HomeMy WebLinkAboutPermit Electrical 2009-6-23
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EUJ,.,uJCAL PERMIT -iP.KUC WO~
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l.......tioft lleqllHl: 726-3769
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~h o44itioDll '00 "I, 1\, or
portion tI1eteof .
$ll 1.00'
$2).00
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zoo AlI\po or loss I
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201 A.IIlpIlIo4(l(l......pS
401 AlD\lO 10 600 Amps
601 AmI'D to 1000 .'Imp.
0,(( 1000 AmpsIVoll$
RecOnnect OIlIy
$ 70,00
$ 83.00
._--'-_ . $13100
$110.00
$413,00
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LutaUatioA, Alteranon or Re1ocatioDi:
200 Amp' o. Ids
20 I Alllps to .00 Amps
401 A.1l1p. to 600 AIIlp.
$ '3.00
S 76,00
$110.00
0.., 600 Amp' or 1000 Volt> see "B" i.bove,
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N"l'A~lioll.r EXl....;OIl rOT P",", .../ ~r"_ dJ':'
o.,c C.'.llit ~ $ 7"v, ., "..).
BId> Acl&\IIIoIla' Cin>.Ut or wl1hCl " ./." ~ A C1J
ScrvI.. or Feeder P<1llIil _..:.L.. $ fIN ~'f"'\._
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Pump or iniplion S 'S,OO
Sigrv'<)odlsc L1ShtiDS $ 55,01)
Limited EnullylRe.\dcntiol $ ~,OO
Lilnitod l!ll<lID'fCoTl1llluelal $ SQ,OO
l"1nl..".1II EIoclric rermlt Inspodioo Fa i. _00 + Sllr.urzu
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10% Administrtlivel'.. ,
5% Toolmolosy Fee ~ .~~
TOTA.L /a~. 5.:3
Sbiatd Driva:T:)/8wlQiniForrrill1U"'Lt~ Permit .~l(Qll,fIxQr. 'I-ur.doc:
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Status
Issued
CITY OF SPRINGFIELD
I
Building/Cqmbination Permit
PERMIT NO: COM2009-00903
ISSUED: 06/23/2009
APPLIED: 06/23/2009
EXPIRES: 12/23/2009
VALUE:
225 Fifth Street, .Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 212 MAIN ST
ASSESSOR'S PARCEL NO,: 1703353204800
SPRINGFIETYPE OF WORK: Electrical Work Only
,:
,
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Ten circuits
Owner:
Address:
ROSCOE DIVINE LLC
555 LINCOLN ST
EUGENE OR 97401
'CONT~CTOR ~NFORMATION .
Contractor Type
Electrical
Contractor
LYNNS ELECTRIC
License
1023]6
BUILDING INFORMATION I
Expiration Date
10/]412011
Phone
54] .726- 7895
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
,
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occup~'nt Load:
,
nla
I DEVELOPMENT INFORMATION I
I'
.. REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
., Total:
, Handicapped:
, Compact:
Street Improvements:
I PUBLIC IMPROVEMENTS I
, 0 MC)n IRW requires you to
. ATTENTION. rSidewalk iTc?'pe:ogon Utility
follow rules adopte9, ~~~ :",=-~v""p' set forth
Notification Cent<Downspouts/Dc5i\:W~52'00 1-
in OAR 952.001-0~t~~~h;~~i~~ of the rules by
0090" You may 0 Note: the telephone
callmg the centoer. ( Utility NotificaliDn
MnT,r.I=' n"mber lor the rego~ _M MAA\
THIS PERMIT SHALL EXfllKt It' I r)t VVUIi/\, , ~l,enter '0 ,-uvv vv_.
AUTHORIZED UNDER THt ValuatlOn,Des~nohon
COMMENCED OR IS ABM$['p~pls41F'iOR Square Footage
ATvpe of,Construction D ' ,
i.1 ! oU UK! fCr\IV , or multIpher or Bid Amount
Value
Date Calculated
Storm Sewer Available:
Special Instruction:
Notes:
Description
Page] of 2
f
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Descrilltion
. + 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter; Extend Circ Ea Add
Total Amount Paid
Total Value of Project
Fees Pai~ ,I
Amount Paid
Date Paid
CITY OF SPRINGFIELD
,
I
Building/Combination Permit
PERMIT NO: CbM2009-00903
ISSUED: 06/23/2009'
APPLIED: 06/23/2009
EXPIRES: 12/23/2009
VALUE:
Receipt Number
.'
2200900000000000700
2200900000000000700
2200900000000000700
220~900000000000700
To Request an inspection call the 24 hour recording at 726-3769, All inspections r~quested 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,
$13,08
$5.45
$55,00
$54,00
6/23/09
6/23/09
6/23/09
6123/09
$127,53
I Plan Reviews I
I Re9~ir~dlnsqe~ti~,n~ I
Rough Electfic: Prior to Cover
Final Electric: When all electrical work is complete,
By signature, I state and agree, that I have .carefully examined the completed application and do h~'reby certify that all
information hereon is true and correct, and I further certify that any and all work performed shalfbe done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the wdrk described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Servi~es Division, Building Safety,
I further certify that only contractors and employees who are in compliance. with ORS 701.005 wil(.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 fro~ 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
Pa2e 2 of 2
. \,
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Sprirgfield Official Receipt
Development Services Department
Pu~lic Works Department
Job/Journal Number
COM2009-00903
COM2009-00903
COM2009-00903
COM2009-00903
Payments:
Type of Payment
CreditCard
cRcccintl
RECEIPT #:
2200900000000000700
Date: 06!i312009
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
. + 12% State Surcharge
Paid By
LYNN'S ELECTRIC,
Item Total:
t.:heck Number Authorization
Received By Batch Number Number How Received
nJm 939511 Phone
Payme~t Total:
Page I of I
8:14:24AM
Amount Due
55,00
54.00
5.45
13,08
$127,53
Amount Paid
$127.53
$127,53
6/23/2009