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Home My WebLink AboutPermit Electrical 2005-11-7 ~My.;"Jll~~~ .. 18 · i UA I). 0 : e . ~ .' . eso.!~]j:, :t", " ~,... ,ec\~~ ~fe 4..... p , 0\' , .. ,^_A ;t. ;-.$. 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (~)/7J~368'9'es n ~a~:~Y'.:.1:7t/:;' :,>' ELECTRICAL PERMIT APPLICATION w?,o"e oninl! .~ ....N',,"' ... CityJobNumber COfIo'f'l.OOr-O 1~7Z Date 1/-7-0 f ~ J~'rn~~~.~',." -:~f"rr-"'-"" '''~''''''''''"~~'''.'\' ~'''''-~':-'7"",-'r-rr: F{~I"~-..y'-~,:",,,....''''::'''. ;:'~r:~:.,.,B_~~~!'o.;;,~\W'~~~~~'t"'''~';~fl1';;;::~!;$1~-':'l'\'t:;-~ 1. ':LOCATION OF.INSiALiATION ;;,;~'~i:,;; " 3. i~C;f>lIfPLETp FFiE. ~c.l:f!}p.pUJfEI.;OW,,:)!;";-'::1J~';'l:';'>'~'1" E........:.::;:......~ _....._..l.;:...o~~J, . - .~'. .-,' __'",~,,-=,";;b.i ~..1 ..............;"-__l.,..o;4__~..........~ ____.",_.__ _~__.J,._..,..1 !;J;..l..:~~.-.......~_ ..,...;... - '.,;<:>i'",- 1..10200 Amps or less , 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only .. 5" z.. 1M ,411r1 ~ T LEGAL DESCRIPTION 1702.. 33)2. 03C{DO JOB DESCRIPTION ~~~l\ J...;, ~ ~ . Permits are non-transferable and expire if work is ,. not started within 180 days of issuance or if work is Suspended for 180 days. ~.. ,..t:-:.-,_~::m~~:.:;:.t".,!~'~):,~'~!!':~~~ ~..-'l:.~~t 2. Ff.Ri'fJ~:tgJ?~:l!f~!~rrQN; 9~X;j Electrical Contractor EU':JL~.P_ ~lJ' ..\-;',',. Address l ~ () VV\"",-r().fl ~ ~ City ,:'.1 lis"' M C Pbone 04<./ -;>',1')10 I Supervisor License Number 2i13;;- .3 Expiration Date I () I r: ., Constr. Contr, Number C!{)::' r,r-, Expiration Date :z.. I () { Signature of Supervising Electrician }o-JL ~ Owners Name T6~,,"- l,Je hI:, Address \>0 ~oy 70 S;f::. I City eu-f:::r..bY(:[" Phone b &' 3 .37C; J ..:';':';~~;~G""',':.,Frl~:~~'''';"', '~~;;'4""&."'1-;;"'-'i:..~:t~..., t.~..,:'...'~' ..... .t:";~!<';!f:1i;J;..'"J:" ,::;;:.~"'~ A. U~~'l:R~i<!~.n.!iat",:~iitgle~9rJ'1ulti~F.i'milfp"",ihy~m,! " nit" r:.","''-,,;;.J'''''~~'_'''' ....Jik.,_..."".....~ .01__., " _.,,1, J~. r..;.... J.."._,~.......i.,A~.....)J.~~__J.. .itol:.:."~' Service Included , S,/OUto 1000 sq. ft. or less ~aw lequl1e . ",,,,,,$106.00 ~~61~ldefl?s?? the OlegO\1 v',,,,, , th,.,..,-< dopt6 'f Ie set 10~~ I $'8/hw,,,wa ihose lules a '.O\.l,J9,00 0, '~ntel.. h 0;>'\'1 \10"- ~~Ii!Ma\\\lfAc ~(J'l'\Y" .lOUg I the lules b,/ M~ljl-ilfWell ' les 0 " F~!'] '(ou ll1a~ ffi't.1Wi ~O~e', t\'-o \p.\eohOl\~50,00 . t;~1un9,\1le;CJr~ie~~,.I;}~i\~'/~a}\!';~~~~';~~, ,.."",,,!~~ B. V. Sen'ice'ho~(Jle\lilei's' ~..liiStaI.latio!!;,?.Jleratioiis orRelocatiiin:~?~' ~IY~te"Kt'ilr1s,!~.@tr.'N'''~ ....~....,.".. N-, '0' ....^'<.:od<>iillr2e $ 63,00 $ 75,00 $125.00 $163.00 $375,00 $ 50.00 t:~~~:'~;:J.~,"\I;:' "".!t.:'~::..:.";.;;~~-:.'7'~1~:n-~::;~" "..; "..;'t!