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Home My WebLink AboutPermit Electrical 2004-6-2 ~o"'\\\" , I I" · . as\\\0\~\lS0 - ~ ~ 'f ..... ",\~0 c\"IoC 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-36~%cI~ee~\'0 s90 ELECTRICAL PERMIT APPliCATION , / / oI\I)'II\\\~~~~e \\0\ ,0, City Job NumberCoM zoo "I -60bl.{/5, Date f::/ z./ (J '1 ~\\Q' :~, ~ ., I / . ,~\o" 10!'\\\" 1. tilf!@w('iiJ(iJN7i!ffl.iNsrjiji,!,rt74'i!1efi~ 3. rea. ;"MIfiJEii;lffF.E:J::'iS~H~jj ,'.)D.T; ~ ;i1f\,j;~ II:' .....,~.._,~-...~._=.. ._~~_:.r:s..:..::;.o..~ ......:-.ll..~~".,....~~. -' ~ ~b -:> 1111J-t /V' S 'I o~\O 1",06 r:,V~,<'0 - A ~R.JL.ii':r~~~~' 's~ni.U,,'!:.c.~M""I't';;-F~\i"~I"~J'~;lj~..i" lJlI'~I-.1I11 'II-':'t' LEGAL DESCRIPTION . ~ . eSluentm - IDgrelor~J u J- .anll vi.p'er.uwc JJ\~ IIll1 . ) 7D '3 "S 5<1 Z- Db S-O-O Service In~-;:;";- "., " ,..... ."'"--- JOB DESCRIPTION A-:J>h b G~T'h ~ermits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. €(jNmR!A1fF@RriNST;A'riIT~ti@NliJjNDy;l ,....U...:J.~.IIIL...,..:..;.,I......lo.t:....'~ 2. Electrical Contractor'llo / 1 J Ii h / I ;:- It? 1'1:.". ~,i. . ~ I Address v::h \j::)iJ-,/ r:J / 50_-3 . . City ~/H.~ Phone 5!/./ -6t~~5 Supervisor License Number ,~:j,;7 J'd 5 Expiration Date ....L1) ~O / --6 c/ Constr, Contr. Number .... c:; / 0 J' cf Expiration Date Ia - d 7 -I) 5 Address Inspection Request: 726-3769 ~ 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 """" .""~~''''MI'''-_~j-li' ...,...~ rust~II.~,~.?~~~I~;r~~~~njT~I\~~I~'~lu~ i~~,.:1IlI $ 63.00 $ 75.00 $125.00 $163,00 $375,00 $ 50,00 ,:F>~l" .~~(;J~ ,:/rrJ~'';:; .!>~ :..,,/l.. 'f . ~..,'> .;' ~ ,.";..J'l: v.." ~. . ""_tn.M _" , ._-, ~1.\ .... New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit I $ 43.00 os- $ 3.00 11] 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only . . tn . " rf'pUlfeS '/~; ',IiI\! fl'fi~,.,.,_..,,~, .M~~-""l');""" 'Ij!" C."" .,,~.!tl' onl',eroers E.\>ri .. . " ~:.;- ''E''I ' .. />.11 ,eS adO? hOse rules 952-00\- \0\\OVl.mt/l~jo~fA11e{~fi5l!';FlR~focati~1}3 0'/ ~O\lf\~~~I':1009q~n cO?ieS 01 \h~~h~ne $ 50.00 In O~zqb<t-r1l/lSftg'4Bp' '\!OPl;a: \~e ~i'ica\\On $ 69.00 009 ;wJ.,A\tR>f~1!lIi.AmJlB\.l\\\I\'/ nAA\ $100.00 call\1"" ~-, he O'le9~ _~?2-2"""'1 nuf1;\illilf6\5lf dr&\lij(J'V olts see "B" above. q\.T4i .. ......../~< D. BI:~mc 1 ~1"C~ltS Sign/.~erv~ EI tri ian . ~'/L-s _~/ :~N~e L--tlt(A~YOU <gO '3 j/I1 4td $) City ~f'O Phone P~':'iRII' 'gation $ 50.00 t\t. \t i~~ ~ne Lighting $ 50,00 OWNER INSTALLATW~\Cf:, i <2>\-\r>-\.\. t.~I'~ 1'\:t\NlIil~t nergylResidential $ 25.00 The installation is being rtW~s,~~~~UO~~\ ~OQ~t.\l~fid Energy/Commercial $ 45.00 is not intended for sale, le~e.,'o#lilitt;\ e\:O QIl- \<2> 1'-0;:" Minimum Electric Permit Inspection Fee is $45.00 + Surcharges \. CQWlNI\:~ "r>.~ 1'\:t\\QO. . """....."I'~"."'... '.,' Owners Signature: r>.~~ i B() v 4. Sl!1B..@P.Mff@E~O, 5<6 7% State Surcharge l.{ oc::, 10% Administrative Fee )~ 6756 IS' .'.iO..",~~".....4ot"<<~!,,,,_.,...~ -~'-"!;-,~ E. l\lisce_llaneous (~e;~,~,fJ~4~~~,~~~1jncl~~W.4i'!jaf.,~!