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Home My WebLink AboutPermit Electrical 2005-11-1 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: { ELECTRIC-P; PERMIT APPLIC~!ION City Job Number---CrY\2.l5OS - 01 ~S Each -M-a~u,fac((~j~eaOdn law requires you to Mocl'ular-~JJHffig Si~lce or U 'Ii<< Feeo-er-"N ru!C'~ adopteo oy tile Oregon tl Jl-YO.OO :;y,;",XllQliCenteLThpse ru!esare set,for~h B. SerYices~or) lte'ede1lS}-t (IlrihWfl6J! ~i1e~iY.ugPJ; Reloca tion: . ':',,,; ,. ':. !._,;, :-;,1 obtai Ii eo pi esofthe fules-by ~n)\~ ""e200 Amps'~r1~~;i~C;\18~- (Note: tile teleph$>~~oo I 201 Amps to 400 i\mpSlic;~on Utility NotITlC~tyS~O 401 Amps to(600Afu~ 1-8-JO-332-~J44). $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpslVolts $375.00 Reconnect Only $ 50.00 1. LOCATION OF INSTALLATION - \Oqo C-:()~~C4' 4--, LEGAL DESCRIPTION ...:J \ 10'):l ^- ~ C' o~3()o JOB DESCRil-' llON ~~. ~C~ r J----!:"---, x;r:J-O _") D · (" r- 0 '~....- ~~, . ~- rj J ,. t<.. 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. CONTRACTOR INSTALLATION ONLY Electrical Contractor t:u:J..Q.v\~ E\.!'l :\-n'c Address . I ~ 0 VVI.....Ir\n"fl ~ : City F=-ua ~ L1 ~ C Phone 8 LlL{ -cF5l(J \ Supervisor License Number':).., /:2, oS:::; 3 Expiration Date 10 J 0 I Constr. Contr. Number qO~ nr-, Expiration Date ~ I D ( - I Signature of Supervising Electrician ~ fY-~ Owners Name ~gf"l lx.Fe E Ad<ke,,/13 77 0 ~ DI j ~ s. Ci~~.. Phone SLfl - qq~- ~ C>2- LtS~O OWNER INSTALL ION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 4. ~ ~t~ ~\ Inspection Request: 726-3769 Date Lt-l}~CJU-'~ S c-"...n~h1fe - .._.._..!l;IUili-t'v .......~ 3. COll'1PLETE FEE SCHEDuLE BELOW' A. New Residential - Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 C. Temporary Se_~vices or Feeders Installation, Alteration or Relocation 200 A1W6flee: $ 50.00 ~~ ~ ~~I ~ 1MtfsSHALl EXPiRE I;-T~~HK RU I n:R;Itrn'1JNDER THIS PERM~rtSNOT Over 600MMEPJOm00R1ISsttBANOrmtD FOR D. Bra~ft80i'AYPERIO[t >'.., > ' " . New Alteration or Extension Per Panel One Circuit / Each Additional Circuit or with -3 Service or Feeder Permit $ 43.00 $ 3.00 ,<;3 . 9. E. Miscellaneous (Service/feeder not included) -Eachlnstallation Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges SUBTOTAL OF ABOVE 4Q. tro '3.tp<! .~ , 0> () JtU().~Y 7% State Surcharge 10% Administrative Fee TOTAL Shared Dnvc(T:)/Building Fonns/Electrical Pennit Application I-03.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01525 ISSUED: 11/0112005 APPLIED: 10/27/2005 EXPIRES: 05/0112006 VALUE: ,.' 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1090 Gateway Lp ASSESSOR'S PARCEL NO.: 1703222002300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Voice Data Cable. Owner: Address: DEFOE RONALD M & KARLA K 93370 HWY 99 S JUNCTION CITY OR 97448 Phone Number: 541-998-6560 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: ATTENTION' Ore I fr.!'",^, .. ,,~_ _' _. _gon aw requires you to I\I"t;f;M.: ~_- .r.~~~t--"';;;u uy U Ie uregon Utility I CONTRACTOR I~J?O,:Q.MtTJo~,~r. Those rules are set forth 0090 v. Ii!- vv I 01 ~ through OAR 952-001- Contractor " Eft~ obta~J'atimi tD3~lesllJyme VALLEY TEL SERVICE INC ..,~~j265<2g ~en~er. (NQt~/.0'5t00.~ephon~41-673-6030 BUILDING INFORMAT~~~ lllC. VI t:I!:Jon Utility Notification ter IS 1-800-332-2344). # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: ,HinCE: Sq Ft Basement: Range Type: THIS PERMIT Sq Ft Garage/Carport Energy Path: AUTH SHAsq Et<f)tRf!'iF~ Sprinkled BUildin'tOMMOR/~~ UNOffic"Jilijf5ltrLOa .,HE WORK I \11 . _FNrr:r: ~;) J:; /'1 rtHI T I.~ M';T I DEVELOPMENT INFOJtMJ\T~tY PERIOD OMIVUUNED fOR . REQUIRED PARKING . . Contractor Type Electrical Front yard Setback: Side 1 Setback: Side 2 Setback: , Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation DescriPtion' Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01525 ISSUED: 11/0112005 APPLIED: 10/27/2005 EXPIRES: 05/01/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project l.Fees Paidllll . Fee Description + 10% Administrative Fee + 7% State Surcharge Low Voltage - Commercial Indus + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $4.50 10/27/05 2200500000000001506 $3.15 10/27/05 2200500000000001506 $45.00 10/27/05 2200500000000001506 $5.20 11/1/05 2200500000000001525 $3.64 11/1/05 2200500000000001525 $43.00 11/1/05 2200500000000001525 $9.00 11/1/05 2200500000000001525 Total Amount Paid $113.49 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. ReQuired Insoections I 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 times during construction. Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street , SprmgfieId, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-01525 COM2005-0 1525 COM2005~O 1525 COM2005-0 1525 Payments: Type of Payment CreditCard .. tJ, ), . " .. tl'~J ) . ,; :i1 '. 111112005 RECEIPT #: City of Springfield Official Receipt veIopment Services Department ' Public Works Department 2200500000000001525 Date: 11/0112005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By RUSS ROBBINSIEUGENE ELECT Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 001754 Phone Payment Total: '---- Page 1 of 1 9:28:39AM Amount Due 43.00 9.00 '3.64 5.20 $60.84 Amount Paid $60.84 $60.84