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Home My WebLink AboutPermit Electrical 2004-12-2 . 1000 sq. ft. or less Each additional 500 sq. ft, or portion thereof " "0 la' laW requllo" 10 . Permits are non-trausferable and expire if work is Each ~~f~ctid:HOnQ'o.gon the Oregon Ut\litI] not started within 180 days of issuauce or if work is Modular Dwelling'S~&i<fe.6f\ by les ~re s~ it"'.....,'..., . 'l'hn"",rU '" Suspended for 180 days. ' Feeder:~r........,('(1~........... l'I OA'f{llO~ 0 1t 2. ~C}l~?io~IN~i;rrr:~r!?~oNiY': B. ri~~~t~~~~~~':~N~~~~~~~I~C~;i~i'-~ ~ n3EleCtrical Contractor t. If.. fj/l!l; h ft1h . f'Nc..- 200 Ampll~~ite'imth:r ~~;~~~on Utility.\\I<fS~~ . " IV /.... 201 AmP5\lB'4l%~~erI91~~a-75,OO Address (PJ uJ. LV '!? lit- 401 Amps to 600~PS $125.00 ? (1/ 1,1 / 0 601 Amps to 1000 Amps $163,00 City ;.I Pi f), Phone..,-7 '~VJ:.3o Over 1000 AmpsIVolts $375.00 Reconnect Only $ 50.00 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)7 -~.9 ~""8~ ELECT~ERMIT APPLICATION / q.o.o,~".9, <to"'t;,!} City Job Nu :::rvLf -IJ JL/l? Date / 'J / D;)/;:;;tJ7Y/-. 0 ~q~ "0' O'O~'%", ~ I q,& ~ ~ IJ 1?.s- 1. I i(ii::A1WN'OFlN~TA!..iHIOj..r~-:;-;:':'~ 3.: cowJErEFEi'Y1iji 0"" -ELO~9;:~~- : '::";;:'" t:; .........._-'~...:_.~~/__.:1._ _l..~ ~...:...____J ~~__:L.~_..___~ .--<"0: - .....-.... - - --7"6-&0'.~._......lbr_. / q / 0 AlIII1at1- IJ) /l-v 0' ~I}" "'.o9"t~q", '1 LEGAL DESC~~TION rea 11! nm f;;~ed ~ -) . ;}e,,: K~fdeutial::' si~gle'o!~frilii-F~ ,..; p ,"~Ij'*J>t'?ib~,~~ n::? I ~,. ;--..- -~.- . ~., ~'--~'. ._h . -, -- ._"'.,..~<\so..''''I}. /1 ()3 u.:::> / 0 4'J. m ') Service Iucluded ,- - JOB DESCRIPTION WtU etlYl1l.tqfYL /Il10foL Expiration Date 41 tft.f-s 1011/07 !691 I;;'//f~ y c. I ~!~2orary S~[".i~~~~!..tee(I!..r:~~-<-'_'1~,...:._ ~'_"':"~=~ ~~ __~'~._J Supervisor License Number Siguature of Supervising Elecnician InstaUation~h1te\eiop or Relocatiou 200 Amps o\)~~ P~RM\T SHAll F)(PIRE$I5d~ WORK 201 Amps to~.wO"tW'?slEDUNDFQ H.tl!; p$r6!l~00 IS NU 1 401 Amps toe8~~~CED OR IS ARANO(}\l.Q<[ooOR ~~eL~.o -'\.~l'I',j.BQflj})g.L~~~,\~Q ab?ve. _". .._ D '8 h('" . . , I ....: ranc '. .Irclllt'l -, , "I. :;;..', " " . ~;.---:..-____ __...:-_-=--.....::....-____._"'~__.__...__:.::.._"____~~"" __ _""""':-1 Expiration Date Constr, Contr, Number L~-~ d t; /' , ,;- Owners Name W II b j 5L Address SOO/ f"iUfNtL/1J ~/V.i.l!. City bU~ Phone q7 t.f(J3 I .. New Alteration or Extension Per Panel One Circuit I Each Additioual Circuit or with Service or Feeder Permit $ 43.00 70.- $ 3.00 r-r;:---~~-'-- --;-'7""--,''""7"'-:--- --:.'"-.....;..~ :-' ',--"---;.,-'-" .~-..,. E. . l\iiscellaneous (Service/feeder uot inCluded) -Eacli lustallarion , ........'~-- -.;..._. ---------.:.-.--....-- --.. .......-.._~ -- -_._._-~_._.~. -'--.; OWNER INSTALLATION Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50,00 Limited EuergylResidential $ 25,00 Limited EnergylCommercial $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges '---.r---~' ~'-'-,-"-- --.'------- 4.:'Su'B;rOTALOFABOlii;' . ' .' , : ......._~--~-_._------~-_.~ ..-.. ~~ The installation is being made on property I'own which is not intended for sale, lease or rent. 7% State Surcharge 10% Administrative Fee 45. --- 3.6 L/.S6 5 ~ ' (pt; Owners Signature: Inspection Request: 726.3769 TOTAL Shared Drive(T:)IBuilding FonnslElectrical Permit Applicluion l-Q3.doc . . Lu i' OF ~r1UrljljN~LU Status Issued Building/Combination Permit PERMIT NO: COM2004-01473 ISSUED: 12/02/2004 APPLIED: 12/02/2004 EXPIRES: 06/02/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspeclion Line SITE ADDRESS: 1910 NUGGET WAY ASSESSOR'S PARCEL NO.: 1803031104200 Eugene TYPE OF WORK: Electrical Work Only Contractor Type Electrical Contractor LR BRABHAM TYPE OF USE: ~Itera~\'PlO on laW requIres Y , . bl-iTENTION: Oreg the Oregon Utility '__ M!"nted by __.."rth TUIlUU ......