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Home My WebLink AboutPermit Electrical 2005-1-21 . " 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)73,6-3689 ELECTRIC1t~~~!! APPJ:..lCAi7T.'f;TON I _ I q - -" 1-,.nt:;~O.,;'o~ City Job Numbe~)l 15 -~(1) ate c^ V \.!..../ ~o~~ Ql ">., v ~/ "'0'\9..0 . . '. . ~ . ~~ '...-+,".if'''',''#:'~P~~''~. ':''f;'';-c..-.\:_~~.- "".r"'-=:1\~>;::'''';-';;::-:-:'''\-'~~.61~ 'l,;~_"",-~~.".""~"''''W~~~'f'''' -4v'l~'":9""~;::'."" v~..'t~..o>"'~rt:-:;;t'!"'''~rdli~~_'!.'t.r;'<< ':~':''''::;:tl';~ 1. 9!LOCATION\OF.oINSTALI:ATIOm~~&i.,;',~" 3. !i,COMPLETE ''HlSP..VLJj>( Ol-v.,""',~,-.tc':;;'f"j:',,~..i:.t 117o-l1u;;ii::rf~lr'M-'- -cA.;ct.,oQ71;; 3 ~",c",~","'''>''" ~:: '~~~~'~""'o~~:~~;'2l.~=~~~"'~.",~ LEGAL~ESCRlP' T'IONr~ /J U,M ," P Se?w. \ . rN~im'j~fff[[~'~.o,'."'n~o;1~F'~kr4~~]~I~Fg~llit\~:~ \.. LtnfJz<< rWF-U/f ' '0- :(~J~.rl~~..-ruuu'~'';'~~G,>,.t~A .~'- '~!:,;'.> .~"'<'~~~h .~,,(ol..,,-:';'~ I K 0 03 II <0 Lf;;;>' 00 Service Included ~\.., <}~r~~...< 'JOBOESCRIPTION . 1000sq,ftorless '\,. ~- ,dl~~, J,J/I/JIJ 0 /iA -I, J t~1l6'/I/A Eachadd'l1Onal500sq,ft,or '\. '\.0; .. ~ W 1//<-(/ 6 K/ltUmr 1&., ,,;""(': 1 portIOn thereof '\. ~ ~ 9,00 l../Vfllla-co '",..,.1'\' nlaw ;:~~~1~!~~~.'~.':::=::^,~~~1)~,?~=~,~~ 2. :gg~~9U~J:~!:~;1.#){i~.~Jt~<J B. ~~~fnli~~~-tI1t/,l'lt~,~.el~~Q IlinQ the center. (Note: the telepttoro Electrical Contractor L. R. Brabham, Inc. 200 AmJ!o~r1'orthe Oregon Uta;.'1I\1'l~llEl.~ 201 AnipsrrO ml8€tWf is 1-80~~?-~.s 75,00 Address 68 West "Q" Street 401 Amps to 600 Amps $125,00 601 Amps to 1000 Amps $163.00 City Sprinqfield Phone 747-6638 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50,00 Expiration Date 10/01/07 c. ~~femp"O,"frtrYYs,' 'efi1"~~s~riit:F'~e~]'e~st3~~~. ~ :~~~--_:. ~~.~dt:i; ~i~;.:;~~'~--~1~~: - f:'l >~;i.."it -.: .- _ ~ ~-~,_,_"""",~,1"-'~-"'-.~'1t..."i:'~"("""~~~~~~*'4'h1 , NOTICE: lnstallation, AIteray\!,~~rp~r.\?~?p'~nrlALL EXPIRE IF THE WORK 200 Amps or less AUTHORIZE[' 1_IW1~O fl~lbO~EPMIT 1<: WIT 201 Amps to 400 ~MMENCE[, '2'i ': At9~W.90~iH) FQI1 401 Amps to 600 ^"111~Y 180 Of.'! PERI'2~~IOO,OO Over 600 Amps or 1000 Volts see "B" above. D. ~Bfinfhf~t1t~,}' ~,:;~f~~~~-o,.~~;k~.;"'<;;5.~'+.r..,-' ~;.~fi.'ifi~~.. ~-';~~~~,~'~:~~\;;.,?~1 ti~-"'"-"'~"""-~"ri";"''''''''i.tl' ~.J:-~'F.l.lJ.A:i1l..~ -~.;.~..", . ....~. '~~~f i';:3 "... ] New Alte~atlon or ~xt:nsion pe;~~n;-- .7... to One CrrcUlt / $ 43.00 1-5 , , Each Additional Circuit or with 3 fA 00 Service or Feeder Pennit $ 3,00 7 . Supervisor License Number 4944S Constr, Coutr. Number 8699 Expiration Date 12/18/06 Signature of Supervising Electrician L..J -/ _ / ( .d - t? .Y Owners Name 'WtJ.~. Address SOtJl ,~I/d Ci~tJ tj71J3Phone 1Jh' 7~30 OWNER INSTALLATION c:.~...<"-''''''']' --'.....~,. "'J..J".......~i~~,' ~u...~'~v., ~i".r'1""H-;;r;#~.~,J. E "Mi "I'I""~--"(S""""""::i"'d"'--'-t"l"^d "d)"E"'II"t -Il'"t'"" . h' see aneous' emCt:lJee er'nornc u e ,...;.. 'ac)' us a a lOll,'" je;......."~..'-~'...3:.~:.. ~ ;~,~-.:.....,.. .... .-'l.. "~l ""..... -~.k~W ....... ~.-. ...t;.,.---.....:,~. ~ -'- 'J The installation is being made on prop'erty I own which is not intended for sale. lease orrent.' Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Owners Signature: ~,,,,.--...J-' "-"",,,,'!>.""'_ . . ""'--'...;''''H ,. .J-..........~..~~~7:r.,~' itl:.....O;;:..... t;.:O,..J''''':.=._1s>'.........,..''t_...",....=.<:,' .....' -.", ,. :i-;"4,.-';:'::- , ....". 4. '1i;.SVBTOTAL,OE'ABOVE,~" t,r.c -""'";"j.~'!;".,,;.:1 b::2~;j,i"t}~~75~1~- ".-,,",#~.!f~~>:"~' ;:.~\,-~:~...l,'ii~{~r.:~-r-&~ luspection Request: 726-3769 TOTAL s~.ro 3,wLj ~<). ~O fotJ . &4- 7% State Surcharge '.._"- . .- --_._--_._._-~._.- 10% Administrative Fee Shared Drive(T:YBuilding Forms/Electrical Pennit Application I-OJ.doc ~ . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1910 NUGGET WAY ASSESSOR'S PARCEL NO.: 1803031104200 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00074 ISSUED: 01119/2005 APPLIED: 01119/2005 EXPIRES: 07/19/2005 VALUE: , EugNJE~I()FlWI\WIt. '''''1..I.~- ~J ~onow rules adoPteiffS9lll~ set fortl'o \\Iotiflcatl~~ ~\l3tJ952.00t. Commercial In OAR 952,,()Ot:~n co~es c:iI the rules bl1 0090, You may , ..._ 'ftl.."hnnPl c:alllng me .."mg., ~ 1\.1. .... \'II tilicalion i'lumber for the Oregon Utlhtt,,,,~\ Csntefb t~~. PROJECT DESCRIPTION: Wire eight radiant heaters Owner: WILDISH IND DEV CORP Address: PO BOX 7428 EUGENE OR 97401 Contractor Type Electrical Contractor LR BRABHAM # of Un Us: Primary Occupancy Group: Secondary Occupaucy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction I CONTRACTOR INFORMATION I NOThic~se Expiration Date Phone THIS8,6??JMIT <:1-j~11 H"!I!I~" 0,6 TII~ \\~~!:7~7-6638 .. !:. L '- VI'" BUILDING INFORM~TIONIt:tD UNDER THIS PERMIT IS NOT VUIVIIVltl~CED OR IS ABANDONED FOR # of Stories: ANY 180 DAY PERlrWPt Size: Height of Structure -~q Ftl st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basemenl: Range Type: Sq Fl Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: I Valuation DescriDtion I $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated Paee I on . . CITY OF ~.l"Kll~t.1<l.li,LU Building/Combination Permit PERMIT NO: COM2005-00074 ISSUED: 01119/2005 APPLIED: 01119/2005 EXPIRES: 07/1912005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspectlon Line Total Value of Project Fees P3irl I Fee Description + 10% Administratlve Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $5.20 $3.64 $43.00 $9.00 1/19/05 1119105 1119/05 1119/05 Receipt Number 2200500000000000069 2200500000000000069 2200500000000000069 2200500000000000069 Total Amount Paid $60.84 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~,ft:~\~ 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 lhat all informatlon 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 iu compliance with ORS 701.005 will be used on this projccl. 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 lhe site at all times during construction. ~ rlH:(L~1- Owner or Contractors Signature ~ J -- 19 - 05 j\J~ Dale Page 2 of2 , 0225 Flft,h Streot SpriDgfield, Oregon 97477 541-726-3759 Phone . .~ Wit- ~ of Springfield Official Receipt .elopment Services Department Public Works Department RECEIPT #: 2200500000000000069 Date: 01/19/2005 2:07:52PM Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 43.00 9,00 3,64 5.20 $60.84 Job/Journal Number COM2005-00074 COM2005-00074 COM2005-00074 COM2005-00074 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Amount Paid Check L.R. BRABHAM njm 31606 By Mail Payment Total: $60.84 $60.84 1/19/2005 Pa~e I of 1