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Home My WebLink AboutPermit Electrical 2004-5-11 .... ; ',' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRIC~PER1llIT APPLlCA110N City Job Numb 01JD~ -D03oeJ Date 5/4-104- The following project as submitted has the following "OIng. and doas not raqulre spacific land usa approval Jt!1I{ffI< 3, COMPLETE FEE SCW;;MJ-iLE HELOII' ~Cf Date -.:5 - Il-tl If ~," A, New l{esident>latooliingISgrllltlDltkEam"" ~'"r n~ L LOCA nON OF INSTALLAnON 4J 24 MA.u! ,C;T LEG,\~DESCRIPT!qI;'; 1II1IV"'\ \' IflfJ"-f) "~L Or IJ..)J - ~-- JOB DESCRIPTION LoWff(. 'Y-BO'j !3tWW 6((f)(JtJO Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended lor 180 days, 2, CONTRACTOR INSTALLATION ONLY Electrical Contractor Beacon Electric Addrc>> 2585 Roosevelt Blvd Cit)' Eugene I'lwne ( 541 ) 461 - 0291 NOTICE: T IS PERMIT SHALL EXPIRE IF THE ~JORK A~~\!f6'V11'l.'Eb'l9~Ei tft\liiQ~\S PHISJ51-lS NOT MMENCED OR IS ABANDONED rUrI ~~Vl~lS'b~f'PE~RrnO 1 /01\ 38497 ConSlr. COlltL Number Expiration Date 01 /1 0/010 Signature of Supervising ElectriciiJll J4,~1:jL Gary';j. Jo}fhSlfn Owners Nfne ~ 0.1'1 ~Jl.ODUcrs Addrcss 20q,/,C::: <5 \'jJJLMIN(.,7lJtJ:tW City (!AR.s,otJ Phone 503-225-4223 CACfOBID OWNER INSTALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspt'ctiufI Request: 726-3769 Service Included 1000 sq, It, or less Each additional 500 sq, It. or ponion thereof Each Manulact'd Home or Modular Dwelling Service or Feeder ~. ""'.00 ~, $19,00 , $50,00 B. Services or Fc('dcrs - Inslallalion, Allerations or Rclocnlion: (o:-TENTION: Oregon law requires you to . 20 0 r8$SrSrJgsadopted by the Or",oon UtflltY ,00 1Il0 i1mfiti1lh4B/,thWp.sThose rules~U6lit\lO 411,1 d-J{~'9~B\jj\{I}l)' 0 throughJ)AR 952roO',o0 6~OO}IVOQ j-flg,9 obt~n copies of the rul~ /;)Voo ovcea~IW;r-'tll>ll$~nler. (Note: the telep~~5,oO Re'fiUlI'tWflll!t'r the Oregon Utili~ NOllltlO<ltiQ.lJ,OO Center Is 1-800-332-2344). C. Temporary Sen'ices or Ft'cdcrs Installation, Alleration or ({rlocalioll 200 Amps or less 20 I Amps to 400 Amps 40 I Amrs to 600 Amps $ 50,00 $ 69,00 $100,00 Over 600 Amps or 1000 Volts see "I)"' above, O. Branch Circuits New Alteration or Extension Per Panel One Cirellil Each Additional Circuit or with Service or Feeder Pennit I q !:l-:2, nO .:a no $ 43,00 $ 3,00 E. l\liscellanl'ous (Service/feeder not included) -Each Inst:tllatioll Pump or in'igation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50,00 $ 50,00 $ 25,00 $ 45,00 Minimum Electric Permit Inspection Fcc is $45.00 + Surcharges 4, SUBTOTAL OF ABOVE 70. CXJ Lf.QO ~OJJ_ _8L-q D 7% State Surcharge 10% Administrative Fee TOTAL Sh~ln,d Drlv..:(T: )/BlIilding. FllfIll~IEIl'\.'lr;o.:al I'cnni1 AppliC:lIl\lll 1.(1.1 ,dl'\,' . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00300 ISSUED: 05/05/2004 APPLIED: 03/18/2004 EXPIRES: 11105/2004 VALUE: ~ . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Iuspection Line SITE ADDRESS: 4124 MAIN ST ASSESSOR'S PARCEL NO,: 1702323201200 Spriugfield TYPE OF WORK: Electrical Work Only TYPE OF USE: PROJECT DESCRIPTION: Low Voltage CCTV Owuer: TRUAX HARRIS ENERGY LLC Address: % ACCOUNTING PO BOX 607 WILSONVlLLE OR 97070 -.. .&.~ ATTENTION: uregulI'"'' .o...~..-- '~.