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Home My WebLink AboutPermit Electrical 2005-9-9 -;,.' ~'O":\.- 'O~VJV 1~'O'Oo:~\,(0 Ci' ~0 \\0\ . . " 1,1, . ': .'.1', ~, _ ,_'. ., ~ >., . ;..::~,>:'< ". CITY-OF SPRINGFIELD'. OREGON ,. .",' " ....::-....4..'.'..~'~:, .,~.~. ,.' _, ""., _'. ~. " Date I. "i't'odi'FION"DE'fJNSTAiJJAii(jNjg't~:''Ii-''1J!.J ~~~~~- ",:!,I"""r:-t .:.!:.::.:..l~,__~~' .~ r. il!!tii.t,..."\i 4-f(oz... FrAlAlc..(,_ ""LS(oI~ LEGAL DESCRIPTION /70s..'3'{l{ Z. o 6'{00 A. :~~\f:I!~H_~~~i!~~gl~~~!fEf~ijy.tP~~:4~~II~g~.~,(~il Service Included JOB DESCRIPTION 1000 sq. It, or less I Each additional 500 sq, It, or e;X'Ie::Al ~ Ll .rc...v...~ -t- portion thereof Permits are non-transferable and expire if work is ATIENTIOO1lilan@ltl'\llRdiiletbYreS you to not started within 180 days of issuance or if work is follow rul~Jl!~~""_elli'JgtSe{}'c<!)6'r:)n UtilIty $5000 Suspended for 180 days. N t'f. tio~'e~1ter. Those rules are set '-:-"''' . o Ilca ~,~ ^,^ ""1 \~ONfR.AcrOR.1NST.41~T},tTION:oWi10AR ~2.~~lNs~:?~fF.:,~d~~~t:I~i~fitiJ~,~W~ti~~Ti;~Rm.~ii~Jtr:\\1 2. ;si>;.:x-...^,,...,,......~~~."~-,-;: ..,~~.,\,._-=,,~::;_.., ,','.."'"' 90. You ~ay~fJtltaln:~UI..""~..,U"-~.-.:J_,...,-...... ,,=-,._...,-..~,;,-_..J;.,........_.::.,....~f::ii i7" 'c: ~L r '" e"tor 'Note' the teI8pnO-f' Electrical Contractor ~",t, In =, r::\fI \(lcca11ng dJOWmps'or less 'T Nt'" $ 63.00 I. numberiijj \\WipQ[b'~6'o'\~k~~ I, ,) >,1..<1 $ 75,00 Address :;2 \ -j=, LU :_;;) ,'''' t\.} '2 C4ij\lWfu~'j, !of6'o~.X~p/J,.~1 $125.00 601 Amps to 1000 Amps $163,00 Over 1000 Amps/VoIts $375.00 Reconnect Only $ 50,00 $106,00 $ 19.00 City [-"l i/) C \~, k' Phone ';".H--?),l;:;{i-) Supervisor License Number ',:) S;:z. c, ;j C ' 1""'"';"'-''''~-''rS~"''''''';''=" '...,i""';;,.'LtfJl'.!ili.~". ""i",,,,,,,,,,,Wi""."l',,,,,riroiJl').",,j . Jl~ e,~porar:y~ e.r.vu:e5ior.l~~~ers'~;-;'~;:~~~'JD:r!l.,t:;1~N:,"';-r;tt':'!'t"~...1n-:t};i:l Expiration Date \ e 1(', \ / ;:)C;OJ I Constr, Contr. Number \ .'} ~ S '::) Expiration Date C', ~/ c. 3 /:.? QCJ '\ Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "S" above. D ij:B~,:,'::'}hffiG.:-;!:fH.~~tj~;;t~'t"~~~l~~~~r':iNtit~l~~~~":Q,>it~~'1~~1?~~~ . f_t ~.n~~.. . . .lrCUI Y.!l'$~~._~~it",~,/,p;~;;i'tdY~~~t~~, W,1.~'~;-.!1/.1 . , $ 50.00 $ 69,00 $100,00 Signature of Supervising Electrician ~" own{?me ct.....;, ~J. ~Pt:" ~/f 17 Address 7 ~ 00 Str "J" .ltk-~_ c.(,- E. ~1'M~~~~I!~~~.~.{~~~]~J~~~~i{~li!1E:i~di~jl,S~~~~lh~~(f~'l.ih~t!~;'~ City ?~c.!. Phone MnileE.: Pump orinigationRE IF T\-1E WO~~ $ 50,00 :;':;\S PERWsT~oJlli}e 'i.i~htingERM'i IS ;'U I $ 50,00 ,II __" 1\l\\D~K I,"U" - COR OWNER INSTALLATION ^Ui\-10R\ILimited EfiergylResidentiaD r $ 25.00 " lOrn. nQ I;:' """..- - . The installation is being made on property [own whichOMMtNIL!lmllenEnergy/Commerclal S 45,00 . . - ,^[' nf\Y PtKIUu. 's not mtended for sale, lease or rent. r-NY Minimum Electric Permit Inspection Fe~ Surcharges ,,;,!~.: -'~:},N:~:::;:r,r, "..,~~q,--.':'1;t::&~.::~:-~~::;- :,If.~i! 4. ';'SlI.o.I o~AL~O~.ABOVEt:::~: :'-::"?;:''';'''';{i;;~ ~~","-'!'" "-~-~~~"':'-:'''~:'\''''',\~:~,~:~;;:-;'' ,) .1"r-.....,~~'\;:.~~_.l?:'r New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit / $ 43,00 L/( $ 3.00 Owners Signature: - 1.I} i% State Surcharge 10% Administrative Fee -/ J- J '7......... S-lb~ Inspection Request: 726-3769 TOTAL Shared Drive(T:)IBuilding FormslElecnical Permit Application I-03.doc Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF ~rKli~GFIELD Building/Combination Permit PERMITNO: COM2005-01122 ISSUED: 08/22/2005 APPLIED: 08/18/2005 EXPIRES: 03/08/2006 VALUE: SITE ADDRESS: 4102 FRANKLIN BLVD ASSESSOR'S PARCEL NO.: 1703344200400 Eugene TYPE OF Plumbing Only TYPE OF USE: Addition PROJECT DESCRIPTION: Install trench drain, sewage ejector and holding tank for LuckyDog - Owner: UNITED PIPE & SUPPL Y CO INC Address: 7600 SE JOHNSON CREEK BLVD PORTLAND OR 97206 I CONTRACTOR INFORMATION I Contr~r-::NTION: Oregon law requires YO:iI~ense 6~~"""'''''''''''=ted by the Oregon Uw,," REYN ,"""..,,,E<::I'KJ(!;, JJ252 ROBINsON;P\iJmJilmef'IN<:ose rules are se,11rH24 _ . . _ I; 'I - . _I.