HomeMy WebLinkAboutPermit Electrical 2005-08-01Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-01025ISSUED: 08/01/2005APPLIEDz 07129/2005EXPIRESz 0210112006
VALUE:
SITE ADDRESS: 1406 Mohawk Blvd
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION:
Springfield TYPE OF WORI(: Electrical Work Only
Addition
of the rules b!
Expiration Date
09t28t2007
Commercial
Phone
s4t-9284s44
Owner:
Address:
Contractor Type
Electrical
BES LLC
1385 OAK ST
EUGENE OR 97401
ln
0090 . You maY obtain copies
calling the center.(Note: the
n UtilitY
telePhone
Contractor
MARTINVEST INC
License
40s9r
BUILDING INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improyements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
1
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARICNG
Total:
Handicapped:
Compact:
DO NED TOR
180 Unr ru
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
Description Tvpe of Construction
Pase I of2
Value Date Calculated
{\
Tt
J
r
U
Valuation Descrintion I
225 I'IFTH STR-EET r SPRNv l[t D, OR 97477 o Pl7:15411726-3753 o F.LX: \-,1rr
E LE CTRICAL P E RM IT AP P LICATT AN
CiryJobNumbel tltuZtzOg - 0t o Z { Date
1.' LOCNCIAN:O}IN.9:IiU,II:fIOM,; y:,,,,1,,1,,3
lLl o'6 l-roLa t,k"Rlv>
LEGAL DESCRIPTION A.;
n,/zs fas
bE
a
170 3 ZS3}loooLl
JOB DESCRIPTION
SEC.rni\ AL,q e4 T,tts{ A \
Permits lrre rurtr-trrrtiferablc lnd expi.re if work Ls
uot startcd withio lEo deys of issu:rnce or if work is
Suspendcd for 180 dayr"
z. : Co,iyrRlrcrot TNSTALT-ATroIri-,o,\rif;,
Dlecrical Conracror S E f ".'
I i ,^,t
Ciry
0090. You maY obtain
Supcrvisor License Nurnber
Expirarioo Datc
coasu. conrr. Nunrbcr LiO S 7 [
Expiration Datc o?o
of Elcctrician
Oumers Naure LLL
Addrcss 13 8 S 0'+u- :r
City tlLGHe Phorre
OWI\{ER TNSTALLATION
The irrstallatioa is bebg grgdc oa Frcpc*,- l or.m which
is not iuterrded for sale, lease or rpnt.
Orvrrers Signamre:
,:sa'i"ec ;r,iaid#i :i;ii"ti* iion:iette#iionr oi,,ittro* rion;:;i::.,. i, .ir-.. Ii:i:.:.I:. 1r'.:i' :
$ r06.00
$ 19.00
ss0.00
$ 63.00
I 75.00
s 125.00
$16i,00
s375.00
$ s0.00
ss000
$ 2i.00
ALG ,'"il"&Hsf,H8{Ovcr 1000 AmpslVolts
Recarrnect orrly
B.
2(H Anrlx or les.s
Th o s drtLlBPdrB $!qq s'lhs
10
Servica Includcd :
1000 sq. ft. or less r'
Each additional 500 sq. ft. or
portion thcrcof
Each Mnnufact'd Home or
Modular Dwellu4 Servic.e or
Fccdcr
Pump or urigodon
Si gn/Outlitte I.ighf ing
Lirnited Energy/Residential
Lirnited Encrgy/Conr nrercial
7% Srate Surchage
l0% adninistrrtivc Fcc
C i,I['empoiar] Se1-viccsor.,figeders, .,-,,,, '':l'],,",' i,'.r,,',
lnstellation, Alteration or Relocation
200 Amps or lcss $ 50.00
Oyg_600.{gr-ls.--}P0 Volts soc "8" abovc.
D.iE_''. r[icilldft i]ili:.:1i+:li]rrir:,::ffi .'.l,#,*lit1i;rr1;il;t;,;51,,1,;
New Altcratiou or Ertension Pcr Panel
One Circuit li 43.00
Each Additioml Circuit or with
Servic€ or Fee<ler Permit -*- S 3'00
E.
Mirrimum Electrlc Prmit Inspectlon Fer ls $45.00 + Surcharses
LlSOO
____J
Ll
15
,JO
TO'IAL sedInspcction Request: 7 26-3769
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2005-01025ISSUED: 08/01/2005
APPLIEDz 07129/2005EXPIRESz 0210112006
VALUE:
Fee Description
+ l0oh Administratiye Fee
+ 7oh State Surcharge
Low Voltage - Commercial Indus
Amount Paid
$4.50
$3.1s
$4s.00
Total Value of Project
Date Paid
8/1/05
8/1/05
8/Uos
Receipt Number
2200500000000001016
2200500000000001016
2200500000000001016
Total Amount Paid $s2.6s
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Low Voltage: Prior to cover,
By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
red Insnections
Pase2 of2
Date
t3
rees rard I
225 Fifth Street
Springfield, Oregon 97477
54t-726-3759 Phone
rtty of Springfield Oflicial Receipt
:velopment Services Department
Public Works Department
RECEIPT #: 2200500000000001016 Date:08/01/2005 10:48:18AM
Job/Journal Number
coM2005-01025
coM2005-0102s
coM2005-0102s
Description
+ 7o/o State Surcharge
+ l0% Administrative Fee
Low Voltage - Commercial Indus
Amount Due
3. l5
4.50
45.00
ltem Total:$s2.6s
Payments:
Type ofPayment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check MARTINVEST INC djb 42s94 In Person $52.65
Payment totat:
-Sffi
81U2005 Page I of I
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