The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2004-6-8 ,w , ng project as submitted has the following 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)$~~~nd does not require ecific la~d use ELECTRICAL PERMIT APPLICATION City Job Number U1Jq ;JL:V~6iJi 1. LOCATION OF INSTALLATION 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders - Installation, Alterations or Relocation: Electrical Contractor ,J;;. Yyl-e-> IJ. ~ Il#t-..io'1 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 t 401 Amps to Alf(l5.NJ~ON: Oregon taw re9HI~~~o~~~, 601 Amps toflJ}tlti>~S adoPte~1 oy tne ~e~~let forth Over 1000 lOO~f~Qn Center. I .VQ~ ~A~52-001. Reconnect ~~AR 952-001-001 o-lI-IIU_~Wt of{h~Orutes by 0090 You may obtl:1lll \"VtJi.;5 . . "'. c,ntAf (Note: the telephone c. TempOrarY~:r~: ~~(();~gon Utility :n)'ficatiOn Installation, Alteratio{;@f\~~I~af~~0-332-23 · 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 /..I-.J S .S A 5+ .' LEGAL DESCRIPTION ) 7Q 3 J s-: '3 I /"i2.lJCY JOB DESCRIPTION 7 C!/~1JN/77 f!dt /HccH f b~#/~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. - Address 12 /J. f)oY.. 35'S City LtI' --P5 lLP~1). Phone S/3 '-/.-t-E-S ~ o r-e-- Supervisor License Number 4 b 81 - 5 Expiration Date /0/// &> L,C Constr. ContI'. Number ~ I tj J q 77 I~y Signature of Supervising Ele~trician Expiration Date 0_ 0_ L~~ ./ - Owners Name 1..... ~ S- ~ b 7' /"o"l ~ Address S L7~ l..1r~~~ /" J~ City ~tt; '" 5' 2:fd8 Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ~~~:tMlrSHALL EXPIRE IF THE WORK !\' 'T~nR17EUUNDER il-llS PER~li IS...NOi ---'COMMENCED OR IS ABANUUI'JtD fOn llNY 18n nAY PERIOD. IlBl1ectlon~quest: 726-3769 $:t:"''>il:~na~5G0Ur:L[:t - Zoning , 3. ~/~~ COMPLETE FEE SCHt.:Bffftd 1f~f!t~ffr to -q -ex.{ '\ ~t.U Date 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 Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 ,.; ~. Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with --' Service or Feeder Permit $ 43.00 ..$3.00 cjJ_ttO /9J 6-d E. Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTAL OF ABOVE t, /.1 P 4:.1-7 LIt) ;...- 7/.11 ( 7% State Surcharge 10% Administrative Fee TOTAL Shared Orivc(T:)lBuilding FOllns/Electrical PCllnit Application I-03,doc Status Issued . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00669 ISSUED: ' 06/08/2004 APPLIED: 06/08/2004 EXPIRES: 12/08/2004 VALUE: " 225 Fifth Street,. Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 415 SA St ASSESSOR'S PARCEL NO.: 1703353113200 Springfield TYPE OF WORK: Store TYPE OF USE: . Alteration Commercial PROJECT DESCRIPTION: Add 7 circuits for new mech. & lighting Owner: CATELLUS DEVELOPMENT CORP Address: 201 MISSION ST ATTN PROPERTY TAX DEPT SAN FRANCISCO CA Owner: SW AGGART LESTER C JR & M A Address: 3276 LAKEMONT DR EUGENE OR 97408 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor JAMES WILLIAMSON License 153477 Expiration Date 10/0112004 Phone 5134-4459 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 I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: ,Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I .;.t.~7!""' Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: HE WORK' Notes: THIS PERM\T SHALL EXPIRE IF T T AUTHORIZED UNDER THIS PERMIT IS NO COMMENCED OR \S ABANDONED FOR ANY 180 DAY PER\OD. Sidewalk Type: Downspouts/Drains: ATTENTION' Oregon r follow rules a'do te aw requrres you to Notification Cent~ ~h by the Oregon Utility ;n OAR 952-001-001 0 t~se rures are set forth 0090 You ma . rough OAR 952-001- cal;ing the te~:~'~~~~~:h~ft~~:;~~e:e by number for the Oregon Utility N t'f' ~: C. 0 , Icauon enter IS 1-800-332-2344). Paee 1 of 2 -"'-~~-~,f.~gf;I~;9i)."-,,,, .__ ~ l_ ~r l \: ~, ' Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00669 ISSUED: 06/08/2004 APPLIED: 06/08/2004 EXPIRES: 12/08/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage, or Bid Amount Value Date Calculated Total Value of Project Fees Paid J Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $6.10 $4.27 $43.00 $18.00 6/8/04 6/8/04 6/8/04 6/8/04 Receipt Number 1200400000000000870 1200400000000000870 1200400000000000870 1200400000000000870 Total Amount Paid $71.37 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 Reouired Insnections I 1 Rough Electric: Prior to Cover 2 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. -<- We ~4/~~ ,/ Owner or Contractors Signature ~/ S/C;;L,L . ' Date Pae:e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00669 COM2004-00669 COM2004-00669 COM2004-00669 Payments: Type of Payment Check 6/8/2004 RECEIPT #: Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By IDEAL ELECTRIC r'!+y of Springfield Official Receipt ielopment Services Department Public Works Department 1200400000000000870 Date: 06/0812004 Item Total: Check Number Authorization Received By Batch Number Number How Received dIm 1696 In Person Payment Total: Page I of I 11:55:06AM Amount Due 43.00 18.00 4.27 6.10 $71.37 Amount Paid $71.37 $71.37