HomeMy WebLinkAboutPermit Electrical 2008-6-6
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CiTY OF SPRINGFIELD, OREGON
225 FIFfH STREET . SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
ELEl;lKlCAL P~)r:TM-fPUCATION
CIty Job Number \ \ --,-?) \ \
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1. 3.
LE\~O?'3b0\ \\)L\CV
JOB DESCRIPTION .
JWnJ\(f t-B Cu1~Ltits
Permits are non-transferable and expU"e If work is
not started within 180 days ofissuance or if work is
Suspended for 180 days.
2.
Electncal Contractor lJj~/JJ ~ / ~ L-
Address ,yQO rl~ IJ-f- ,;;/ s-tU
CIty f!..- ~ 91) xL. Phone.:51 I-i'//( ~3b.5
Supervtsor LIcense Number ,c:;;;; '-~ d 0
EXplratton Date I 0 - 0 I - I 0
Constr Contr Number ,-(}/) -jl.f5 (.,;
Exprratton Date
'7-j-dloof
SIgnature of Supervtsmg E??:le"c Clan.
J~b \
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Owno<sN'l'te _ or Me ( J!
Address vD ~ ~pgB
Dty e:~nf2PhoneW.,c:fW
A.
Service Included
1000 sq ft orless
Each addtttonal 500 sq ft or
porbon thereof
Each Manufact'd Home or
Modular Dwellmg Servtce or
Feeder
$11700
$ 21 00
$55 00
B.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
\
$7000 40DU
$ 83 00
$138 00
$18000
$413 00
$ 55 00
c.
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600
D.
$ 55 00
$ 76 00
$11000
E.
Tl-ll~ PERMIT SHAll
Pump or lITlgatltjf( RIZED UNI3E-f\ T~.tSWFm1IT IS NOT
Slgn/Outlme nitiI~i ED OR IS ABANfl~ EOR
OWNER INSTALLATION LU1llted EnerfYM~~d~~A,Y PERtOO. $ 2800
The mstallatton IS bemg made on property I own WhlCh Lll1llted Ener~~~J1ar $ 50 00
lS not mtended for sale, lease or rent Minimum Electric Pernut Inspectron Fee is $50.00 + S~~~_es oD
Owners Slgnature \aW requ\reS yOU tAl . V i
ATTENT\ON ~re?~o~ b" the Oregon ~\~~rth8% State Surcharge -.J.. 'bu
follOW rules a ~PrwTho'se ru\es are se 001.~ Adt1llmstrabve Fee ~.c..a LP
NotIfIcatIon ce~ ~O~ 0 through OAR 95~- s b"% Technology Fee ~"'" M f )
In OAR 952-00 - tam COpies 01 the ru e e (f 11 -"(
InspectIon R~e~; 1.!6'-3'1#i o~ (Note the te\ephO~ on TOTAL "\ "'\ .l ) P
calling the cen ~r gon Utl\lty Notlflca I Shared Dnve(f )/BUlldmg FormslElectncal PerInI! Apphca!l(ln 7-07 dOC
number for the ~~800-332-2344).
Cenler IS d~~ ~ \9\'U'\W"
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00811
ISSUED: 06/06/2008
APPLIED: 06/06/2008
EXPIRES: 12/06/2008
VALUE:
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 155 S 5TH ST
ASSESSOR'S PARCEL NO' 1703353110400
SPRINGFIETYPE OF WORK Electrical Work Only
TYPE OF USE
PROJECT DESCRIPTION Service and two circuits for vacant lease space
Addition
Commercial
Owner:
Address'
ROYAL BUILDING LTD PARTNERSHIP
PO BOX 24608
EUGENE OR 97402
I CONTRACTOR INFORMATION I
Contractor Tvpe
Electrical
Contractor
NEW WAY ELECTRIC INC
License
51088
Expiration Date
06/27/2009
Phone
541-686-2365
BUILDING INFORMATION.
# ofUmts
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:
Sprmkled Buddmg
Lot SIZe.
Sq Ft 1st Floor
Sq Ft 2nd Floor:
Sq Ft Basement.
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load'
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback'
Side 2 Setback.
Rearyard Setback:
Solar Setbacks
Overlay Dlst
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage
REQUIRED PARKING
Total:
Handicapped'
Compact.
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer A vadable
SpeCial InstructIOn:
Sidewalk Type
DownspoutslDrams
Notes
I Valuation Description I
DeSCriptIOn
Tvpe of Construction
$ Per Sq Ft
or multIpher
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00811
ISSUED: 06/06/2008
APPLIED: 06/06/2008
EXPIRES: 12/06/2008
VALUE:
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
Total Value of ProJect
Fees PaldJ
Fee DescriptIOn
+ 10% AdmlDlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Clrc Ea Add
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$780
$9.36
$3.90
$800
$70 00
6/6/08
6/6/08
6/6/08
6/6/08
6/6/08
2200800000000000840
2200800000000000840
2200800000000000840
2200800000000000840
2200800000000000840
Total Amount Paid
$99 06
I Plan Reviews I
To Request an lDspection call the 24 hour recording at 726-3769. All inspectIOns 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
ElectriC Service' Approval reqUired prior to utility company energlZmg service
Fmal ElectriC' When all electrical work IS complete
By signature, I state and agree, that I have carefully exammed the completed application and do hereby certify that all
mformatlon hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance with
the Ordmances ofthe City ofSprmgfield and the Laws of the State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY will be made of any structure without permission of the CommuDlty Services DIvIsion, Bulldmg Safety.
J further certify that only contractors and employees who are m compliance with ORS 701.005 Will be used on thiS project
I further agree to ensure that all reqUired mspectlons 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 remam on the site at all
times durmg construction
Owner or Contractors Signature
Date
Pae:e 2 of2
225 Fifth Street
Sptingfieid, Oregon 97477
541-726-3759 Phone
City of Sprmgfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00811
COM2008-00811
COM2008-00811
COM2008-00811
COM2008-00811
Payments
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000000840
Date: 06/06/2008
DescnptlOn
Perm ServlFdr 200 amps or less
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
NEW WAY ELECTRIC
Item Total
Check Number AuthonzatlOn
Received By Batch Number Number How Received
llh 316011 Phone
Payment Total
Page 1 of 1
11.10 21AM
Amount Due
7000
800
390
936
780
$99 06
Amount Paid
$99 06
$99 06
6/6/2008