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Home My WebLink AboutPermit Electrical 2003-11-19 (" 1 . '. ~ " . , 0 CITY OF S,-...dNGFIELP, ~REGON ,() , , _..~:- '~""l;;. , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~I(olj4.J,)r1!JP~?a" submilled has the lollowing ELECTRICAL PERMIT APPLICATION 0) zoning, and does nol require specific land use , approval. City Job Number Cblloizoo3-0 1/00 Date /11'1 OJ Zoning C-.R------ , ,'..LlJl1i' Jl-/~-d----:-1 ,1 3,1 COJl.fPLETEFJ:!;b~l.,l"1.t:.LJU"""", <>1:',-,':'''' ..J' " 'I ",",u,horTzeOSTynawrc -0' - New Alteration or Extension Per Panel One Circuit, -L VitO.ill /./3/00 Each Additional Circuit or withlalN I e'ii-lIl"'S ~""\ty 'I 00 Service or Feeder'INrftiiiegoll t~O$\ 3,00 ~/tJ, Jl\{ I r.'" '.: ~,;no~ed bY "~J)~" :jre set lor, "". 1l""W,'M\~~'-' ,":r",m;"''''' "," "G-\.>V " '. I E.,Misc~lIaill'on~ l<i:enlice,I, feeder nObinclno(;lI)''-'Eacli Installation '. . . H \;j:- - r:rt'f'ful.I ..- "._"\O~'." ' . ~C;2_001-Uu, ias o!ln", '.~-' Pump Q~Jiilaiionl1aY obtaIn COP" .hp le$1~0:60'1e , ~o'" '?C'!U I /Nv"" ' "'",,,,'iv1O Sign'l0utline J:ighting-el1tar, \ . ..\1"\1 N.$bO,uu' ~a\linu '''~ - !il ego" '-- - .. OWNER INST ALLA nON Limitedn~rn;r~f.,~id~~~~~ ~ _80C '~'l?234S-25,OO The installation is being !TIade on Rf'(ff'i'tL9Wll which L,m,ted Energy/€bmmerclOl $ 45.00 is not intended for sale"leaseor r<Mt. t, Minim"um"Elec, tr,ic, Permi, t, Inspection Fee is $45',00 + ,surcharges , THIS PERMIT SHALL I:XP~Tl.l~ '^JIJ.W ,,' , Owners Signature: ~~~H~:~~EE~ UO~I~RA~~~t:0'~f0t~(Jf:~OrE',},'~ ,/ 1fCj.(Jt) HIV 1 Rn n6V PERIOD. 7% State Surcharge ), If 3 ~~ f\Vj#::~..~ti~'~ "t.1f3 ~ -~"",,.....,--,-^,,,_. ..,~ 1. I LOCATION OF INSiALLAHON , VIAl FfifH.JttIN BLVD. LEGAL DESCRIPTION ;7,:)/7 (P/p,~'Lf YZ!i.O,O ,q 0 0 JOB DESCRIPTION J.., .f"l f.Jit/fr;-t-II1U-r /..I6ttf? II IVI/ ,/ /lA/II rf{.~ Ce';VtVt,e-T1QIIJ , ' 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/NST,fLUTW^.'i?NikJ Electrical Con~E-eN :L:::TAIC. 'iN~. P.O. BOX 23154 SUGENE. OR 97-4S~ Phone "'5'1'(tf9Z8 Address City Supervisor License Number ~ 3Cf"J ..- 5 Expiration Date/)CT 2OtJ'I Constr. Contr, Number ;0,t:}1 c Expiration Date ftJc'i jlttt::) tf - t "1: '1#1.-- Owners Name /I /;;J I TttJ iffl ~I//Id Address -2it1J- tMJIt:trtff l3LvD / . City jdj(,tM, 17 Vol Phone En 77'S L Inspection Request: 726-3769 A. ,I New Residential~ Siiigle or Multi-Family per dwelling nnit. . I 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. rSer~.ir;~'';:~'F~~d;r~:.;..blst~lIaii~'II" Altera't'i?l1s ol"R:;io~~tro~-:~ -1 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpslVolts Reconnect Only $ 63.00 $ 75,00 $125.00 $163,00 $375.00 $ 50,00 c. l?J~~inpiJra"rY.Se.~~'i~~~'t)r ,Feede'rs~':~. : ;.."', ,;..,., Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69,00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D. L B'nu:"ch~Cii:cu.its, . .. .., . .."" 