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Home My WebLink AboutPermit Electrical 2004-3-26 , . r. CITY OF S~~...JNqFIELJj, b~GON O. .' 225 FlFTU STREET. SPRINGFIELD, OR 97477 . PH:(54l)726-3753 . FAX: (541)726-3689 ELECTRICAL PER1llIT APPLICATION The following project as submitted has tha following . .....'7<"?/ J ~"I'lng. and does not requlra spec,f,c land use Ctty Job Number CoWl2.Ob4 - cD ~ Date 7.-"2...- OW!lroval. (I Zoning (J - . 3. COMPLETE FEE SCHEDULE BELOW.3-~"-n1 . . Date . t;J AUlOorized Signature, cx1 A. New Residential - Single or I\hllti.Family per dwelling unit. Service Included * 1000 sq. fl. or less $106.00 Each additional 500 sq. ft. or y ponion thereof $ 19.00 - I. LOCA110N OF INSTALLA110N \q-a.o S-\- IY\o..W-. LEGAL DESCRIPTION /703, 36l.{Z oc:>?pl_ JOB DESCRIPTION ,~~l ~0I'rY\ ~~ Permits are non-transferable and expire if \'\-'ork is not started within 180 days or issuance or if WUI"k is- Suspended for 180 days. 2. CONrRACTOR INSTALLATION ONLY Electrical Contractor ~\~d &k 0 J.w.u Address %s ~ ~~'U"\'" " City~Of+\~ Phone 603-),,31 q,5S0 Supervisor License Number . ~ Il\ 3b L1":_ Ib/. los Constr. Contr. Number U ~ LH..R 5 ~/~5 / bC, Expiration Date Expiration Date tQ;j=~?~:z:an - - Owners Name ,f/-o ,;1M We.. ___ Addres; 2- -; 3.3: /2.1 [}itC...wA:t-.t::- L .p L . ^ r _ . Cit, t::lA.~ (Phone ~. <....J Each Manufaced Home or Modula.. Dwelling Service or Feeder $50.00 B. Services or Feeders - Installation~ Alterations or Relocntion: 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpslVolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000Volts see "B" above. D. ' Branch Circuib $ 50.00 $ 69.00 $100.00 New Alt~ratioll"ol:.Extension Per Panel 11U..V.... On~ Cirj~iS PW-flMlT SHAll FXPIRE IF l14f<lA'ORK Each Adl'P/1al. 'f9'1:ib"(J~l'JER THIS PERMII~ NOT Servtce Fe'JdM ~RP\l .. .. - -I'E.'$:D C R COMMENlJtU OR IS AOI\I~uV . r E. MiscelfaWt(oJalS.Q.(\j~J1~~QQlOi inclnded) -Each Inslnllation '_ Pump or irrigation $ 50.00 , Sign/Outline Lighting $ 50.00 OWNER INSTALLATION - q' U\re~ym'tl:!J;Energy/Residential $ 25.00 on la'll re ._ 1l.i1iW . The installation is being tp',df~NjIillp~re~ tWttle or&gWlmnea'\!nergy/CommercIaI l $ 45.00 is not intended for sale, If&\'bllli ~<u\la6 adoPte~I'\ose rU\l\lfi.mlti1~ic Permit Inspection Fee is $45.00 + Snrcharges titicatiOn center. tl'\roUgl'\ OA~~ ~.. 'dJ Owners Signature: -10 AR 952-O0~-0~1? pies 61 t~l'U'l:ti- OF ABOVE 4-S tn 0 y u ma'{obtaln cO . tne telephone . 0090:.. 0_ '!-" r.enter. (Notue't\\'\N NaWl>IaMCMilrcharge ~. \ ~ Ci:\III"'" .. 0 gon '1 .,...".. "'ber tor tl'\e. ra o"n_~~??34<<J'Vo Administrative Fee '$ 1.../ J ~ nu." ~.......-... b~ _" Inspection Request: 726.3769 TOTAL SZ - ~. IS Shared Drivc(T:)/Building Fonns/Elcclrical Pennit Application 1..()3.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00333 ISSUED: 03/25/2004 APPLIED: 03/25/2004 EXPIRES: 09/25/2004 VALUE: SITE ADDRESS: 1920 MAIN ST ASSESSOR'S PARCEL NO.: 1703364200901 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial .. PROJECT DESCRIPTION: Install alarm system Owner: HOWAN INC Address: 2783 RIVERW ALK LP EUGENE OR 97401 I CONTRACTOR INFORMATION I License 64465 Expiration Date 02/25/2006 Contractor Type Electrical Contractor ALLIED SAFE AND VAULT CO # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy ~~(!I'fICE: Sq Ft Other: THIS PERMIT SHALL EXPIR~nW"f~'W~'lfR'ce Area: .,... ....... "..u l".lU ., I HI~ PERMIT IS NOT I DEVELOPMEN'. u.ruNtl:>\TIUN". J~ ..\!!,{ 'J.J .Po, Iv ABANDONED ~UlRED PARKING O I ANY 180 DAY PERIOD, ver ay Dlst: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: ATTENTION:Oregon law reqUires you to ~~~::~c:~~~~:mJJl~~p~~Y"Wi~f~lrt :0 OAR 952-001-0010 through OAR 952-00 0090, You may obtain copies of the rules I calling the center" (Note: the telephone number for the Oregon Utility Notification ~--+-.:~ 1-pnn-~32-2344)" # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: " SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbaeks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: " Description Phone 503-231-9550 BUlLDING INFORMATION I Sidewalk Type: Downspouts/Drains: I Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Value Date Calculated Total Value of Project Paee 1 of2 . . CITY OF ~rKlr'l\.d'l1!,L1J Building/Combination Permit PERMIT NO: COM2004-00333 ISSUED: 03/25/2004 APPLIED: 03/25/2004 EXPIRES: 09/25/2004 VALUE: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Low Voltage - Commercial Indus Amount Paid Date Paid Reeeipt Number $4.50 $3.15 $45,00 3/25/04 3/25/04 3/25/04 1200400000000000388 1200400000000000388 1200400000000000388 Total Amount Paid $52,65 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 Reouired Tnsnections I 1 Low Voltage: Prior to cover, By signature, 1 state and agree, that 1 have earefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 he made of any structure without permission ofthe Community Servlees Division, Building Safety, I further certify that only contraetors and employees who are in complianee 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 eard is loeated 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 Pa2e 2 of2 F' 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number C0M2004-00333 COM2004-00333 COM2004-00333 Payments: Type of Payment CreditCard -' 'r ~i ~.~--- . ."~ Receipt #: 1200,..',",', dlO00000388 Description + 7% State Surcharge + 10% Administrative Fee Low Voltage - Commercial Indus R..eived By djb Check Number Batch Number Authorization Number Paid By GEORGE BAKER 000334 045407 City of Springlield Official Receipt Development Services Department, Public Works Department Date: 03/25/2004 2:41:07PM Amount Paid Item Total: 3.15 4.50 45.00 $52,65 How Received In Person Payment Total: Amount Paid $52.65 $52,65 . .