Service or Feeder ,:1't~. '[.J!;.. $ 50.00 ~,~ ':1.,,(
.. ~ . ~'~'''~. i'{."~1.I.
2. CON1'R!xq;rOR rN.STALLATION ONLY B. Services or Feeders N':.1Jf~: ';~1~ - ~
. i!i ~. . Installa~ion, Alterat!~4.~~or ~tt;i,. ~ ,:A)
Electncal" ~ontractor~/1:i" -h-l:l s r~ 11-l(.. RelocatIon: J/rt.'1i'i~.;,.. ~" ..' ,~} .
~~~ ~" ,'<;'f-lJi,'1:1b':iiii;~'~'"' 'I'tJJc -.
~4 ,:;a, ." "f'>"W""" \}~[~*"''il4ilill'" , - ....
AddressJ/!,..'-!..':9 v-/itr.i: ,\ ^,-.<1c..:: ;.~Sl;;~I>,. 200 amps or le~~'~f, ..:{:~'~, ~*'~ f~~.5-$l[t\l,o~ ~\:~.
'f.''1',.,'l ~I;'~ Aic;,z:;r;~~"",~. 201 ampsto400amps~'"'-",~r;,\.: .'1>$t75:00;\;g,,1.'~
J!.i..,.-.;.:r,j . td 'f'/:t, ,,,p;,~..."f.4'~ .t';<}'\."'';.~~ ~..'-;.( ~(', ..1'1,."'-<.1,.,
City ....s.PL~.. '.~ ,,~;i!,hone 7!;(i}.~.".'J ll'=?o(, ':"~"'. I} 40 I amps tl}~90'amp~;'\i.'::" ~ $I!'t1<,-:" ,;.~: $125,q,0 ~,~ ~.~
~~i ~;.t'Jl~. l~r:~~ L;;~,,~.~,,;:t.~~;/~. :~-::. ,t.:fr'i ....,601 amps to~ldOO'anlps1:. '1J;: ~:::,t:'.,~.. ;"t:'$163':OO';'':I<<...~:
~ ~1"'""':'lE"1 ,..,,,~ ~~7n'iCI.~"r.i;~' ;..;,'~ ~Sf~"~ '-:, .."'...1" " ",(~..,..-"~~. ,~,....- -
Supervisor":1IJicense t-:!umber ...~,jJfi. ':Cd~~ ,'~'...~l:r~::.I,.?"'.~~::lOver IOOOrampst.volts':f<:l \;~.~. ~f.;y:..;_.\..,. 't'$375.00.:~'~~
~l,"'/t~'<f! :fl~""-')~ "'''...f'<I - I-~t~~..\~....f'-'>''''''''~':':h.. ./'.t. ~:' '4_ 'WFj~ r . 4'-
~ -~~.i~if.,<; 1J..'J;..:,J~!", ,i;'1r:Jt~,. --..]"..,o'f ,,;~_.., !..:~ ~ : '!,'!tO~~l ..!{e.cOI}1].ectigiilY; '<"o'"'. f J~\u. ;_ ';;:0 ~.C', "Jr,:c, ,$'6.5Q:00' J .#r;x:
E . . "'D--~;.r!iifII~K":'-'\..!' ..."...<,-.;.1'1: ~~~.....-;:r~....; .'.....' .t~ ..';"I.:""'\Ji. ',. #""1 ',l~~"" t.""'~ , . f..",~. .,,~-
::+t.-puatlon ate"" (1l/.I;-O.-;:..;,t~OO~~"+;~~"'t.~"'l'} ...... ,':1'_ ,-~'.' .....\;..:;....-..'4:; .. (:', ;';t>\~.....~:.~ ..~~,j..u '.).t~:~ ";:1')
~1~-':~'; ~j'-;--.; 0 tt..':,' .:. _' of... .' '",..:::~ 1'!:::-V-,....l.\.'/ ~~~~)..~.\:-..'':><;, - , :~~ .c",~.,.....".. ....- .to' ~.'..~';' ...:
