HomeMy WebLinkAboutPermit Electrical 2006-11-21
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~ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01396
ISSUED: 11/21/2006
APPLIED: 10/31/2006
EXPIRES: OS/21/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1910 NUGGET WA Y
ASSESSOR'S PARCEL NO.: 1803031104200
Eugene
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition
Industrial
PROJECT DESCRIPTION: Add two circuits for sort tables
Owner: UNITED PARCEL SERVICE INC
Address: 2536 GOMEZ AVE
OMAHA NE 68107
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
LR BRABHAM
License
8699
BUILDING INFORMATION I
Expiration Date
12/18/2006
Phone
541-747-6638
# of Units:
Primary Occupaucy Group:
Secondary Occupancy Group:
Primary Construclion Type
Secondary Constructiou Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Euergy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Frouty~rd Setback: Overlay Dist:
Side II'$IUd(J.[: # Street Trees Rqd:
Side 21~f1S'm~MIT SHALL EXP Paved Drive Rqd:
Reary,lYi"~~' 'acli: IRE IF THE WOR~ of Lot Coverage: '
SOla/S'e'tllac ILED UNDER THIS PERMIT IS NOT
rn~.u..u:~I,..rn "n ,,.. ..... H_ -
ANY 180 DAY P~RI~~,.un"uv,,~u r(-j.'(JBLIC IMPROVEMENTS I
Slreet Improvements:
tto\qg
..1.
Sidew~lk Type:, .
, DowDsP9utslDrains:'
. ~ ~(...i .'
~ T': I : . 'j
Storm Sewer Available:
Special Instruction:
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Notes:
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I Valuation Desc'~'i'~'ti~~1 ::',' .~. ~.
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Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
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.tCITY VI' ~rKll~lJl'lJ:',LD
Building/Combination Permit
PERMIT NO: COM2006-01396
ISSUED: 11/21/2006
APPLIED: 10/31/2006
EXPIRES: OS/21/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 In spec lion Line
Tolal Value of Project
Fees ~
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Exlend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$4.60
$2.30
$3.68
$43.00
$3.00
11/21106
11/21106
11/21106
11/21/06
11/21106
Receipt Number
2200600000000001607
2200600000000001607
2200600000000001607
2200600000000001607
2200600000000001607
Total Amount Paid
$56.58
I Plan Reviews I
To Request aD 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 Reou~
Rough Electric: Prior to Cover
Final Electric: Wheu all electrical work is complete.
By siguature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereou is true aud correct, and I further certify that any aud all work performed shall be done in accordance with
the Ordinances of the City of Spriugfield and lhe Laws of the State of Oregon pertaining to the work described hereiu, and
thaI NO OCCUPANCY will be made of any struclure without permission of the Commuuity Services Division, Building Safety.
I further certify tbat only conlractors 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 lhe front of the property, and the approved set of plans will remaiu on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 on
225 Fifth Street
Springfield, OregoD 97477
541-726-3759 Phone
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<;aof Springfield Official Receipt
.Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-0l396
COM2006-0 1396
COM2006-0 1396
COM2006-0 1396
COM2006-01396
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
2200600000000001607
Date: 11/21/2006
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
LR BRABHAM
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
IIh 34206 By Mail
Payment Total:
Page I of I
9:27:0IAM
Amount Due
43,00
3,00
2.30
3.68
4,60
$56.58
Amount Paid
$56,58
$56.58
1112112006
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ELECTRICAL PERMIT - CONTRACTOR
INSPECTION LINE: 726-3769
City of Springfield Fax Line 541-726.3676
225 Fifth Street Electrical Inspector 541-726.3663
Springfield, OR 974n . General into9"atlon ~4H 6.3759,
ITJ JObAddres'j:"'~'!sJ;N(J<<UT/j11fV (1/,}J..'1
Owners Namet1L/ ~~ _l&f!t) 0,LDate:~/2 !~h
Descript/onotWork: N"'iT/J11 ~ t!Hr5 Fo,(' .<JIJ#r !6Jes ,
COMMERCIAL f RESIDENTIIlPJ !Ni>USTRIAL 0 PUBLIC 0 , ,~
~ Electrical Contractor: L. fit. I'7fl/H1l?flrn. / He... ."
Supervising Electrician S~4: ~./ -;:P~L- ,t,(
Supervisors License #: gJ' Expires' /O/Yj'lJ?
Construction Contractors Board #: . g /119 Expires: / d?#1'/ ~
THIS PERMIT IS NOT VALID UNTIL SECTIONS I & 2 ABOVE HAVE
BEEN COMPLETED AND SIGNED BY THE SUPERVISING " .
ELECTRICIAN PRIOR TO AN INSPECTION BEING REQUESTED
INSPECTION TVPE
TEMPORARY
UNDERGROUND
UNDERSLAB
ROUGH
SERVICF
I LOW VOLTAGE
MANUF HOME SERVICE
MANUF HOME CONNECTION
SIGN
ApPROVAL DATE
INSPECTOR
ANAL
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TO BE REMOVED ONLY BY BUILDING OFFICIAL