The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2005-07-07CITY Building/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 54l-726-3676Fax 541:7 2647 69 I nspection Line PERMIT NO: COM2005-00863ISSUED: 071071200s APPLIEDz 0710712005E)?IRES: 03/0812006 VALUE: SITE ADDRESS: 148 14TH ST Springfield TYPE OF ASSESSOR'S PARCELNO.: 1703363203500 TYPEOF USE: PROJECT DESCRIPTION: Service reconnect.200amp service change and 8 circuits Electrical Work Only Repair Commercial Owner: Address: Contractor TVpe Electrical MS MEDICAL LLC PO BOX 1338 EUGENE OR 97440 lau Phone 541-91s-9828 # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontyard Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Insfuction: Notes: Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: oh of Lot Coverage: Sq Ft Other: nla Occupant Load: Contractor EASTSIDE ELECTRIC INC I Square Footage or Bll Amount Expiration Date ty $ Per Sq Ft or multip[er Sidewalk Type: DownspoutVDrains REQUIRED PARIilNG Total: Handicapped: Compact: CONTRA( PUBLIC IMPROVEMENTS Descriptbn Tvpe of Construction lof2 Value Date Calculated L[1,Yt L(rrlvll,I\ I 11\r(rI(rYrArrur\ | Valuation Descrintion I PRIN Buildin g/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 34l:7263753 Phone 541-72G3676Fax 541 :7 2G37 69 I nspe ction Line PERMIT NO: COM2005-00863ISSUED: 0710712005APPLIED:. 07107/2005E)PIRES: 03/0812006 VALUE: Fee Description + l0Yo Administrative Fee + 1Yo State Surcharge Service Reconnect + l0Yo Administrative Fee + lVo Stste Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Amount Paid $s.00 $3.s0 $s0.00 $8.70 $6.09 $24.00 $63.00 $160.29 Total Value of Project Date Paid 717t05 7t7t05 7t7tus 9t9t0s 9t9t05 9t9t05 919t05 Receipt Number 2200s00000000000897 2200500000000000897 2200s00000000000897 1200s0000000000132s 120050000000000132s 120050000000000132s 120050000000000132s Plan Reviews To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. red Insnections By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that atl information hereon is true and correct, and I further certi$ 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 OCCI PAIICY 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 streel 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 2of2 Date )- B pps rard 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 1200s0000000000132s Date: 0910912005 e:0e:55AM Job/Journal Number coM2005-00863 coM2005-00863 coM2005-00863 coM200s-00863 Description * 7o/o State Surcharge + 10% Adminishative Fee Perm Servffdr 200 amps or less Add, Alter, Extend Circ Ea Add AmountDue 6.09 8.70 63.00 24.00 Item Total:$101.79 Payments: Type of Payment Paid By Received By CheckNumber Batch Nunrber Authdzdion Number How Received Amount Paid CreditCard ROGER KING djb 005856 In Person Payment Total: $101.79 -mm' .\ \ 91912005 lofl aPxrucTutl.o 225 FIFTH STREET . SPRINGFIELD, OF.g7477 . PH:(541)726-37s3 r FAX: (s4t)726-3689 E I.E, CTRI C,4L P E RMIT AP P LI CATT O N City Job Number Coi^?,oS- (>O 8,63 Date 1. tq g I SI LEGAL DESCRIPTION)o3 6 Z 03 Sso JOB DESCRIPTION € crr.c,^(13 / ZCE #r\?SEt_rlcU_ cr/hu6€ Permits are non-transferable and expire if work is " not started within 180 days of issuance or if work is Suspended for 180 daYs. ,, Electrical Contractor 5 EL€C, 3. A. B. Service Included 1000 sq. ft. or less Each additional500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 s50.00 Address S3 5CI G€ outo -$ 63.00 6s $ 75.00 $125.00 s163.00 $375.00 $ 50.00 s 50.00 s 50.00 $ 25.00 $ 4s.00 B-/ City FLD 7?YsP 78 Phone 7Yt/Y1%ur-nber Supervisor License Number 7)7sv c. Expiration Date l0-0/-b7 Constr. Contr. Number 11170 Expiration Date t0.