HomeMy WebLinkAboutPermit Electrical 2004-5-18
"I~~' ~225, F,.!Y')i:~'f.RE'!>I ~3 ! ~~';t'! ~ ~ 1!i ~~ E8E_C~REJUi1I:F~PClQATION~~:
.'"~ 5!?SPRlNGFIEDD OREGON'974'7,7 'r~l ~ ~j','/~:! ~?~ !-t'~, ~~'~'7\:r~I.i"~;~!~~F't:~, 11r~;~!'~\,.~":"
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~i: ~~ I. LO~A'I'IONI9F'INSTADLATION f$ ..~;lt tl~;'~ y;.2i~;1 ~~,,t't.:,., ;.~~\>;'~~~:?..,:ti ~ :;,
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1702.. 'S 3'1 ( Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
('oVY1~c,,~ 03000
. as the following
JOB DES CRlPTI ON, tolllltling project as SUb.mltl:~~1llt ~. 4fl9less
~Tre-; /'iF ~Mtl~~C&1 fffid does not requ"e Each additional 500
,. . . ;PPfoval. I"t (\ , sSL. ft nr fD.t:vu-
Permits are non-transferable and expire zonlng--l.,;.l:-,
if work is no"ilstarted within 180 davs ( -
of issuance ,fJtiif work is suspende~\-e - I ature
180 days. ~ AuthOrized 5gn
.Ii !. .
2. CON~OR INSTALLATION ONLY
. M~ ~'LII' .~"
, Electncal' '!contyactor~ s f'tffi'tt.{l ~c.. RelocatiOn: " ; , '':li' -
~I [,If:1 ~t1 ~ ,~~ \ ,'::t ,\,"
.4_ Address I~"l<-i v/!7(p',,\^~-r ~'.?~t~ 200ampsorle~~~""", ~'",-.>\, .'.~ .1~~61.Q~,.)j.""'''i
I. ~,rff'-.i jU"Ai A;'"",~,''l",;"".:~. 201 amps to 400jaHlps"Ti',,,,,, "";''t$;q5:0'0~i.li;;-~''
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"~\'O'U ~ EtIWted,t:ne.rgy~~~. ' _ $25,99.'" ~'~:,;'~
"L"'-'t d~E''''''.-'. "I"C'~)'" : $4'""50"0""" '''''''\f''
~J1 . 1ml e '. nergy, OInm~r ". "t.=- ~..t;r-:E~'"
'to ~C...if:'.J:i:r~}i'~. 'r, ,.i!~ '~';"Z.'~~.".-.." ii' - .,;,;"t.'!\l,t"tf~".i;;".~{-~~
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Mmlmum;Electnc';rermlt,lnspectiOn Fee IS S4~.00 + Surcharges
~.' t.~".1;'l :~"l"-"li;.' i~" \;P;"~'.~"'i
~\f !.fl-H.ol"s::.:<:ft: ~.~ t-.'"'~;(' ... c:l."':~':
4, SUB1:<YTAlS:-OF;;ABOVt'il 5:ifCl;
", -"~";\'l"J:i.;'\i4,\~j:',::,,:. 4."il~"
7% State~urch'l!:gCj. ...;,"".
8% AdgiiiftrativgUe'{
TOTAL- 'ffff#!tl
B.
Items Cost
~06-;;,.'
<;",,0;
b78b
.
. CITY OF ~rtOl~GFl~L1J'
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2004-00588
ISSUED: 05/18/2004
APPLIED: 05/18/2004
EXPIRES: 11118/2004
VALUE:
SITE ADDRESS: 5640 Main St
ASSESSOR'S PARCEL NO.: 1702334103000
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE:
PROJECT DESCRIPTION: Extend 6 circuits
Owner: PSMMR LLC
Address: 3474 SPRING BLVD EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
MITCHS ELECTRIC INC
License
146745
I BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: NTION' OregonQlW:ldll\ll'siiIiIVRU.t
Secondary Occupancy Group:TTE . do ted tJ;ftmJl(JBfjQn Uti ..,
Primary Construction Type lo\\OW n,~ a t P Thh'im'lu\tl:l!iJa1e set lorth
Secondary Construction Type:~ijicat\On cen_~~1 0 &lff)ltlR 952-001-
# of Bedrooms: in OAR 952-001 bt 'n f) ~~1fIle rulBS by
0090. You may 0 al ~%~i1tunBne n/a
~,. _. _ ..ho f'pnter.. ( . ""#: _...1_....
;~~b~rforIpDtWEL':O.J,Ji).. 'J4;rJNFORMATION I
cent.:,r... " \.. - '~r'
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
New
Commercial
Expiration Date
01118/2005
Phone
541-747-4483
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS'
NOTICE. GRit-..
THIS PERMIT SHALL EXPIRE IF THE W rbldewalk Type:
AUTHORIZED UNDER THIS PERMIT IS NOToownspoutslDrains:
COMMENCED OR IS ABANDONED FOR .
ANY 160 DAY PERIOD.
Notes:
I Valuation Descrintion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
Paee I ofl
Value
Date Calculated
.
. CITY OF ~rKll~GF1J<JLU
Building/Combination Permit
PERMIT NO: COM2004-00588
ISSUED: 05/18/2004
APPLIED: 05/18/2004
EXPIRES: 1111812004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
I F~~s Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$5.80
$4.06
$43.00
$15.00
5/18/04
5/18/04
5/18/04
5/18/04
1200400000000000751
1200400000000000751
1200400000000000751
1200400000000000751.
Total Amount Paid
$67.86
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 R~/]uir~d Tnsnections I
I Rongh Electric: Prior to Cover
2 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 tbe 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.
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 plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 ofl
225 Fifth Street
Springfi'eld, Oregon 97477
.'
541-726-3759 Phone
.
ar~~~-~~~ .~_. ;
Wir,
J i
- .,..,~-"
JiIlty of Springfield Official Receipt
.velopment Services Department
Public Works Department
RECEIPT #:
1200400000000000751
Date: 05/18/2004
9:25:33AM
Job/Journal Number
COM2004-00588
COM2004-00588
COM2004-00588
COM2004-00588
Deserlptlon
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
CreditCard MITCHELL PRA IT
Item Total;
Check Number Authorization
Received By Batch Number Number How Received
djb 000386 113493 In Person
Payment Total:
Amount Due
43,00
15.00
4.06
5.80
$67.86
Amount Paid
$67.86
$67.86
5/18/2004
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