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Home My WebLink AboutPermit Electrical 2005-11-22CITY 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 : COM2005-01629ISSUED: 1112212005 APPLIEDz 1112212005 EXPIRES: 0512212006 VALUE: SITE ADDRESS: 1521 MOHAWK BLVD Springfield TYPE OF WORK: Electrical Work Only ASSESSOR'S PARCEL NO.: 1703253403900 TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: 100 A Feeder and three circuits for generator Owner: Address: Contractor Type Electrical BI-MART CORP #603 PO BOX 2310 EUGENE OR 97402 Phone Number: 541-687-7626 Contractor ALERT ELECTRIC INC License 12772 Expiration Date 05t22t2007 Phone 541-747-2213 CONTRACTOR INFORMATION BUILDIN( # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # 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 ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Sidewalk Type: REQUIRED PARKING Total: Handicapped: Compact: 3ffird;:i,ffig,fi 7E o unoen rHts Notes c0 MMENCEO OR IS ABAN I SHALL EXPI RE IF THE WORK DONED FOR M PERMIT IS NOT DAY PERIOD. calling th number f( $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Page I of2 o Date Calculated T res vort to Valuation Description I Value ITY Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01629ISSUED: 1112212005 APPLIEDT 1112212005EXPIRES: 0512212006 VALUE: Total Yalue of Project Date Paid Fee Description + l0%o Administrative Fee + 7%o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $7.20 $5.04 $9.00 $63.00 $84.24 tu22t05 tU22t05 tU22t0s tu22t05 Receipt Number 2200500000000001606 2200500000000001606 2200500000000001606 2200500000000001606 Fees Pa 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 Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Reou 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 onty 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 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone :ity of Springfield Official Receipt Jevelopment Services Department Public Works Department RECEIPT#: 2200s00000000001606 Date: 1112212005 8:33:02AM Job/Journal Number coM200s-01629 coM2005-01629 coM2005-01629 coM2005-01629 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + ljYo Administrative Fee Amount Due 63.00 9.00 5.04 7.20 Item Total:$84.24 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard ALERT ELECTRIC llh 022356 Phone Payment Total: $84.24 -$84-'.u-' Or ia llr tU22/2005 Page I of I atnutoFr&o 225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(541)726-3753 r FAX: (541)726-3 ELECTRICAL rION Ciry Job Number Date I. LOCAT'IAN OFIIIS'I'ALIAT'ION 3 T LEGAL are non-tratrsferable if work is within 180 days of or if work is Suspended for 180 days. Service Included 1000 sq. ft. or less additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsfVolts Reconnect Only "7o/o State Surcharge 10% Administrative Fee TOTAL C s106.00 $ 19.00 B. Scrvices or F'ceders - Installation, Alterations or Relocntion: - 2oo Amps or less [ $ 63.00 -6P ss0.00 $ 75.00 $ 125.00 $ 163.00 $37s.00 $ 50.00 $ s0.00 $ 50.00 $ 25.00 ., Electrical Contractor L Address [1zo )?-ffii 3r-' Supervisor License Number L+ts Expiration Date to-l -o-l Constr. Contr. Number \2112 Expiration Date s-?-2-61 Si ature of Supervising Electrician Owners Name Address Over 600 Amps or 1000 Volts see "B" above. D. Brrrnch Circuits Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 New Alteration or Extension Per Panel One Circuit $ 43.00 Each Additional Circuit or with a Service or Feeder Permit \)$ 3.oo Q.oa E. i\lisceltaneous (Service/feeder rtot included)-Each lrrstallation City OWNER INSTALLATION lnspection Request: 726-37 69 pt,","WnVfllo 17Jo OU-1 rh Shared Drive(T:)/Building FormVElectrical Permit Application l-03'doc A. Ng*Residential - l\a^t t,1lL D3q@ per unit. JOB DESCRIPTION C ONT RA,CTOR I N STAL IATI ON ON LY ",r, W (LD Phone 1 +1-zZ 13 Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial * Surcharges :.: . in Ol 4. SUBTO:IAL OFABOVE lone ficatton -2344). 0090.