The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2005-3-24 ~ ::. : ;; 'i. \,i;: ',.:;;f:mF~'r@j'~'SiR]r- ", QF;l.Ji'k~:' ,OWE@DN~.~;;;,~.:!,,;p--<{~i.. ",' \'. ~..;.:"l~, ",,~"~~\,...;,r.':f..ff." "~~"Ii.. Jv~ti..r:~,.-<.'I.~1' ".:;'~.r;"'l";'f".""":~l'~'\\ t;.:JiJI .. -. ."~ . ~"'}"". ~~...,,-t' ,.., _ ,.J. '.~ ..... \.', .. <~ 1,1. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ , ELECTRICAL PERMIT APPliCATION <I." / City Job Number UlM'l.OoS-- 00 ::~..:)z. Date ~/ 0 ~ I. 3. l~ji~i%~mlWi:;,:,,;,:;:'fi~r,)'" ...':i~;.......~~b. lt~ f) or; ~ ,\, J '!t .: . . ,,;. ldfl ~'I ".. t't :...... '.,!,'.T~~. 'T~,':t .~.' ..r~;""'7"'~~'"'~';''' '/'.~"'''''''''.~:'''' I 7t'l- M ,4-r,y 51 LEGAL DESCRIPTION . A. 1lr;':;(f~;,'!l~.J!lioorWr.ii~''ii'\'ft~P&W~t1;j~~:~il 'f.703 363 (- " ~OIKGO----" s~~~~"'::::=-'~~:-_-"---. ' ~~~...~-c:__ 2. f~_ B.S'~~_~iLlfijl Eleclrical Contractor ttU ~.NE t: 1& T1 it'. SUII/a; 200 Amps or le~~' I es yoU'" ATTr:I\I1'2~j'Ji.Qr~Q,o~I'6'W regu r .:c. r _ ' adcP t d ,yth'W'6regon UlI'~' Address /.20 mOIll~6 ~ . foUow ~uJ.wl ~n?-P.!k61 os.AmIl.<'siue set fnrfh . NotlflcalionvC:emer. '10 81Ule -i AR 906.P-b6f1B~'RJlmd-glPOAR 952-001. $163.00 Phone :3 L/ </- 3t; ~~o. YoaP/ffay~diw~llllJof the rules by $375.00 , 'IIin ~g~n'ieP.'ilQote: the telephone $ 50,00 ca g_,1'I''' I" Supervisor License Number 313.5" S numbe.r '. . ,..Ul~" ,'.', '-- ~m IlJ J / /rJ.OtJ '+ , 9~:J()D _~Jrr/()!i /..1/ JOB DESCRIPTION c. ( .-1..'-'^ "k A- c.. 1\ ~ Permits are non-transferable and expire if work is not started within 180 days of issuanee or If work is Suspended for 180 days. City EU&t:N E.. Expiration Dale ConSlr. Conlr. Number Expiration Date Sig,iaturc of Supelvising Electrician Q~~ /?z::;;..J . {/ . S'"? I (L.( rS. 0/ 1.... tin ,4..1/1/ Owners Name Sf Address City Phone OWNER INSTALLATION The installation is being made on propeny I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 I " 1000 sq, ft. or less Each additional 500 sq. ft. or ponion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 $ 63.00 $ 75.00 $125.00 Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps 10600 Amps . Over 600 Amps or 1000 Volts see "B" above. NOn.l'mi;\f"'-"'e'.....,.-<<. '''-''<' ...' ,- ,."l.' ..'" HIS p~H~nll ~Mn L ^''''~" ,,'.'" T New Alteration,or ExtensioD\Pel1\'I1ineJDT AUTfJnHI/!:U ,UI~ur.n II"" \ ~,.... ... ( <;>ne C'rcpltnR IS ABANDONED \=OR cOME~E~A:dditilinaIICircuit or with 7 ANy,.o~.n^VF'~e..(lp'" 't ;:)erYICC Ort C;CUer" enm $ 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 'I] z( E. Pump or irrigation $ 50.00 Sign/Oulline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~fiiR~ 4. lIiiIiililiIroll ";' ,,,... ". ",....' '," , ',. ,"; i .\{. ~J'! .f.':. t.r,/.v. " ., ,', . .'., '".' .";~:. ?T'";'" .~.~:.'," .'.:,.'/ ,~:_,..~,.' ;.:.':: bl{' yl(g bl{O 7tf8E::> 7% Stale Surcharge 10% Administrative Fee TOTAL Sbond DriY<(T:YBuildiaaI'onllS/l!lC01ricaI Permit Applicatioa 1'()3.c1oe , , -.' '..,' ,,' ~.'.,,,, .