The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2004-11-17 . . Ll1 r OF SnUl'luN1i.LD . Status Issued Building/Combination Permit PERMIT NO: COM2004-01413 ISSUED: 11117/2004 APPLIED: 11117/2004 EXPIRES: 05/17/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1124 MAIN ST Spring~el,d ~Y~cOr.I~Y9~;~lJ~~Stflc;!lt~ork Only ASSESSOR'S PARCEL NO.: 1703354104400 P.T I ENTia; ~.,:r;),~~ ;,,, 1he Oregon Utility follow rule:ryPE OEIU~E: le~!WII~'"et forth Commercial PROJECT DESCRIPTION: Improper Wiring. Repair Code\Violatiiih-sn Center. I 1ho~e rUh O;R 952-001- in OAR 952-001-0010 t _ ~o~u~~ ~"'lQ ,..,,,,, hv ou~u. tuu Ilia)' v....~....." --,- " Owner: KRYL LUKAS calling the center, (Note: the telepho~e Address: 3474 SPRING BLVD EUGENE OR 97405 mber for the Oregon Utility Notilication nu . . c......... ....,..11"1. I")"~A\ ",tUILQI ,~ I g...- ....-- I". I CONTRACTOR INFORMATION' Contractor Type Electrical Contractor C & SELECTRIC , License 3849 Expiration Date 09/0112008 Phone 541-741-2236 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDING INFORMATION I "r~~'CE' # of Stories: ,.. U II, Lot Size: 1--1 ~ Height ofStructji~eS PERiv1IT SHALL Sq'FiPl~tIFIJor. WORK Type of Heat: AUTHORIZED UNDERSq:F:b2?'dFIiIlIJrlS NOT Water Type: COMMENCED OR IS .&!I.IrnI.!~enmR Range Type: ANY 180 DAY PERIO~'1 Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Val\lation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pa2e I of2 . . CITY VI< I)rRlNGFIELD Building/Combination Permit PERMIT NO: COM2004-01413 ISSUED: 11/17/2004 APPLIED: 11/17/2004 EXPIRES: 05/17/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid' Fee Description + 10% Administrative Fee + 7% State Surcharge MinimumlAdjustment Electrical Amount Paid Date Paid $4.50 $3.15 $45.00 11/17/04 11/17104 11/17/04 Receipt Number 1200400000000001621 1200400000000001621 1200400000000001621 Total Amount Paid $52.65 1 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 Tnsoections , 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 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 times during construction. ,,')gz__l1ttr~ JL ~ /::) \ \ \l - II -?J5?::::>Lf- NM Owner or Contractors Signature Date Page 2 of2' ~. ,...... ~ . ciTY qF S' 'JNGFlELD, OREGON 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 ..FAX: (541)7~6q689 o 6'", ELECTRIC# PERMIT APPLIC4.TION ~~:~ 01(,,,, CityJObNumb<Ld(Y)~Y--OI<-/.Lj Date II J /-'!)rru<!a 'o>/".,~ ~ 4' ~""1Cl . O'_.o~. 1. "ViJ(jfNifj(jIii)i!fitmilSiJM!,'~if,rON~1~~i! 3, filg:PM:Pllliif"';W"~ . ~, ",4:ro:i~, ',--m ",,;~*fW,l ~r"''''''''>;;;;-''''.'~''''''V'''"''''''''->';;'?!'' ,'. ._"""".'=.._-----'-'-----',,-,~U",..;Uf":.'Y;;~ ll'JLf . Y\CltJ'n 5/ q;<'"~"~.",.."""..T..rm~;, .~o: ,.",,,:~ ":)~ .0'w".,,~.,."I'~'i'li!'l LEGAL DESCRIPTION A, ~i:!':1U:<ll.~~~n~,aJ\'dlmg", I?' U!ti~. ,CillO "Hl.J.I~~m \l.~~ '6541 0J4L.1C'\t) Service Included ~6'~ \ 6'C)o-i:,,"~~ '" 6'", JOB DESCRIPTION 1000 ~r1ft[q~1<;@N: Oregon law eo 6tot.1lli"~ n I " Each r&Lti9I)~1IagOcfl9.:J~te!i by the '&reg 'ity G>~.. -'>~ ,~ rn J..~ L. '\ ( 12 I ~(I P01~8t\\Vi!~Rbn Center. Those r"'o~r" t$f Permits are non-transferable an~ire if work is EaclrM}il.iifaciiil.H6ihfJ6r1 0 through OA 0 not started within 180 days of issuance or if work is MO<\9!l'!i@."I"Jliqg,!lrI<iigl:;.<in copies of the ,~o Suspended for 180 days. Feeder calling the center, (Not", ,; '" ,c:I"...~ ,0 e \-j'A0N1ffR1i"0;bR!iiN..'7:~iT-'Y;;4li:'QMO'-;tfi B. ~s~~, ~tw~"Nn~bWw..;w~!1ilWf~"Ti~&lI1ild 2,~",_...... , .,' ""'\""'. Pd""""'_;!'~~~~~\l"~~ Electrical Contractor GO- S 'C('h'c--. Me... 200 Amps or less' $ 63.00 , () t? ~ ) 201 Amps to 400 Amps $ 75,00 Address yf) r::v)( ljr;:?;. 401 Amps to 600 Amps $125,00 ~ ti~ /) 601 Amps to 1000 Amps $163.00 City Y/ ()j 'C/[J Phone 7 t}j- dd.3 / Over 1000'Amps/Volts $375.00 (0 l~LJ'q-c RecOject Only' $ 50,00 HIS PtRMIT SHALL EXt'IHt It IHE WORK c. t~]'ffflii.W:~{S~fyl~~~dr~I:' I,UlVllVltNl,tU UH I~ AI:lANUONED FOR Instal\~ tiqhj ~Je!