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Home My WebLink AboutPermit Electrical 2004-11-04Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-01372ISSUED: 1110412004APPLIEDz 1110412004 EXPIRESz 0510412005 VALUE: SITE ADDRESS: 1455 MOHAWKBLVD ASSESSOR'SPARCELNO.: 1703253403900 PROJECT DESCRIPTION: Low voltage Owner: MCKAy INVESTMENT CO LLC Address: 2350 OAKMONT WAY STE 204 EUGENE OR 97401 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial Contractor Type Electrical Contractor License PROTECTION ONE ALARM MONITORING ]116325 Expiration Date 05/08/2006 Phone 503-624-0244 CONTRACTOR 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 Improvements: Storm Sewer Available: Special Instruction: Notes: LLE R1 H\S PER$ XP\RE IF IH Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: 0l i UNDE \Y PERIU to on ts-ABANDONT D Path: Overlay Dist: Building: Square Footage or Bid Amount Sq Ft Garage/Carport Sq Ft Other: nla Occupant Load: REQUIRED PARIilNG Total: obtain copies iE $ Per Sq Ft or multiplier DEVELOPMENT INFORMATION Description Type of Construction Total Value of Project Value Date Calculated l,Ulllrll\t rNI UI(lYIryJ Valuation Description I F Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01372ISSUED: 1110412004APPLIEDz 1110412004 EXPIREST 0510412005 VALUE: Fee Description + l0Yo Administrative Fee + 7o/o State Surcharge Low Voltage - Commercial Indus Amount Paid $4.50 $3.15 $45.00 Date Paid tu4t04 tu4t04 tu4t04 Receipt Number 1200400000000001570 1200400000000001570 1200400000000001570 Total Amount Paid $52.65 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 Date Reouired Insnect Pase 2 of 2 r ees raro I 225 Fifth Street Springfield, Cregon 97 477 541-726-3759 Phone city of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 1200400000000001570 Date: 1110412004 1:35:41PM Job/Journal Number coM2004-0t372 coM2004-01372 coM2004-01372 Description + 7%o State Surcharge + l0% Administrative Fee Low Voltage - Commercial Indus Amount Due 3.15 4.50 4s.00 Item Total:$52.65 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check PROTECTION ONE djb 1778 In Person $52.65 Payment Total: -Sffi rt/412004 Page I of I 5a 225 f,'IF'TH STREET . SPRINGFIELD, OR 97477 o PH:(541)726-3753 o FAX: (541 E LE CTIiI CAL P E RM I T AP P LI CATI ON City Job Number Cc:naZe 1-q* (, t 3'7Zout" / / O q A L( I. LOCATION OF INSTETTATION 3. . I4st nt aila* r< LEGAL DESCRIPTION A.New Residential -l?o3753',1 0: >ao Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof JOB DESCRIPTION Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. coN'rRAclCIR1n/S?HLr-A',r.rON ANLY Electrical Rc,laS-trr,,'.t Onfe Address ND + 200 Amps or less s 63.00 s 75.00 $ 125.00 s 163.00 $375.00 $ s0.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps Over 600 D. Each Manufact' d"Home or Modular Dwelling Service Feeder g6 or 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only Pump or irrigation Sigr/Outline Lighting Limited Energy/Residential Limited Energy/Commercial BK- City Phon. G-J!{-:O61J-! Supervisor License Number I 8lO Expiration Datelo-ol"D5 Expiration Date .4-6-O\, Signature of Owners Name Address I City ae,^o.,C,e,[d pton"-14-Lp-2'3 S?*o OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 1Yo State Surcharge 10% Administrative Fee TOTAL suBro'rAl 0FAB0YE L/ )- 3if E. $ 50.00 $ 50.00 s 25.00 X $ 45.00 l,{f 4rotz*lnspection Request: 726-3769 4. Shared Drive(T:)/Building Forms,{Electrical Permit Application l-03.doc unit. R B. s"ryigg, Center. Thoae New oAR952-001- l\\r3&5 . -idritrlcontlNu-b., ]!I.4EBQ-LE WCLTY