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Home My WebLink AboutPermit Electrical 2005-5-27 i 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION _ ;;, City Job Number c.o/A^...z.oO~ -00 S'bDates,1 t- $"; 0 r 3. uI'€(i)MpJ:,E'l'E'FE&.S.eHEv.<J~,iiEIJ(jjW~.l'lItItA~ ~"""I. _. .._r,.....,,,,,,"~ I. P:;QGA17IdMdF.iLY~j)i~~T~~@^.:.-m 3l/t/t,/ 1/J1;4-I/YS T LEGAL DESCRIPTION 17o-z..'Jf3( 008'00 JOB DESCRIPTION 2- u vC-v...\ h: A-~b. Permits are non-transferable and expire If work is not started within 180 days of Issuance or if work Is Suspended for 180 days. 2. ~~'~1.L.l~~$piN~~~~~T~1'~:~~;~~~~~~4 Electrical Contractor ~<.;. (~.orr1l.{C1- ~in 1\ Address 8QCj'l V 7\.L" l J~ ., - City .R I c...JI JLL Phone lt~-Dq 05 I '~~B5 '\D! 1)1.00'l SLly 2> I C\ 3oboo~ I Signature of Supervising Electrician ~~ "'-- Supervisor License Number Expiration Date Constr. Contr. Number Expiration Date OwnersName --r-h~so"-":::. ~'"7 Address ~ 8"'L W ,- ({OW !\ V City CIA.Grt:'Nt:'" Phone 7l{b - '97"1 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ServICe Inclnded 1000 sq. ft. or less $106.00 A Each additional 500 sq. ft. or ~ portion the'idTCNTION 0 . $ 19.00 }f"l..1_ : regon-'aW '!:>quires you tY ~ Each Man~OllllfllimsQlldopted by the Oregon Utilil" Modulartil91in~ll[el Those I -sso,po . Feeder In OAR 952-o0HlOlO thro~QO~R-;~-;;:' B. Its~i~'is'fiUK~~mllYiBf.lltiill~~lf ~Rrl1>'i!M~i~ .' II ,I. ,. '1\:~t:.~e-;:-_e; Ihe tEdelph~ .11.. 11111-" 200 AmpsfAll.r for the Oregon Ulililv $1 gtQQai' .n 201 Amps to 400 A~ter is 1-800-332.23$,7,5..00 401. Amps to 600 Amps $125.00 601 Amps to 1000Amps $163.00 Over 1000 Amps/Volts $375.00 Reconnect Only $ 50.00 C.llieJ!!Pl>Ery~.i'Vi.~,oSlI:;rr!!~ Installation, Alteration or Relocation 200i\hips or less $ 50.00 nu,,~-' ",'/joy,: t9MIPP!.:\w~qO:AJ'np~L EXPIRE It. I Ht . ~~~;9O 401-Amp,s tOl600lAm.psR THIS PERMII Ij $100.00 MUlrl\j,"~LU lj,.. ~ n"n r-.n '''^~Inn''c[) FllR Oyer.600'A:m?s.or.JOOOlVolts'see "B"'aoove. D. B~~"" i~~uits tll);i.; I); :'~it: .. ',;<. ~~: ". ,.:< ): . ~ ~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit I $ 43.00 Iff ~ . ( $ 3.00 J E. ~Mi1c~ll~g~u~(S~~~~lfe~a~~~~t)ttin~ih'de'di~E~c'h Iris't~lI1i'tii~; I r,,,,loo.. 1..II-~ --. ., ....:c...lUII....... Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylRcsidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 'Ib ~ Zl. LlbO 53 Sl. ~ ,,,_~ ",,,,,", '~J"'liO"l;'''oII.'''.'.:..~I'~'iC~.l'''''L'' 4. Sl:lBTJ).T~'OF<KB(}ME ~. -iIIl/Jr.l~ddiL' 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive{T:)lBuilding Fonns/Electrical Pennit Application I.03.doc . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3444 MAIN ST ASSESSOR'S PARCEL NO.: . 