Loading...
HomeMy WebLinkAboutPermit Electrical 2005-01-24Builtting/ C o mbination P ermit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00093 ISSUEDT 01/2412005APPLIEDz 01124/2005 EXPIRESz 07124/2005 VALUE: SITE ADDRESS: 160 S 14TH ST ASSESSOR'S PARCEL NO.: 1703363204201 PROJECT DESCRIPTION: New Milk Cooler. Re-Connect Owner: Address: Contractor Type Electrical CANNED FOODS WAREHOUSE 160 S 14TH ST SPRINGFIELD OR 97477 0090' You.may calling the center'Notiticatron tor the Ore Contractor DOUBLE E ELECTRJC License 152985 Expiration Date 09t27t2006 Phone 5038075156 # 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: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Sidewalk Type: Downspouts/Drains: REQUIRED PARIflNG Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Valuation Descrintion Description Type of Construction Pase 1 of2 Value Date Calculated Building/Combination 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: COM2005-00093ISSUED: 0112412005APPLIED: 0112412005 EXPIRESz 0712412005 VALUE: Fee Description + l0Yo Administrative Fee + 7Vo State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid $5.20 $3.64 $43.00 $9.00 $60.84 Total Value of Project Date Paid u24t05 u24105 u24105 u24t05 Receipt Number 2200s00000000000088 2200s00000000000088 2200s00000000000088 2200s00000000000088 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 ofthe property, and the approved set of plans will remain on the site at all times Signature Paee 2 of 2 aPBtlloFltl-o ru{y of Springfield Oflicial Receipt - -velopment Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone RECEIPT #: 2200500000000000088 Date: 0112412005 8:49:54AM Job/JournalNumber Description COM2005-00093 Add, Alter, Extend Circ Amount Due 43.00 Check Cash DOUBLE E ELECTzuC INC. DOUBLE E. ELECTRIC nJm njm t823 number for n Utility q Job/Journal Number coM2005-00093 coM2005-00093 coM2005-00093 coM2005-00093 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0% Administrative Fee Amount Due 43.00 9.00 3.64 5.20 Item Total:$60.84 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check Cash DOUBLE E ELECTRIC INC. DOUBLE E. ELECTzuC nJm 1823 In Person S59.67 In Person $1.17 Payment Total: -566lEiI njm U2412005 Page I of I tsFtttit(iFlELEl 225 FIFTH STREET . SPRINGFIELD, OR 97477 e PH:(541)726-3753 r FAX: PERMIT APPLICATION $ 43.00 $ 3.00 & 4.@-q ao City Job 1. l/ocAnoNoFtNsTALIAnoN 3. @MPLETE A. New Residential - Single Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with ') Service or Feeder Permit O QPt" b\( LEGAL DESCRIPTION NEtp CASES -ro M g@ft'. 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. clD]vlRAcnoR rNgTALLaTroN o.NLY B. ElectricalContactor DDChU|- €- A,JgrcC Address 2Q/- Sa- aPAO U, {e . Expiration Date Consfr. Conf. Number .52q8s@c E) Expiration Date 112-t/zat Signature of Supervising Electrician 54-@le cFb Each rrfl[ffirffls{r@regon law reqrlras you Modul6ffi ll$Eg.{1tiqne d by the Oreg ot F"dilorificati o n center. ThosETUrSSArB 'IIillU$v.r 3et forttr- $ 601 Amps to 1000 Amps citv Al.uvSB&o pr'on" Do1-6lSb Over 1000 AmpsAy'olts Reconnect Only Supervisor License Number 4toZOS C. Temporary Services or Feeders 200 401 $163.00 $375.00 $ 50.00 Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.m Over 600 Amps or 1000 Volts see "B" above. D. Branchcifcults-: " i'' - "' Owners Name Address o City 3ol^l d-- Owners Signature: E. Miscellaneous (Service/feeder not included) -Eech lnstallrtion Phone Pump or irrigation Sign/Outline Lighting $ 50.00 $ 50.00\ {l- owNER rxlf,ur-,rrlon The installation is being made on properly I own which is not intended for sale, lease or rent. Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspeetion Fee is $45.fi) * Surcharges 4. SUBTOTALOFABOVB tstCIJ>t- State Surcharge c$7D- 10% Adminisrative Fee LInspection Request: 72G3769 5g CITY O[INGFIE[,D, OREGON / 7 0s 3Q 3A oqtol .Q Shared Drive{T:)/Building Forms/Electrical Permit Application I 43.doc 0090. You maY (Note: the 201 AroBmEooturFe Oregon N( N tttLl< L@*q gz-@Nil6r JOB DESCRIPTION City of Springfield 225 Fifth Street, Springlield, OR97477' 541-726-3759 Phone 541-72G3676 Fax June 30,2005 CANNED FOODS WAREHOUSE 160 S 14TH ST SPRINGFIELD OR 97477 Job Number: Location: coM200s-00093 160 S 14TH ST Project:New Milk Cooler. Re-Connect Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by the permit must begin within 180 days of the date of issuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at 160 S 14TH ST which is s'et to expire on712412005. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notiff you that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do not request an inspection prior to the expiration date, your permit(s) will expire and additional permit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 541-726-3790. Sincerely Lisa Hopper Building Safety Supervisor \