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Home My WebLink AboutPermit Electrical 2004-4-9 225 FIFTH STREET · SPRINGFIELD, OR 97477 · PH:(541)726-3753 · ~t~rl1)i6&J3,f~e~~~~i'tte'~~~~J!1e f ~LECTRICAL PE~IT APPLI~ATION ',). I. 20n;n ,..~P~ClfIC'/ahd Use CIty Job Number 0lYt12t)!}f-aO,:?i 1 Date if; r / OCf OAto ->- 9- ~4 '- _ , ~~~" ~v".:~>,,'~" ,~:; '/' l."~R~~A!!e}i?!il!iSfifq~f~~,'i~~t,t 3. C:2M:i:~~T~r~~~fii~~.~'~t"; ~ ,;'. 200 Amps or less Constr. Contr. Number 2A~()Cf CLE 201 Amps to 400 Amps .. Exprration Date - ~ S ~:e~~:;~:Oo~;~4~~lt~ .ee ':B': above. Signature of Supervising Electrician D. <~~r~ri;~~l:~.~~l~~,.g!.;>~\:"".. _ -He-. LJ. /\ L ~ New Alteration or Extension Per Panel (/YA ~/ ~ One Circuit $43.00 Each Additional Circuit 9[~ith ~ ., 0 AI Service or FeedertJ!Olltlll:: $ 3'~~F -. .- \ve-R*- Owners Name -Wf2tj;A) lJ/<-rpl/)AL/4ff . "" *",,"",','., THIS P;~BM'~ S~ALL,~~I~OCQ,id~:~NOT: Address 2...C} .S '1 \I1//A:UA7~ E. . Miscellap.eous ~l1'\OOf&ai1'ld.~1~l1~...JEaN1'lh~t ihon 1'2.., .J..~~ - " . /~/ 'T), CV~2J .-- L~.... . COMMENCED'ORIS ABANDONED-F -. City a.A.qt..-'vc.- 7 7.(tl/phone ~/ 7~ - ~.~' Pump or irrigationANY 180 DAY EFRICUl. $ 50.00 Sign/Outline Lighting $ 50.00 OWNER INSTALLATION Limited Energy/Residential $ 25,00 nUlraS yOU to L' . dE /C ' 1 -----",/ $ 4- c- ot) The in.stallation is bei!1~IR'\c;iq:~(@!~~WhIChon Utility Imlte nergy ommerCIa i/ 45.00 ,_J I IS not mtended,Cf.<frlSil~ lJM~'b.!ir.~m:ad by thQ Oreg sMiftW\um Electric Permit Inspection Fee is $45.00 + Surchar(Jes rules auo\J~ ules are et b iollow ar Those r 52-001 -, ,. ~ ,." 'v' ,w' ': , - Owners Sign~~mication cant0010 through OAR 9 fes fUB~OTAL OF ~9VE ' ' ' hC 952-001-.. 'as of the ru " .":d' .., . . ,1 ~". In 0/"\1' obtaIn COpl I hone 0000 'lou may . ~ lNO~A: the ta e.p. . 7% State Surcharge the carlllOi. 'I'ty NotIfIcation calling oragon UtI I 10% Administrative Fee numbedor tha. o('\('\_~~?-2.34i\b Inspection Request: 726..3769" - ,- -i - (\f\.~~0("\ \ TOTAL ~ M\l~-:\-~ Sh,,'" Dri'~TYB";Jdi"g F,mWE]oc,"~] p~" Appli,"'" ]-03.doc 315 N, /Ji.ro flLY IaI -ST: LEGAL DESCRIPTION /7/J ~ 7;f~/ OIJ~~ JOB DESCRIPTION ALA (U-I\. _ SYSTEM ~~~OdAY)i) t'JN Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ':'T>.A";\';:.~', ,"5*742:~ ':-;f:?1'~- -,::,.t7~\-;'} 7~'::r~~"'> ....,..;,--":::D:$:rtr\-A""~'~".0;7;/:-'. -0:;',:, . 2 :CONTRACT9l,{IN.~TALLA.r!()N()1YLY , . . .:<,...:...._ ,_.;,.....:~ ~~:.:;-t-.~~.~, : ~_.i...:::,.-i::;,-;;..~ ., ''::. /_'.<~_, ..;.!."'._.:'.....,:t:~;.. - :~.L~.;.; ---,~-}~:.;.:'. __ ~HR' Electrical Contractor Am _ "rLU ~ Address '1-660 J'1.A ( N .5T City <--<;;'P/l/1J6 FII!:LD Phone .5LI1-73.6-i{f(73 , Supervisor License Number 3,)" 7 / LEA Expiration Date ~/ 6/ ~ , - A. ~~ewd~~iJ~~ti~I;;si~~I~ or' ~i~1ti~F~'lnily pe;d\~~iiiI~~~ l~jL"" , ':,~ ,-:.. .".,:'.: ....."'_.~' .,:.'-_.;.-:-..... _,'_ ,;;,:,_ .~v~.>;". _ :>L,__, ,,'.,", ',:=-:,.. '.: .' .__ ,. ,_~'_ -~ .~, 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 : :- _::7:':i' ",! .":~,.:',>~:-"."_ :C"":'.'-"<P:"~::::.'" :'~:~<::::v'_;~;"\:'<~,~ '<;>' :~-"_', '7r-::;: ": .