HomeMy WebLinkAboutPermit Electrical 2007-6-25
Date
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225 FIFTH STREET. SPRINGFIELD, ~..,.:17477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERM I]; ~f1?1TION
City Job Number C1J,. 't:f ,
~
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor Nf'w Wi'l.Y Electric, inc.
Address P.O. Box 21403
City
Eugene
Phone 5 41- 6 8 6 - 2 365
Supervisor License Number
52528
Expiration Date
10-01-07
Constr. Contr. Number
51088
Expiration Date
06-27-2007
Signatu" OfSUP"';'in~;cian
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Owneffi k:: . ~~U2-0
Add~ 'b U) ~ toH:.,
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T S P E h M \ \ ,) \l A l. L , \ 1
O~~r~~~lriL~~'Ui9~"rH\S PE \1F~SRNO
Th~.IP\s(lM~!'1Rn'1~ \gelIJ~i It13Qe;\P>A ~~ ~ own which
IS n€lt~tW~etJ\ded for sa]t~ Jea]se-pr rent.
ANV\ 8D \JAV \-',j-.(!\ \J
Owners Signature:
'''pect;o. R~~C~i; \ S
3.
A.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
B.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN oIts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c.
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E.
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
Minimum Electric Permit Inspection Fe
$ 50.00
$ 50.00
$ 25.00
$ 45.00
"
s $45.00 + Sur arges cxJ
~f6~
folloV8%l~ah?s\?~2f[aFgp)1 t e ICCCl:l ..;,,,,~I Jij" .lt10
No';ifiC<Il~~llJ.\Qfi1ffiWtralv~F€erules &: e sc; u, 'l . ~
in Ot:' ,fio/o5f...eEhtiblrag~ w&,i'Qugh C -'\:"{ S~.:::" - ~ ~" I . ;:;;J
oo~o. You maY obtain copies of th2 IL':3.3 ''J ~[/\ 11
ca:li1if?lr-#center. (Note: t:1e t2:'::;r~hona vJ .:::::>0
n' n"ber t"or Rh!!fed'RnMF,(,T-'I)!,E!uilding:IiormslElectrical Permit Application 8-06.doc
U II OT0 U '-'t:.r\..;J1 ........lill.J' '''I...r'~III\..lU.'.IVj.
Center is 1800,,332 2344).
M~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00934
ISSUED: 06/25/2007
APPLIED: 06/25/2007
EXPIRES: 12/25/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1810 Pioneer Parkway West
ASSESSOR'S PARCEL NO.: 1703271003300
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Conduit for one circuit for McKenzie Commercial General Contracting
Commercial
Owner:
Address:
SKYVIEW LLC
515 W PICKETT CIR 400
SALT LAKE CITY UT 84115
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
NEW WAY ELECTRIC INC
License
51088
Expiration Date
06/2712007
Phone
541-686-2365
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
1 DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
1 PUBLIC IMPROVEMENTS I
Street ImprovementS':r,.:=j\'TJC): 01":':',-
Storm Sewer Avail~~-I~?'.V rule:E::c:rr; .
Special Instructiorl~' r. .'C'2.~iCJ(:jr. ,~i.
ir ~"'" ~ :~,~2 :1, -; -C',~I I"
Sidewalk Type:
Downspouts/Drains:
Notes:
C'-ru'J. )lc;u i. , / C'J I ~ >.
c~',;:L'js th~ Ct;. .:r (,-'.
n",:"'.1':;8r iOr m8,~. '- '
C81-1~81 is -1 c:'. ~l.valuation Descriotion I
;) , I.. 111VII i J II ALL Li-: II;~; ! !~i II v') ;} I~ ,
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
enlZED UNDER THIS PtRM!T IS I~O r
" ':1 i eED OR IS ABANDONED FOf~
~;ilptPERIOD Date Calculated
Pa2e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00934
ISSUED: 06/25/2007
APPLIED: 06/25/2007
EXPIRES: 12/25/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Other Electrical Permit
Amount Paid
Date Paid
$4.50
$2.25
$3.60
$45.00
6/25/07
6/25/07
6/25/07
6/25/07
Receipt Number
2200700000000001014
2200700000000001014
2200700000000001014
2200700000000001014
Total Amount Paid
$55.35
I Plan Reviews I
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
work day.
1 Reouired Insoections I
Special: See Plan Review and/or Inspector notes.
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 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 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
Pa2e 2 of 2
225 Fifth Street
SpMngfie1d, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00934
COM2007-00934
COM2007-00934
COM2007-00934
Payments:
Type of Payment
CreditCard
cReceint I
RECEIPT #:
Description
Other Electrical Permit
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
NEW WAY ELECTRIC
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001014
Date: 06/25/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
llh 905265 Phone
Payment Total:
Page 1 of 1
7:57:09AM
Amount Due
45.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55.35
6/25/2007