HomeMy WebLinkAboutPermit Electrical 2004-01-22Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2004-00095ISSUED: 0112212004APPLIED: 0112212004
EXPIRESz 0712212004
VALUE:
SITE ADDRESS: 3425817TH AVE
ASSESSOR'S PARCEL NO.: 1703343400500
PROJECT DESCRIPTION: Low voltage
Owner: ECOSORT LLC
Address: PO BOX 10928 EUGENE OR 97440
Eugene TYPE OF WORJ(: Electrical Work Only
TYPE OF USE: New Commercial
Contractor Type
Electrical
Contractor
BUILDERS ELECTRIC INC
License
4296
Expiration Date
12flot2007
Phone
541485-0922
CONTRACTOR INFORMATION
BUILDIN(
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
VN
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOTICE:
THIS PERM
AUIHORIZE
Square Footage
or Bid Amount
l-.^' io { -ROO-3
Sidewalk Type:
Downspouts/Drains:
IT SHALL EXPIRE IF
D UNDER THIS PER
THE WORK
MIT IS NOT
C0MTT4ENCED 0R lS A
$ Per Sq Ft
or multiplier
Total Value of Project
Pase I of2
DEVELOPMENT INFORMATION
Description Type of Construction Value Date Calculated
telePhone
Notification
OF
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
tr'ees
Fee Description
+ l0oh Administrative Fee
+ 7o/o State Surcharge
Low Voltage - Commercial Indus
Total Amount Paid
Amount Paid
$4.s0
$3.15
$45.00
$52.65
Date Paid
U22t04
U22104
U22t04
Receipt Number
1200400000000000094
1200400000000000094
1200400000000000094
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.
I 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
Paee2 of2
q
J
PERMIT NO: COM2004-00095ISSUED: 0112212004APPLIEDz 0112212004
EXPIRESz 0712212004
VALUE:
Kequrreo lnsDecuons I
mEaol,
ql'tlltlr - lrl l)
D EV ELO P M ENT SF- N V I C E S D E- PA Nl M F N 1 Aj,??srlriltstnt:t I
Sl/?/Nt;f lf l l). (1ll lt;,t;,'
(541| 726-3753
l:4X 15,1 l) 726 3c9p
I rr. 1r")li{)\tfltlt FrOieCt
t.i a te
\)-o
A
B
as submitted has the tollowing
225 FTI,"rE STREET
SPRTNGPTELD, OREGON 97 47'1,""',at
INSPECTION REQIESTz 726-3769 ?'';r'ns
OFFICB: 726-3759
,riiq ano doe6 not require speci{ic land usqtrgg13166tr PERHIT APPLICATION0!f
1
Electrical contractor trUr ld{r: 6-ircirrC
Address 19 Mqc'ii .son
Ci ty Cts (Phone 4brf; oqrD-
Supervisor License Number ?Qqo -\
Constr Contr. Number 'W-+Jct(c
Expiration Da t"/0 /-01
Si of Supervising Electrician
lr/
0uners Name Cc rsont L L q
Address Po ?cx rb 928
Ci ty Phone
Permits are non-transferable and expire
if vork is not started vithln 180 days
oi i"tr""ce or if vork is suspended for
L80 days.
2. COIITRACTOR INSTALLATION ONIY
O9NER INSTAI,LATION
The installation 1s being made on
piop"tty f ovn vhich is not intended
for sa1e, lease or rent'
Osners Signature:
Job Number
rEE SCBEDT'I.E BELOS
New Residential-Single or
Hulti-FamilY Per dvelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
s 8s.00
s ls.00
$ 40.00
Services or Feeders
fnstallation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-_
401 amps to 600 amps
--601 amps to 1000 amPs-
Over 1000 amPs/volts
-
Reconnect 0n1Y
Lli
OF
LEGAL DESCRIPTTON703)S
JOB DESCRIPTION
,zed Slgnature
5co Sum
s 50.00
s 60.00
s 100. 00
s 130. 00
s300.00
s 40.00
c
D
Nev, Alteration or Extension Per Panel
xnrQFG.Circuit
-
$ 35'00
i'rl l'&t uftt $ihtl Ein r ffi F,r E_E y 9 R K
AUTHSBTffidU'mpar'ms PERlulI-lr NW 2. 0o
coMMENCED 0R ls ABAND0NED [0R.r;Nirstr*priffiw"{ ?:f, &7 reede r no t i nclud ed )
Pump or irrigation $ 40.09
Sign/Outline Lightitg- $ 49'gg
l,imi tea Energy/Res
-
$ 20.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
!frtfi Adninistrative Fee
TOTAI
.<tf
DATE:
-tlfoRECEIVED BY:926{
\4
Expirat ion Date )0*/ - o /toyou
201
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Oflicial Receipt
Development Services Department
Public Works Department
Date: 0112212004 2:37:43PM
coM2004-0009s
coM2004-0009s
coM2004-00095
+ 7%o Stale Surcharge
+ llYo Administrative Fee
Low Voltage - Commercial Indus
3.15
4.50
45.00
Item Total:$52.6s
Payments:
Type of Payment Paid By Received By
e[eckNumEer
Batch Number Authorization Number How Received Amount Paid
CreditCard KELLY OBRIEN djb 000281 044339 In Person
Payment Total:
$s2.6s
$s2.65
(