~':" i.:);'l'! ,~g.}J..,.,~t:!'0.~.C'-'8~~,~t'~7A.'!:>'" '~'" :"J1 ,'-!,< ..,C:l ';J'emporarv,ScrvlCeSJlr Feeders' ~'~~'i4 \, /' ,,,, /L>:;;. \,,;,' t,,",
,.t.-'1' ~,;~ _' ~.....,.. -~,,';"~~J"~"",'A;1.'" >....,....~ ~,..- ,'; t';'_4.:t.~.-... '.'~'~ "- .",' Co~" ~f ~ ',' '.0t
Constr~tfd~.!!.IfIberfit;-::,."" ;l;?-.".~I.C"., :'} ;-:\blnstall:ltiijniA1te~ation:ofRelocati6n -:' J';", ",,~;' ...~",' -,.,:;,
.~;t!tJ~~~~~r~o'l<'.:1,~~' A~'I'l'.;;''1 ~ '~~L":,~,;';~"~;:"O~~t),:.l;.. ,'l ~::,'~",',~-;~""i' .:~ .";;:
(.l"C!Jc2,.s~J=}Lg--:~~:~~:..: l,~~._ ~\~,';;.?~;~'; , '.~ ~~"l' ~: ;';:.." ,"-.t.' :~ J'~ ~,. .p1'':-? . ~ ',~ !'i-", ':t -' ..;.:&";Yi:
E . . D ~ ~~7 - ""- . ~'r;,~;..~1.:) ~ ~"'t '0 .,J'r""". .,. - "..,~.. . ,1l1., t
, xplratlOn ate r-uo -'-"'=--"-"~'~'''''~O!:lJ'''';-'':'l'''", ',.,".20 m sori ,..,'., ......k'.._,. C '$50.00 .-1....",
~~ ~..."-'S'__ ~1];l' Oltti . ~ c. "t.~~.~'5~.:...~ \$l9'100'l..-~~J."."'''(
;:.i~njRiR~~~ Supe~sing Electrician 'fO '~~" " ,i w.- ~~Jip~~oo:;,: :"~
, 1"1~~~~:> _ Not\f\catlon~o'. ," ',.-0:,' ;'>"1:'" ,,~j;{1
,~';'~~:~t. ~ .)" ,~". InOAR952~01~O roO . ..~. ,'. ,~: 1:..;7'- Z;,';4fl
'1r"'Il".,~'11 ,~'7rL; r "- _ ~ lesot.......ru hV; l, ..'" _~ .... I/~.'
, 'rr~~"'" ...' ",(X;i'rL":,_~~,- 0090.Youmay .' noop U.... "\,,!.l.:,,.:::..o,':'t,.:\,
. "~. "i~:I;:-~""'~;""~f,I'i~!f:!:;/:djf18'~o+y>r$.if~~ ..nJIIR.r:t\1l!J1~s(Note: \he tel,,, J..;~'.';:" ':f:' :::-:-;;-. '.:th'."
:$f.!:- .~.?: . .;o;.,..~ ~~~~"":~ .:J~te5.~'tr""E'b1-L (.,-"1 rra. 17'....t-\, l..u!hL~,~u,.~i\n' <'1..,<,h-~ '5f<~
,~..t'i:':; .,..~ers;\,!a~e~, ,;;~_,~ '!.\l,.o.... number ~\lAAl~"~' J""""""'Slan.~t:.1'llt(l:1 ,.,\,.. :,~.., .:....-i(.,
, - ,"'.,(,. "'<l"'~:;"'" ~~'''l'~'''''' ....'ft;J:t:;.ti.'.~,~ rlJl~.:..'"':~' ) t:ll>~"L.."".~r:ow" .:/ t,
:'\)'.ih.'<:o;.t'~.:r '2~""."".q,-"'~''''',~:tI)_H'.'-''f.'-i~r.~..~ {..o/.~' Ce ~i: .1~\""""."t'~I\l>'~' ~/:J~'"
-:1'. ,,"vg,.;:_. '-...:~ '77 Ol?-n'.~~ [A;':~/;,:\'\;o$ , '__"'.: ~ (! ,_;,,<rr=-'~~"1;"';I.~~ ":'
':';;i""} , , '~o{Aj!\!r.ess..- ",.,,,, .',v.,.:-~ .'I!:-'t:.":.lJ::>: Oae Gn<:u\.k .:, ,~:$~3:09" '.-"- ..'
