HomeMy WebLinkAboutPermit Electrical 2004-2-23 (2)
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as submitted has the following
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FMOn.11~lIl1l\J6890t require spedfic lan~ use
ELECTRICAL PERMIT APPliCATION approva .. C. e. .
"^' 1"\ V Zoning
City Job Number {))w\ZOOt; - U'-<-'-' COate D '2 Zo C:. '-I _ 2. -:l3,6 4- .
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3. !';;.COM..P.LEl'ES 1l.ill~!ijQfI..titoWj~f"f,=!'\~i'-!."~'~l?~
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I. ~~LOCA....ti6N.Qit,INSiiJWIi4Tibj,j,~!~~~." ',1i')!'j{i::l
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L{"7Lii-."~~(I:-" ~Jvc1.
A. Ij:N~; Re,;ld~iltilli'YJSlli"ie'iilfM~iti:E~mil~1"~~'i'ilj;:~iiil'!m"1liI.1"1'
ft;;~.: :i~:"''t ;:..:c.:1.i<J::c."'):n-1-"'i--"r~g..~..'l!' "~f,,_,_ ',c."... ,1Pr>~~." "'1,!lK~'2;J"~ ~
Service Included
LEGAL DESCRIPTION
J~b303(1
JOB DESCRIPTION
A-'*'P ~ C.l (2..c..lA\ t-S
03200
1000 sq, ft, or less
Each additional 500 sq, ft, or
portion thereof
Each Manufacfd Home or
Modular Dwelling Service or
Feeder
$106,00
$ 19.00
Permits are non-transferable and expire if work is
not started within 180 days of Issuance or If work Is
Suspended for 180 days.
$50,00
ft.~2~~fipRdNstA1a''''oN'6NiJEj
2. , ' " ," l'i~i1f~~t"~t.i!I"f'l:1;1;' "'1.,.:l!l:"I~ifiJll1~.t'J~~tt
Electrical Contractor ,C ~ s r~ /fdr Ie ,J::II\C.. .
P. D. BDi \L'~)_
City Sf{\I~r"ld'Phone IYI-223b
Supervisor License Number Lis' q L\ S
\ 1)-01-04-
3'6'LjC}
C/-/-dJ
; -~'iilla=f,j~~R~ib~~tf:it:
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1.000 Amps
Over 1000 AmpsNolls
Reconnect Only
$ 63.00
$ 75.00
$125,00
$163.00
$375,00
$ 50,00
Address
c. ~5tm"~oiqr~.-~~s~r&lc'~i?iF~eiie~s__
fJo"i.:...-u..P..-_. ry.. "~-'....,.~_.~,)......... """'~ ~ _
Expiration Date
'"
Instanallon, A1terallon ~jReIoeallon
, u\teS . ,\\\i\'1 '
. 200 Amps orJe.sao; "01'1 U {" $ 50,00
. ~ \oa;,' ""fS"! e\ \0
, 2qlt,~mps to{\Q9 >\'mp~ tS S 0(' $ 69.00
",...\",\\0~~OliI11P}'tt,s600'~p.~~ 95'2.- ; \ $100.00
~~,~ a.Oo.- ~"O ~ ",Or tu\b~
" I>N tu\eS Qv~rJ600.AmpS'o~ tOO(1 Vilils ~.~\B" above,
\O\\~ iorD,?~jj"dffii-$~a~; . "". . . rWm1mifM.lRW t~ l .\~ ,. " '.m.I', ,~.'
\i\\Ca.\ Z.-~.Ji"U"~'~' ,'".' ~
~o ..09'=' ." Q'Cj' 'NO . .",
(\Or" .. tNew A1te~ation orrEttensiollPer panel, 1/'7
'{Ov tc""'- 01'1 u - '2.'3~~ ,. . J
"(\90,, 9 \0TI<:'Circ.!!it3<} [1_':',3'2.- $ 43,00
- ca.\\\1'I t ~ach't'~dditioHfJ Circuit or with ~ I Y" -
l'Iuin'oe Service or Feeder Permit ,;> $ 3.00
Constr, Conlr, Number
Expiration Date
Signature of Supervising Electrician
~~~.~
Owners Name W~'d.ISh.. bev
pO .1'0)<" 1'-(28
City (:::;vt.C -C-7>/C::'" Phone
E.IIM1t~r.tiijii~lff:(sr'iM'l;~f?la:j!fh1l1mjl!IfflJm-.r&El8f.}i;illiilfli.'~1l~
t1:~........_._,EtE~'lJ""";'" ""'_'~P'_'"Y'm.'~"""IK~"""''''';''_\'''''''-':...........""....,~;:.g
Address
Pump or irrigation $ 50,00,
SignlOntline Lighting $ 50,00
OWNER INSTALLATION Limited EnergylResidential $ 25,00
!he in,slallation is being made on property I own which Limited ~ne\ft{~~~ial $ 45,00 . .
