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HomeMy WebLinkAboutPermit Electrical 2006-1-25 . The following proja.(.ls s.;;z;;;uad has the fOllowing . ~on~ng ~nd aoas 11~ 7!}'~ 'and usa Zon~~RI c.PIEL.O 1\ - ~"'''''''f'.,~ ._~- -e: -~ ,1r- ~~ 0; \1; Ji.IXY../",. "'::';,l 225 FIFTH STREET · SPRINGFIELD. OR 97477 . PH:(54I)726-3753 . FAX: (541)72,t~689 ~,~(.~:fj/l~ .~~ 'rv.i . ELECTRICAL PERMIT APPliCATION ~Z"O S~~1;!J!'.,'1,{l'~. /, IVL- City Job Numbe, CCtYJdOJ0 - (C083 Date J QM. 2..fj 20 0" .J . ". ~ . "....., ,.... .'. '. ':. ",:. ", ," '." ., . !~.. .~,~..-, . . .__ "'. n_, ._'''101 _-c. .., .. ",.. ", . I. ~LocA'fIONOFINSTALLATIO~t~;J":':'.'Z2' 3. ,COMPLETEFEESCHEDUI..EBELOW: " ': f'~~;~~S~~~_..'- .. h .O"..A, ,',- ,.=..~.... '.". ~~-'- . ___..' ~ LEGAL.QES~RIPTION ,\~~l 15",,0 (VIa; \. II 0 lll\+el'~-ho\.\~ WOJ.{ JOB DESC~IPTy?~ ~ 'I'1.1JM of Sf'<v; -\1 e\ I OR r\~Ji~ Permits are oon-traosferable and .xpire if work is nol started within .180 days ofissuance or If work is Susp.nded for 180 days, 2. 'COf':ITRAcr(jR INS1-ALl'ATIO;/~NLYi Ele::;COI ~~:;ra~:;''';;-/~tfr5 '€~;~ Add,ess 4.2.llo A. W.,#\ Ave. " .. \..; , City 1::\1 ~e-\.2. . I Phone to u - ~ 4-Z Supervisor License Number Expiration Date ConslT. ConlT. Numbe, eC6 I ~ 7t; g 8 11/~/o7 I I , Signaru;~is~~ Expinltion Date , Owners Name1~.ci:F.". ~;-br Q fks. Address -P_ f). thf... 7Jn (,., '6 ' City~"lt'... OWNER INSTALLATION Phone The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signaru,e: Inspection Request: 726-3769 ,.I-. '... . " ., " ,..:'., .:- ':-~: 7.....'"7,..',..'-..... '. ','.... .~ . A. i~.N!",,,~..id..nt!.I:'- Sing~e.~t),\1U!~'F~D1!!r,per:dwellin~.,!nil..... Service Included 1000 sq. ft. 0' less Each additional 500 sq. ft. 0' portion thereof $ 19.00 Eachmfl~UI2~lL EXPIRE IF THE WORK , ~~~~UTHORrfE'b U'N'b'tR THI~ PFRMIT ~<III:lllT B. .~~~~~r~~~I~~~~~~~~~i~~~r~~~?~.,ti?~J:{ $106.00 200 Amps 0' less 201 Amps to 400 Amps 401 Amps to 600 Amps . 60 I Amps to 1000 Amps Ove, 1000 Amps/Volts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c." >;T~ria'~.r~:;.;>7s;ri,ii~~ti~~:Feed~~' :.~;~ I..~(_.. !.:;;.'.._'..:.....,.....~ .-"'... .'.;..;..............;'.........". ,.- .- .'-.., -- -, \",;' : ,", " ~\ ':i^... ;:.:: '''~'..,,~. Installation, Alteration or Relocation 200 Amps 0' I.ss $ 50.00, 201 Amps to 400 Amps $ 69.00 401A1~~~or~mf:~-\'~gon law r,.;~";'O~ ycSJOj):OO O:f5~8~~1~~;~~fi.~~..tYI.6.1.~~_~~~~~'_:a~v~ ~t.lllty . .'_ _. D. ,Branch ~jr~'!l"',ller:::CJ:hose n-!l.e$!l(~ li~1 forth.,; ,! ' ~,u"'~';.,";.;~~".-n. nnnlthr~lj6!lOAR'952;001"....- "'-.. ". NewtAllerationQ,r Exteasioa P.r'Panelh les b~ O MC:'~ "jj'1U may oblain copies OIl e rU$ A3 ' ne, (rcu , ... ,_ 10" 4> Each'AdQ'" "'I[C'~-'~' I~IJi'te' "'~ w._;> , " (n Itlona Ircult-or Wit. .... Serv!~,~lo'JLe.ae' p.ennitregon Utilitv N~tlfll$19ro<l t;'\',;;.:,.!,:~.:,Q,e?t&r 'S:V~9,q-,33?}~.1. )"'" :",' i'. ';~: E. ';'Mlscclian.ous,(Serv,celfe.d.r not mclud.d) -'-Each'lnstallation:" :.. "\1~..........- -...~..':!r ....-.. .'..._"'",,~";' 4.... .....;._.(~ ......:.....:~...._.~ . ,,_' .....l~~_ ...0.- . ..<t,."'.. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limiled EnergylResidential $ 25.00 Limited Energy/Commercial y: $ 45.00 4(,00 ~ Minimum Electric P.rmit laspectlon Fee is $45.00 + Surcharges ~~~-,_;":::,,,,sr.~":1--:~:--...,~~.~.r~.~), ~_." ,', ~<{;]"~~jr,{"';',,~" '::,. -.' 4. . SUBTOTAL,OF ABOVE,:;",. :"1,,, !', ~r...,_. ':~:,:,:: ~'fl::~,,1';"~_, :;Jr..:"i: :L.;":~_..,.':':;" . t~~..:~i-~, ~:'.;:,.. 4s-.() 0 ~,'O 4.~o ;3.