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Home My WebLink AboutPermit Electrical 2005-7-12 fi ~~n.ing. ~nddoes not re1i: ~~~"." Z . . SP~I~~,~ - rj 225 FIFTH STREET. SPRINGFiELD, OR 97477 . PH:(54i)726-3753 . FAX: (54i)726-368'lJ aturJ~~:.;'f< ELECTRIC#- PERMIT APPLICATION , 1,...._:!i" CityJobNum~(1)5 -00 5?R0 Date /,,/~h..:;-' I. I LOCATIONOFINSTALLATION 3, I COMPLETE FEE SCHEDULE BELOW .if'S 5CJycl1K Tl.R6 ~Tlf12 LEGAL DESC~IPTlON 110:>- 31 31 0 y"'c.o 50ltJc.j /YlA-<Yl 1k, JOB DESCRIPTION . . .' CITY OF SPRINGFIELD, OREGON A. I New Residential- Single or Multi-Family per dwelling unit. Service Included ~/) //J~5ef &lIb l/,a kb01f'1 I Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or $50.00. Suspended for i80 days. Fji,i'fENTION: OreQon law requires you to 2. ICQNTRACTOR. INSTALL4TIONOI\'J.Y;' I 0.1. '. : . "..ti ~ii~tUlli~a,y~!l1l or R"I~.tion;' j / NOllTiCaUOn LttHIlt::I. IIIU~~IUIt1~all;J~Ol;....1f\ Electrical Contractor 1/5 5c...ha/M iLlhs t!bt fei ir2OJl{A'ihpsj&-OO. -0010 throughOAl\1952M1eo &.? ,(/() 12011l),ffi'plUclT4lI9 n.lltplin copies Oftl)e rul~lllo '7..5-:dJ Address rfJu 114 t?7 40:l*iIl@ib<6<JreJ'lffi\J. (Note: the telepno~~5.00 601J1\1\1plf tIP! dt/@ ..Q/ip~on Utility Notl1l~613.oo Over 100~~Mlk800-332-~).'~_d ~375.0, 0 Reconnect Only ~S\I!OOto" . .,f'..,.,g o. c. I Temporary Ser\'ices or Feeders 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 -~ ~. $ 19.00 City (/), VIa/II Ie ,lIP Phone I szI/-L{ / (,0 s;;J. /1 Expiration Date 2:l.Cfts /tJ hl/o? I Supervisor License Number Expiration Date 7./ (f ~ 7/; k,h Installation, Alteration or Relocation ~":;~~~l'-'" 200'Ampsforless 1 $ 50.00 '''''' tH"1/J e::uAll 201,Amps(tq,400 J\mpsT EXP1RF IF TYS 69.09, MU 111 /", 'C~ I ""DER ' L VVllHK 401.Amps to 600 J\mps THIS PFQ'''T$100:00 vUlVilVJtNCEQ np Ie:: ^P^ ,_ .... I" NUT Over,600,A.mps, or.1 001) Volts seel\'Bfali.oY:e.FnP D. I Branch Circuit's .-..... j -./ '." J. 3O,aJ Constr. Contr. Number Signature of Supervising Electrician '75Z/J/.pL ~ New Alteration or Extension Per Panel One Circuit $ 43.00 ~ Each Additional Circuit or with. /) 0 / _ ~ L _, IL h ,....-;-/_ . I _ Service or Feeder Permit .10 S 3.00 '-la,a Owners Namofu7., ') ~n4 J::} (./ vV' .I Add~O. ~x:. {/I# 7 ~. I Miscellaneous (Service/feeder not included) -Each Installation I City //1 J..lJL.., Phone Pump or irrigation S 50.00 () 0 Qr-,')c,L Sign/Outline Lighting S 50.00 OWNER INSTALL,(T(Ok-') Limited EnergylResidential $ 25.00 The installation is being made on property I own which Limited Energy/Commercial S 45.00 is not intended for sale, lease or rent. Inspection Request: 726-3769 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.1 SVnJu,ALOFABOVE ,;;J 7f;oO I '1.<16 02 7. g-tI 302S-: z6 7% State Surcharge 10% Administrative Fee Owners Signature: TOTAL ~~. ~2l~~Ib, ;~~.,''"""..~_'"o'"_"^"'~. ,~". 1J ~ f\.\'l.Q5 . ..... . "'.."'.." ". . '" "...,:. ...'" ". ,,~................ ......- ~ .... _ 4_".. .=._.. - . Ul l' OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2005-00886 ISSUED: 07/12/2005 APPLIED: 07/12/2005 EXPIRES: 01112/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3294 MAIN ST ASSESSOR'S PARCEL NO.: 1702313104600 Springfield TYPE OF WORK: Electrical Work Oniy TYPE OF USE: Addlllon Commerciai PROJECT DESCRIPTION: New warehouse and empioyee room Owner: Address: LES SCHWAB TIRE CENTER #27 PO BOX 667 PRINEVILLE OR 97754 Owner: Address: r --..'. '-'')'1: f)""gon law requires you to : .. .~" adopted by the Oregon Utility , . - . t,- ,iio~ Cenler. Those rules are set forth , . '.' t, 952-001-0010 through OAR 952-001- G090. You may obtain copies ofthe rules by calling the center. (Note: the telepho~e CORE OFFICE SYSTEMS INC number for the Oregon Utility Notification %TAXDEPT-LARRYHENDERSON PO BOX 667 C t 's1-800-332-2344). PRINEVILLE OR 97754 en er I LES SCHWAB TIRE CENTERS OF OREGON PO BOX 667 PRINEVILLE OR 97754 Owner: Address: Contractor Type Electrical I CONTRACTOR iNFORMATION I Contractor License LES SCHWAB TIRE CENTERS OF OREGON 61280 I BUILDING INFORMATION I Expiration Date 1110912005 Phone 5414474136 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla , DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dlst: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Pal!e 1 00 . . CITY OF ~rKll~GFIELD' Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-00886 ISSUED: 07/12/2005 APPLIED: 07/12/2005 EXPIRES: 01112/2006 VALUE: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of ProJect l..Fpp< PiWIJ Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Perm ServlFdr 201 to 400 amps Temp Power 200 amps or less Amount Paid $27.80 $19.46 $90.00 $63.00 $75.00 $50.00 Date Paid NiJr'c~ T I 1:: 7/12105 3200500000000000422 HIS PERIvt/P/I2105 ' 3200500000000000422 ~UTHORfZED 1~!:2?b~; EXPIRE IF TH3~~~-?~0000000000422 OMMENCED ?!.W~5 THIS PfRMIT~~00500000000000422 ANY 180 DAY p.~/!P051BANDDNED ~200~0.oooo000000422 7/12/0S. F'3200500000000000422 Receipt Number Total Amount Paid $325.26 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. L...i;rl.irll'llrl Tn,~ Temporary Electric: Approval required prior to Utlllty Company energizing pole. Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pal!e 2 of3 . '. CITY 01< ~rKll~GFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2005-00886 ISSUED: 07/12/2005 APPLIED: 07/12/2005 EXPIRES: 01112/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 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 will remain on the site at all ~]l:/~ M /Z-CJF Owner or Contractors Signature Date I Pal!e 3 of3 . 