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Home My WebLink AboutPermit Electrical 2004-9-30 (2) ~;.~,.. ~:"'.. "f~"'{::;IT:Y'O:E)' I LD'UREGON"'" oR' ", ,;-:~V:~~t:;:',~",~\;~:~'''('l..t. ':!:'":'1....,:'~?J'~..,.,....f. ,'/." ,'(,-tJ."" '""~-',,....~ ':'l(~.1'~~',\. :,{,,:t.~\ .... .f............."..., ~'" ,~1'1 ",.."', " .,..,;'t~ .J~,,,,,..Y;L. ",'r_.;:{,._.'~,~11..':,..,.~T,;.;';~ ,.,...~ ,~. : ~PRIN~~Im.. D. ~':.,..'" 1~",."" ~"~''1'" ~:~'" . , -~ \o' v' 225 FIFTH STREET. SPRINGFIELD, O'R 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CP~2.006c--o C2.-14- Date C)q -.>1>0-04,- 'l:o ~,; Lli' GC':A'I,.fL"q9-'DCA~'~:"""".s-,'7'Tc"I_RI'O::"pN''''-'T S"IOO')N{:~.'TAA""S"T'n)l'~"tTf,4,TI,'g-'f?f.'.l..-.Y,;."~l !';'c'.o' 'M-"p'UfE7F""i--~?t~U' i,.--;;'B"-E'L"O'-W' T"Jl.~;~.'7'''J.,,':'''' ' \ , [1-", ".,' ,_~LJ._Y"""";;~ ..._ _;J;.'-" 3. ~''''~''''o..h.,_.''._',. \~-~~~~~i:.~~~t-"',:.,~.;~~~,i. """_1 OQl . OQ ""9-6: A. fm~~f;'[fpqa'>1'~~~191~~~riiWy4p'::f~7&i~~~i~~g~u"ii~rJ\'i ~-c""-""""~_;'~~$~~ ,~"..- ,,-';l~94!<7)~~~~c.-~:.'- ~-'" 'I l"\ 0 3 ~ 4-- LIe ~ 00 ~ 0 <:) Service Included Q}b. ~ ;~., ~ 0'1.. bLLJOBnDElSCRIPvTIpONS IlJYyP4-l1JtA('h;~ 1000 sq. ft. or less ""1""., ~~ .,,,,.?,,~~oo Each additional 500 sq. ft. 0 t:' ~ "0'", 70"" portion thereof ~"'" $ llf.60'''.9 . Permits are non-transferable and expire if work is Each Manufact'd Home or N'" , not started within 180 days of issuance or if work is Modular Dwelling SelVice or ~"ss0.00 Suspended for 180 days. Feeder "- 2 t~CONTAACTOR -INSTALLATION O~YJJ B. '_;SW~~:'~;;'.F~de;~~:I~~tih~Y6fttAlte.-~iiitit.':S:~lR. ~i~~ati~. ~:~;f 1 ~lec:::;::}::~:o~f;~j~::~':\\=r:,,'=:: 200 Am;s or'le::'~ ,",'.m,,~ ""=~~~;:.o~" '.> ,.""..~ )c h f Ul7 201 Amps to 400 Amps $75.00 Address ) D't..' VJ -,' 401 Amps to 600 Amps $125.00 I, I I \). 0 '''If I '1"W1 '1 (l 601 Amps to 1000 Amps $163.00 ~() - 'of YV; '1 Phone /'-1{ ~~YI-/J' T Over 1000 Amps/Volts $375.00 ~ ",,<,;~ ~ Reconnect Only $ 50.00 :::::~ /A&9$;~ C',~:~~~:~~~~:~~:"'!lC~y!"",.1tl ,IV'" '~" 'I~)" ,J R1LJ {p 200 Am 1,;}~ ~ $ 50.00 ,~"\ _ox-'X','\x-'V'),--a',1::S " psor le~tl ~ ~ Constr. GQntr.<NomRCt'" rV\/c -:<-t.-'t1 . " 201 Amps ~~~ ~,. $ 69.00 "''0~~~p~k.~l 40IAmn~~~'tn;(;j'O~ $100.00 E . . D"" "'/JCJ 't ~O~ -$i <1P ,e;c' xplranon ate",,~. ~ . .' O~~~~lb~~~~l&-::~;,~~,~~' . ~'''~''f:r... ,"\"~J 19nature ofsupelVlSmjlec~tnclan ~\~~~8~.:~::'1;fu!~.lc~'\,: ~~~*,'1(; ":':~or ,\ -:: " ,,'.,,,,",,,, .,';?-: ". '".1 o ~~,,~v 0"'. '" n'l ~ I f\ \ 11ft , O~. O~~.Mt~ti&%!'$X~e/I~~ Per Pane~ ( 1;;2. V,) \IIAUJ _ V "'~\IbC,~~~uttoV o,e;~$ n,oJ"" I $43.00 :::t-d- I V-( ~'V~. \~~0~~~~:~6~~~!tor with I $ 3.00 ,3 W', ('~Q 1'~"''iZlo.~'f.r,~f1J!#-''!,''''",,'''''rr, ,. ',,""0"'" ~"""'.i1 . n rQ. v'f (ITJ. !:?'.~~~II~ae\ius (S~~i~~~f~e~!':!Iot incl~d_ed) ;-.E.:i.ch'Ihs't~UaUg!!j Phone S 4-/7 3 ~. '31~ ~~p ~tgation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Inspection Request: 726-3769 Minimum Electric Permit Inspection Fee is $45,00 + Surcharges 4 ~S"UB';<;;;';:'O'T-";.lrO''1''E~'~~7.iO''-VE''''t',:,.:,.~.J,,;'T~,\', :"~.J A- L . 1:' .'.t1L .'.-uJ ",' 0," ,",,,' ",' J '::t ~,ro ~' . '~'7'''', "";o~~6'C',h,,,~,'.,~~_ ""o1f . 7% State Surcharge '3- , ~ 10% Administrative Fee ~. '00 ~ .J .^SJrS:> TOTAL ~~~.