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Home My WebLink AboutPermit Electrical 2004-05-24Status Issued ?2.5 Fitth Street, Springfield, OR 541-726-3753 phone 547-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination permit PERMIT NO: ISSUED: APPLIED: EXPIRES: coM2004-00677 05/24/2004 0s/24/2004 11/24/2004 VALUE: Springfield TYPE OF WORK: Etectrical Work Only SITE ADDRESS: 2125 yotanda Ave ASSESSOR'S PARCEL NO.: 1703244302320 TYPE OF USE:Addition CommercialPROJECT DESCRIPTION: Install circuit for tanning bed.ATTENTION: Oregon lawrcqu#rt yur to lollow rules adopted by the Oregon Utittty MCKAY INYESTMENT CO LLC 2350 OAKMONT WAY STE 204 EUGENE OR 97401 in OAR 9s2-001-0010 rhrough OAR 952-001. 0090. You may obtain copies of the rules by Oregon Utility Notification Owner: Address: Contractor Type Electrical Contractor G MILLER ENTERPRISES INC License 87r4s is 1-800-332-23441. Expiration Date Phonetut0t2004 541-741-2596 # 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: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # ofStories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled IZED Oveilay UUtt'l fuIENCED # Street Trees 1&0:OAy 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 $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: Description Type of Construction Total Value of Project Value Date Calculated 'q Building/Combination permit Status Issued 225 tr'ifth Street, Springfield, OR 541-72G3753 phone 541-726-3676Fax 541-7 26-37 G9 Inspection Line PERMIT NO ISSUED: APPLIED: EXPIRES: VALUE: : COM2004-00611 05t24t2004 05t24t2004 11/24t2004 Fee Description + l0Yo Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Minimum/Adj ustment Electrical Total Amount Paid To Request an inspection call the 24 will be made the same working day, day. Amount Paid Date Paid 5t24t04 5t24t04 st24t04 5t24t04 $4.s0 $3.1s $43.00 $2.00 Receipt Number 2200400000000000630 2200400000000000630 2200400000000000630 2200400000000000630 $s2.6s hour recording at 726-3769. AII inspection requested before 7:00 a.m. inspections requested after 7:00 a.m. will be made the following work 1 Rough Electric: Prior to Cover2 Final Electric: When all electrical work is complete. Plan By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all woik performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pase2 of2 sal :-t _I\gUUrreu rnsoecllons I 225lifth Street Springfield, Oregon 97 477 541-726-3759 Phone ,aty of Springfield Official Receipt ,velopment Services Department Public Works Department RECEIPT #: 2200400000000000630 Date: 0512412004 ttz27:39AM Job/Journal Number coM2004-0061l coM2004-006r l coM2004-0061I coM2004-0061I Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 7o/o State Surcharge + l0%o Administrative Fee Amount Due 43.00 2.00 3.15 4.50 Item Total:$s2.6s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard G MILLER ENTERPzuSES ddk 00039 l 1 14151 In Person $52.65 PaymentTotal: ffi st2412004 Pase I of 1 ataamaS,D 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541) E LECTRI CAL P ERMIT AP P LI CATIAN ciryJobNumber U nm4. OOtO[l ru," L O CAT' I O N O F IN S'TAL I*AT' I O N i 2{ Yc, /auclrt .4 u C approval LD(LZoning tu-o I 2 LEGAL DESCRIPTION 11 0z 34 +3 2300 JOB DESCRIPTION 6-c, il- €- 7b,pptt5 B,.J 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. 11NTRACTOR TNSTALI-LrrON ONLI', 3. Date Modular Feeder RffiHfiFftwi99rug on law requi res llow rules ad d #ffim n UtilitY Electrical Contractor by-d B. CL tC 200 Address 4 d.a, B' Rd ftd pnone74t-25?4 20r 401 601 ios.oo Over 1000 Amps/Volts Reconnect Only $37s.00 $ 50.00 E Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is Surcharges 4. SUBTOTALOFABOVE 7o/o State Surcharge l0% Administrative Fee TOTAL City Supervisor License Number .i6.f,1 5 Expiration Date /) -/ - c)4 Constr. Contr. Number 7l tt/ 5 Expiration Date // -/o-oq Signature of Supervising Electrician \. Owners Address City Phone OWNERINSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signahrre C. Temporar.v 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 $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch TiiSqqiS" New Alteration-or Extdnlid*pbmtftdiE lF THE Ui 0RK one circuir; i,'- irrirJ Ui:i,[fi lf]l_Yl_LRBt[3.t0 irt0d3 -o r.-, Each Addidndal€iffiftti(}rtt$S A tsA N tJ 0 ru [DrlfiR Service oqffidF6$ffi PER1SD. D l.Iiscellaneous (Servicelfeeder trot included) -Bach Installatiott $ s0.00 $ s0.00 $ 25.00 $ 45.00 {b9o 5r-.1.a5Inspection Request: 726'3769 Shared Drive(T:)/Building Fonns/Electrical Pennit Application I 43'doc CITY OF OREGON lrt has the following land use r ?*tpna ^ A. Nerv Residential - Single or Nlulti-Family per dwelling unit. Service Included 1000 sq. ft. or less $ 106.00 Each additional 500 sq. ft. or portion thereof $ 19.00 Each Manufact'd Home or in OAH 952-001 may obtain copies of