225 Fifth Street . \ ~pringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number C0M2005-00886 COM2005-00886 COM2005-00886 COM2005-00886 COM2005-00886 COM2005-00886 Payments: Type of Payment Check ~1 , 7/12/2005 RECEIPT #: if~ Av of Springfield Official Receipt -,re~elopment Services Department Public Works Department 3200500000000000422 Date: 07/12/2005 Description Temp Power 200 amps or less Perm ServlFdr 200 amps or less Perm ServlFdr 201 to 400 amps Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By LS CONSTRUCTION Received By njm Page I of 1 Item Total: Cbeck Number Authorlzatlun Batch Number Number How Received 86162 In Person Pliyment Total: 9:30:41AM Amount Due 50.00 63.00 75.00 90.00 19.46 27.80 $325.26 Amount Paid $325.26 $325.26 CCB - License Search - Res. o .~ j~() f~(,Gj.",,~~~, ~"'~,i~,,, ...~'.~~1;:o { '., . ~. 1 '..~:.'t;.::~ "'"-1,./ ~ ''<f;-:q, , ...~.,"'6I",'" <" "",,".' ..' '{ I ;;9 .. SEARCH BY: - LICENSE NUMBER - TELEPHONE NUMBER - NAME OTHER SEARCHES: - OCHI NUMBER -OCHI TELEPHONE NUMBER - OCHI NAME SEARCH BUILDING CODES DIVISION FOR PLUMBING & ELECTRICAL CONTRACTORS Website Satisfaction Survey . Page 1 of2 License Search Other Contact Us Links About the CCB . l?J '\W \QJ What's Programs Consumers Contractors Laws New o !i~~ ::... ~~ License Search - Results Click HERE for a printer friendly version LICENSE 61280 OTHER CCB LICENSES NUMBER: NAME: LES SCHWAB TIRE CENTERS OF OR INC ADDRESS: PO BOX 667 PRINEVILLE OR 97754-0667 WORK PHONE 5414474136 ENTITY TYPE: Corporation NUMBER: LICENSE STATUS: Active STATUS CHANGED DATE: LICENSE General CATEGORY: Contractor/All Non-Exempt (Has EMPLOYER Employees - Must STATUS: Have Workers' Comp Coverage) INSURANCE ST PAUL FIRE & COMPANY: MARINE INS CO INSURANCE $ 1000000 AMOUNT: INSURANCE EFFECTIVE TO: 10/1/2005 VIEW INSURANCE HISTORY EXPIRATION 11/19/2005 DATE: DATE FIRST 10/12/1989 LICENSED: BOND COMPANY' Call CCB - (503) . 378-4621 BOND AMOUNT: $ 15000 BOND EFFECTIVE 11/19/2005 TO: VIEW BOND VIEW CLAIMS INFORMATION HISTORY VIEW ASSOCIATED NAMES VIEW SPECIALIZED VIEW SIC CODES TRAINING VIEW WORKERS' COMP INFORMATION ASSOCIATED LICENSES VIEW BUILDING CODES DIVISION LICENSE DETAILS O,~IJ6.t!OnJ:in~ @), [ Home] [ Up ] Send mail to Web Administrator with questions or comments about this web-site ::<<:':t;. _.:...,...~. r".~ ..~ t '- State of Oregon Liability Statement http://ccbed.ccb.state.or.us/New _Web/asp/new _search Jesults.asp 7/12/2005 Search Results . . Page I of 1 Results of your search Your query for: conlee Name: LOWELL DALE CONLEE PRINEVILLE , OR 97754 County: CROOK CC Taken: 16 CC Required: 8 CR Taken: 0 CR Required: 16 Employer Lic. Info.: 7-18C LES SCHWAB WAREHOUSE CENTER License No: 3296S License Status: ACTIVE Expiration Date: 10/0112007 License Category: ELECTRICAL License Type: S Name: ROBERT G CONLEE CONDON, OR 97823 County: GILLIAM CC Taken: 0 CC Required: 0 CR Taken: 0 CR Required: 16 License No: 5147JP License Status: ACTIVE Expiration Date: 04/0112007 License Category: PLUMBING License Type: JP Employer Lic. Info.: Total Records Found: 2 The data file was last updated Tue Jun 28 11 :48:27 2005 !3_oJ;l,a_cJsJ<LQuery http://www.cbs.slate.or.us/cgi-binlbcdllicensinglindividual.pl 7/12/2005