~ , Shared Drive(f:)/Building Forms/Electrical Permit Application 1-03.doc Owners Signature: v '. . . CITY OF SPRU'H.J1' lELD Building/Combination Permit PERMIT NO: COM2004-01214 ISSUED: 09/30/2004 APPLIED: 09/30/2004 EXPIRES: 03/30/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4197 FRANKLIN BLVD ASSESSO'R'S PARCEL NO'.: 1703344300100 Eugene TYPE O'F WO'RK: Electrical Work O'nly TYPE O'F USE: Alteration Commercial PRO'JECT DESCRIPTIO'N: Hook up slurpy machine. O'wner: SHELL OIL PRO'DUCTS US INC Address: PO BOX 4369 HOUSTON TX 77210 I CONTRACTOR INFORMA TIO'N , Contractor Type Electrical Contractor BURRELL BRO'S ENTERPRISES INC License 136446 Expiration Date 08120/2005 Phone 541-747-2724 I BUILDING INFORMATION I # of Uniis: ~~'#;\~ Stories: Lot Size: Primary O'ccupancy Group: B ,\>(..X- S I;IeIght of Structure Sq Ft 1st Floor: Secondary O'ccupancy Group: ~~ ~ ~'\ '\ ~)Cpe of Heat: Sq Ft 2nd Floor: Primary Construction Type {:!.VN"<:(x-<:(' '\) <';Water Type: Sq Ft Basement: Secondary Construction Type: ~'v Y:- ",,*,"0 'I;)'0~\: Range Type: Sq Ft Garage/Carport # of Bedrooms: . S'(-.~ ~~ ~~"" Energy Path: Sq Ft O'ther: ^~\".J~Q...~~ '0~~ \"0 ~('\. Sprinkled Building: n/a.,o\} ':~g~~upant Load: ~;0"o ~~~~C,X-'\) ;~X-~'~ I DEVELOPMENT INFORMA TI9N~~o<- '\)~, ...o~~" ~'0'\.",~\: '\)~. ~ ," O,J~~0<:i'1l<;''1: ",,<A REQUIRED PARKING .'0~' '0<:::' \'1> 'S:'-0 e;'" ~ .s-.e; Frontyard Setback: ~-4.. '\ O'verlay Dist: . ~o<::- '0'\ ~ \~ O~ e; \ 0<0e; ~otal: Side 1 Setback: ~ # Street Tree~&.q'dt~O ,<::-o",e; o\}q;- 0'" 'S' e;\e;\>'<" o'Z:c-9iandlcapped: Side 2 Setback: Paved Dr~tJ!~!llI:\> \.~ >:s-\ il'''' 'S:'-e; ~_,o'$-' Compact: Rearyard Setback: % ~l;OfCoVe~l!lle~',,<;)'<;) ~ vO ~e'~ 'II:-~ "" b........ :'\ ,v \,.,,- V ,.v -i>' ~o. ,;;'" n~ Solar Setbacks: ~ ~. 0<::- ,,<;) ~'" ~ ^ V n'~ _,,0 r~ n~V .,O.",;f... .0'\' n.t?lv .- .'-n' on.". ....,.. "... ~'CI-'" ~. I PUBLIC wPB-QYEMEl'(I'S'Ie; 0 ,5b~ \<:0 ~<;)'1l<;). ,s:p'0 '\ ,0\ '~e.':'''' Sidewalk Type: v v'l> ~e; ve;<::- <:o\}<0' Downspoutsffirllins: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paeelof2 r ,. . . Status Issued 225 Fifth Street, Springfield, O'R 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $4.60 $3.22 $43.00 $3.00 9/30/04 9/30/04 9/30/04 9/30/04 Total Amount Paid $53.82 I Plan Reviews I . CITY OF ~rKll"lld'lELD Building/Combination Permit PERMIT NO: COM2004-01214 ISSUED: 09/30/2004 APPLIED: 09/30/2004 EXPIRES: 03/30/2005 VALUE: Receipt Number 2200400000000001221 2200400000000001221 2200400000000001221 2200400000000001221 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. L.~~r\1:red Tns\lp.~tions I 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 O'rdinances of the City of Springfield and the Laws of the State of O'regon 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 O'RS 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 readahle 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. 42~,~~~s~.~ tl Paee 2 of2 Date , . 225 Fifth Street : Springfield, Oregon 97477 ,.541-726-3759 Phone Job/Journal Number COM2004-01214 COM2004-0 1214 COM2004-01214 CO'M2004-01214 Payments: Type of Payment CreditCard 9/30/2004 . RECEIPT #: ~~.Q."I-~.-~i. Wit! .~ I ..' ! -,-_.+ . aY of Springfield Official Receipt Wvelopment Services Department Public Works Department 2200400000000001221 Date: 09/30/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By JOSHUA J BURRELL Item Total: Check Number Authorization Received By Batch Number Number How Received jmp 073951 In Person Payment Total: Page 1 of I 11 :50:34AM Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82