~~~tal!n~ :,:~.,~ ~:. -~~y -'.;:....~ TOTAL Shared DriYc(T:)IBui1din8 FormslEleclrical Pemit Applicatioo l003,OOc . . CITY OF SPRI~ul'mLU' Building/Combination Permit Status Issued PERMIT NO: cOM2004-00648 ISSUED: 06/02/2004 APPLIED: 06/0212004 EXPIRES: 12/02/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 863 Main ASSESSOR'S PARCEL NO.: 1703354206500 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Add 6 circuits Owner: LITHIA TOYOTA SPRINGFIELD Address: 863 MAIN ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor NEW WAY ELECTRIC INC License 51088 Expiration Date 06/27/2005 Phone 541-686-2365 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN BUILDING INFORMATION I ulres you to- N' Oregon la'll f9q on UtllltY # of Storiesp.TTE-NilO . dopted by th~.Qle set torth Height of SWUctj/~\es a nter. ihose ~01. Type ofH~~I.ilicatlOn C~,_oo'othrO~ ~'&'I8!I:b'/ Water Ty"f, O/'.p. 952-0 btain copSllltlt '!3'i.pll Range TYPl'i090, YOU may 0 t r (Not5'q\'Fil~~ M&\,ort Energy Pad): calling the cen e'e on 6Q\lll'~~ : Sprinkled Bui~'!iR~er lor th~~ .~oo_~_koad: ,............p.I"\s. I. DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: . '\ ;\'[ \N~~~L 11'~,8~'I.M~~~l'.mJ<;NTS I C~: 'r>.\.\:." I , \ \J Street Improvements:~O'\ t.~w.\' ~~'Vt.~ ,W:' DG~t.'V r n Storm Sewer Availabl"?;i\\~~Cl~\lt.'V U Cl~ \~ r>.~r>.~ Special Instruction: r>.U ,~w.t.~c,t.'V ~t.~\Cl'V. - c,Cl'''?l() 'Vr>.'l Notes: r>.~'l \ _ Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 of2 . . Lll i' OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2004-00648 ISSUED: 06/02/2004 APPLIED: 06/02/2004 EXPIRES: 12/02/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fp.p.s Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $5.80 $4.06 $43.00 $15.00 612104 612104 612104 612104 Receipt Number 2200400000000000695 2200400000000000695 2200400000000000695 2200400000000000695 Total Amount Paid $67.86 I 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 day. I. Rp.ouirpd ~ 1 Rough Electric: Prior to Cover 2 Final Electric: When all eIcctrical work is complete. By signature, I state and agrec, that I have carefully examined tbe compIetcd application and do hereby certify that all information bereon 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 berein, 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. Owner or Contractors Signature Date Paee 2 of2 I 225 Fnth Street Springfield, Oregon 97477 541'-726-3759 Phone Job/Journal Number COM2004-00648 COM2004-00648 COM2004-00648 COM2004-00648 Payments: Type of Payment CreditCard 61212004 . RECEIPT #: ."~.~I!''!,''''''''.'.' 0.---'- !.. l1li:. : -. ~ I , . Ie -'--. .... - ." ., _ity of Springfield Official Receipt ~eveIopment Services Department Public Works Department 2200400000000000695 Date: 06/02/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By NEWW A Y ELECTRIC Item Total: Check Number Authorization Receiyed By Batch Number Number How Received djb 000400 000937 In Person Payment Total: Page 1 of I 1:15:06PM Amount Due 43.00 15,00 4.06 5,80 $67.86 Amount Paid $67.86 $67.86