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Home My WebLink AboutPermit Electrical 2004-9-30 ., ",'4M';-4"".-"CITY-OL" S 1M')!" {'. '. "",-, I '~7~ .::--' .' '.I _ ',\>' 'C.. 2. I CONTRACTOR INST~TIONONLYI B. r~ervices or r;~eders ~ InstallatiOll, Alteptions 0< Relocation: Electrical Contractor''f)eu J Ii h /' ;:-lfJ (11:"7.[6 200 Amps orless $ 63.00 _ /J ~ 201 Ampsto 400 Amps $ 75.00 Address "f1') 'i-7/;f ....:J / ~5c;' _~ 401 Amps to 600 Amps $125.00 ~ . . k;OT~'P!mlI<fl103.$tllllsaw requires YOU tClS163.00 City rJ/r1..R../ Phone Si./ -6J I, c.?$ 5 ff(!j~IIllIl()~l1kby the Oregon Utili~375.00 N~~ Ofi)yter. Those rules are set fO!$~O.oo in OAR 952-001-0010 throuQh OAR 952-001- OO~;ffijrol!/lilY S\!R..'Iil1!C6ljJmdlWle r-uleli by calling me center. (Note: me telepnone rrngWllltllil'i,tl\ttGfit@firoUl~lq\:!Itidilication 200 Am~~91lfts~ 1-800-332-2344). $ 50.00 201 Amps to 400 Amps $ 69.00 40 I Amps to 600 Amps $100.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Supervisor License Number ~:jd ,f d 5 Expiration Date I () ~IJ / [') d Constr. Contr. Number ... c:; / 0 cP J> Expiration Date !o -';/7-!?5 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 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 i Over 600 Amps or 1000 Volls see "B" above. D. t. B"anch Ckcui.ts . '. . New Alteration or Extension Per panel/ Wle C,rcu,t $ 43.00 I.{ "3 EilQ;TJJl4i~onal Circuit or with C. Z f' SCiiticpofJ.eed<;I; I'ermit ( $ 3.00 L ,Wlff ;:,HAL/ J:)(P , . , q ll-'lllr~'- .' IRf:~J~~V~JHK. . . iN;' 'I 'eoj~~~:~~;~g,' .1I~?J;- Ea.ch Iust"llation I . i'>umJ~QJtig)(t@fiRIOD. ED FOR $ 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 4.I.S~TOTAL(WABOVE:" 70 1.{90 7 ~~ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive{T:}lBuild.ing FormslElectrical Permit Application l-Q3.doc . . CITY OF SPKll'luFIELD Building/Combination Permit PERMIT NO: COM2004-01209 ISSUED: 09/29/2004 APPLIED: 09/29/2004 EXPIRES: 03/29/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3478 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1702300001926 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Add 10 circuits Owner: HOW AN INC Address: 2783 RIVERW ALK LP EUGENE OR 97401 I CONTRACTOR INFORMATION , Contractor Type Electrical Contractor NEW WAY ELECTRIC INC License 51088 Expiration Date 06/27/2005 Phone 541-686-2365 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: , BUILDING INFORMATION I '" 'l:Nf/ON: Oregon I # of Stories~Ol/ow rules adopted b a\\t!6iCSli'es you to Ueigbt of Strtiftull!on Center Th y t~<FtE1]tJlll~mty Type of IleaflAA 952-001-001 0 t~se S400 21\l1~~Y6ith Water Tweeo. You ma . rouSq ~~lllil Range TYP~alling the y Obtain COPilSqcJflf~f~~'1!.rport Energy Pallum!;ler f center. (Note: S~lEfMittIJlifjne 'r Sprinkled Buildme:. or the OWli'on Ut;QY"R~n~8al1: '"l,;entpr i~ 1 0'''''\ g__' _ III on I DEVELOPMENT INFORMATION I . --"""'+). REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: NOTICE: iUl("l r.,.._. I PUBLIC IM~Ro.v:iMi~is.;tLL EXPIRE IF THE WORK l,UMME -.-ER V-II<: Pi:'.!)'!IT NeED OR IS A:Sillewatk''fype;S NOT ANY 180 0 tjANOONJ:n.J;n AY PERIOD. DownspoblS/Dtftns: Total: HandIcapped: Compact: Street Improvements: Storm Sewer A vaUable: Special Instruction: Notes: I Valuation Descrintion 1 Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee I of2 -u;:; ~~"~ . . CITY OF ~rKlj'\jl.-1<l~LD' Building/Combination Permit PERMIT NO: COM2004-01209 ISSUED: 09/29/2004 APPLIED: 09/29/2004 EXPIRES: 03/29/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line L.F"". P31d.l Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $7.00 $4.90 $43.00 $27.00 9/29/04 9/29/04 9/29/04 9/29/04 1200400000000001408 1200400000000001408 1200400000000001408 1200400000000001408 Total Amount Paid $81.90 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. ~uir"d \I!;.nection~ 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 that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance witb 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 ofany structure wIthout permission of the Community Services Division, Building Safety. I further certify that 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 at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors SIgnature Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541~726-3759 Phone . .~.u.:~. ~ ~.: iiilY of Springfield Official Receipt _elopment Services Department Public Works Department RECEIPT #: 1200400000000001408 Date: 09/29/2004 2:51:42PM Job/Journal Number COM2004-0 1209 COM2004-0 1209 COM2004-0 1209 COM2004-01209 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard NEW WAY ELECTRIC Item Total: Check Number Authorization Received By Batcb Number Number How Received djb 073067 In Person Payment Total: Amount Due 43.00 27.00 4.90 7.00 $81.90 Amount Paid $81.90 $81.90 9/29/2004 Page I of 1