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Home My WebLink AboutPermit Electrical 2005-01-25Status 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: COM2004-01394ISSUED: 0112512005APPLIED: 1111212004EXPIRES: 0712512005 VALUE: SITE ADDRESS: 1125 SHELLEY ST Springfield TYPE OF WORK: Electrical Work Only ASSESSORTS PARCEL NO.: 1703270000902 TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: 200 AMP SERVICE AND SIX CIRCUITS. Additional electric permit added on ll25l05 to cover Low Voltage for Telecommunication Install to rules adoPted bY the t$otification Center'Those rules are set lorth in OAR 952'001'001 0 through OAR 952-001- Owner: Address: Contractor Type Electrical MCKAY INVESTMENT CO LLC 2350 OAKMONT WAY STE 204 EUGENE OR 97401 Contractor ALERTELECTRIC INC License 12772 05t22t2005 541-747-2213 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo oflot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sidewalk Type: Downspouts/Drains: REQUIRED PARJilNG Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Pase I of 2 Value Date Calculated fbllow L U lIrI-rLt\ t, rL\ I Lrluvll!!]1vll l SH,qLL EXP/ OR ,HIS Valuation Description Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01394ISSUED: 0112512005 APPLIEDz llll2l2004 EXPIRESz 0712512005 VALUE: Fee Description + l0%o Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + l0Vo Administrative Fee + 77o State Surcharge Low Voltage - Commercial Indus Total Amount Paid Amount Paid Total Value of Project Date Paid Receipt Number 2200400000000001399 2200400000000001399 2200400000000001399 2200400000000001399 2200s00000000000096 2200s00000000000096 2200500000000000096 $8.10 $s.67 $18.00 $63.00 $4.50 $3.1s $4s.00 tut2t04 tUt2t04 tut2t04 tut2t04 u2st0s u25t05 u25t05 $147.42 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. Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover Low Voltage: Prior to cover. Reouired Insnections 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. St:, &l*a Juu \/adqs nd^n Owner or Contractors Signature Paee2 of2 Date 225 Fifth Street Springfield, Oregon 97 47 7 541-726-3759 Phone Crty of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 2200500000000000096 Date: 0112512005 l:49247PM Job/Journal Number coM2004-01394 coM2004-01394 coM2004-01394 Description Low Voltage - Commercial Indus + 7Yo State Surcharge + l0% Adminishative Fee Amount Due 45.00 3.ls 4.50 Item Total:$52.65 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard BONNIE SKOKON-SCHNELL njm 025762 By Mail Payment Total: $52.65 -$s2"6-f Uzs12005 Page I of I tI]mISr 0L/Lg/06 IED 1{:30 FA.I 6117263689 CITY OF SPRINGFTELD @ oor I.i.. :1: '''". -' ..ii.,ri ffip -ti"';225 EISTBSIREET . SlRINGtrIrLD,OR97477 . PE:(341)72G3733 ELEgIRISAL pERJwrr AppLlc,arroN (IJta ooL+- rltel0s 1. :;qm+ffiornrsrezzazlorv.:,1"'::,,1:: 3.',|@iDLEaE.tED 1125 SHELLY ROAD SPRINGFIELD lit Q.n s 50.00 $ 50.00 , ?s.m $ 45.00 LEOAL DESCRIPTION QUESTIONS ? CONTACT KELL Jmflilm,A. 4 1 9-3360 JOBDESCRIPTION LOW VOLTAGE DATA/TELECOMMUNICATION INSTALL AT PLATT ELECTRIC SUPPLY STORE Permitr te lon-trrndcnblc and rxplrc ilwor[ h not rtrrtsd vithtr ltO deyr of isueocc or ilwork I Suspended for ltO deyi. Servlcc Included 1000 s+ ft. orlms Eaob additional 500 cq- ft. or portioafrtreof Each lawM, feodafo!low ES copies 401 Aops tr 6ood\d?nbr is 1 601 Amp.s to 1000 Aups Ovrr 1000AmpsA/olb RemnneotOuly Instelletionr Altcratlon 200 Amps c lcss 201 Asps n 400 Aops 401 Arhps to 600Aops Over600 6'1000 Volb see *8" New Ntcntlon or Ettcntlou Pcr Penel OloCircuir Elch Additiotrsl Clifiuit or wi0t Scrvioo or Food€r PotDit Punp ortrimtion Sigr/O$Iire Ligttiqg Linitcd Encrgr/Rcsidadal Lipitcd Encrgy/eonrmcroial 77o State Surcharge t0olo Adninisrativc Fee TOTAI,AT (503)419-3608 FOR vrsA ':.....'-. -....'.,,r.....".r: ...i. .i:.,:,i:::..::r:trj,:: l ::,:1.:',r': ,,r..:.1:':,i.::l ri:..i 1.i:,:.,. 1::. .'.:CGM[B4G[0* fl\EIAILfr:IXOJVO-.NLYL. lii.,::i,,-..;...r;i,.r:1r,.;,1;;.,,,:;:-,,,:::..,.:;.''..r:.;:rr:r.:1..!.,.:-.::.jir:::iti:....::,1.: B. Elcmtcal Contsacbr CHRISTENSON TECHNOLOGY SERVDOE 201 Addrcs$ 1631 NW THURMAN ST 2ND FL ciry PORTLAND OR Phouc(503) 419-3600 91 209-2558 Supwisor Uccnco Ntrmbcr .c. Exoiration Datz l0l L l07 Coostr. Conf. Nugrbcr 64t37 Expintion Dare 1 /14/06 Signeltre of Elcoticiu D. AXT Owrerr Ad&ess E. Pbooe OWNERINIITALI.I\TION Thc iutrllatio is bcbg rdo oir pwperti' ! ovn which tuaot iatcododfcsalg lease orrwl Omors Signetue Ivfrnimum Electric Pcrrnit llspecflotr FGC k * SurcharEa 3l yruto .00 _ $r63.00 s37s.00 $ s0.00 s 50-00 $ 69.00 s100.00 $ 43.00 3 3.00 G 4. 