~".. , follow rules adopted by the Or"<OONTID\CTOR INFORMATION I N ification Center, Those rules .... w'. ' Contract~\iog~952_~DlllaCt'Orough O~R 95~-001- , License Electrical nO,on You mqV~N1JlsE€mMwliN'e by 96806 ':' calling the center, (NOla: .',II-,:JiThIil'ING INFORMATION I number for the Oregon Utility # of Units:' Center Is 1_800-332-2344). # of Stories: Primary Occupancy Group: Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type Water Type: Secondary Construction Type: Range Type: # of Bedrooms: 'OOl~Bd ^'lJ\3D!l~ .J:litti: UOJ n'JMnnN\fR\f SI ~O 038N3i'Ji'J08 10N-Sllli'J~3d SIHl ~p\JjEvft!oPMENT:iNFORMATION I SETBASllS~M3Hl:II3~ldX3 ,.",,,!,,.;--- -3:)\1 ON Frontyard Setback: Overlay"Dist: Side 1 Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rcaryard Setback: Solar Setbacks: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Paee 1 of2 Alteration Commercial Expiration Date 05/31/2007 Phone 503-234-5558 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage'Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspoutsmrains: Value Date Calculated \. Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Admiuistrative Fee + 7% State Surcbarge Low Voltage - Commercialludus + 10% Administrative Fee + 7% State Surcbarge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00300 ISSUED: 05/05/2004 APPLIED: 03/18/2004 EXPIRES: 11105/2004 VALUE: I Ff'f'S tlWU Amount Paid Date Paid Receipt Number 2200400000000000264 2200400000000000264 2200400000000000264 2200400000000000482 2200400000000000482 2200400000000000482 2200400000000000482 $4,50 $3,15 $45.00 $7,00 $4,90 $43.00 $27.00 3/18/04 3/18/04 3/18'04 5/5/04 5/5/04 5/5/04 5/5/04 $134.55 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rf'tlUirf'd Insnectinns I 1 Low Voltage: Prior to cover, 2 Rougb Electric: Prior to Cover 3 Final Electric: Wben aU electrical work is complete, By signature, I state and agree, tbatl bave carefully examined tbe completed application and do hereby certify tbat all information hereon is true and correct, and I further certify tbat any and all work performed sball be done in accordance wltb tbe Ordinances of the City of Springfield and the Laws of tbe State of Oregon pertaining to tbe work described berein, and that NO OCCUPANCY will be made of any structure witbout permission oftbe Community Services Division, Building Safety. I furtber certify tbat only contractors and employees wbo are in compliance witb ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that eacb address Is readable from the street, tbatthe permit card is located at the front oftbe property, and tbe approved set of plans will remain on tbe site at all times during construction. ~' ) 11/ /;i>,vf-~$ "..J - 'v o er or C~ractors Signature '177/Lr~ ~ :::JIJr"H Date {j J Page 2 of2 ""' A ....~.. --225 F.ifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00300 COM2004-00300 COM2004-00300 COM2004-00300 Payments: Type of Payment Check 5/5/2004 . RECEIPT #: ~i llliiity of Springfield Official Receipt Whelopment Services Department Public Works Department 2200400000000000482 Date: 05/05/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By BEACON ELECTRIC " Received By njm " Page I of 1 Item Total: Check Number Authorization Batch Number Number How Received 19317 In Person Payment Total: 1I:16:12AM Amount Due 43,00 27,00 4,90 7,00 $81.90 Amount Paid $81.90 $81.90