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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 (