'''''<i!';~ ;'." ~ ~" "~,L """'~""JC""~'''-''''~<c~.. ",.~ U,i{A"""'" ~ 0 0, ',,' ,"'''l;J;;C l' ".1...... ,'''"
1:lI!,i':' I ~ ... .....~:....-,y....,."'~~.~-,"_. ~.'t~. ,1"~"^,,, ".'.J " ..." t:.;., ~ ~r ", ''''' ~
t-...;,;::- .,.>.~ ,..'c# .:, ~ .~,~ ~:;JL)~'"; ~ ~' ....1~~ "~;_I ... .".r:" "'-,':' .. "'Ilw"'~ . 'it! --+";j
~'1~,t$:;'::rcitt,j"~~,.;f;f~~ri'ii.',P.lione!:;~~'fJ' Ea~h''A'drrJ!\o~a!i;ircuit or with s~~t ~~,~,;;g,';-i:7Yf
~ ,,11>'-"*"'''''''"' ""'-1:'&~'-~~"lIf ""''''1'~'"''''p'''F.."..~. Vol: . '''$'300~'''c..-~,'1If-''L
c.:::~~~~~~~.t4~~~~~~\~ or'~~lWUeE.,.~lt:~ '::<rl! ~ .~~-J,..:.. :..... P, ).tf-:"\.~
't'~W,;1.~~lfj~{\ll~~~,', , f!J,:?f:t,,;j)~1f ~ ~'\:;"""'t~~,~:i~
iI1ie,instillaticill" 'lim!f~adeg,l!li%RIRE IF THE Wf).Rk<Iiscellaneous,{SeIj!iCelfeeder not inc1ud~,~-l~:~,;".~~;;li
X~~~~tf ~Y._"i~Wrr\? PERMIT IS NUT I ~~~~i\i~.f1E3H:frJ~~ ~ ~:i~~~:~~~~
fOT's.ale~'1~~~~ . .':t.I- IDR!i.S.' ~~DONED FOR ~E!P..~\T.ga!\o~;~~ ~ ~$S").1lg ~\1":~
..#':i~ .~tiM~~;""';I.,""" ~ Sign.;.0Utline-Lightin~';, N $50~00",' ~,.\~
"'0 .J&";' S....v;.''j.t.. ' . i:""'"'t"/d E^ "'~"'^ml!::r.'... " - $'2'S~'0~0'..' ."~ :J~'
wners: 11 u ~ . . t:.lffi1 e ' nergyl['..I;j:~~ . l"~'~~.'
~ :!:\ ....):........ ~-w;o:;>... \-. 'b':l.:!.,., '. ----:--.~ .~~.....", .-:0.......
. -' ~i.kLin!Je9;Efiefgy!C!lI1lll1' y. _ $4S:001:.''';.-:;;i:i>
"!~~ J;~'!<~ fI:i;l~s" ,,'fl~'r.'~l..l'l!.,~
~V"::i{ ~.i:E..11k'tr.;;. ~ ;: :;t' r.j{~9"~l
~.. ~~~~.i'1.. Minima-rifiltlet'"t.'iH>e;:;;'itiln';iicction Fee is 545.00 + sJi-cli~;rge.s
~~@~.'~: ~)";W' "~'i?!i?'.~ r;\l,l~t\ < ~'~.'- (<Ii.;
,:-~~~t;1fL~ ,... ~ ~""'i~'~~1;~ t:J.'. 1 7'~"
""" 4. SUBT.OTAl:;~OJ!',.ABOVE !';4>fJ
.; . "',. -"~l';\""-""1...~ if'.'" I.( "V
;~ . 7% St"$i"Sitrcli,\'.!g5/ "'" ".<.
..... "..a 80/ Ad :i.-""'t tOO' .",K.!. ,. ' 70..::>'
?\/~~-~_-. /0 mlDJS ra Ive:-ree . .
''''~~,;.;, " - 'if!;ff 1;$ 0
~:~'~:l TOTAL ',' ?; 11-:
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.- . "f.~ ~^' . E~EG_lWPERMIT,:'APPDICA11IONI~1l'-i:>,. .
\;'tt.t-l,. 'f1. ':',..j; '\):',; ;,""'r. ,..r~,},,':u-~I:'~. ~... ':'-"':>10:._"'9 :;v Q') ~lI.':1_1.
.."'" ~ ;-o~. 'Y "". P."..~...,,]fu, ~,'.'N".~'."-t.;,.\'ifj,ij{t;iC. ..,,fl" :"i!,,!f~ .t. ~.ij"'<.~
';4 l~- j}';li~-'I,:i:t;tr~r.' ~~~~'>I-,>J~~-:1;-J.:~_".N!" .,,:\,;
~'a" ~)\\CitY~Ob Numlic~l ..'. v.!'1~e';\i;"::C):s;P.:1l' ",;,
~,{':.t', ;~ f:\'~' ~~~....I,"~",.vw:_~:~~.,", -. ',;.., ~-"':~~.,c {l;'it
;'. -wI'"'' I,' ~, .~.'.". . :~''l>.:~' ;":;'!,\;;.'W::'tili. ""\,,jff;.~~ ,.@'\!....";.,.""..'"