<itioii' ~f-ljl.jlJ>,ca tion 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above, OO"':"""""t"~'''', '='~~1iY.;.\!j'i:?W,il!at1!~f!IIf>"l!i_'f.l!:\i't%-m-Ci!!jll\"iiil'W,1.l D. ~JU;!SA\&,lrSJ1M~1~~ ~1&n,h"'iI(~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit Supervisor License Number LfCZ9lJS )0 -() 1-07 3<gLj<J 9 -1- ()B Expiration -Date Constr. Contr. Number Expiration Date ~a::7k;E2~ - ;;;: - .---- , Owners Name U 1 Nl <." lZ.o { L Addres3::tJ'j ~~:J 6bv>>-- city~0~ Ph e OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or ~ent. Qv.'Ilers Signature: Inspection Request: 726.3769 $ 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 E \"j(,-o/,~;l'~l'""",~'i~'l'i,'S",;li'''':-;~;;;-'lC'<!d- ""'''~-l''' ~-d~i.-Ef!i".., ~"a{l'I":"'17"~ . '1U-~ce aneouS~t~ ep"iceJlee er.nopm~ cu I"':': Ul.;.u sta nt on~ ~""~-"~"'--C:j":1~'''';';''''...l''~~~~')""", . - ~.J-,{ ... i~~ Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50,00 Limited EnergylResidential $ 25,00 Limited Energy/Commercial $ 45.00 ~nimum Electric Permit Inspection Fee is $45,00 + Surcharges '-/5 00 4, If;StJB!faJ'j'AIMJ:,,@BQVE:,*~~~<il1 lt5 6D t.~;."~:t;~U!lfE;.~u~t:.IQ.~~~~~~' . '.1,15 '--1-. !5' 0 Jt> s.;:i. (6- Shared Drive(T:)lBuilding FormslElectrical Permit Application l-Q3.doc 7% State Surcharge 10% Administrative Fee TOTAL -:> av D6JJ-V ~ . FILE No.121 11/17 '04 10:02 ID:C&S ELECTRIC,INC, . FAX:541 741 2473 PAGE 1 Iff},;', O~6 225 lllFTH STREET. SI'RINGFfELD, OR 97477 . I'H:(S41)726.3753 . llAX: (541)726'3k89. 'A/I r_ ( ELEC'['RJCALPERMITAPPLICAT10N O',A$'" (!'-t to City Job NUlllber Dote 11-)7-oCj' r c;.l.ol <;...- ~wrJJI; 1. Perml'" ore non-trnmferable and explrelf wnrk is not .tn,'ted Wltlll1l180 dny. 01' IUllllllce or If wOI'I( I, SUlpended for 180 dnys. 2. Electricnl Contractor c.. q S 9)t!'~Jc IC/rtcr City ~be/' Phone _2'1/ - ~0:36 Address ~-,( SupervisOl' Licenso Number Expil'lllion Dnte COllStI'. Contr, Number or~, J_ ~, Expi..fttion Pate Si!l11ntul'e of Supe.'vi,inM Electrici.n Ow.." Nome krJ c;:, k "-1/. .' Add.'e.. 31./]11 C;/C..~ 6bu:L. . ((j City ~d~.I" - Phone A//-I OWNER INSTALLATION The in.tn1Jation is being made on property I OWn which i. not intended for sale, lellSe or rent. Owner, Signarure: Inspection Request' 726-3769 3, $106,00 $ 19,00 ElIch Mnnufnct'd Home Or Modular Dwelling Service or Feeder $50.00 D, .~ ,200 Amp. or le.s 20 I Amps to 400 Amps 40 I Amps to 600 Amp. 601 Amp. to 1000 Amps Ovel' 1000 Amp.lVolts Reconnect Only $ 63,00 $ 75,00 $125.00 $163,00 $375,00 $ 50.00 c, Tnltnllallon, Alteration or Relne.lIon 200 AI"p' or less 201 Amp. to 400 Amp. 40 I Amps to 600 Amps Over 600 Am H or 1000 Volts SI'O "a" .bove. D. i ,'1,'.(, $ 50.00 $ 69.00 $100.00 New Altel'allon ar Exten.lonl'er Ponel One Circuit lJach Additional Circuit or with Service or Fe.der Penn it $ 43.00 $ 3.00 E. Pump or iniYII!ion $ 50,00 Sign/Outline Liglning $ 50,00 I.imired EnergylRe,idellti.1 $ 25,00 Limited Energy/Commerci.1 $ 45.00 Minimum Electr]e Permit Inlpecllan Fe. I. 545.00 + Surcharge. - /f5.oo f./$.oo 3./5 fI. 5(') 5d~ 7% Sr.le Surcharge 10% Admini8ll'ative Fee TOTAL Sh,red D'ive(1':)IBuUdln, Fonno/Electric.1 Pennil Appllc.tlon t-Ol.dec Cj~ 5L{ go ~(p I 0 @MJ ~'sSCA.- 1\ 0'--( ~ ~1 6f:::/67 .) ~y(c..z- - 225 Fiftb Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-01413 COM2004-01413 COM2004-01413 Payments: Type of Payment CreditCard 11/1712004 . RECEIPT #: Sp,RINGF,IItLD, 1 ~ .ity of Springfield Official Receipt .evelopment Services Department Public Works Department 1200400000000001621 Date: 11/17/2004 Description Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee PaId By MELISSA GEHRKE Item Total: Check Number Authorization Received By Batch Number Number How Received njm 017040 In Person Payment Total: Page I of I 9:41:57AM Amount Due 45,00 3.15 4,50 $52.65 Amount Paid $52.65 $52.65