~)~~.u '" ::'^~l< '''" . , ~~:... - ,-.- ---~_' -~-, B. "S'erviC~s.orF~~.deis:t;jn'stallafiori~ Ali~rations or Relocation:'~' tL_ "-~:_:_,~'<,,:~~'~: :.-.-:':'::S.. .__-~~ ", >..;.. .._~.,:Li<::(:'~'_'~:",,::.:"j:t._.,_'.i:... L::':....,.,,' _:,~ n.: . ,M -_ '. ., 200 Amps or less 20 1 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 "'_'''''~_' _~--~-'..-" -'r'~'"'"'' '';'''''''l':>'. om, ''':' .__. -.,c- 'u ,:""~. ';'", ' '--~'"""", -_'-'" ~. c. [;,teft1eii,~~.~~~:~~~~&f )?,~~~;e~~:... Installation, Alteration or Relocation $ 50.00 $ 69.00 $100.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 325 N BROOKLYN ST . ASSESSOR'S PARCEL NO.: 1703344100800 Eugene PROJECT DESCRIPTION: Alarm system upgrade & add-on Owner: BROMBAUGH JOHN & CHRISTA Address: 2932 WINGATE EUGENE OR 97401 Owner: JOHN BROMBAUGH & ASSOC INC Address: 325 N BROOKLYN ST EUGENE OR 97403 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00397 ISSUED: 04/09/2004 APPLIED: 04/0912004 EXPIRES: 10/09/2004 VALUE: TYPE OF WORK: Manufacturing TYPE OF USE: I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor ADT SECURITY SERVICES INC License 59944 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: SETBACKS I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS. Street Improvements: . you to laW reqUires . . Storm Sewer ~~ION:Oregon the Oregon UtIlity Special Instrllction:. rules adopted by les are set fort TOIIOW Thoseru \lotification Center. roU hOAR 952-00 Notes: AD 952_0Q1-0010th .gf the rules \ In 0,," ! , btain copIes 0 0090. You may 0 Note: the telepho~e calling the center. ( Utility NotificatIon number for the. o~e~~~."I)')_?~<i4). b _ _."'!-,,-......r"'" ." Pafe 1 of 2 Alteration Industrial ~ Expiration Date 05/07/2005 Phone 541-736.,4973 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED P ARK.ING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00397 ISSUED: 04/09/2004' APPLIED: 04/09/2004 EXPIRES: 10/09/2004 VALUE: 225 Fifth. Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project L Fees Paid I Fee Description + 10% Administrative Fee + 7% Sta~e Surcharge . Low Voltage - Commercial Indus Amount Paid Date Paid $4,50 $3.15 $45.00 4/9/04 4/9/04 4/9/04 Receipt Number 2200400000000000341 2~00400000000000341 2200400000000000341 Total Amount Paid $52.65 I Plan Reviews, 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. Reouired Insoections I 1 Low Voltage: Prior to cover. 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 tinrL '/hk Owne.r o~nt~acto~s ~ature Date ' I ' Pafe 2 of 2 225 Fifth Street , .' Springfield, Oregon 97477 541-726-3759 Phone r'v of Springfield Official Receipt ~ ,~ t'elopment Services Department Public Works Department RECEIPT #: 2200400000000000341 Date: 04/09/2004 11:06:56AM Job/Journal Number COM2004-00397 COM2004-00397 COM2004-00397 Description Low Voltage- Commercial Indus + 10% Administrative Fee + 7% State Surcharge Payments: Type of Payment Check Paid By TYCO FIRE & SAFETY Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 45.00 4.50 3.15 $52.65 Amount Paid dIm 8197 In Person Payment Total: $52.65 $52.65 , 4/9/2004 Page I of I