. ~ ,. ..",..m...-.-~~,".u>r."""v 't~ti1"1~'t<l;t:l
.l,,. '3;.?&O~~",JE FE~~g"UB~. '~~,L~\Y.\f.: .
.'. ~ ..... HI' .t;( .." J" ~ ;to" .,(,~ .' 'I'";) J
~ ~lI~\t!JI ~,~1.~'!i'\:~~'l:'i
A. N ew'Residenti;d'Sirigle~oi' ..\. ,
Multi.J!'amily per dwelling unit. .'
Service Included:
LEGAL DESCRIPTION
/7033 S":3 (
. 10 9-0 0
Items
. . ..;ll
Suml'.
III'"
.. ,I~
$106.00'.; I'i1
, --:--:r
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 535 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353110900
. Lll l' OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-004S0
ISSUED: 04/28/2004
APPLIED: 04/21/2004
EXPIRES: 10/28/2004
VALUE:
Springfield TYPE OF WORK: Interior
PROJECT DESCRIPTION: Interior work
Owner: PKRK LLC
Address: 3474 SPRING BLVD EUGENE OR 97405
TYPE OF USE:
Remodel
Commercial
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Plumbing
Contractor
MITCHS ELECTRIC INC
EMK MECHANICAL
License
146745
136463
Expiration Date
01/18/2005
08/23/2005
Phone
541-747-4483
541-683-3715
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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
SETBACKS
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay nist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEI\-,.."." I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee I 00
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
A TTED.oWnspoiils/Yrailiaw requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952.001-0010 through OAR 952-001.
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Valuation Descrintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fpp< P~iIiIJ
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Backflow Device
Fixture
Penalty Fee -, BWOP Electrical
Penalty Fee - BWOP Plumbing
Amount Paid
Date Paid
$30.80
$10.78
$43.00
$27.00
$14.00
$70.00
$70.00
$84.00
4/28/04
4/28/04
4/28/04
4/28/04
4/28/04
4/28/04
4/28/04
4/28/04
Total Amount Paid
$349.58
I Plan Reviews ,
. \..-11 i' OF SPRIr'luJ<U"LJ}
Building/Combination Permit
PERMIT NO: COM2004-00450
ISSUED: 04/28/2004
APPLIED: 04/21/2004
EXPIRES: 10/28/2004
VALUE:
Value
Date Calculated
Receipt Number
1200400000000000562
, 1200400000000000562
1200400000000000562
1200400000000000562
1200400000000000562
1200400000000000562
1200400000000000562
1200400000000000562
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.
2 Rough Electric: Prior to Cover
1 Final Electric: When all electrical work is complete.
3 Rough Plumbing: Prior to cover and including required testing.
4 Backnow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
5 Final Plumbing: When all plumbing work is complete.
Paee 2 00
.
. CITY OF M'K11~\.J..IELD'
Building/Combination Permit
PERMIT NO: COM2004-00450
ISSUED: 04/28/2004
APPLIED: 04/21/2004
EXPIRES: 10/28/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
/P .e::z;~ c/~~
,
Owner or Contractors Signature
Date
Pa2e 3 00
225 Fifth Street
SnringfieId, Oregon 97477
541-726-3759 Phone
.
~
Job/Journal Number
COM2004-00450
COM2004.00450
COM2004.00450
COM2004.00450
COM2004-00450
COM2004-00450
COM2004-00450
COM2004.00450
Payments:
Type of Payment
Check
4/28/2004
RECEIPT #:
Jily of Springfield Official Receipt
W<eIopment Services Department
Public Works Department
1200400000000000562
Date: 04/28/2004
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Fixture
Backflow Device
Penalty Fee - BWOP Electrical
Penalty Fee. BWOP Plumbing
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
SHARDEN LLC
Received By
djb
'. '
Page loft
Item Total:
(,;heck Number Authorization
Batch Number Number How Received
1130
In Person
Payment Total:
: I . ~.
, .
".
. ~ t '
" 1
2:44:38PM
Amount Due
43.00
27.00
70.00
14.00
70.00
84.00
10.78
30.80
$349.58
Ameunt Paid
$349.58
$349.58