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#*
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lHIS
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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
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