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
\