HomeMy WebLinkAboutPermit Electrical 2004-07-12Status 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: COM2004-00843ISSUED: 0711212004
APPLIEDz 0711212004
EXPIRESz 0111212005
VALUE:
SITE ADDRESS: 3425817TH AVE
ASSESSOR'S PARCEL NO.: 1703343400500
PROJECT DESCRIPTION: Relocate Shredder #4936
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration Commercial
Eugene
Owner:
Address:
Electrical
RECYCLING
TACOMA WA
on
CCB 445 98477
enter.fortt
roug
0090. You may obtain copies ol
Calling the center. (Note: the telephone
C ontractqffip to r tf4OtEgOfO U ti t ity N oti f i cati o n License
8699
Expiration Date
12n8t2004
Phone
54r-747-6638{S$Pt[$!r23441.
TNIATION
# 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: Lot Size:
ffi'"'itltrfi['fl'" 3lil:ll'.]ffi,
water liijpl:P E R M I T S H A L L E X P I il E SqE{ tslt@ft{t:
Range AUilti 0 R I ZE D U N u E R T H I S PE*t\ff{qgffiparport
Energffi{,f6,1tNC ED 0 R tS ABANpQffi $ffier:sprinffipf$$rynV pgntOil." occupanf Load:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARJ(NG
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Total Value of Project
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
Page
Value Date Calculated
'tPHr,{OFltLO
CO
Valuation Description I
I
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54l-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00843ISSUED: 0711212004APPLIED: 0711212004
EXPIRES: 0111212005
VALUE:
Fee Description
+ l0Yo Administrative Fee
+ lYo State Surcharge
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
Total Amount Paid
Amount Paid
$4.s0
$3.15
$43.00
$2.00
$52.6s
Date Paid
7n2t04
7fi2104
7n2t04
7n2t04
Receipt Number
3200400000000000158
3200400000000000r58
3200400000000000158
3200400000000000158
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.
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 Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY witl 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.
s\alrzl Zso"
Owner or Contractors Signature Date
Paee 2 of 2
.3PildO'IILo
_r ees raro r
Keourreo lnsDecnons I
2?s Fiftit Street
Springfield, Oregon 97 477
541-726-3759 Phone
Job/Journal Number
coM2004-00843
coM2004-00843
coM2004-00843
coM2004-00843
RECEIPT #:
DescriPtion
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 7o/o State Surcharge
+ 10% Administrative Fee
3200400000000000158
-''1y of Springfield Official Receipt
--,evelopment Services Department
Public Works DePartment
Date: 07t1212004 9:01:09AM
Item Total:
Amount Due
43.00
2.00
3.15
4.50
-sffi't
Number
Payments:
Type of PaYment
Check BRABHAM
Received BY
njm In Person
Payment Total:
$s2.65
-sil6't
Batch Number Number How Received Amount Paid
Paid By
L.R.030862
7/t2/2004 Page 1 of I
6Pe,fl6rlEl-o
ChecK
225 FIFTH STREET . SPRINGFIELD, OP.g7477 o PI{:(541)726'3753 o FAX: (541)726-3689
PERMIT
Ciry Job
1.3..?
b,
LEGAL DESCRIPTIONssr oa 650
DESCRIPTION
Serr,iEqfuclqd'fd: O,e gon law
7
b -itfrr€ 9lttxct
1 9$g iqufsrokEsad c 1;teC by t tre
da/ui da*itiormffiQrw. ft tfl5se ru
portion thereof
60l H,Sil{6tPoo e-p'
oveTF0SoEbiiS*lYoSHA
RecggjgpglffO Utt3
I
les are
Permits are non-transferable and expire if
not started within 180 days of issuance or if work is
Suspended for 180 daYs.
B.1
Address 0t l'()'"& u ,rlu/t/'
5tuinqttilt 4l ,bb
L,P ftbhElectrical Contractor
City Phone
-'uSupervisor License Number 4q
Owners Name
Address 3+A5 l7
200 Amps or less $ 63.00
201 Amps to 400 AmPs $ 7s.00
401 Amps to 600 AmPs $125.00
$ 163.00
ER THIS PERMIT 65NOq
44s C
Expiration Date /D///c/
Constr. Contr. Number fbq?
Expiration Date IA f CI 4
Signature of Supervising Electrician
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
$43.00 ,k,ry
Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps S 69.00
401 Amps to 600 Amps $100.00
New Alteration or Extension Per
One Circuit
Each Additional Circuit or with
Service or Feeder Permit $ 3.00u5€l<
Ciry 1ruaut-Phone 7 44, 4lOO Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limiled Energy/Commercial
7% State Surcharge
l0% Administrative Fee
TOTAL
$ s0.00
s 50.00
$ 2s.00
$ 4s.00
t 017 +01
OWNER INSTALLATION
The installation is being made on property I own
is not intended for sale, lease or rent.
Owners Signature:
Minimum Electric Permit Inspection Fee is $45.00 +
74frL
which
,15
50
5&l-Inspection Request: 726-3769
4.
Shared Drive(T:)/Building Fonns/Electrical Pemit Application I -0i -doc
ONLY .
L
fi)eyex
E. I\'Liscellaneous (Service/feeder not included) -Each lnstallation
SLATOTAI AF ABAIIE
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RECEIVEM
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operty 1i ne change ls approved as provlded for ln t,he Eugene Code and O.R.S.
ee f lle number LA q-A -a'7
te By
E ene Plann ng,and D evelopmen! Department
N
my
Schaudt, Stemm & Wildy rnc.
coNSULTtN0 tiNOtN[[nti.
:iu,'rv€Yons lNo purxNrhh ...
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503/405-0c03 rAx 503/405.3502 300 High strcct cugcnc, Orcaon 9740t
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