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Home My WebLink AboutPermit Electrical 2005-6-1 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL P~IT ~fflCATION City Job Number ( , , ~ -ljf-\V\ Date 1. 3. A. LEGAL DESCRIPTION ~tJ ) /J1 ~ coU dull-/J JOB DESCRIPTIO~ -, . LI / ~ % ~tlt.A-et ftWN /IUG vir, -' W WbT LPcmaJ TYf1t 1XT7/llt--5 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 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. 2. Electrical Contraci;lVEWIP.~ ~~ECTRIC, INC. P.O. BOX 23154 Address EUGENF. OR 974Q? 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Phone 3'1'1 1{2 ~ City Supervisor License Number 337':3 -- .5 Expiration Date 10 - f - 0 7 Constr. Contr. Number f tt f 7 Expiration Date .r"-/? .-c6 c. Installation, Alteration or Relocation 200 'Amps orIess ':: ',':;:: _ \. . , 201 Amps to 4QP ,Amps ,', .~' 401, Amps to ,6\)0_ ~mp_s j '_.. ~ ~ J, . O.(,er'600Amps or 1000 Volts see "B" above. D. ,',,--, . $ 50.00 $ 69.00 $100.00 I ~. ,I "-".J $~ Own'''N~; ~~'(~ Address 'J...ll. ~- {1 '\ r ~ E. . 6, ~~/)-''''lkTEfJTION: regan law requires you to .. . CIty ~c N ~p',,'V%~&S 6d~~!'3rj ~~ !h,= Qregon lRHftf or ImgatlOn $ 50.00 " olir!'~atilJn Center. Those-rules are seH~tffiut1ine Lighting $ 50.00 OWNER INSTALL~il{!,QN 952-001-0010 through OAR 952,-00(00 Energy/Residential $ 25.00 !he in.stallation is beiHP~4~C6H W6We~W\lAfWf1~l\ of the rU~d Energy/Commercial $ 45.00 IS not mtended for sale, regs~rdil ~rl{. cen er. (Note.. t,he tElJ~roo~ Electric Permit Inspection Fee is $45.00 + Surcharges number for the Oregon Utility NOUtil Owners Signature: Center is 1-800-332-2344}1. L{ 5" Of) ~i15 'I. 50 ci.Lh7 New Alteration or Extension Per Panel One Circuit --I Each Additional Circuit or with Service or Feeder Permit l(J .d) $ 43.00 $ 3.00 7% State Surcharge 10% Administrative Fee Inspection Request: 726-3769 TOTAL *.~~q, Shared Drive(T:)/Building FormslElectrical Permit Application 1-03.doc " Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00649 ISSUED: 06/0112005 APPLIED: 06/0112005 EXPIRES: 12/0112005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 201 42nd St ASSESSOR'S PARCEL NO.: 1702323201800 Springfield TYPE OF WORK: Electrical Work Only. TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Add one Circuit at Burrito Boys Owner: KOCH CRAIG JOHN TE Address: 2778 W 29TH AVE EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License LIVEWIRE ELECTRIC, INC 56697 BUILDING INFORMATION. Expiration Date 05/16/2006 Phone 541-344-4928 # 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 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: REQUIRED PARKING Total: Handicapped: Compact: ATTENTION: Oregon law requ\l~~~ IMPROVEMENTS. fnll ru\ s adopted by the Ore;;:'s;i)ort Street Impr~{~rmenrstenter Those rules are set 0 n NOr~CiE' Sidewalk Type: I\:ot:flcatlon . hOAR 952-001- ' . Storm S~w~rf~rttlijaJ>l6'31-001?thrO~9 fthe rules by THIS PERMIT ~QM1!1~@J~tsf:I?ta;ipsfHE WORK Special I~stru~tion: may obtain cOPI~S 0 I hone AUTHORIZED UNDER THIS PERMIT IS NO ',.,t8r, (Note. the te ep . COf! MEI"CED OR T Notes: "J,. . ... ,;:" ltinty NotificatIon (, ',I ~I,~ , IS ABI~NDONED FOR I.. ";~ u-vJ~-2344).\!.'Y 180 DAY PER/DO. I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD} Building/Combination Permit PERMIT NO: COM2005-00649 ISSUED: 06/0112005 APPLIED: 06/0112005 EXPIRES: 12/01/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project LFees paidJ Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid Receipt Number $4.50 6/1/05 1200500000000000698 $3.15 6/1/05 1200500000000000698 $43.00 6/1/05 1200500000000000698 $2.00 6/1/05 1200500000000000698 Total Amount Paid $52.65 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. Reauired InsDections , 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 Fifih Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00649 COM2005-00649 COM2005-00649 COM2005-00649 Payments: Type of Payment Check 6/1/2005 RECEIPT #: City of Springfield Official Receipt lelopment Services Department Public Works Department 1200500000000000698 Date: 06/01/2005 Description Add, Alter, Extend Circ Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Paid By LIVEWIRE ELECTRIC INC Item Total: Check Number Authorization Received By Batch Number Number How Received llh 10136 By Mail Payment Total: Page 1 of 1 7:39:03AM Amount Due 43.00 2.00 3.15 4.50 $52.65 Amount Paid $52.65 $52.65