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HomeMy WebLinkAboutPermit Signage 2004-9-8 - 225 F1ITH STREET. SPRINGFIELD, OR 97477 . PU:(541)726-3753 . FAX: (S4t) I ~~ ~ DD ELECTRICAL PERMIT APPLICATION ' "9 "6}"" . CilyJobNumber~2O'04 - ()/I s<.{ Dale ~O'1 "o~" I. \fQ~t~!g~~9.f:lS~JM0'ijQiX!f;,(~1:;~;. 3. J401 Mo..&.+- <":::.hu.. ~ LEGAL DESCRIPTION ,70"3 Z 5':n ~~vci~\ IOOO~ JOB DESCRIPTION Each additional 500 sq. ft. or r,,"O "'"Cl "".. ~CLL",,;-\-.... A1.""" :rn~kJl,,*;~ portion thereof 1 00 %~~_ "J ~~'O Permin are nOD-transfel"2ble And e.xpire if work is Eac.h Mnnufacl'd Home or 0' ~ ''"oJ' %. ' not started withia 180 d.ys of iosu.nce or if wlIrk i. Modular Dwelling Service or " .~ Suspended'for 180 day.. Fe<:der 2. ~"Sq8l#li€tli~~~~ft~,~ii;.w.l\lj::.~=~~~~r)~(\{Wii,~t~~:Cti~;:'i~i~,~ff~;; .EleetriealContrllCtor ~P-C.. ~."L"m\\'i /n.tn?OregonUtility S63.00 .."IoMft := ~ llP4lJO'~M!e set forth S 75.00 Address --ZD ~E. Mi4,^ ~~:: 4 ,!XR~~..Q~~ 952-001- $125.00 ntllf C;W,U,hm.lIJles bYS163:oo Ci.lY AI ~"" Pbone ("S~I)Q~ Pfi~:J.~J~.rePhone. $375.00 .) ~f01 lltyNotiflcation $ 50.00 , 0mIer -2344). Supervisor Lieen,. Number qN-l Lf.-A c. !%;1f.@~$~fX11€lK~~Jfi~;ri~f~;~'ff~~~~if.~~~1ft{H1~~?i Expitalion DB(e 10 III OS Installation, Alteration or. R.elocation COl1Str. Conlr. Number 22 OS TCL E... ,of lIo'-i 200 Amps or less $ 50.00 20 I Amps 10 400 Amps S 69,00 401 Amps 10 600 Amps $100.00 D.i~1~~i1gi~;)Wii~~~~;~~~i~~i\P:?~j',i\~~?,r:;Ii~iilg;i Expinltion Dale V;Z;;rv~mg EICCmQ.&' New A1~ratiou or Ex~n,ion P.,. Panel One Cin:uil Each Additional Circuit or wilh :::: Name AL~ ~~: ~. ~~T/C~ ;;'~i~~;~~7;;;~;~~f~~~#'~?rJ~iM~i:~~;~tl;f~'i;kh~fi@Y 1<-10 I HIS PE~M~I1~lt EXPfAEfF TtlEW6 '., '~~"""'~'"' ",."""."L'.',,,," . City ~;..~C;<..1.l PI1(Jne Slj/-~'i'3-aijJfI7ORIZPi/;l,/JMffif@>i1#1S PERMIT IS N~: S 50.00 ' wMMENGiigMl~\1le A!;vtIVSONfl) fOn S 50.00 ' ' OWNER INSTALLATION ANY 180 OIl!JIiRll/llI@lgylResidenli."\l S 25.00 The installation is b~i.o.g: made on property I own which limited Energy/Commercial S 45.00 ~~ .CJZ? i!' not"intended fOf sale.. lease or rent. S 43.0U MhWnum Electric Permit Im;pecrinn Fee i'i 545.00 + Sun~hllr:es OWlle~ Sigmlture: 4. !(~g~{~{~1~t~~~t~:t.i~tt~~fif~I~~~~iL--3~ ,00 7% SClte Surcbat'g:e 10% Admioistr.\li\lt: Fec ____'3.!~ 4.S0 .$ ~2.b5" Inspection Reque", 726-3769 TOTAL SharaJ C>.ive{T:)/l3uildin;; l:onm/l::lt:Cuicllf Pennil Applico.tion 1-t:)J,dnc . . CITY OF SPKll'llJl'1J!,LD Building/Combination Permit PERMIT NO: COM2004-01134 ISSUED: 09/14/2004 APPLIED: 09/14/2004 EXPIRES: 03/14/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Iuspection Liue SITE ADDRESS: 1401 Market St ASSESSOR'S PARCEL NO.: 1703253310004 Springfield TYPE OF WORK: Electrical Work Ouly TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Low voltage security Owuer: ACES COUNSELING-A CORP Address: PO BOX 7125 EUGENE OR 97401 l}\0 _"0 "'1 . .~\J\''''' _'t'\ \)\.