HomeMy WebLinkAboutPermit Miscellaneous 2000-11-27
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SPRINQFIELD
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225 North Fifth Street
Springfield, OR 97477
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I Job# 00-01654-01 I
Page 1 of 2
TRANS#:01-0003875
DATE:NOV 27 2000
AMT RECD:2 $ 113.86
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01654-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1040 Gateway Lp Spr
Assessors Map#: 17032220
Lot: Block: Addition:
Owner:
Address:
Tax Lot #: 02300
Subdivision:
National Elect Cont
P,O. Box 11528
Phone Number: 541-686-8035
City/State/Zip: Eugene, OR 97440
New Value: $8,000
Scope Of Work: Commercial
Contractor Type
General Contr
Electrical Contr
flagpole, base and light
Contractor
. JKG Electric
2157 Don Street, Springfield, OR 97477
JKG Electric
2157 Don Street, Springfield, OR 97477
Registration #
45129
Expiration Date
4/24/2002
Phone
541-746-4656
45129
4/24/2002
541-746-4656
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
Quad Area: 1CNW
# Of Units:
Constr. Type:
Water Heater:
# Of Buildings:
NOTiCE9ccupancy Group:
I'teat Source:
THIS PER~Sq.fFh^dtiJg~PIPQ: IFTHE WORK
__ .__.___, n .____. ....... -.......... ",............,_..,.
Au II Ivnl.t..L.LJ v.IlUL.., I II """" 1-1 11"11' .~.._.
To request an inspection call the 24 hour recording at 726-3769, All inspgg!9,(1.~J~ql!..e_st~p; bjlfQIe.rilLOQNED FOR
a.m. will be made the same working day, inspections requested after 7:00 a.m. ~ill.bel'madeOhe following
working day. AI~Y luUUA t'l:t11 u.
Required Inspections
I Buildinll
-After trenches are excavated.
- To be done by a State Certified Speciallnspector,_~rovide inspection test reports to City Buildir
All t:.i\i: UI~:;'.;;3t' \"'" IC1'.1 "::-'~'lt:;-j ~'uu t('1
- When all required inspections have been 1fpProiied:ana1ine't5uilding;is ~OnrPie14JlilitY.
t\1,.....,.iijCC.i;u,-, L:....I ,t......-.; ilJ~L : t.IIS:IL:: ~9t :::r~(\
I Electrical;n ()I-\h ~5",-lJG'i-uu'i" ,hl'LJllgh OI\rI0S?-001-
-Prior to cover. 0090. Yuu 1113Y obl?in.;f)[Ji.l.; of lho rulss by
-Prior to cover. calliliy :",J ~"niJ'. ,.'j..ll~: ,OJ UJphooa
-When all electrical work is complete. nU,tlb..lriui'LflJ 0'..o:Joo !.J!i:ily ~!olificalion
Cantdris l-t:~J-JZ2-2344).
Footing
Bolts installed in
concrete
Final Building
Underground Electrical
Rough Electrical
Final Electrical
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I Job# 00-01654-01
Overlay District:
# of Street Trees:
Page 2 of2
Land Use:
Pave Driveway? D
Zoning:
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
3:
Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
Main: 0 . AccessoryO
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:O
Fee
Paid On Receipt#
Plan Check
11/09/2000 3755
Value/Quantity
Commercial Plan Check
Total Plan Check
8,000
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Buildinll
11/27/2000 3875
11/27/2000 3875
11/27/2000 3875
8,000
Branch Circuits W/O Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Plan Check Type
Electrical
11/27/2000 3875
11/27/2000 3875
11/27/2000 3875
1
Checked By
Date Completed
Comment
Initial Review-C/I/P
Wendy Stanley
11/13/2000
Structural-C/I/P Lome Pleger 11/14/2000
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 employess who are in acompliance with ORS 701.055 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 stret, that the permit card is Icoated at the front of the property, and the
approved set of plans will remain on the site at all times during construction.
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L\ l L.I eO
Fee Amount
$44.53
$44.53
$68.50
$4.80
$2,06
$75.36
$35.00
$2.45
$1.05
$38.50
$158.39
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SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX(541) 726-3689
. submitted has the following
The following proJect ~s equire specific land use
zoning. and does no r
225 FIFTH STREET apQroval. r ..t E~CTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ;Z:oning-
INSPECTION REQUEST: 726-3769 1/_11-dV -eity Job Number ~.t:>/t:-!;'~-,C)/
OFFICE: 726-3759 Dale. j.. )
MlhOrized Signature ~:;,_ "v;;F~ FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATIONf\
\ QI.\- 0 r...flAe.,w1Pt' WlO r A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIP1ION
~p ~ I ~1lI FEn LeI 0 ct.-
.
JOB DESCRI,PTION
.UQ.1Iol F~ j\oLe \..I\) h t-
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 INSTALLATION ONLY
.
Electrical Contractor ~\<.'o '5\ec..-4..l(.
Address z.' s -, \:) o.u .. T.
Ci ty Ef!;IU diC'Ld Phone '1'tIo-lfb'i:: b
Supervisor License Number J, \4-8- >
Expiration Date to - ) -Q \
Constr Contr. Number
~Q -'Z../-' C /'tSJ2t\ C.
Expiration Date
'-1 - 1.. '-t - {) '-
Signature of Supervising Electrician
~.E.,.~
Owners Name AI. E. C. A _
Address J~~~ ~~ /~
Ci ty ~JllR-n. ~7i>. Phone 7;1'.6--/~4/6
.77
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent:
Owners Signature:
---------------------------------------
DATE:
RECEIPT II:
RECEIVED BY:
It ems Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit \
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 H
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5_
$
$
$
$
:?''S -
-:z. ~~
_ ~ ,-pI['
"::JA. .;-:~
40.00
40.00
20.00
36.00
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL