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Home My WebLink AboutPermit Electrical 2004-4-22 r rojec! as submitted has the following 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PII:(54I)726-3753 . FA-X: (54t~m.jJ6S\lIoes not require specific land use ELECTRICAL PERMIT APPLICATION apprOval. Il // ( Zoning ~ City Job NumberC04fZ<::04 - 00 Y4 1 Date Lf -2 ( - 0 L Date Ll-Ol.~-ot,t; 1. (iOCAiloN:dJo:iNsliiiAn()N;}Ji;:\:~ 3. "coj,liiE1EFEES~~w. ~uJ .;. ,..:,....,...-...' "I,',' _. . ......... 'I ~,'.~ ."~ ~ ~'t~'. .,.'><,,;;......~,,\c-~..... '.. r.-" '..,. " I 3 -0 I . . AJo i r1 '-'S"{ . .. 200 Amps or Jess $ 63.00 201 Amps to 400 Amps $ 75.00 Ali?if:~g;p9ki606E'A1!i'Phlaw reqUIres you t[$125.00 foliliY AV,\AM186'dEf.S\N the Oregon utllitS'163.00 4 ~5 ~ (f) :;,t:) 'loti' iJ1~tif\\bfx);\lp~rV'll';lBse rules c..'" ;>"'~ ;0$375.00 <in 0. t~~~~,)()~i)\Jbl'(J mrough OAn 9:;2-0'$ 50.00 0090. You may ubtam copies of" '''' ''''''';> I ~:lIrr3r(t(~1~~~~Gtf~~e~~~~~~~~~ '-, ;;.:,:~;:(:Z~~ .~ '" ..,,,,,..')f)"p?1.4..1\ Installation, Altcration nr Relocation LEGAL DESCRIPTION /70")sb3Z oC{')OC> JOB DESCRIPTION ';) hmnrh C<./lCu,.-j ~ Permits are non-transferable and expire if work is not started within 180 days nr issuance or If work Is Suspended ror ]80 days. ~-''';;l'''''~1.~''''''''1i'.,1 -,:~,.~,-...." ''1". ""'If"! -:;'....~.r..;.,r~7'. ~:-- ;'CONTRACrORINSTALDl.TION ONLY' 2. r :':r, h1iA:'q;..,'l!?,,:~:;w~~;,~,.~.,'~\>~f.Qi'i-~':. ~t.":. "\;!'j C. ~.t!'"'~"~'~~"t. ,,~.l Electrical Contractor Rlll.\dpi'S . f7E"ctrl'C InC City JCI C; M a ck"i en (l~(n( Address Phone Supervisor Liccnse Number 3-;)90.- S Expiration Date 10, J - 04 Constr. Contr. Number 4::;)q (0 Expiration Date I~ -I - O~ I) ~j /_ , Owners Name A '"^ + c> L.r,A .f +- l~) \ 1/J1~I/J-s.T- S.y,~ Address City Phone 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 .;,,' ,:',' ~;';"""'" "1':. '. . ;', "'_ ' . .. . . r:~. . '. A. ,:~:~::::::'!" 'mOo"~ ,,"'.',m", W ''''''~ 1 000 sq. fl. or less . $\ 06.00 Each additional 500 sq. fl. or portion thereof $ 19.00 Each Manufact'd Home or Modular Dwclling Service or Feeder $50.00 'l.....-,-~.. ,'1:' ",' ,. -;"'!i' "::'i';" .'+ ."....;' "'~'- -, :-:. .- B.;.Services or;Feeders -.lnstallation,AUer.tions or Relocation: . . ;;;>- ..'~;' .;,. ""," ". ... " '..;'~ '.' "'.~ . .l,'. ,... , ;." ',;',1 " ' 200 Amps or less $ 50.00 20 I Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 NOTIC~;";~IJ60~t\$~ ~xW~'E ~p;~.~~ve.-::".,..,~.. . .,Y.-' 1HIS fjE~~E' nor'NtitR"WIIS PERMlfIISNOl' .. '';Y'';. . ',.",. '.';","; AU1H~ ~~c~tUi\t\'S'il/ll.llWG~Pil..neI 0 r.OM . ~,:W'H :f.1l~RIOD. I $ 43.00 43- 0 AN'i 1lf.\1cM <lail1on.1 Circuit or with I 3 00 Service or Feeder Permit $ 3.00 . ... '1.' ~ ~.- ~"--" ""r.. .' ,,:.~ :- ,'.. -........ . E. . Miscellaneous (Service/feeder not included).-Each Installation ".'.,. "'.' ,','.' .... ";.'., ,,' ',. . ,'.', (. Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ~s~Bt~TAL.p?fWO~\-7';'~: ~:' } "":-. 4 (p -00 7~~ State Surcharge 10% Administrative Fee TOTAL ~3 g z- Shared DI;ve(T:).IBuilding Fonns/Electrical pcnnit, Appliciltion ).03.doc . CITY OF ~nUl"\ju1'lJ'.,L1J Building/Combination Permit PERMIT NO:. COM2004-00449 ISSUED: 04/21/2004 APPLIED: 04/21/2004 EXPIRES: 10/21/2004 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fa. 541-726-3769 Inspection Line SITE ADDRESS: 1331 MAIN ST ASSESSOR'S PARCEL NO.: 1703363204300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: PROJECT DESCRIPTION: Add 2 branch circuits Owner: AUTO CRAFT INC Address: 2700 W 11TH AVE EUGENE OR 97402 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BUILDERS ELECTRIC INC License 4296 I BUILDING INFORMATION I # of Uoits: # of Stories: Primary Occupancy Group: Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type VN o,W,aterrT-YRle:res you to NTION.Oreg u. em '.. .. Secoodary Construction Type:rTE . dKal'lleJyP,ltigon Utility # of Bedrooms: follow rules adopteTjli'e(ib:uPaih'are set fon . Center ,,056, ,,,., \!o~f!