HomeMy WebLinkAboutPermit Electrical 2001-7-20
07/21/03 MON 13:03 FAX 5417263689
CITY OF SPRINGFIELD
~002
~
. .
.~.":.. ::" :'~ .;.,..,' ,:,P , :'( /. ... . \ :'. ' ,. '. I" . ....
~._,.....,.~...'..~.~.".. 'f\.:: '--'J- -- .1.' .... .... 1: -................ __i,_
:;..-....~: (': ~..."..;!.,,:..: ."l,. ."",:~..:,,;,,:.1';,,....:,,:,..,,,. '. . '"'' " ...:..:-.... " ~', :._. .,.~;_!... ~_--:
11S FIFTH STREET. SPRINGFIELD, OR 97477 . l'1-l:(S41)726-37S3 'lMA\lI~A~7,M,j~~~3 b' .
ELECTRICAL PERMIT APPLICATION ~~~~~g. ~nd d09S not ~9S:UI~il~~~~I~i~ t,~~~o~owing
City Job Number ElEZOD3-ooi77 Date 7/2.1/03 va.. /1. II 59
ZOning ( ~ "-
3. ;1:~:L~!~~~!~t~~fr~;:i~~~.~:~:../::::~t:~:
A. :[~Nc~ R~d,~!lllal;"SiDgI,,~ic:~lj19;Fa\'.II!j' P'CJ::c1\v~Uinil,llnit::, i:~,::'
. ". "." ......"..,.......'. . 'c'" ,.....1.. .~ _,' P'," .. .... ..,. L'~,"'" ~.. L.. n",.. ... 0'- .... -r.... '. ".r;,
200 ^mllS or les., S 63.00
201 Amps to 400 Amps $75.00
401 Ampslo 600 Amp' S125.00
601 Amp'~I000 ~*' SJ63,00
Ph,'ne (SLlI)'lz.!.4S4"-\ Over 1000 l~~'\ $375,00
Re~~~t i\~'\" ~~ $ 50.00
.~\.~~"'<:.,~'~"-- '....".-- ,-_.- ."'-<>,,-- ",,- ~-"-"'""
CJ(JLJ LF 1\ .,. ,-1,~ ~~~'!f!if" tmccs."or:EeeC;crs ~t:~f'-~:'_ ';'-::;r,~.'dfj~iJj;!~~_i;~~.s~~~
~\..;... ~\\ 'O'<~'i)'i;.'\\('-~~~... , n c,.-.~'"~ '---..', -~-="""""'--,..- . .. ',,"." -,"-'< '...,
10/1 /0 ~~'\S ,?'i;.~lJ..'i:.'i) \) ~'\l>.~t~~tion, Alteration or nelocation
\ \ ~~'\ ",\)" ~c.'i:.'\) ,?~~p, orles. S 50.00
LlO'Sq.-,\,~,,\\~~ ~'# 201 Amps 10400 Amps S 69.00
q /-z:8/03~~'(\ 401 Amps 10 600 AnlpS $100.00
O~~.~.~JlS.O!_I~'y_ol!Ssee"n'.'.~bc?ve.. ... ... "___n.''"
D. .tL!Jl~~~~~4:!~f~J~~f.~~:~~?0~~ff#~~~~W;~~1~R~fff;~fij~~~?"{t~f~:~J6:~
1. .~?h~~!R&i?.f:!ci~~f~~:iA:ijQ&;.~~~1iif1\{~~!
'2090 C O/ymp,-'L i<.\vrL
LEGAL DESCRIPTION
170325')1
0770(
JOB DESCRTPTJON
~u..(";~ ~'"'-\(" rYl
Permits are nOD-trao."fef'2ble u.nd f!J'pire if work is
not started within 180 d.ys of i.suance or if work i,
Suspended'for \80 days.
2. ~!;Sq8i~f!?'~%i.g~:ij~~~iC.ri~
. Elec:tricaI COnlr"ClOr ~:~ A\6JW\ ,Gvp-
Address L.17 Mo.;", "S+ ~ E
Ci.ty
A\~J
Supcrvi50r license Number
Expitalion Dmc
CODSIr. Conlr. Number
Expiration Dale
Mtll~fsupcrviSing Electrician
~~- .
L
Owner.; Name .HI c...KA:T 1;., ...t<J.rCd I- L1- L
Address 7350 OA-k"...+ wAy
Cily
~t:7VE
Phone
OWNER INSTALLATION
TIle installation is ~inB Dlade on ptOperty I own which
i~ not' intended for sal~, least or rent.
Owners Signature:
Inspeetion Requesl; 726.3769
Service 'neluded
1000 sq. n. or 'ess
Each additional 500 sq. ft, or
portion thereof
Each MMUfac,'d Home or
Modular Dwelling Service or
Feeder
SIOfi.OO
S 19.00
S~O.oo
B. ~~~~f~~{t:fll~~~~i~~J*~Vi~;E-1~g~~~~Jt~~fftt~~~~j~~~~~~~~i
New A1teratiou or Extension Pe, Panel
One Cin:uil ,)\~.OO
Each AddItionsl Circuil 01' with leS 'lU \~~.
