HomeMy WebLinkAboutPermit Electrical 2003-10-21Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fa'x
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2003-01072ISSUED: 1,012112003APPLIED: 1012112003
EXPIRESz 0412212004
VALUE:
SITE ADDRESS: 195 39TH ST
ASSESSOR'SPARCELNO.: 1702314101300
PROJECT DESCRIPTION: Upgrad existing electrical system, sub-panel.
Owner: JIM BARR
Address: 303 sTH STREET SPRINGFIELD OR 97477
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Remodel Industrial
PhoneNumber: 541-744-9652
Contractor Type
Electrical
Contractor
NEWWAY ELECTRIC INC
License
s1088
Expiration Date
06t27t200s
Phone
s41-686-236s
CONTRACTOR INFORMATION
BUILDIN(
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories:
of Structure
You
Center
Overlay Dist:
# Street Trees
Paved Drive Rqd:
Yo ofLot Coverage:
OR IS ABANDONED FOR
PERIOD.
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
re
by
Sidewalk Type:
Downspouts/Drains:
Basement:
Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sq Ft
reshfl.Jt
Street Improvements:
Storm Sewer Available:
Special Instruction:
I{OTICE:
AUTHORIZED
COMMENCED
ANY 1 80 DAY
Notes:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Pase I of2
Description Type of Construction Value Date Calculated
L1I
Yaluation Description
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-01072ISSUED: 1012112003APPLTED| 10t2u2003EXPIRES: 0412112004
VALUE:
Description Type of Construction
Fee Description
+ lOoh Administrative Fee
+ 77o State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Total Yalue of Project
Date Paid
t0t2u03
t0t2u03
t0t2u03
t0t2u03
Value Date Calculated
Receipt Number
2200200000000001679
2200200000000001679
2200200000000001679
2200200000000001679
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$30.90
$21.63
$120.00
$189.00
$361.s3
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 Rough Electric: Prior to Cover
2 Electric Service: Approval required prior to utility company energizing service.
3 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.
-)f/ALbb't,),
I(9 //
Owner or Contractors Signature
Pase2 oI2
Date
Valuation Deseriplioq l
i ees raro I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
#: 220020000000000 I 679 Date: 1012112003 l:24:27PM
coM2003-01072
coM2003-01072
coM2003-01072
coM2003-01072
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 7o/o State Surcharge
+ lUYo Administrative Fee
189.00
120.00
21.63
30.90
Item Total:$361.s3
Type of Payment Peid By Received By Batch Number Authorization Number How Received Amount Paid
CreditCard NEW WAY ELECTRIC njm 000199 06076 l In Person
Payment Total:
$361.53
-Sf6i=t-
225 FIFTHSTREET . SPRINGFIELD, OR 97477 o PH:(541)726-3753 r FAX:
ELECTRICAL PERMIT AP PLICATI ON
City Job Number -o o Date 4-t*on
1.3.
q5 37e 51rr--r
LEGAL DESCRIPTION A.
ffi
(s41)726-3689
The following project as submitted has the-loll:^:ing
lljl'Lii' il"6ei not require speciric land use
aPProval'
I
o
JOB DESCRIPTION
4a.*( c.rre,r-u,
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
7
Electrical Contractor
Address
Signature of
Owners Name rIt\
Address lqA 3qJr-et-r'
City Phone
OWNERINSTALLATION
The installation is being made on properry I own which
is not intended for sale, lease or rent.
Owners Signature:
B.
O 200 Amps or less
201 Amps to 400 AmPs
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
olts
$s0.00
s 63.00
$ 75.00
$125.00
s163.00
$37s.00
s s0.00
$ s0.00
$ 69.00
$r00.00
50.00
50.00
25.00
45.00
43-
City Ph""" 5cf 1686;?*5 over 1000
Supervisor License Number
Expiration Date
Consk. Cont. Number
Expiration out" ln -R7-1N2\'"' " '
or Relocation
Over 600 or 1000 Volts see "B" above.
rV'J (@(
he On\
D.
E.
Pump or irrigation l
Sign/Outiine Lighting r
Limited Energy/Residential
Limited Energy/Commercial
7oh State Surcharge
i0% Administrative Fee
TOTAL
New Alteration or Extension Per Panel
OneCircuit I $43.00
Each Additional Circuit or with 1
Service or Feeder Permit 7 $ 3'00 &t. -
_$
_$
_$
_$
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
L.+o
14 .84Inspection Request: 726-3769
4.