\. "':.. "'J'~""->> . '"':'t~,1.,-; C. ~Temporary Servlces'or::Feeders," r1..:'.f~H~:~;':1):}{lT!.f'~:t.}\::::,:,{t~;:'4~,~ ~a"'~;~,;;.:".,J""",,,!;~..:..:.u.;-;';;;'::;..;.;':'v...~"<'. . '....,;;;......~,;.t.;1;,;~~..:.r-..;-..orl;:... '.....: ;.:::;:., Installation, AJteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 50,00 $ 69.00 $100,00 Over 600 Amps or 1000 Volts see "B" above. !S:~;r:/5:::-:""'!'~""':'f.':~"'!;'W~:1r~;:J~~~,,\ft'lt';?f'.!;;f)1!'"','~:.r:q;';:;;"''J~v:'r.~,~~~7': D. ~'Branch Cn:cul~a...)j!~'r!~' w!&:~_~..~ ...."':rs~~I.I,'=>1i:\ ..C~"'j ~q\,"/ l~'\;<Y~~~':~,::Nt~~!;&~ ;,'.:.;a:;.a-~$.iil,.-.;.r..;.t:'.'" ;ii"Qfw..",:,,;..,~.,~:...;...>-~';:U...';:l'.-...~~!i~"~.....Il!.......r.-' .., ~ac.. New Alteration or Extension Per Panel One Circuit / Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3,00 Vs ~.~"',:,~~~~;f't2':J:-~:~";;;1';:~~l?,J"~~'..",. ,'~\,':;'nb.,:(~",;""\,F~~'~:~~'''',: 0~:::r1t! E. ~~~tll~lt~4?~ _(~~91f:L~~r.~~,9t}ft~I!f~~~~~~~j!~JIJl.~~.~i, !,-!=p,or irrigation $ 50,00 Sign/Outline Lighting $ 50,00 OWNER INSTALLATION Limited Energy~~l. $ 25,00 :ne in,stallation is being made on pro~erty Ma.l~~\l_~~~~itft $ 4,5,00 . IS not mte~ded for sale, lease or rent. ~~:~R\lEO~~_Ilf;~\q',~!:~;~;~e~:~~~,~UrChargeS_ Owners Signature; COMtIIE~~~~iiS~?{'~~!3;"A;";::t;)i<:~::'i'\:i: I.( .5 ~'f \10 """ ~,ii'.:cl~~,~ -.--. "- .--..-. .,- I r ~~ 7% State Surcharge "3 ~~~~\ ::"'-~'~ 5~';> ~ ~ ;.... Sharal Drivc(T)/Building Fnrms/Electrical Pennit Application 1.o3.doc Inspection Request; 726-3769 . CITYOFSPRINGFIELI}' Building/Combination Permit PERMIT NO: COM2005-01572 ISSUED: 11/07/2005 APPLIED: 11/07/2005 EXPIRES: 05/07/2006 VALUE: . Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line SITE ADDRESS: 5112 MAIN ST ASSESSOR'S PARCEL NO.: 1702333203400 Springfield TYPE OF Heating System TYPE OF USE: New PROJECT DESCRIPTION: Install unit heater in shop for freeze protection Total: ~:i~: ~~#~t$' ....(L .CO! () .A-~ -.."" ~ V-,p ~ Sidewa~{9~ ~o~~~' #~~~~:~~ ~,~~~~~ ~~{~ of' ,- Owner: JOHN WEBB .' Address: PO BOX 70561 EUGENE OR 97401 I CONTRACTOR INFORMATION' Contractor License EUGENE ELECTRIC SERVICE INC ,\0 90200 ADVANCED HEATING & COOqM<E1:~\'l 162838 -=)'~ ~ ..... ~... , BUlJ...DING,1NFORMJ\TIONI &\' Ol~,r:y '0'1 ~ v W.'O ~';;' ~<:il"" \j\j # of Units: K\O~' o~\eO(!.B~,st~!;\~~\' I~\li)f;, ~ Primary Occupancy Group: ~~~ ~~ '3-0 \el, "\H~gltf.'ilf 0\ \'r>e 1(\0(\' ~ Secondary Occupancy f'. ~\o'll I~ (\ Ce(\ _\)C'i\'i:YP~O.f''i!~i\!:\e\~%~\e\;''Q Primary Construction Type \0 ..,\~\c}l~N,,-n_\)\)\ o;o\\WItero'rype:" ~O \ . ~o\ <'l. 'JJ'":'l . \\~ ",I'" 1\1\,' Secondary Construction 01>-" l) ~'a: (\\8a~\);typ~: _~~ . .