~~~~ M1_nn"10 throuQh OAR 952-00 II' _. ,. . - - .. . _ __ ......" " ..~_ . 0090. You mal: DEVr;LumIENTINl'ORMATION I calling tfhe t~~';';~~'~~'UiiiitY Notiiication number or ._. ';9,y!:rlay)p'ist;,4). # Street Trees Rqd: Paved Drive Rqd: % of Lot Covefiige: SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: : New Commercial Expiration Date 12/1 0/2007 Phone 541-485-0922 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer A vanable: Speciallostructioo: 11U ..,,_. THI S. PE rfJJ~WC..~p~Y,.F,ME~r~lNORK AUTHORIZED UNDER THIS PERMIT IS NO~dewalk Type: COMMENCED OR IS ABANDONED FOR DowospoutslDraios: ANY 180 DAY PERIOD. Notes: Description I Valuation Descrintion I $ Per Sq Ft Square Footage or multiplier or Bid Amouot Tvpe or Coostructioo Total Value of Project Paee 1 of2 Value Date Calculated . . UJ i' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00449 ISSUED: 04/21/2004 APPLIED: 04/21/2004 EXPIRES: 10/21/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phooe 541-726-3676 Fax 541-726-3769 Inspection Line '-Fees Paid I Fee DescriDtion + 10% Administrative Fee + 7% State Surcharge Add, Alter, Exteod Circ Add, Alter, Exteod Circ Ea Add Amount Paid $4.60 $3.22 $43.00 $3.00 Date Paid 4/21104 4/21/04 4/21104 4/Z1/04 Receipt Number 1200400000000000517 1200400000000000517 1200400000000000517 1200400000000000517 Total Amouot Paid $53.82 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. 1 Relluired Insoections I 1 Rough Electric: Prior to Cover 2 Fioal Electric: When all electrical work is complete. By sigoature, I state and agree, that I have carefully examined the completed application aod do hereby certify that all informatioo hereon is trne and correct, and I further certify that any aod all work performed shall be dooe io accordance with the Ordinances of the City of Spriogfield aod the Laws of the State of Oregoo pertainiog to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Commuoity Services Divisioo, Buildiog Safety. I further certify that only contractors and employees who are in compliaoce with ORS 701.005 will be used on this project. I further agree to ensure that all required iospections are requested at the proper time, that each address is readable from the street, that the permit card is located at the froot of the property, and the approved set of plans will remain 00 the site at all times duriog construction. Owner or Contractors Signature Date Pa2e 2 of2 225 Fifth Street ~pringfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2004-00449 COM2004-00449 COM2004-00449 COM2004-00449 Paymeots: Type or Payment CreditCard 4/2112004 RECEIPT #: ~.-. ~ ay of Springfield Official Receipt .velopment Services Department Public Works Department 1200400000000000517 Date: 04/21/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By BUILDERS ELECTRIC Item Total: Check Number Authorization Received By Balch Number Number How Received djb 000362 094422 In Person Payment Total: Page I of I 1:12:47PM Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82 · City of Springf_d . Report 10 : SPRA 103 Voucher 10: 00071290 Handling Code: RE Bargoutl,Shawn 9160 SE Graphite Terrace Beaverton, OR 97007 DescrlDtlon Account Fund OrQ Refund of Deposit 215500 821 Comments: Express Check Refund requested by Steve Barnesl Ok'd by Lisa Hopper ~?_I \I\~ S~ I Voucher SubClass Accounting Date: Vendor Number: Invoice Date: Invoice # : Approver : Operator: Gross Amount: BY Prol/Grant 2004 . January 7, 2004 0000010605 December 29, 2003 COM2003-01178 Puent,David WILS5940 20.00 Amount 20.00