\\\- .... l.Q\JNTli~'f6k llW6lfuA TION I ~01et- 6~' ~eJJ 95!-- ~~~ ~60~\e 'f<\OSe 1~" O~~e rJ\eS 'o'Lcense "",....tat. \"to\) 0\\1, ~0(\eAp591 .. . , .f'",,~,),,\~ _ ,_1""'0 _ '}:\"~ _.,:.--. ~O\\t~ ~7.$~ ~"fIIfiNpiFr~A i'ION. . \1'OI...."lC)l)~ ~\6\. l\\)"'.'2,'i""I' #ofUmts: ~. Q~ e01l/l1lfl~~: Primary Occupaucy Group: ~\fl et,ot~ I \Sfl1~t~t~f-Structure Secondary Occupancy Group: ~ ~ Type of "eat: Primary Coustruction Type , Water Type: Secondary Construction Type: Rauge Type: # of Bedrooms: Energy Path: Sprinkled Buildiug: Contractor Type Electrical Expiration Date 09/28/2007 Phone 541-928-4544 Lot Size, Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENTINFORMATION I REQUIRED PARKING Overlay Dist: Til: # Street Trees Rqd: ~qI\l icapped: Paved Drive Rqd: ,~,'I\'i:. ,S ' act: % of Lot Coverage: 'i:.i-\>'''\'i:.,,\l\~ ~\j" ,. ~L\t>..\.\.. .o;~'S ..f)~'1;; I PUBLIC IM~.9~f~~~~'i)~~ 'r-<o'r-,"'iJ. I ,,\ I 1,1) R- 'v ,'0\;) 0.,'\)"'1.-- x.'V 'i) ';;~'alk Type: 'r-\)\' , x.~\J ~ \>'i:.~ f:.J'\)\l\>JI. 'O~ 'V~ Downspouts/Drains: 'r-~'>l.\ Froutyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee10f2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01134 ISSUED: 09/14/2004 APPLIED: 09/14/2004 EXPIRES: 03/14/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ Ff'f's PaW Fee Description + 10% Administrative Fee + 7% State Surcharge Low Voltage - Commercial Indus Amouut Paid Date Paid Receipt Number $4.50 $3.15 $45.00 9/14/04 9/14/04 9/14/04 2200400000000001158 2200400000000001158 2200400000000001158 Total Amount Paid $52.65 I Plan Reviews I To Request an inspection call the 24 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 Reouired Tnsnections I Low Voltage: Prior to cover. By signature, 1 state and agree, that 1 bave carefully examiued the completed application and do hereby certify tbat all information hereon is true aud correct, and 1 further certify that any and all work performed shall be done In accordauce witb the Ordinances of tbe City of Springfield and the Laws of the State of Oregou pertaiuing to the work described hereiu, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who are iu compliance with ORS 701.005 will be used ou this project. 1 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 plaus will remain on the site at all times during construction. Owner or Contractors Siguature Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 ~41-726-3759 Phone . G....~.R1N'!!"..IlI"l!..__. '. WiL' I 1 ~: .., } ,.~----...--. JiJ..ty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 2200400000000001158 Date: 09/14/2004 8:37:18AM Job/Journal Number COM2004-01134 COM2004-01134 \COM2004-01134 Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Commercial Indus Payments: Type of Payment Check Paid By MARTINVEST lNC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 40616 In Person Payment Total: Amount Due 3.15 4.50 45.00 $52.65 Amount Paid $52.65 $52.65 9/14/2004 Page I of I