-. Those lUlu" ....'- - Notification Center. rough OAR 952-001- in OI>.R 952-001-001? th ies 01 the rules by _. _..... nntatn COP . .'-_....a uu~\J. ,-eo... ,. - (Note: \1'10 ...:,....,... . , CONTRACTOR INl<<ilRM.iblb~l~~gon Utility Notitication ~",lUL~'/- 1-800-332-2344). B}@QlflfjS Expiration Date Phone 8699 12/1812004 541-747-6638 PROJECT DESCRIPTION: Wire Conveyor Motor Owner: WILDISH IND DEV CORP Address: PO BOX 7428 EUGENE OR 97401 BUILDING 1""uN.IA T10N I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Coustructlon Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Fllst Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: I 01\CE: S~'\.l !i"1'~lij'iJOrt Energy Path: ,'S PlRMIT SHAll E~~1[! t)th~~: I~ NOT Sprinkled Buil!ilng:O" IZED liiIa')ER noccu~~ll ',.,~iI-" "~. n _....... 'f' ^Dl\l\In,'Nt-uFun '.'''' ~.. .",. ..... . I DEVELOPMENT INFORMAnON~I:RIOD. "'" . - - REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Slreet Improvemeuts: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation DescriDtion 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 OF SPRIN\Jt<1~Lj) Building/Combination Permit PERMIT NO: COM2004-01473 ISSUED: 12/02/2004 APPLIED: 12/02/2004 EXPIRES: 06/02/2005 VALUE: Status Issued 225 Fifth Slreet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Clrc MinimumlAdjustmlml Electrical Amount Paid Date Paid $4.50 $3.15 $43.00 $2.00 1212/04 12/2/04 1212/04 1212104 Receipt Number 2200400000000001469 2200400000000001469 2200400000000001469 2200400000000001469 Total Amount Paid $52.65 I Plan Reviews I To Request an inspection caU the 24 hour recording at 726-3769. AU 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 ReW'ired Insnecti~ Final Eleclric: When all electrical work is complele. Rough Electric: Prior to Cover By signature, I state llnd agree, that I have carefully examined the completed application and do hereby certify lhat all information hereon is true and correct, and I further certify that any and all work performed shall be done in accorda~ce with the Ordinances of th" City of Springfield and tbe 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 thaI 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 al the front of the property, apd the approved set of plans will remain on the site at all times during construction. \' ' , f}.' f\ - - /) I " ~ I. A.17 . /71 (;()' ~ oc~J v..JHtlI,U~ Ow~e# Contractors Slgnafure ' 1~/tJd/ () y I tJ~ , I Date Paee 2 of2 .225' Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-01473 ' COM2004-01473 COM2004-0l473 COM2004-0l473 Payments: Type of Paymeut Check 12/2/2004 . RECEIPT #: .~~NQFlJ!U>' " Wit, , . ,.,. .: 2200400000000001469 Ilescrlptlon Add, Alter, Extend Circ Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Paid By LR. BRABHAM, INC. ~ity of Springfield Official Receipt .evelopment Services Department Public Works Department Date: 12/02/2004 Item Total: Check Number Authorization Balch Number Number How Received Received By NJM Page I of 1 31436 By Mail Payment Total: 1:39:09PM Amount Due 43.00 2.00 3.15 4.50 $52.65 Amount Paid $52.65 $52.65