- ,.... ^ 0 0.1::. h'~'. . ~ In ut\n ':J;.)(;..... ".1. ~.l:;: ~ . :. - --, 0090. You m~.BlJlLDING-lNr.ORMA'FIONI/ calling the center. (Not~: the telepnone number lor the $g~\'/I3~~;ty NotificatiOn Center i WJ-g!32-2344). ype of Heat: Water Type: Range Type: Energy Path: Sprinkled Contractor Type Electrical Plumhing # of Units: PrImary Occupancy Group: Secondary Occupancy P'rlmary Construction Type Secondary Construction # of Bedrooms: Front yard Setback: Side I Sethack: Side 2 Setback: Rearyard Sethack: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: nla IDEVELOPMENT INFORMATION' Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: IPUBLIC IMPROVEMENTSI Commercial Expirlltion Date 02/08/2007 07/13/2007 Phone 541-343-7297 541-345-6909 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspoutslllralns NOTICE: EXPIHE IF THE WORK ~~H~R~~~6 G~~~~ THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DIW PERIOD, I of 3 . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone _ 541-726-3676 Fax 541-726-37691nspection Line I Valuation Descrintion I Description $ PerSq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project FP.es Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Fixture Minimum/Adjustment Plumbing Sewage Ejector Pump + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Fixture Minimum/Adjustment Electrical Amount Paid Date Paid $4.50 $3.15 $28.00 $3.00 $14.00 $7.30 $5.11 $43.00 $28.00 $2.00 8/22/05 8/22/05 8/22/05 8/22/05 8/22105 9/8/05 9/8/05 9/8/05 9/8/05 9/8/05 Total Amount $138.06 I Plan Reviews I . CITYOFSPRlNGFIELD Building/Combination Permit PERMIT NO: COM2005-01l22 ISSUED: 08/22/2005 APPLIED: 08/18/2005 EXPIRES: 03/08/2006 VALUE: Value Date Calculated Receipt Number 2200500000000001139 2200500000000001139 2200500000000001139 2200500000000001139 2200500000000001139 1200500000000001319 1200500000000001319 1200500000000001319 1200500000000001319 1200500000000001319 To Request an inspection caD the 24 hour recording at 726-3769, AIl inspection requested before 7:00 a,m, will be made the same working day, inspections requested after 7:00 a,m, wiD be made the following work day, Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work Is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, 2 of 3 . . CITY OF ~t'Kli'<lGFIELD Building/Combination Permit PERMIT NO: COM2005-01l22 ISSUED: 08/22/2005 APPLIED: 08/18/2005 EXPIRES: 03/08/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 pertain in I: to the work described herein, and that NO OCCUPANCY wiD 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 t 's project. I fu her to ensure that all required inspections are requested at the proper time, that each address Is readable from the treel, at t ermlt card is located at the front of the property, and the approved set of plans wiD remain on the site ra times u c ~;t:tOIL q. 0 ,os ~ Owner or Contractors Signature Date 3 of 3 j, 225 Fifth Street .., Springfield, Oregon 97477 "541-726-3759 Phone , Job/Journal Number COM2005-01122 COM2005-01122 COM2005-01122 COM2005-01122 COM2005-01122 Payments: Type of Payment Check i; ~ "j I i - " ,; ~, , 'I . J '. ; t- o . ~~ 9/8/2005 . RECEIPT #: G~~A!~~."FlJD..D"'_'_' ... _._P__' .' Ilat' , , -~ ! j WJJ ; '.'__,..-. ,'_" I ) City of Springfield Official Receipt .veIopment Services Department Public Works Department ' 1200500000000001319 Date: 09/08/2005 Description Fixture Add, Alter, Extend Cire Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Paid By LUCKYDOG DAY AND NIGHT CARE Item Total: L:heck Number Authorization Received By Batch Number Number How Received djb 503 In Person Payment Total: I of I 1:37:24PM Amou nt Due 28,00 43.00 2.00 5.11 7.30 $85.41 Amount Paid $85.41 $85.41