(0 8% State Surcharge 10% Administrative Fee TOTAL SImrcd Drivc(T:YBuilding FonnsIEIectricnl Permit Applicmion 1-06.doc i, . . CITY OF SPRINGFIELD Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax ,541-726-37691nspection Line Building/Combination Permit PERMIT NO: COM2006-00083 ISSUED: 01/25/2006 APPLIED: 01/2012006 EXPIRES: 0712512006 VALUE: SITE ADDRESS: 110 INTERNATIONAL WAY . ASSESSOR'S PARCEL NO.: 1703154000100 Springfie'lt~t~?F Mechanical Only l~~~Tl.BIJtr.,ll.{l.w-Ifl~~F THE WCommerclal PROJECT DESCRIPTION: Add computer room and UPS cooling. THORIZED UNDER THIS PE URK COMMENCED OR III 6D^"rs-.~~~/S NOT "I" Jau IJAY PERIOD. - .." 1 un PACIFIC HOSPITAL ASSOCIATION PO BOX 7068 EUGENE OR 97401 Owner: Address: I CONTRACTOR INFORMATION' Contractor Type . Electrical Low Voltage Eleclrical Mechanical Contractor License BUILDERS ELECTRIC INC 4296 THE HD STORE LLC 157588 COMFORT FLOW 460 I BUILDING INFORMA nON, Expiration Date 12/10/2007 11/0312007 0612712007 Phone 541-485-0922 541-683-4848 541-726-0100 #ofUnits: Primary Occupancy Group: Secondary Occupancy I'rimary Construction Type Secondary Construction # of Bedrooms: B # of Stories: Lot Size: Height of tlTTENTION: Oregon la\~qd'JL.~~!JfIJl9~:to Type of Hear- s ado ted by ',~II'~lt~dJf.I~l!rc:ty Water Type: 011 ow rule, P SgFt Bascment:.:>rth .. 'f' t'on Center Thos... h..tS u, ~ ~_. . Range Type:OtllCa I . Sq Ft.Garage/Carp.ort , OAR 952-001-0010 thr(>"~" c",,, _J<- v' . Energy Path: , Sq Ft Olher.:.Jles by Sprinkled 0090. You may ("rii~am cO'Oc~uLlp,ih'fLoad: ~_'l:_... ~"'..... ....n.ntpr tNnte: tnt;; telelJllUlle I DEVELOPMENT INFORMATION ,'regon Utility Notlllcatlon verlltl' I~ 1-800-332-234REQUIRED PARKING lIB Fronlyard Setback: Side I Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: . IPUBLIC IMPROVEMENTS' Street Storm Sewer Available: '.. Special Instruction: Sidewalk Type: Downspouls/Drains Notes: I of 2 . . CITY OF SPRINGFIELD . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permif PERMIT NO: COM2006-00083 ISSUED: 01125/2006 APPLIED: 01120/2006 EXPIRES: 07/25/2006 VALUE: I Valu 3tion Descriotion I 111111111 , Description Type of Construction $PerSqFt or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project L.Ff'f'S PlIid I : Fee Description + 10% Administrative Fee + 8% Slate Surcharge Low Voltage - Commercial Indus Amount Paid $4.50 $3.60 $45.00 Date Paid 1/25106 1/25106 1/25/06 Receipt Number 1200600000000000072 1200600000000000072 1200600000000000072 Total Amount $53.10 I Plan Reviews I SUB Review 01/20/2006 , 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 I work day. :; Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Low Voltage: Prior to cover. 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 wID be made ohny structure without permission ofthe 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 thai 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 wID remain on the site . at all times during construction. Owner or Contractors Signature Dale 2 of 2 225~ifth Street . Springfield, Oregon 97477 541-726-3759 Phone JoblJournal Numbe, , COM2006-00083 COM2006-00083 COM2006-00083 Payments: TWe of Pa)1llent Check :, ;( :' " \ t' ~ I " :1 ., :J '( " " ~, 1.. ;1 :, ~ 1/2512006 " . RECEIPT #: iii~~ ~ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200600000000000072 Description Low Voltage - Comme,eial Indus + 8% Stale Su,eharge + 10% Administrative Fee Paid By THE HD STORE ' Reeel ved By ddk 1 of 1 Date: 01125/2006 Item Tolal: Check Number AuUlortZ8lion Batch Numbe, Number How Received 6484 In Person Paymenl Total: 8:23:4IAM Amou 01 Due 45.00 3.60 4.50 $53.10 Amount Paid $53.10 $53.10