HomeMy WebLinkAboutPermit Electrical 2005-07-25Status 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: COM2005-00961ISSUED: 0712512005
APPLIEDz 0712512005
EXPIRESz 0112512006
VALUE:
SITE ADDRESS: 105128TH ST
ASSESSOR'S PARCEL NO.: 1702312202000
PROJECT DESCRIPTION: Replace 3 services and 20 circuits
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair Commercial
Owner:
Address:
Contractor Type
Electrical
RANDY NORTHRUP
PO BOX 70624
EUGENE OR 9740I
Contractor
MITCHS ELECTRIC INC
License
146745
Expiration Date
0u18t2007
Phone
541-747-4483
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
001 the
g5z-001'
ru\es by
Square Footage
or Bid Amount
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
r\oN: or
ado
ntet
, celti[e nla
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
$ Per Sq Ft
or multiplier
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARJCNG
Total:
Handicapped:
Compact:
Description Type of Construction
Paee 1 of2
Value Date Calculated
Hib rr
!Al''luutru"fuf
Valuation Description I
ITY
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00961ISSUED: 0712512005
APPLIEDT 0712512005
EXPIRESz 0112512006
VALUE:
Fee Description
+ l0Yo Administrative Fee
+ 7oh State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 601 to 999 amps
Total Amount Paid
Amount Paid
$34.90
$24.43
$60.00
$126.00
$163.00
$408.33
Total Value of Project
Date Paid
7t25t05
7t25,t05
7t25t05
7tzslus
7t25t05
Receipt Number
2200500000000000972
2200500000000000972
2200500000000000972
2200500000000000972
2200s00000000000972
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
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
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.
Owner or Contractors Signature
Pase2 of2
Date
_rees raro
l(equrreo lnsDectlons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
_ Jevelopment Services Department
Public Works Department
RECEIPT #: 2200500000000000972 Date: 0712512005 8:16:22AM
Job/Journal Number
coM2005-00961
coM200s-00961
coM2005-00961
coM2005-00961
coM2005-00961
Description
Perm ServlFdr 200 amps or less
Perm Serv/Fdr 601 to 999 amps
Add, Alter, Extend Circ Ea Add
+ 7Yo State Surcharge
+ l0% Adminishative Fee
Amount Due
126.00
163.00
60.00
24.43
34.90
Item Total:$408.33
Payments:
Type of Payment Paid By Received By
CheckNumber Authorization
Batch Number Number How Received Amount Paid
CreditCard MITCHS ELECTRIC djb 230560 In Person
Payment Total:
$408.33
-$40-85
7t2sl200s Page I of I
TllXfl'CD
'(
uire specific land use
225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX: (541)726-3689
ELECTRI CAL P ERMIT AP P LICATIO N gp as
Ciry Job Number Ccsnzoof- o D?b (Date
3.
lor
1
LEGAL DESCRIPTION A.(7OL=IZZ OZ
JOB DESCRIPTION
9tt-vc--5 <) Ctfcri
Permits are non-transferable and if work is
' not started within 180 days of issuance or if work is
Suspended for 180 days.
Electrical Contractor
Address 2*t o fv'l o{
c:(f Phone
Gent'
Service Included
1000 sq. ft. or less
rEach additional 500 sq. ft. or
lqgrtioo thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
200 Amps or less
201 Amps to to
ir\tt'l
2:34.*
$106.00
$ 19.00
$50.00
- coN?RA CTOR INSTALLATION ONLY B. Services or Feeders - Installation, Alterations or Relocation:
L.
Cily
$ 63.00
$ 7s.00
$12s.00
$ 163.00
$37s.00
$ s0.00
-001 Gop\
o"Errtng the or
o
Supervisor License Number 4ttxs \n
or Relocation
.l ry1
Zc1 v=
3 V?o
qoE32
Expiration Date -ol- D
Constr. Contr. Number i\ L'tqs
Expiration Date ol - l{- ot
Signature of Electrician
Owners Name
OWNER INSTALLATION
The installation is being made onproperty I own which
is not intended for sale, lease or rent.
Owners Signature:
Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Pump or irrigation
Sigrr/Outline Lighting
Limited Energy/Residential
$ 50.00
$ 69.00
$ r 00.00
$ s0.00
$ 50.00
$ 25.00
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Per Panel
OneCircuit ? $43.00
3:*,*i1l:ffi:.'J"'H:i'*'* p $ 3oo
Address 7<>G tF 7OG z L(E. Nliscellaneous (Serviceifeeder not included) -Each lnstallation
City bt \@,t€ Pnone
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
4. SWTOTAL OF ABOW
7o/o State Surcharge
l0% Administrative Fee
TOTALInspection Request: 726-3769
Shared Driv{T:)/Building Forms/Electrical Permil Application l-03.doc
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I1-
bY
CitY of SPringfield
225 Fifth Street, Springfield, OR97417
541-726-3759 Phone
541-726-3676 Fax
March 30,2006
NORTHRUP
PO BOX 70624
EUGENE
Job Number:
Location:
RANDY
oR 9740r
coM200s-00961
1051 28TH ST
Project Replace 3 services and 20 circuits in warehouse
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 1051 28TH ST which is set to expire on
411912006. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notify 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
\Do,