Service or Feeder Permi. ~ IE. ",' II .' >JS: \ol'll
':. "~":;':'~>';;;:;:-~~~~2!.~'l?~\m'c" ':1,~,:V"""",;
E. :,~ti\~C:i9'le~~~'W~~~~0;lt~~~~1~~1,i~.~~
~ 0l'~lKtJO~91."1; \"IOU~ _ n\ \"E'$~1909
~iJllt~t~~.~~ingi)O'\ ~l\ co9\"'~ ~'" \91~,~~O' \
#iJ1C;;'tnftf}im.. ~denrMI\ ~O\9-' ~;''''~'S~5.00
.,;~ ~m '0l.~ ~\\.. AfJ.. LI&.... 0
L,i,mired.E'1f:IliYICQn~lle"'lal 9"01' ~.S". 5.00 . u.o
nf\Q,Q. . ... \"'" ,",,,g~:;~
MInl""mi"E~~ ...\51[IJ...~"""r= .. S4S.110 + Su.'Char:es
f'F, ,"n ".;.""~~,,j:;''''I\~l,ljL.-....,- ".. _.C_'_-_~''',..'
4. tSii.81DJ'A1i6BA'Rori'",;,.,;-;."\-::t,;i';';,:'_::{-)--~:.
-" ':..-. ._-:.-::t'_~.~l-:_ -.1 ,..:~);:;......=- -,": ,".:, ;~~.;:; :~~~~~''-J::~:';~,~~:-::}~!~~T''
7% Sene Surcharge
10% Ad1'Dini$tr~\livc Fee
__,_..2l..~_
<-/':';0
"SL.bS"
TOTAL
Shand Dlivc{T:)/Buildin:; l~unm'Hkctricul Permit App1icntinn 1-1~3,dnc
,,'
,
Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
.
City of Springfield
Electrical Permit Attachment
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
ELE2003-00177
7/29/2003
7/24/2003
1/29/2004
SITE ADDRESS: 2090 OLYMPIC ST B
ASSESSOR'S PARCEL NO.: 1703253107701
PROJECT DESCRIPTION:
OWNER/APPLICANT:
MCKAY INVESTMENT COMPAN
2350 OAKMONT WAY
EUGENE OR 97401
Descriotion
+ 10% Administrative Fee
+ 7% State Surchar~e
Low Voltage - Commercial Indus
Springfield
TYPE OF WORK: Addition
TYPE OF USE: Commercial
Security system
ELECTRICAL CONTRACTOR:
MARTINVE5T INC 541-928-4544
217 MAIN 5T 5E
ALBANY OR 97321
CCB # 40591 Expiration Date: 09/28/2003
Amount Paid
Date Paid
Receint Number
4.50
3.15
45.00
07/29/2003
07/29/2003
07/29/2003
1200200000000001842
1200200000000001842
1200200000000001842
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 working day.
Reouired Insoections:
1 Low Voltage: Prior to cover.
By Signature, I state and agree, that I have carefully examined the comPlet$d\8b~~cation and do hereby certify that all
information hereon Is true and correct, and I further certify that al,Q.\IlIla"!!}I\jjm.'R~rformed shall be done in accordance with
the Ordinances of the City of Springfield and the laws of the (\!al~~(~tei?>\n eel:Mlpjng to the work dcscribed hercin. I further
certify that only contractors and employees who are.i\\st!/il~~anl:e'?wl~10RS<bl})'.05'5~i11 be used on this project. I further agrce
to ensure that all required inspections are requ~elt'ii'i t\1.eilroP'!\\";Iti~\!.h.'i"ea,\,&'lftfuress is readable from the street, and that
the approved set of plans, if applicable, \wtl,!:.i'~h,aiy\O'i\qb.. <<t~jftJl!l;iWe~~\lrThg,,~li~rl1ction.
l'- tU\'" e~'" \0 \\" \as 13\13": ~.o\\
\O\\~~I\\\ol'_CI\O\ .~,~l' CO~e" \'(\13 ~o~'\C'3'
~O\\'. ~~';l~ Il-'l"- 0t.~O U\\I'~"
\l' ~~ :~OU :13 C0:~ta~~~,~~1:"
r;JJ 1l-\~'6'9J \ot \'t\ . S \.'0
C ~et ~et\
l'U~ vel'
Owner or Contractors Signature
\)'\l-'C'o
,\'?>~ ~ ~\)'\
~ '" ~ ,<0
~"'\>'''' \>"'~~\ ,,\)~
. ~'?--\.\. ,\,?>'<O ~~",'V
r..,,\\C~:-,,~~ \~'V"'~ '?--~'?--~'V
~\J \>'()' ",'V \J ~ ,<0
,\,?>\S ~CI~\-C ~\l \) ~\CI\l'
,?--'0\~~"'~\~ \>~
c,~~'{ \ 'O~
Page 1 of I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
ELE2003-00 177
ELE2003-00 177
ELE2003-00 177
Payments:
Type of Payment
Check
~j
Receipt #: 1200200000000001842
Description
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltage - Commercial Indus
Paid By
MARTINVEST INe
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department'
Public Works Department
,
Date: 07/29/2003 9:38:50AM
Amount Paid
Item Total:
4.50
3.15
45.00
$52.65
How Received
In Person
Payment Total:
Amount Paid
$52.65
$52.65
.
.