IS not mtended for sale, lease or rent. 01\C\::.' \1~~'l!il!ll~~~~1~1~"f9'lilirispeetlon Fee Is $45.00 + Surcharges
, It C'?ERWlI"\S ~~)'~~. ,J,l@w">ii""'IilI>t"",.tt,;:;j[~..~_t;!" ','!11II'a' ' ~O
Owners SIgnature: "\\11,, 12"0 U\'\t4r, .~'. : t~. ~~44f1Y..!fb' . "i'.\I; 5 D
U"\\10R <- R I ,~;., "". .,\<:ll.",,,,,.. . ',."
~(\MWlE\'\CE~ ~ERlow.. State Surcharge '-t 06
1\\'\'1 '\ \)0 0 10% Adminislrative Fee S80
b7~6
Inspection Request: 726-3769
TOTAL
Shared Drive(T,yeuilding FonnslElectrical Permit Appticatioo 1.o3,doc
.
. CITY OF ~rK1j~GFIELD
Building/Combination Permit
PERMIT NO: COM2004-00208
ISSUED: 02/20/2004
APPLIED: 02/20/2004
EXPIRES: 08/20/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4748 FRANKLIN BLVD
ASSESSOR'S PARCEL NO.: 1803031103200
Eugene
TYPE OF WORK: Electrical Work Only
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION: Add 6 circuits
Owner: WILDISH INDUSTRIAL DEVELOPMENT CORP
Address: PO BOX 7428 EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
C & SELECTRIC
License
3849
BUILDING INFORMATION I
Expiration Date
09/0112004
Phone
541-741-2236
# of Units:
Primary Occupancy Group:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
EnergyallaJb:J to
on laW requ.. UtilitY
__,,'nnN:Oreg .' "hQ oregon . ._...'
;~;\~; rules ad~~~:i~DEv'EL(i)PMENT.JNFi>RMATION I
SETBACKS'otitication ceo~ _001 0 tnrO~Y" -to tne rules l
.., 952.-0' "o",os 0
Frontyard Setback: \ O{>..n ay obtain c .q~ff~rc.J?j~hO~e
Side I Setback: 0090. You lTl enter.lNot'i) Street.TrootRqa!'
tne c 1..!.,IIt" '~U""
Side 2 Setback: calling he oregon rave~,Dr!rl~ Rqd:
ber tor tn ('\n-?~2.-~~"
nulTl ,..__,^,;" 1_P. % of Lot Coverage:
VN
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Rearyard Setback:
Solar Setbacks:
.,
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
\\lOiICE'. 'CXPIR'C IF 1\1'C WU\'\"
1\1IS PERMI1 5\1i\~~ 1\1\5 p'CRM\1 IS N01
i\U1\10R11'C0 UNO IS i\Bi\NOONtD FOR
COMM'CNCtD OR 00
i\l'l'{ 1BO Oi\'{ pm\ '
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Pa~e I of2
.
. CITY OF ~rKll~ld<l~LD'
Building/Combination Permit
PERMIT NO: COM2004-00208
ISSUED: 02/20/2004
APPLIED: 02/20/2004
EXPIRES: 08/20/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fpps tiWU
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Aller, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$5.80
$4.06
$43,00
$15.00
2/20/04
2/20/04
2/20/04
2/20/04
1200400000000000233
1200400000000000233
1200400000000000233
1200400000000000233
Total Amount Paid
$67.86
I Plan Reviews ,
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.
LReauirpd Insnpction'!J
1 Rough Electric: Prior to Cover
2 Final Electric: When aU 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 ofany 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 aU required inspections are requested at the proper lime, 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 Fidh Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00208
COM2004-00208
COM2004-00208
COM2004-00208
Payments:
Type of Payment
CreditCard
_~__,!!J;l"'_!!LD.,._. ..
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Receipt #: 1200400000000000233
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
djb
Check Number
Batch Number Authorization Number
Paid By
MELISSA GEHRKE
000303 020669
City of Springfield OffiCial Receipt
Development Services Department
Public Works Departmentt
Date: 02120/2004
2:58:41PM
Amount Paid
43,00
15,00
4,06
5,80
$67.116
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$67,86
$67.116
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