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Home My WebLink AboutPermit Electrical 2005-10-27 r . ~~ted has the following ';;'ff!t;~lfl!!fr 225 FIFTH STREET · SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (541)726-36SlJling. ~;",1,:~",i~it1?f.-fJ!<~~........ , ~~~o~~~~tt~~~~t~~ Date lol;L~/Q~' SlgnatureJYJJp<i1y;n~ 3. t. COMPLETEFEESCHEDJJLEBELOlV. .:G'..~. ;.,';<.. ,~;.:(.-;:, ;::-~~,"._",.{.)_. ::;':.~;'". ...,;.>:!XL.i,-.~:.:;.:j, '" ; .:.-4.:,',;,;;;'" .', / tJ q IJ Gaf-taJa.u J.o()~ -S(>>'/,vGf/etd LEGAL DESCRIPTION ; I I tj7Y'77 \1 O~ zz- 2-0 n2.3CO JOB DESCRIPTION VOl re-lotZ-1lL (la,6/~ 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. Electrical Contractor jJaJ let.; 1iI 5er-v I e-e-- Address / hO mad--L;,s:a AJ;;;j sIL A City &tG&7e ()L Phone ~02-7~D ./ Supervisor License Number cJ O{f 7 LEA- Expiration Date I f!) - ' c2t7/J 7 Constr. Contr. Number 16~ dl!l Expiration Date I - fi" - O~ Owners Name 0 IAJ.L0e.-fbf, Address Q3l;;70 HzU/A Q9S eif;... JunriJ 'on OJ 'r/,OD< ~J:;EL:.O 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 A. :::,'New Residentia(::- Single or1Vluiti-FamiIyp~r dwelling unit. ,",,:._, '.'. '_:;:X.:. ''--~l'.::-::;->>'':':,}',;..} ';:,;:~A;':::i::-<,'-, -' '" ";:: :~"~G:i -" ,_~~~ ,"', ;."'.- ;~.:A' . . (:0:;'" ,- ic'_ - -< .'. ':.-.:'...-~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or ~!C&elling Service or Pft:lt~ PERMIT SHALL EXPIRE IF THE wm~~).OO fA. ....~...\T...' '''a..n.t. ~ ..iti~"""i .....um.. '~'''I"....",.\T....u. .il' ....p. C.....D...~..L4...... ...;t.............l. ...~.........:M.. Q..,.T.. ..j....,."'..,i"........ <.'.'. i....:. '.i.'.;.'.'...... '.'..' " , ;'1::: .,:.., r\j" -.'C:'- ""U ....t.1'~. .:. '''clOl',JPJi,iiJl\lVl'l(;'",:''lOo"!,,.SJLli:,....:. ",.,,:.,,", .,c..-'-""'_';. '. ....... B. ........, .Y. ....... ........e.. ..'~. . .. .....". ..()nsor.Relocation: ........ 6.';.... '..;.:,.O,.,~~S"'" ...~ ti;i....!gljj~t...,L,:;:.z..<..';;.."kL......:;L..c.> MJXJJ\ttA~~ PERIOD. 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN 0118 Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps.to qOOAmps.",,,~~ I." . $100.00 , .. ,.._;A'r.,c'. ,r:syouto ~~~~.?92r~B~~r 1000 V:ol:st;e.tW~ ~.9pye..- I' 'Ii D. . Z~}~~l;~s\1!;~r~fi i New li:te.i-~tl~~~'jt~~~~~jon~~?~~{{1~1-,J\R 952.001- ~L.:),:,~ ,ULI,I,'uy OOlalr] co,.r:>es Ofth.9iLJI8S by One Crr'(,Ult'I?CI l-'" '-'0'1'0- nl ,,,.,,_., t-' ~3.dO EsaC~Af1~~~~~ fjhWtt<5~i~~'~~tjl[i;Yv N~'~~~~~~nen ervlce or t'eed~ penm . III ,;).\!IId Genter IS 1 E. Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Comniercial $ 50.00 $ 50.00 $ 25.00 / ' $ 45.00 115. tJ,o Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. Jf;.oO O.l5 4,50 S2.ft;S 7% State Surcharge 10% Administrative Fee TOTAL Shared Dnve(T:)/Building Forms/Electrical Permit Application I-D3.doc , ~":';GF~."'.U. D. .~....'.. !... WJL:.. .i Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-01525 ISSUED: 10/27/2005 APPLIED: 10/2712005 EXPIRES: 04/27/2006 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 NOTlet: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER lHIS PERMlllS NOl '- ':1'.I'~IIO[D on I" ^Q^fl1nn~lI:n FOR vU VI VIL v I e.- I CONTRACIJ1lJ)R l_~iif~1 Contractor Type Electrical Contractor VALLEY TEL SERVICE INC License 76528 Expiration Date 01105/2006 Phone 541-673-6030 BUILDING INFORMATION' # 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 Street Improvements: Storm Sewer Available: Special Instruction: I DEVELOPMENT INFORMATION. . '\ r\ I I '-" I "..m. '-" V::J~" ,!lW requires YOl~QUIRED PARKING follow rules adopted by the Oregon Utility Over1~XtR,~~ti()n Center. Tho'se rules are setTl9~~l: # Strf~t(I~~f~~q~01-001 0 through OAR 9521!~n.dicapped: Paveq)DnreyRqil: btain copies of the rulc,<e,08,1pact: % f r,()rc Ou may 0 ) o 0 ocal!~~~rft1f~:ceilter. (Note: the telephone nll;'"b'3 for the O:-8Qon Utility Notification I PUBLIC IMPROVEMENTS I i -S~,:::-J3:Z-LJL;-4). Sidewalk Type: DownspoutslDrains: , Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 2 ~S.PRING. F!gl.-.P.. ~.' .... '. .'.....', Wir.jA , ."".""~' ' . ..~--' -- , , Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01525 ISSUED: 10/27/2005 APPLIED: 10/27/2005 EXPIRES: 04/27/2006 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' Fee Description + 10% Administrative Fee + 7% State Surcharge Low Voltage - Commercial Indus Amount Paid Date Paid Receipt Number $4.50 $3.15 $45.00 10/27/05 10/27/05 10/27/05 2200500000000001506 2200500000000001506 2200500000000001506 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. 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 'S'pringfieId, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-01525 COM2005-01525 COM2005-01525 Payments: Type of Payment CreditCard f 'I' F 10/27/2005 RECEIPT #: rity of Springfield Official Receipt ;veIopment Services Department Public Works Department 2200500000000001506 . Date: 10/27/2005 Description Low Voltage - Commercial Indus + 7% State Surcharge + 10% Administrative Fee Paid By RYAN DONAHUEN ALLEY TEL SVC INC Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 027840 In Person Payment Total: Page 1 of 1 1:19:07PM Amount Due 45.00 3.15 4.50 $52.65 Amount Paid $52.65 $52.65