HomeMy WebLinkAboutPermit Electrical 2007-6-26
1. >'l;Q94l;~Q$t'(fFiiNsTA.ilJ;!.
'''0.r~sC\~~~ \ (' )
LEGALD\~~~ ~
JOB ~CRIPTI~ 100$'7)
Pormlts a~tran'ferable and expi" lfwork l,
not started within 180 days of issuance or if work is
Suspended for 180 days.
Date
.... ~
225.FIFTH STREET. SPRINGFIELD, b_:l7477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL P~IT ~,l?~ICATION
City Job Number l, I J ~ t.\ ~ \..
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
2.
B.
Electrical Contractor New Way Electric, inc.
City
Eugene
Phone 5 41- 6 8 6 - 2 365
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Address P.O. Box 21403
Supervisor License Number
52523
c.
Expiration Date
Constr. Contr. Number
51088
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D.
$ 50.00
$ 69.00
$100.00
1_O-Ol~07
Expiration Date
06-27-2007
Inspection Request: 726-3769
Si~am" ~fSup~~
~;d::\~~~1 E.
CIty ~.., ~~o~. \ Pump or irrigation $ 50.00
- !! ,J ';,iMIi'iH~1 i FX(J/HF IF THE WORK S~~Outline Lighti~g . $ 50.00
OWNERI~.~T.::.A./-IlIPI'1lI~JI!LH Hm; PERM/.T IS NO LlIn~tedEnergYlResldentl~1 $25.00
The m.stallat1b~'lsJ)ellr)g:mgd~)pr!J!lr9R8Wi'J.IJ~~rbl1-1J ,T, LImIted En~rgY/Co~meTC1al , , $ 45.00
IS not mtenA~~lor .~~lell~~s9W!;T?h R MIDlmum ElectriC Permit InspectIOn Fee IS $45.00 + Surcharges
Owners Signature: . .. 4. !t'I~~*j~W: .~o L\\.a (JJ
8% rdr~-Nlffi~~doPted by the Oregon Utilitv ~ .l~
;~<ir,*,h@111~?t:vEfrft~r. Those rules are set forth ~ .tPl)
fi; C{'iPao:f2 Jtrl-001O trlrough OAR 952-001- 1-.M_
TOt:A:rr YjU Inay obt2in copies of the rules bY5 \ '" S0
c c; ~liaiijdttmv6t-r:)~f1dih~~~~;tiill~JitJMPehh9t'A~pJi~:;tion~6.~oc
t'Lim;-)er for the Oregon Utility Notification
Center is 1 800-3322344).
New Alteration or Extension Per Panel I
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
4~CXJ
"b.VO
$ 3.00
\~
\o~to.'Ll\5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2659 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703250000800
Springfield
PROJECT DESCRIPTION: Add two circuits for pepsi coolers
Owner:
Address:
W AL-MART
2659 OLYMPIC ST
SPRINGFIELD OR 97477
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00951
ISSUED: 06/27/2007
APPLIED: 06/26/2007
EXPIRES: 12/27/2007
VALUE:
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition
Commercial
Phone Number: 479-273-4000
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
NEW WAY ELECTRIC INC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
BUILDING INFORMATION I
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
License
51088
Expiration Date
06/27/2007
Phone
541-686-2365
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION.
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS r-: '-'I"'!' r;fr):;on law requires you to
rl'Sidewallh;x1J:~' the Oregon Utility
. ,. -', 1 tlOs~ rules are set forth
Downspouts/Dr1ams:h OAR 952 001
. J" I V LI J Uuy __
. . '. "V )b~ain copies of the rules by
.:~Ia center. (l\Iote: the telephone
'~.2,' for the Oregon Utility Notification
r.............."-~. :_ .. ....,........ ....._ _ __
Street Improvement~ 0 T! C IE.
THI':; .
Storm Sewer Available': PERMIT
SpecialInstructio.{! THORI2E SHALL [1/
COIlliIlli[ D UNDE /lPIRE IF
Notes: ANy 180 NCED OR IS R THIS PER THE WORI(
DAY Dr-~ ABAII/I'l~_ /WIT Ie: r.,~.
....'l/UD. I~"'~:::;i-U"". I
V aluation1Description
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Pal!e 1 of 2
-. ..-. .......,.. '..... . vvv vue:.. c..v4.f'-t)..
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00951
ISSUED: 06/27/2007
APPLIED: 06/26/2007
EXPIRES: 12127/2007
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
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$4.60
$2.30
$3.68
$43.00
$3.00
6/26/07
6126/07
6/26/07
6/26/07
6/26/07
2200700000000001028
2200700000000001028
2200700000000001028
2200700000000001028
2200700000000001028
Total Amount Paid
$56.58
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.
ReQuired Insoections I
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 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
Pal!e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541 -726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0095I
COM2007-00951
COM2007-00951
COM2007-00951
COM2007-0095I
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000001028
Date: 06/26/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
NEW WAY ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
IIh 316265 Phone
Payment Total:
Page I of I
11 :57:08AM
Amount Due
43.00
3.00
2.30
3.68
4.60
$56.58
Amount Paid
$56.58
$56.58
6/26/2007