\ ;j".i;~\4~;"'i'f.t ./t.,,' ... '~'i"~'_ -{\"",);.,:\C''''p.,. . ~ I..A, ' .' ...:' " ~, t' ",_.. . . U 1 f OF SrK11"l~FIELD Building/Combination Permit PERMIT NO: COM2005-00332 ISSUED: 03/24/2005, APPLIED: 03/24/2005 EXPIRES: 09/24/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1712 MAIN ST ASSESSOR'S PARCEL NO,: 1703363101800 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commerelal PROJECT DESCRIPTION: Add 8 circuits Owner: SPIRITS Address: % ENLIVEN INC PO BOX 71433 EUGENE OR 97401 I CONTRACTOR INFORM A TION , Contractor Type Electrical Contractor EUGENE ELECTRIC SERVICE INC License 90200 Expiration Date 03/1712007 Phone 541-344,3561 # of Un lis: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I_BUILDING INFORMATION I . . -". ursgo I (aI/ow n .'__ _.' n aw requires y Not',. #,ofStones;)ted by the 0 au to Lot Size: , IC8J':'l~ ~ regon Ut'/' in OAR-~f!P~tfOr,Stru~'''J~e rul ' ItySq Ft 1st Floor: 0090 'IYpe,oriHe~t:O throu h ~ are set fo~q Ft 2nd Floor: '. YWa'ter.}I'Y~!lin co i 9 AR 952-001Sq Ft Basement: cal/lnfRi/ngc;(f:YI!!r. (N' P es of the rules bySq Ft Garage/Carport numbeEhugyJ>e1.Ii!n note:. the telephone Sq Ft Other: S'1U1~~~ ,_unli'I~!.Jt/"ty Notii;Ji@jtion Occupant Load: oau-~b_.,.,.~l. , DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Sethack: Side 1 Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Speelal Instruction: I PUBLI!: IMr "V Y ",MENTS I .\iu I I...,", THIS PERMIT SHALL EXPIRE IF TI1~~'Y~I"!rrype: AUTHORIZED UNDER THIS PERMDoWn~p'6-:;ts/Dralns: COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: I Valuation Descriotion I Description Type of Construction $ PerSq Ft or multipUer Square Footage or Bid Amount Value Date Calculated Paeelof2 . . LU r OF ~rIUI'I~l'1~LD . Building/Combination Permit PERMIT NO: COM200S-00332 ISSUED: 03/24/2005 APPLIED: 03/24/2005 EXPIRES: 09/24/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L.F..... Paid. Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $6.40 $4.48 $43,00 $21.00 Date Paid 3/24/05 3/24/05 3/24/05 3/24/05 Receipt Numher 1200500000000000365 1200500000000000365 1200500000000000365 1200500000000000365 Total Amount Paid $74,88 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. II<l,m'I.~ Rough Electric: Prior to Cover 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 he 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 he 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 times during construction. Owner or Contractors Signature Date Pal!e 2 of2 225 Fifth Street Springfield, Oregon 97477 541"726-3759 Phone Job/Journal Number COM2005-00332 COM2005-00332 COM2005-00332 COM2005-00332 Payments: Type of Payment CreditCard if '( , . 3/24/2005 . RECEIPT #: ~. ~! ~ of Springfield Official Receipt .elopment Services Department Public Works Department 1200500000000000365 Date: 03/24/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By RUSS ROBBINS Item Total: Check Number Authorization Receiyed By Batch Number Number How Received djb 024046 In Person Payment Total: Page 1 of1 2:01:00PM Amount Due 43.00 21.00 4.48 6.40 $74.88 Amount Paid $74.88 $74.88