4.5 r OO 3. 15 4.50 52.65 ./ Inrpoction *q"t'Sfr'1,'I?1 ,LEAS E .ALL B oNN r E S[dod t riva$yBd$tng Frrms/ElrrEial l{r3"doc ***vISA*** may center. 1 994S 45. 00 oRE GCNcl'l \'()F CITY OF GFIELD, OREGON 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX: PERMIT APPLICATION City Job Number 't3 ?I out" I 3. '< <5# La/ { LEGAL DESCzuPTION A. not It )--/ roedrcfiect.lrotEbftrrc mqufc goclb hncl rnr l7 JOB DESCRIPTION Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or $ 106.00 $ 125.00 $ 163.00 $375.00 $ s0.00 EIF ]H€#O .00 E0 rofi r00.00 $ 43.00 $ 3.00 OD Arutrt\ Permits are non-transferable and expire if work is not started within 180 days of issuance or if rvork is Suspended for 180 days. ) Electrical Contractor Address Constr. Contr. Number Z. Expiration Date S S of Supervising Electrician Name c Address 5o ciry 6) 4 onp Phone ";*[, OrL ( 2oo Amps or l"rrRrnborhlha 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsAr'olts Reconnect Only B. City Hto O z-Wt| Jr.2ol Amps to 4oo Amps Cortr 7+7229 Supervisor License Number 243 Expiration Date D-T or Relocation LL EXPIR C. NO A 201 HIS PER NOON40 r 000 D. / E. /,( Over 600 Amps Volts see "B" above. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit TALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 8/,P 5. G1 4 Pump or irrigation Sign/Outline Lighting 7Yo State Surcharge l0% Administrative Fee TOTAL $ 50.00 $ s0.00 &1OqEq ,77Inspection Request: 726-3769 Shared Driv(T:)/Building Forms,/Electrical Permit Application I 43.doc @MPLEI'E / portion thereof $ 19.00 Oregonm Equhos IoUbEach Manufact'd adopted byUrc UtllittModular Feeder scJes- :.Services or or Feeders included)-Each Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01394ISSUED: llll2l2004APPLIED: llll2l2004 EXPIRESz 0511212005 VALUE: SITE ADDRESS: 11OO SHELLEY ST ASSESSOR'S PARCEL NO.: 1703270000902 PROJECT DESCRIPTION: 200 AMP SERVICE AND SIX CIRCUITS. Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial to rules adoPted bY the OregonOwner: MCKAyINVESTMENT CO LLC Address: 2350 OAKMONT WAY STE 204 EUGENE 9S,SId&ton Center. Those rules are set forth 952-00 1 Contractor Type Electrical Contractor ALERT ELECTRIC INC number tor the telePhone Notitica$on Date Phone s4t-747-2213 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water Type: Range CE: DA Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %" ofLot Coverage: iT SHALLN&P Load: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: RM'I IS ,RE N00 NED NOI REQUIRED PARKING Total: Handicapped: Compact: Y PERIOD. $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Description Type of Construction Total Value of Project Value Date Calculated t, u r|,l_rrl\ u 11\ r ul(rYr_4,! r!-,Nl Valuation Description I Buildin g/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fa'x 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01394ISSUED: llll2l2004APPLIED: llll2l2004EXPIRES: 0511212005 VALUE: Fee Description + l0Yo Administrative Fee + 7oZ State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid $8.10 $5.67 $r8.00 $63.00 Date Paid tyt2t04 tut2l04 tU12t04 tut2l04 Receipt Number 2200400000000001399 2200400000000001399 2200400000000001399 2200400000000001399 Total Amount Paid $94.77 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. Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Rough Electric: 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 Springfietd 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 construction. )ott N/l/! Owner or Contractors Signature ffi Pase2 of2 -F ees rato l o^{e 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone 'y of Springfield Oflicial Receipt rrevelopment Services Department Public Works Department RECEIPT #: 2200400000000001399 Date: llll2l2004 9:57:08AM Job/Journal Number coM2004-01394 coM2004-01394 coM2004-01394 coM2004-01394 Description Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less + 7o State Surcharge + l0% Administrative Fee Amount Due 18.00 63.00 5.67 8.10 Item Total:$94.77 ': Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard ALERT ELECTzuC njm 012779 In Person $94.7'1 Payment Totat: -5Ii7 tUt2t2004 Page I of I a,lllarL.o