HomeMy WebLinkAboutPermit Electrical 2003-7-10
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Status
Issued
.,; CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: . cOM2003-00613
ISSUED: 07/10/2003
APPLIED: 07/09/2003
EXPIRES: 01110/2004
VALUE:
225 Fifth Street, Springfield, OR ,
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 764 MILL ST APT 1
ASSESSOR'S PARCEL NO.: 1703352206600
Springfield TYPE OF WORK: Apartment Building
TYPE OF USE:
Repair
Residential
PROJECT DESCRIPTION: Repair damaged service riser
Owner: COLLEGE CORNER LLC
Address: PO BOX 5848 EUGENE OR 97405
ATTENTION:Oregon law reqUires you, ~o
f"II/"oIAl rilles adopted by the Oregon Utll.lty
~.1^9;fi"!.jti"n \;c:mter. Those rUles are ::>t::lll",;
I CONTRACTOl(INEOJ~MA-1[lo.JNrll 0 through OAR 952-QC
0090. YouSQay obtain copi.es ~f the ~ules .. .
Contractor II' ~icensleer (~EX'nlliatlOnl.n..atenePhone
ca Ing <lIt:: l,;el l . I"v.~,"'-'- - .
SCOFIELD ELECTRIC . b 3870,2e Oregon U1212l!.200S'icat!Gi541-686-8612
num erlOI l I .....) . .-..'
COLLEGE CORNER LLC ("'"",tel' ic 1_Ann-~;.{2-284Lt \.
I BUILDING INFORMATION I
Contractor Type
Electrical
Owner
# of Buildings:
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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
SETBACKS
I DEVELOPMENT INFORMATION I
. NOTm: REQUIRED PARKING
Overlay DikilS PERMIT SHALL EXPIRE IF TIifDMiDRK
# Street TrA~~IZED UNDER THIS PERMIiII~8dJ*ped:
Paved DriUtlMr!1ENCED OR IS ABANDONED~act:
I I
% of Lot cMlM-4~ DAY PERIOD. '
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
. Solar Setbacks:
I PUBLIC IMPROVEMENTS I
u. ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pal!:e 1 of2
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\,i
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee'
+ 7% State Surcharge
Service Reconnect
Amount Paid
Date Paid
$5.00
$3.50
$50.00
Total Amount Paid
$58.50
I Plan Reviews I
7/10/03
7/10/03
7/10/03
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00613
ISSUED: 07/10/2003
APPLIED: 07/09/2003
EXPIRES: 01110/2004
VALUE:
Value
Date Calculated
Receipt Number
1200200000000001737
1200200000000001737
1200200000000001737
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.
I Reouired Insoections I
1 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
Pae:e 2 of2
Date
225 FIFTH STREET . SPRINGFIELD, OR 97477 0 PH:(541)726-3753n.2F~~j(~4il~~~mitted has the following.
ELECTRICAL PERMIT APPLICATION . zoning, and does not require specific land use
City Job Number 00m~ --D0013 Date 7-9-03 approva'ZOning ~
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1.
COLLEGE CORNER APARTMENTS
764 MILL STREET, SPRINGFIELD
LEGAL DESCRIPTION
JOB DESCRIPTION
SERVICE RECONNECTION - SEE DAVE GADOMSKI
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.
''\'. .... \ ; -. ,.",.. ~; .: .
;,,;i_.B. :
Electrical Contractor SCOFIELD ELECTRIC CO.
Adill~ss PO BOX 2765
City EUGENE 97402 Phone 686-8612
Supervisor License Number 3240S
Expiration Date 10-01-04
Constr. Contr. Number
38702
Expiration Date
12-21-05
Signature of Supervising Electrician
~j~ ~~JJ
Owners Name JENNINGS & CO. PROPERTY MGMT
Address PO BOX 70407
City
EUGENE
97401 Phone 683-2271 (OFFICE)
554"':1870 (BILL'S
CELL It)
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
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
. o,,:,c . .200:Aihps'dt'less.
::". . ' 20 1 ~':il:ll;s-f()'400' Amps
"4U(A.nipsto'60d:Amps __
... . . '. ~.,. .f; ~... '" I.. '\ /-, 1"-,", ......., .'" '., .
,... 6~1 Amps to .1O.0p.~p~
"...........,-t. ..... ". " J
Over' 1 000 AmpsN olts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$50.00
1
c.
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
D.
Ne~~fj\ti~n or Extension Per Panel
On<;! Mi\'f. $ 43.00
Each ~RiRaMtruiMAtt~
se~lJlbiORp~tJPE:J'lWfR TH~~RE IF tHE WdlfR
E.
Pump or irrigation
Sign/Outline Lighting
Limited EnergyIResidential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
50.00
3.50
5.00
58.50
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)lBuilding FormslElectrical Permit Application l-03.doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00613
COM2003-00613
COM2003-00613
Payments:
Type of Payment
Check
Description
Service Reconnect
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
SCOFIELD ELECTRIC
Receipt #: 1200200000000001737
Received By
ddk
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/10/2003
8:02:29AM
Amount Paid
Item Total:
50.00
3.50
5.00
$58.50
How Received
In Person
Payment Total:
Amount Paid
$58.50
$58.50
SCOFIELD
ELECTRIC CO.
Electrical Installations
Commercial
Industrial
. Residential
CCB LiceI1se # 38702 .
DATE:
7-9-03
FAX: 726-3676
TO:
CITY OF SPRINGFIELD
ATTN: DAvE 'GADOMSKI
225 FIFTH STREET
SPRINGFIELD, OR 97477
/
REQUEST TO HOOK UP SERVICE PRIOR TO INSPECTION
JOB NAME
COLLEGE CORNER APARTMENTS
JENNINGS & CO. PROPERTY MANAGEMENT
JOB ADDRESS
764 MILL STREET
SPRINGFIELD, OR 97477
PERMIT NO.
(TO BE ISSUED 7-10-03)
(SEE SCOFIELD CK #27365
GIVEN THE TIME CONSTRAINTS OF THE AREA INSPECTOR, AND THE NECESSITY
FOR US TO PROCEED WITH THE ABOVE PROJECT, WE ARE REQUESTING THAT
POWER BE CONNECTED PR~OR TO INSPECTION BEING MADE.
CONTRACTOR'S LICENSE NO.
20-1C CCB #38702
SIGNATURE OF SUPR. ELEC'N.
t P d J" Qj
;J!~'-v
JEFF SCOFIELD.
LICENSE NO. 3240S
CC: INSPECTING AUTHORITY
. .
P.O. Box 2765 . 3625 West 1st Street . Eugene, Oregon 97402 . (541) 686-8612 . FAX (541) 686-8696