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Home My WebLink AboutPermit Electrical 2004-11-15 SPRINGFIELD. I ,.lI8i~hoslho~ OO!.""luiJ)>~&P.ecIilC1and w,;, 125 ......In STREET · SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (5\fl.~3689 )r. (i~ C1\J "J ELECTRICAL PERMIT APPliCATION Zonl"" .~ / ;;;::]j; City Job Number COWl :.00'-1- 0 / L{ 02.. Date 11/10/04 Dt;tO~ 0f 1. I LOCA110NOFINSTALLA110N 3. I COMPLETEFEB:Il:!J!j1fDvJ!:tfliHlJ(R.JJ ,'\....... 3001 Main Street LEGAL DESCRIPTION 17o'Z. >(00 JOB DESCRIPTION oof,oo TemD Power - New Buildinll; Construction Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. I CONTRAcroR INSTALLA110N ONLY I Electrical Contractor m Electric. Inc. Address 4685 Isabelle Street City, EUll;ene Phone 687-5770 Supervisor License Number 3 '?5 7 :J.~ S E"piration Date / 0-/- 0 '7 Constr. Contr. Number 37587C E"piration Date 1011/04 fCCB 104929 3/14/08) Signa~~~iS!ng Electrician W~ if Owners Name Auto Zone Address 3001 Main Street A. I New Residentlal- Single or Mnlti-Family per dwelHng uniL Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106,00 $19.00 IIN~mep! e1 r l!i!lll/equires you to o te by the Ore!'JG:": ~ti:i:, $50.00 No I n Center TI:Iose R.l1~5 aia .:..:.: Iv.;j. flbQAR.95aOOtI&id&ttlr~~~~~9n. or Relocation: 0090; \\.u "IllY OOIIDn copies of the rules b QtIClI'1.;.q:.....JllStar. (Note: the te'~flhgn: ~ 63.00 nlWlQQnfJ;lnthm~ Utility Nntifif'~tiQn $ 75.00 401 MiiM1ll660M.jl@.332-23441 $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsIVolts $375.00 Reconnect Only $ 50.00 c. I Temporary Services or Feede" Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 AmDs or 1000 Volts see "B" above. D. I Bl'lIIIeb Circuit. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feed~r Permit $ 50.00 $ 69.00 $100.00 50.00 $ 43.00 $ 3.00 . E. I Miscellaueous (Service/feeder not included) -Each InstaIbtlon I , City Sllrirudield Phone Pump or irrigation $ 50,00 SigDtOutline Lighting $ 50.00 OWNER INSTALLATION CEPlDited EnergylResidential $ 25.00 . '" . NOil ~.. ed.F _'mY .r'''HE WUKI\ $ 500 !he m,stallatlOn IS bemg made on r'-r,..;j I own whlchTH1. PEK\~'I1~01T1\:::1!:>J<.)'I"T,...-_Zl81 NI.! I 4 . IS not mtended for sale, lease or rent. -RJnimmn,J;tI~~fr\if-p~tiirit ~~ Mi~l~ke IS $45.00 + Surcharges AU I nUl \I'-~~ Ilrh~ , ~~.. I I Owners Signature: cat.Ai. . F ABOv.B 5000 ANY 1 . ') [)^ , 7% State Surcharge 3.50 10% Administrative Fee 5,00 Inspection Request: 72&.3769 m Job #2049 TOTAL 58.50 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRI1'llJJ<IJ!.LD Building/Combination Permit PERMIT NO: COM2004-01402 ISSUED: 11/12/2004 APPLIED: 11/12/2004 EXPIRES: 05/12/2005 VALUE: SITE ADDRESS: 2991 Main St ASSESSOR'S PARCEL NO.: 1702310000600 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Temp power only Owner: WINGARD GEORGE F & RHEA M Address: 2323 FAIRMOUNT BLVD EUGENE OR 97403 I CONTRACTOR INFORMATION . ENTION' Oregon law reouires you to . Contractor ATT ' b the dtl~!\~eJtilityExpiration Date Phone JB ELECTRIC follow ~le~a~?..':te~h!O ",I!Q4?~set forth 03/14/2008 541-687-5770 "uCf.B':;~NLi)~'JAq1J(,)N\'\ 952-001- In 90 You may obtalO COpltfJ V: t"e rules by 00 'i'nl~8fi~'. (Note: the telephone Lot Size: ca 'b . 'lhllfS'!i~I\~tility Notification Sq Ft 1st Floor: num l!'~t?l~~"t!!l00-332-2344). Sq Ft 2nd Floor: alh'type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Contractor Type Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction I DEVELOPMENT INFORMATION. REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS' Sidewalk Type: NOTI~EE~M\1 S\-IAll EXPIRD6~Xli~~s\l...~~ins: 1\-\\5 r ER 1\-1\5 PERM\~ I;, 1<<J AllT\-IOR\ZEEDDllON~ IS ABANDONED FOR COMMENC ~I\IY 1BO DAY PERIOD, I Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pal!elof2 . . \...11 i' OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2004-01402 ISSUED: 11/12/2004 APPLIED: 11/12/2004 EXPIRES: 05/12/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fp.p.~ Pailll Fee Description . + 10% Administrative Fee + 7% State Surcharge Temp Power 200 amps or less Amount Paid Date Paid $5.00 $3.50 $50.00 11/12/04 11/12/04 . 11/12/04 Receipt Number 1200400000000001612 1200400000000001612 1200400000000001612 Total Amount Paid $58.50 I Plan Reviews , 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 Reouirell InsDp.p.tioDS I Temporary Electric: Approval required prior to Utility Company energizing pole. 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 will be made ofany 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 will remain on the site at all times during construction. Owner or Contractors Signature Date Page 2 of2 225 Fifth Street . . Sprmgfield, Oregon 97477 54.1 ~726-3759 Phone Job/Journal Number COM2004-01402 COM2004-01402 COM2004-0 1402 Payments: Type of Payment Check 11/12/2004 . RECEIPT #: nescrlplion + 7% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less Paid By JB ELECTRIC a~ ~ ~ '!QI r~ Av of Springfield Official Receipt ~elopment Services Department Public Works Department 1200400000000001612 Date: 11/12/2004 Received By Item Total: Check Number Authorization Batch Number Number How Received djb 14937 In Person Payment Total: Page I of 1 3:04:48PM Amount Due 3.50 5.00 50,00 S58.50 Amount Paid $58.50 S58.50