1702313100800 . CITY OF ~r1UNlj1<mLrr Building/Combination Permit PERMIT NO: COM2005-00596 ISSUED: 05/19/2005 APPLIED: 05/19/2005 EXPIRES: 11/25/2005 VALUE: Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Install heat pump I CONTRACTOR INFORMATION I 1'1/ 'tNT/ON' 0 Contractor follow rules ad regO'Llc'el1seluire~'~tion Date ROSE CORPORATIONJO!ificalion Cen~pled 5li~~Ie Oregon VI I ~30/2005 . COMMERCIAL AIR INdJAR 952.n()1 ;:. !hftlmvs/es are~"t :t.l8/2005 BuiLi)J~r; IN~A\:i8N'rn UAR 952-001: !J .. I" ~6nier. (N s of the rules by nWllf:!wo~s!he Or~gono~:. !he te/epho!:let Size: HeighCorsl1/tlst.,rsOn..,.,~'ty Notif.ta[futft Ist Floor: Type of Heat: ..-.....:-2344). Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path:'_"_ · . . Sq Ft Other: Sprinkled Building:' nla Occupant Load: Owner: THOMPSONS MARKET Address: 882 WILLOW AVE EUGENE OR 97404 Contractor Type Electrical Mechanical # 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: Phone Number: 541-746-9979 - Phone 541-686-0905 541-461-4821 : I DEVELOPMENT INFORMATION I REQUIRED PARKING Tntal: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: NOTICE: ...... ... . .--:. . ....: L tM"lt\t Ir In!: vvunl\ I PUBLlC?~~R~_~~~~I!.~:J~Jii THIS PERMIT IS NOT COMMENCED OR IS AB,~~~~l!~"~lJ~p_~:: ANY 180 DAY PERIOD. DownspoutslDrains: Pa2e 1 of3 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description $ Per Sq Ft or multiplier Sqnare Footage or Bid Amount Tvpe of Construction Total Value of Project Fpp~ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $10.00 $4.50 $3.15 $12.00 533.00 $4.60 $3.22 $43.00 $3.00 5119/05 5/19/05 5/19/05 5/19/05 5/19/05 5/25/05 5/25/05 5/25/05 5/25/05 Total Amount Paid $116.47 I Plan Reviews I .. U 1 f Vi' ~r1UNGFIELD Building/Combination Permit PERMIT NO: COM2005-00596 ISSUED: 05/19/2005 APPLIED: 05/19/2005 EXPIRES: 11/25/2005 VALUE: Value Date Calculated Receipt Number 1200500000000000647 1200500000000000647 1200500000000000647 1200500000000000647 1200500000000000647 1200500000000000668 1200500000000000668 1200500000000000668 1200500000000000668 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. IRpn~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pal!e 2 of3 . . CITY OF SPRIr\jun~,Lu . Building/Combination Permit PERMIT NO: COM2005-00596 ISSUED: 05/1912005 APPLIED: 05/19/2005 EXPIRES: 11/25/2005 VALUE: Status Issued 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 descrihed herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services D1visinn, 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 aU times during construction. Owner or Contractors Signature Date Pal!e 3 nf3 . 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone " , .Job/Journal Numher COM2005-00596 COM2005-00596 COM2005-00596 COM2005-00596 Payments: Type of Payment CreditCard ., , . . .\ , ", .l , , ! '. \ , . 5/25/2005 . RECEIPT #: .'~""""''''ll ' lilt". ._._.-.....~ .....-...... ........ . '. ..h _h... " ~ -: _...~ '. .. '. .,. .. .~ .-"-,,,-,-, .. .J;Lty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000000668 Date: OS/25/2005 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By PHIL ROSE Item Total: Check Number Authorization Received By Batch Number Number How Received djb 064134 In Person Payment Total: Pa~e I of! 2:25:3IPM Amount Due 3.22 4.60 43.00 3.00 $53.82 Amount Paid $53.82 $53.82