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HomeMy WebLinkAboutPermit Electrical 2005-07-21Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-36768ax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2005-00954ISSUED: 0712112005APPLIED: 0712112005EXPIRES: 01121,12006 VALUE: SITE ADDRESS: 1487 MOHAWK BLVD Springfield TYPE OF WORK: Electrical Work Only ASSESSOR'S PARCEL NO.: 1703253403900 TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Electrical work for temporary BiMart pharmacy Owner: Address: Contractor Type Electrical MCKAY INYESTMENT CO LLC 2350 OAKMONT WAY STE 204 EUGENE OR 97401 Contractor ALERT ELECTRIC INC License 12772 Expiration Date 05t22t2007 Phone 541-747-2213 BUILDING INFORN # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Secondary # of Bedrooms: tn maY tor the Cerrter Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Sidewalk Type: Downspouts/Drains: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: those 10 obtdn nlz Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Type of Construction Pase I of2 Value Date Calculated INI!\,,I(VIAIIUl\ I to ffi-t*"H}l#* bY [t0Tt lHIS AUl r c0li ANY Vatuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fa'x 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00954ISSUED: 0712112005APPLIEDz 0712112005 EXPIRESz 0112112006 VALUE: Fee Description + lOVo Administrative Fee + loh State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid $s.20 $3.64 $43.00 $9.00 $60.84 Total Yalue of Project Date Paid 7t2u0s 7t2u05 7t2u0s 7t2u05 Receipt Number 2200s00000000000960 2200s00000000000960 2200s00000000000960 2200500000000000960 Fees Paid Plan Reviews 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 Pase2 of2 Date l(eourreo lnsDecuons I )ol,ni.-uno-' aPproval - doesnf\fiva Oct- IA-O1 O1 :43P 22J FTFfi{.STREET SPRINCFIELD. ORECON 97177 l:\ISPECTION REQUEST: i 26-3,1Gti OFFICE 726.J159 -o1ring Date Adthorl Cit.y Jot, I{um ber@t4l?@f-co ?itl l. COIv{ILETE FEE SCHEDLILE EELCW A. Nerl Rcs!tlcntilkSingle nr NIutti-Frrmil.v pcr drrellin g unit. Sen icr Incluilcrl iterns Cost Sum LOCA ,t{ I TION OF IN'S TION2 rtro IL LEGAL JOB DESCRIPTIOA\l\N Pernril.c ilrc rton-tritnsFerable anC expirc if nork is uot stirrted *,ithin I8U days ol issuanq or i f rvork rs suspendcd ihr Itl0 duys. 2 CONI'RAL'TOR INSTd-I-ATION ONLY Iltcctricrl.Con1111sl3g Alert tlectric lU00 sq.[r. or lcss Eactr additional 500 sq. ft or portion therccf Err:ir l"lalrufd liotus or lv{odular Drvelling Sen ice or Feeder B. Sen'iccs rrr Fcetlcrs Instirt lirtion, Altcrations orInc. Rclocurion, 2(X) anrps or less 20I anlls to 400 arnps i0l anrps to 6Utl amps 6i)l a ro l0(| e rul Sllxr.00 "^1"" $ r9.oo _- $ 50.00 *_s63.00_ *- $ 75.00 _ -_ $ 125,00 .-_ sl63.0o -._ s375.00 __ $ 5o.oo _ . $50.00 -_- s69.00 $lco 00 f i\ddress 197 0 N. .28rh s treet Ci pr f ieIdp1166 e 7 47 -221,3 Supe n-isor License Nunrbe r Expiration 10- 1 rutes Constr Contr 7 2 Expinrtion Darc 5- Signatun: of Supcrlising Electrician number{or Genter Z39o O*k%:,J Citv L(# "B" abore Branch Circutts Netl Alteration or Extensiorr i,sr Panei One Circuit telePhone cation 600 amps or 1000 volis sec c s43.00 q7 one OWNER INSTALLATION The installatron is being rrrade on properry- I or*'n which is uot intcnded for srle, lease or rent. Orvncrs Signature: Each Additional Circuit or nith Servjce c.orFee&rPcrmir 3 Si.oo / E. l\'Iiscellnnerus (Sclrice/fccdcr not inc lu ded) .Each instailation Prrnrp or irrigalion _ $50.00 _ Sigr/O,rtliue Ligirring __ $-50,00 _ Linited Energv,?.es --- 525.00 _ Liruitr:d Encrgv/Conrnl _ $4J.00 I{inirnuru Elcclric Permlt Inspcction Fec is Sl5.0t) = Surchargcr 5?{. SUBTOT.{L OF ABOVE ?%o Stntr Surchnrge 8 7o Adrninistrativc Fce ----Tq--Ez; TOTAL 6 o8j 03 20c UtilitY IHlb r-tn.'" AUIH0RrZE C0Mt\tEt'lU ANY 1BIJ D 225Fitth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt :velopment Services Department Public Works Department RECEIPT #: 2200500000000000960 Date: 0712112005 9:39:25AM Job/Journal Number coM2005-00954 coM200s-009s4 coM2005-009s4 coM2005-009s4 Description + 1Yo State Surcharge + l0% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Due 3.64 5.20 43.00 9.00 Item Total:$60.84 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard ALERT ELECTRIC djb 021431 In Person $60.84 Payment Total : ---560.-E7i- ,I 712U2005 Page I of I ref