Shared Drive(T:)/Building FormsrElectrical Permit Application 1-03.doc
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ i9.00
o rnay
400 Amps
600 Amps
-001 0
I IL
SoJl,ru
1.fi
225Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
^ity of Springfield Official Receipt
.* ":velopment Services Department
Public Works Department
RECEIPT #: 2200400000000000366 Date: 0411412004 3:30:47PM
Job/Journal Number
coM2003-01072
coM2003-01072
coM2003-01072
coM2003-01072
Description
Add, Alter, Extend Circ Ea Add
Add, Alter, Extend Circ
+ 7%o State Surcharge
+ l0o/o Administrative Fee
Amount Due
21.00
43.00
4.48
6.40
Item Total:$74.88
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
CreditCard NEW WAY ELECTRIC 0355 045669 In Person
Payment Total:
$74.88
-$z-55.
lkw
4/r4/2004 Page I of I
lDlnofltD
225 FIFTH STREET . SPRINGFIELD, OR97477 ' PH:(541)726-3753 o FAX:
APPLICATION
City Job
LEGAL DESCRIPTiON A.
/3cn
projecl as submitted has the following
approval
Date
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
not require specific la nd use
Zoning
2,-o
JOB DESCRIPTION
not
Electrical
Address
tilitY
rylwss niusmrt Bet tor
-OO1O throug h oAfl952-00
tion.0
B.
601 Amps to 1000 AnPS
5 Or". 1000 AmpsA/olts
Reconnect Only
C.
D
$106.00
s 19.00
$s0.00
200 Amps or less
20i Amps to 400 Amps
401 Amps to 600 Amps
l$ $,rtpp
$v5.00
s12s.00
$163.00
$375.00
$ s0.00
tKf
erc"" 5f /686;?&
Supervisor License Number 3t yA S
Expiration Date
Consff. Contr. Number 5/ofiJ
Expiration Date /" -R7-O 5
Owners
Address
City {@R)Turl -1q_(2Phone--T'-
OWNER INSTALLATION
The installation is being made on property I owu which
is not intended for sale, Iease or rent.
Owners Signature:
Inspection Request: 726-3769
fl
City
E.
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
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.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 50.00
$ 2s.00
$ 4s.00
lYo State Surcharge
10% Administrative Fee
TOTAL
ad
-,
- -., (P
$3.00 /d,u.
2l (o3
Ga-9o
3a 1.5's
dD
Ph"* €rq*F
4.
Shared Driv{T:),rBuilding Forms/ElecEical Permit Application 1-03.doc
1.
/
Single unir.
trrf '"
225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 r FAX: (54L)726-3689
E LE CTRI CAL P E RMIT AP P LI CATI O N
cityJobNumber Ci4 (' t_ -C, 7&r" 1 '-O 3
tlw
tw
loj
I
LEGAL DESCRIPTION /7DZ 7 / 4/E/3o2
JOB DESCRIPTION
ButatA 2 Atta-n t A c)
^,,
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
A. New Residential - Single or LlultlFamily per drvelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
s 19.00
B. Sen'ices or Feeders - Installation, Alteralions or Relocation:
the Ore
s50.00
$ 63.00
$ 75.00
$125.00
$ 50.00
",
601 Aryry1g 1000 Amps s 163.00
citv Sfu-UsEte-Q- Phone 54b7 ?A-4 ?7 " over |$QS$g+sqiA&hiopteci by $375.00
Electrical Contractor 4TT- -{ezuAnt
Address 46t0 n AlN <-r *Ar an
Supervisor License Number <)11 LE+c.
Expiration Date
Constr. Contr. Number Sqq 4C
Expiration Date
Signature of Supervising D.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Reconnect Only
)u hoA R 952-
onca
Installation, Alteration or
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Pump or irrigation
Sign/Outline Lighting
Limited Energy,/Res idential
Limited Energy/Commercial
7Yo State Surcharge
l0% Administrative Fee
TOTAL
BdnsntldtliiY ltJ otiticatir
'$tso.oo
$ 69.00
$100.00
THE WORK
Mkt.[bNuI
$D,h$R
{ ann.2Q?-2q4
Owners Name
Address E.
City Phr," 74/, - 7b fz"i
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
4. SDBTATALAFABAW
$ 50.00
$ s0.00
$ 25.00
X $ 4s.oo 15e
6fInspection Request: 726-37 69
Shared Drive(T:)/Building Fonns/Electrical Permit Application l -03.doc
LOCATTON
Over 600 or 1000 Volts see "B" above.
CITY OF SPRINGFIELD
Clty Hdl
Spdngfcld, Orcgon
Development Services
OFFICIAL RECEIPT
o
22A5L
From
Address
Received For:F h
* as>""7 -n/a 77
Amount Received
8Y
AUTHORIZEO SIGNATUBE
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Receipt #: 1200200000000002425 Date:11/05/2003 8:23:54AM
coM2003-01072
coM2003-01072
coM2003-01072
Low Voltage - Commercial Indus
+ 7Yo State Surcharge
+ l0o/o Administrative Fee
45.00
3.15
4.50
Item Total:$s2.6s
Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
Check ADT SECURITY SERVICES dlm 40241427 In Person
Payment Total:
$s2.65
s52.65