'I ~ _ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01I00 ISSUED: ll/17/2003 APPLIED: 10/3012003 EXPIRES: 05/17/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4102 FRANKLIN BLVD ASSESSOR'S PARCEL NO,: 1703344200400 Eugene TYPE OF WORK: Miscellaneous TY.PE OF USE: New PROJECT DESCRIPTION: Greentag on existing system, replacement lights and unit heater connection Commercial Owner: GUTHRIE JIM Address: 1475 S BROOKLYN ST EUGENE OR 97403 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor SAVE ON ELECTRIC INC License 56697 Expiration Date 05116/2004 Phone 344-4928 BUILDING INFORMATION' # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN Lot Size: Sq Ft 1st Floor: Sq Fl2nd Floor: Sq Ft Basement: VoU to , . . ..t:Ionll'r~S ENTION:OregSql Ftl Garage/Carp,Qr.tility ATT Sq\Ft 0th~rregOII Ul 10110w rules adoptEJI. , .' "'S' "ff"" !';AAt tor' t . ml!er;vlous' U ace, rea: "_.:..",,tinn Cen er, "'- ,_h (,,\ll.R 9oG-UO I DEVELOPMENT INF0RM~Tl0N.;I01-~~~'n:'~;Pi~s 01 the ru~:: \ , OO~u, 'VI.' ",'Joy 0 er (Not~!:!mREr}lp~RKING . calling the cent, U"m,' Notification Overlay Dlst: r lor the Oregon ,!,~t!!,I';"<1 # Street Trees Rqd!1Umbe C tp.f is 1_800-3Hanilicap~ed: Paved Drive Rqd: pn Compact: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: '1 "'... "'... ...~ . I....... I PUBLIC IMPROVEMEllIifS:lpERMIT SHALL EXPIRE IF THE WORK AUTHOHliSJl!'elYIIlRfi!Yp'i:lIS PERMIT IS NOT COMMENfi{,Q.,Q~llisfu'V:\fl\Q,ONED FOR ANY 180 DAY pfRIOD. Notes: I Valuation Descriotion , Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee I of2 ~ _ CITY OF :srKlI'llJt<u,LU Building/Combination Permit PERMIT NO: COM2003-01100 ISSUED: lI/I7/2003 APPLIED: 10/30/2003 EXPIRES: 05/17/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I F....s Pairl. Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Miscellaneous Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $45.00 $4.90 $3.43 $43,00 $6.00 10/30/03 10/30/03 10/30/03 10/30/03 11/17103 11/17/03 11/17/03 11/17103 1200200000000002393 1200200000000002393 1200200000000002393 1200200000000002393 1200200000000002482 1200200000000002482 1200200000000002482 1200200000000002482 Total Amount Paid $119.98 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, I Reouirerl lnsnectinns I I Cas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 2 Rough Electric: Prior to Cover 3 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 Paee 2 of2 J 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01100 COM2003-01100 COM2003-01100 COM2003-0 II 00 Payments: Type of Payment Check ,~ II:'T~'~!'''!'I,_BLD,"""'''""''., j '-..~ , ~- 'I . .. } __ ..,..,.. . .....,-r. -.> " Receipt #: 1200200000000002482 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By SAVE ON ELECTRIC INC Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Departmept Public Works Departmen~ Date: 11/17/2003 3:34:48PM: Amount Paid Item Total: 3.43 4,90 43.00 6,00 $57,33 How Received In Person Payment Total: Amount Paid $57.33 $57,33 - e