HomeMy WebLinkAboutPermit Electrical 2006-7-19
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225 FJFTII STREET. SPRJNGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726--3689 ,,~
ELECTRIC4,L PERMIT APPLICATION
City Job NumbeWmWLiP - nOD'7i Date ,-, (-o l.-
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., CITY OF S,-..JNGFIELD, OREGON "
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LEGAL DESCRIPTION
/70'7J 33 #;;), 0 :5300
JOB DESCRIPTION
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Permits are non-transferable and elpire if work is
not started wilhin 180 days of issuance or if work is
Suspended for 180 days.
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2. 1~~j"l.iJrtA~~fINSll~rn~J..~~j ."!/lli
Electrical Contractor
BEACON ELECTRIC
Address 2585 ROOSEVELT ID,vn
City EUGENE
Phone 541-461-0291
Supervisor License Number
3485S
Expiration Date
10/01/07
Constr, Contr, Number
38497
Expiration Date
01/10/08
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OWNER INSTALLATJON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Jnspection Request: 726-3769
A. New Resiilential-Single Ot Multi-Family, pet ilwelling un t.
Service Included AT, ;V'T'Ir"lN: OreGon law requires you to
fc. II "t flll~'" '7 ""'Cp',..,.-I b .~" Ut'l't
1000 sq, ft, or less . , , ''- ,_l~ J Y $1'06:00,gon II Y
Each additional5o"o"s4,ll. ~r' 1 Ct",,::1. IIIUse rules are selTonh
portion thereof ir ( "'J', J01-001 0 thrc$I-J.9!OoAR 952-001-
('I" , , ':,:d may obtain copies of the rules by
Each Manufact'd Home or ,
Modular Dwelling SJrviceor tile center. (Note: the telephone
Feeder nun ,ocr for thp nrpC'nn ~~~l90Nnt;f;~~t;~n
- .,
B. Services Ot F.eeilers
,
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIVolts
Reconnect Only
$ 63,00
$ 75,00
$125.00
$163,00
$375,00
$ 50.00
C. ~'FemJ!o:rat:y~ic~rOrJF;;ea""--'
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50,00
$ 69,00
$100,00
New Alteration or Extension Per Panel
One Circuit \
Each Additional Circuit or with .,
Service or, Feeder Pennit oJ- $ 3,00
" '; '. l fXPlk~ '" T ,'" ~..
E. Miseellan~~us \se""iceJfeeiler not ,incJ?i1~Wa~1i Installation
'''':'' c L' un ,,, I;t!MUONED ~IlR
Pump or irrigation ,', i't:.RJO[J $50,00
Sign/Outline Lighting $ 50,00
Limited EnergylResidential $ 25,00
Limited Energy/Commercial $ 45,00
$ 43,00
4'3, -
10, -
Minimum Eledric Permit Inspection Fee is 545.00 + Surcharges
4.
,&INlIKPJID1'(ilF.illIDJm. .
411, -
'3. '1"2-
4,Qi)
57.'6?-
8% State Surcharge
I 0% Administrative Fee
TOTAL
Shared Drive(T:}'Building FormslElectrical Permit Application 1..Q6.doc
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00897
ISSUED: 07/18/2006
APPLIED: 07/17/2006
EXPIRES: 01118/2007
VALUE:
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
SJTE ADDRESS: 5415 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334203300
Springfield TYPE OF WORK: Electrical Work Only
PROJECT DESCRJPTlON: Add circuits for tbree roof units.
ATYPE-OF USEr~rAddiii[fnqlJires YOUC~mmercial
SafewarStore.- -,_2, :cd by the Oregon Utility
~,'): :, '0:1 Ce,lter. Those rules are set forth
Owner:
Address:
COMMERCIAL JNVESTMENT PROPERTIES
1600 VALLEY RIVER WAY
EUGENE OR 97401
'1" '"',.-,..,.......... '-IV, '-IV IV u """"":::1' , '-"'" Vv4.-vv.-
0011:1, You may obt.I:,~P!!1\~!!!JI!!H.:le ~MJ~88y8080
cr.:l;ng the center. (Note: the telephone
nwnber for the Oreqon Utilitv Notification
Center is 1-800-332-2344).
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
JOHNSEN ELECTRIC INC
License
38497
Expiration [)ate
0111012008
Phone
541-461-0291
BUJLDlNG JNFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Heigbt of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type:. 'O"I"E' Sq Ft Basement:"r WOR"
'. I \I . I --"::lIQe IL. Inr f"\
Range Type: I ,HIS PERMIT SHPSq_R(,G'!.r~~~ICa!1lort NOT
Energy Patb: . , 17ED UNLS5-Ft Otber::R~~11 I::'
Sprinkled BUilding:AUTHORnla_O OROccupalitI!.oail:O FOR
rnMMFN\,t 'v ,.. -- ..--
I DEVELOPMENT JNFORMATIONJ ~AY f'tKIULI,
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Jmprovements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspoutsffirains:
Notes:
I Val\Jation Descriotion ,
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of2
I
.
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00897
ISSUED: 07/]8/2006
APPLIED: 07/17/2006
EXP]RES: 011]8/2007
VALUE:
~tatus
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F....~PflW
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$4.90.
$3,92
$43.00
$6.00
7/18/06
7/18/06
7/18/06
7/18/06
Receipt Number
2200600000000000992
2200600000000000992
2200600000000000992
2200600000000000992
Total Amount Paid
$57.82
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.
Rough Electric: Prior to Cover
Final Electric: Wben all electrical work is complete.
By signature, 1 state and agree, tbat 1 have carefully examined the completed application and do hereby certify that all
information bereon is true and correct, and 1 further certify that any and all wo~k performed sball be done in accordance witb
the Ordinances of the City of Springfield and tbe Laws of tbe State of Oregon pertaining to tbe work described herein, and
that NO OCCUPANCY will be made ofany structure without permission of the Community Services Division, Building Safety.
I further certify tbat only contractors and employees wbo are in compliance witb ORS 701.005 will be used on tbis project.
1 furtber agree to ensure that all required inspections are requested at tbe proper time, tbat eacb address is readable from tbe
street, that tbe permit card is located at tbe front of tbe property, and tbe approved set of plans will remain on tbe site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 of 2.
,~
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00897
COM2006-00897
COM2006-00897
COM2006-00897
Payments:
Type nf Payment
CreditCard
cReceintl
RECEIPT #:
.
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<;ia of Springfield Official Receipt
.elopment Services Department
Public Works Department
2200600000000000992
Date: 07/18/2006
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
BEACON ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm Karin 001578 In Person
Payment Total:
Page I of I
9:03:08AM
Amount Due
43.00
6,00
),92
4,90
$57,82
Amount Paid,
$57,82
$57.82
7/18/2006