-0 i- os Signature of Supervising Electrician Owners Name rtl t in €Lt LLL Address )c>BOX l3 38 ciry GEzrlC- ,non" OWNER INSTALLATION The installation is being made on property i own which is not intended for sale, lease or rent' Owners Signature: Installation, Alteration or Relocation 200 AmPs or less S 50'00 20t AmPs to 400 AmPs $ 69'00 401 Amps to 600 AmPs Sl00'00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E. Minimum Electric Permit Inspection Fee is $45'00 * Surcharges Pump or irrigation S i grr/Outline Li ghting Limited EnergY/Residential Limited EnergY/Commercial 7% State Surcharge 10% Administrative Fee TOTAL ol otL Inspection Request: 126'31 69 4. OAR ru\es Over 600 Amps or 1000 Volts see "B" above' Only :-- A $3.00 Z\ Shared Drive(T:)iBuilding FormdElectrical Permit Application I 43'doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line SITE ADDRESS: 14814TH ST ASSESSORTS PARCEL NO.: 1703363203500 PROJECT DESCRIPTION: Servide reconnect Building/Combination Permit PERMIT NO: COM2005-00863 Springfield gon TYPE OF USE: Repair Commercial Owner: Address: Contractor Type Electrical MS MEDICAL LLC PO BOX 1338 EUGENE OR 97440 Contractor EASTSIDE ELECTRIC INC License 117770 Expiration Date 10104t2005 Phone 541-915-9828 te # 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: Speciat 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: oh 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: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Pase 1 of2 Value Date Calculated T you to Utiliry rules are set forth0010 throu L U IIJI-,II\ t, II\I \rIUYr4.1 !LVl\ | Valuation Description I Status Issued 225 Ftfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Frx 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00863ISSUED: 0710712005 APPLIEDT 07107/2005 EXPIRESz 0110712006 VALUE: Fee Description + l0o Administrative Fee * 7o/o Strte Surcharge Service Reconnect Total Amount Paid Amount Paid $5.00 $3.50 $s0.00 $58.s0 Total Yalue of Project Date Paid 7l7tvs 7t7105 717105 Receipt Number 2200500000000000897 2200500000000000897 2200500000000000897 PIan Reviews To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Electric Service: Approval required prior to utility company energizing service. Reouired Insnections By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. --ClQ:; /\\h------ Owner Signature Prse2 of2 Date L F ees raro I 225 Fifth Street - Sprirgfield, Oregon 97477 541-726-3759 Phone -City of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 2200500000000000897 Date: 0710712005 t:52t42Ptv[ Job/Journal Number coM200s-00853 coM2005-00863 coM200s-00853 Description + 7%o State Surcharge + l0% Administrative Fee Service Reconnect Amount Due 3.50 5.00 50.00 Item Total:$s8.s0 Payments: Type ofPayment Paid By Received By Batch Number Number How Received Amount Paid CreditCard ROGERKING nJm 05534 Phone Payment Total: $58.50 -Ss8-:5d' 71712005 Page 1 of I ]KE checKNumDer Autnorization applovar Zoning 225 FIFTH STREET . SPRINGtr'IELD, OR97477 o PII:(541)726-3753 o FAX: (541)726'3689 ELE CTRI CAL P ERMIT AP P LICATT O N City Job Number Cariz@ s-ooa63 Date LEGAL DESCRIPTION t-?o33 L3Z o3Soo l I g ,Ll S JOB DESCRIPTION Scrf-vt LG-t2erMtr€c-r Permits are non-transferable and expire if work is ' not started within 180 days of issuance or if work is Suspended for 180 days. Electrical Contractor EA 5 15 lD€ EL€C, Address g)s3 05C G€ City SPFcD r7Y78 vhone 7y/-/nq Service Included 1000 sq. ft. or less ilHffiiriarsior.refi.Bt P#Psrtherdd' adoPle-, - 3. A. ) 0dq\t$H{49tffigeps sr1 p I 6 r Mb&tS'Wfltr*, s"Wiq n t'o p F&dw IUU ':,('{r -'- - /irlntr 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only ru requiresJou tdl06'00 i,.,ffmlil$*- i of the rules rs4p1g6ftg6' $ 63.00 $ 75.00 $125.00 $163.00 s375.00 -T $ 5o.oo $ 43.00 $ 3.00 B. D Supervisor License Number \7)7s C Expiration Date ,0-0 t- 0 7 Const. Contr. Number lt1l70 Expiration Date 1CI.'o l- os Signature of Supervising Electrician Owners Name Address ? rus ,14r5&A-1- LL_L o iE6r I 338 City €**zE Phone OWNER INSTALLATION The installation is being made on properry I own which is not intended for sale, lease or rent. Owners Signature: 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 or 1000 Volts see "B" above. E. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit 7%o State Surcharge 10% Administrative Fee TOTAL Pump or irrigation $ s0.00 Sigrr/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial S 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 5-r2 3so -soos89 Inspection Request: 726-3769 4. Shared Drive(T:)iBuilding Forms/Electrical Permit Application l-03'doc f Itu ul\Iurn I I_^), :so