~ # of Bedrooms: $\ B$'-{O \'(\e ee el@le~\@atJ(; .. \)\1 ci>\I(\r:;>; \01 \'(\ SWinkIed _",e~ ....'let. (\\)\. I DEVELOPMENT INFORMATION' Contractor Type Electrical Mechanical Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: IPUDLIl.. IMPROVEMENTS' Street Storm Sewer Available: Special Instruction: Notes: " 1 of 3 Residential Phone Number: 541-683.3795 Expiration Date 03/17/2007 01/18/2007 Phone 541-344-3561 541-334-4328 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01572 ISSUED: 11/07/2005 APPLIED: 11/07/2005 EXPIRES: 05/07/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 L-Fees Paid. Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fee- $10.00 1117/05 1200500000000001688 + 10% Administrative Fee $4.50 1117/05 1200500000000001688 + 10% Administrative Fee $4.50 1117/05 1200500000000001688 + 7% State Surcharge $3.15 1117/05 1200500000000001688 + 7% State Surcharge $3.15 1117/05 1200500000000001688 Add, Alter, Extend Circ $43.00 1117/05 1200500000000001688 Furnace - Unit Heater $12.00 1117/05 1200500000000001688 Gas Outlets 1-4 $4,00 1117/05 1200500000000001688 Minimum/Adjustment Electrical $2.00 1117/05 1200500000000001688 Minimum/Adjustment Mechanical $29.00 1117/05 1200500000000001688 Total Amount $115.30 I PIan 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 2 of 3 . . CITY OF SPKli~lil'l~LJJ Building/Combination Permit PERMITNO: COM2005-01572 ISSUED: 11/07/2005 APPLIED: 11/07/2005 EXPIRES: 05/07/2006 VALUE: . ~ 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 wiD 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 wiD remain on the site at all times dUrin\!~n~'::..:1i~ . ._ ~- ~...,,--_. ;:::::=- ~--- ~- ----~,. ---~---- c;:::; ::::O;;~ractors t;;.;a<<- /1-(]?--aS Date 3 of 3 225 Fifth Street fSpringfield, Oregon 97477 ~541-726-3759 Phone 9 . G"~RIN'!.F1..I1LD. _.._.. j' u,... ~-.\ " Job/Joornal Number COM2005-01572 COM2005-01572 COM2005-0 1572 COM2005-0 1572 - COM2005-0l572 :' CpM2005-01572 COM2005-01572 COM2005-0 1572 COM2005-01572 COM2005-0 1572 .,i~ ,'J.. ~\ p/,yments: " ( 'F~e of Payment ; C-reditCard " ~ :1 t';, ,~. :j ~ , ~ 1 ;" , " : ~. v. .; :. ! I' ~ 'TI 11/7/2005 RECEIPT #: 1200500000000001688 Description + 7% State Surcharge + 7% State Surcharge + 10% Administrative Fee + 10% Administrative Fee Furnace - Unit Heater Gas Outlets 1-4 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Add, Alter, Extend Circ Minimum/Adjustment Electrical Paid By LEONARD LOSTRON Reeeived By djb Lheck Number Batch Number 1 of 1 1iti.ty of Springfield Official Receipt .velopment Services Department Public Works Department Date: 11/07/2005 Item Total: Autnorization Number How Received 096957 In Person Payment Total: 9:45:06AM Amooot Due 3.15 3,15 4.50 4,50 12,00 4,00 29,00 10,00 43,00 2,00 $115.30 Amount Paid $115.30, $115.30