HomeMy WebLinkAboutPermit Electrical 2005-7-29
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX:' (541p'J(1j66891ot require speCi~~ t'aendfOl/owlOg
Q~proval use
IEILIE(!,;]'J1<<1ICCAIL IPIE1J!llMIJI1[' AlPIPlLIICCA'1I'lI([))N Zoning ~
City Job Number COM 0.005-0011 cQ Date -, - ~5-05 "'-:te 7 _ ~ ~_~{:-
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200 Amps or less ~U,~~ ~6'lJ\.~~
20 1 Am9S'it~~Am~O,{\ ~\\ lI",tfitl
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0090. . \\I~ce{\ f'\..,.r;(!f, ~J:' ~2/'.A\o
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nurnoet tet \5 '\.
&~~hation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
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LEGAL DESCRIPTION
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JOB DESCRIPTION
00700
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I
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.
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Electrical Contractor JB Electric, Inc.
Address 4685 Isabelle Street
City Eugene
Phone 687-5770
Supervisor License Number 3782-S
Expiration Date 10/1/07
Constr. Contr, Number 37587C
Expiration Date 7/1/06 (CCB 104929 3/14/08)
Signatur
I <; y c.fi7t1 ~ C0f7- of
Owners Name Q.r-Q!jG\I\ I' W\ Q ~ '\ V\.!]_
Address ~CoO ?o, \ -\- \ " \/\--9 ? rt .
City ~.. ,^~C\~J d Phone
3.
A.
,[.,
, ; r .'~ 1\1 ..
$106.00
$ 19.00
$50.00
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 50.00
$ 69.00
$100.00
$ 43.00
$ 3.00
L\~. 0 CI
~I 00
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
B. ?~;'.' :"\;:,:> r. '"",
Over 600 Amps or 1000 Volts see "B" above,
D.
New Alteration or Extension Per Panel
One Circuit \
Each Additional Circuit or with -,
Service or Feeder Permit I
E. 1,,":<.
i:... .
\',~, .'
., _,_.t'
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
OWNER INSTALLATION L~m~ted Ene~f~id~~1 $ 25.00
The installation is being made on property I own which Lim!t~}krgy!~~~'cl-~Ial $ 45.00
\ . \ \.. t.,\ t: 1(\\\1\\ \
is not intended for sale, lease or rent. \'.\: \. \ ~'. ,;,. 1 \:\ sMilfi~u~'.tie~fr.h~rP~~f\nspection Fee is $45.00 + Surcharges
",,,\.. oC.\-\\~\1 ,,\\)Ietl' ",\C\lj\\\'C' .
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Owners SIgnature: '\ "\ 'r\C'J?-\L,~;:\ \ d\\ v. , ,', " ;' - " ' (04 00
\\\J ~\J\"v -ri\\\Jv' .
r\\'>J'\\J\'c ~ ~t.\ 4 '-\ ~
C,v I '\ \)\J ,y, 7% State Surcharge _
\>-~ -{ 10% Administrative Fee ({) _ '4 ()
l <..L <15~
Inspection Request: 726-3769
TOTAL
CITY OF SPRINGFIELD"
Building/Combina~ion Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection 'Line
PERMIT NO: COM2005-00772
ISSUED:
APPLIED:
EXPIRES:
VALUE:
06/21/2005
01/14/2006
$ 65,000.00
SITE ADDRESS: . 860 BEL TLINE RD
ASSESSOR'S PARCEL NO.: 1703153000900
Springfield TYPE OF WORK: Interior
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Relocate interior partition wall for Oregon Imaging
Commercial
Owner: SYCAN B CORP
Address: 840 BELTLINE RD STE 202
SPRINGFIELD OR 97477
Phone Number: 541-746-8444
I CONTRACTOR INFORMATION.
Contractor Type
General .
Electrical
Contractor
DORMAN CONSTRUCTION
JB ELECTRIC
License
68801
104929
Expiration Date
08/31/2006
03/14/2008
Phone
541-984-0012
541-687-5770
BUILDING INFORMATION I
B
Lot SiZe:
Sq Ft 1st Floor:
SqFt2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
SqFt Other:
Occupant Load:
# 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:
S . kled~to /
^TTc:t-I~lnN: ?re~on~~~~~\.~.ll-~\!-'( n a
. fo\.I~W ~ules ~LJ}'EVE}~r1\fi;~lIi'ION I
Notification Ce,ILVI. hOAR 952-001-
. . R 952 001-0010 throug
IfI OA - . '~~p~wstl1e rules by
0090. You may obtaI ;Yi~ttl{~I~IJ:>ne
calling the center. 8~ee1q"i\yN8.tiil~ation
number for the. Ore ..%,()t:.l-~t~~r~ge:
Center IS 1-tlOu--;j-;:l
VA
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:.
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
NOTiCE:
THIS PERMIT SHALL EXPIRE IFTHE WORK'
-AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR .
ANY 180 DAY PERiOD.
Pae:c 1 of 3
Status Pending'
225 Fifth Street, Springfield, OR
541-726-3753 PhOne
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
65,000.00
Total Value of Project
~
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO:' COM2005-00772
ISSUED: .
APPLIED: 06/21/2005
EXPIRES: 01/14/2006
VALUE: $ 65,000.00
Value
Date Calculated
$65,000.00
$65,000.00
07/14/2005
CITY OF SPRINGFIELD. '
Building/Combination Permit
,
Status Pending
, 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: 'COM2005-00772
ISSUED:
APPLIED:
EXPIRES:
VALUE:
06/21/2005
01/14/2006
$ 65,000.00
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 Insoections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Ceiling Grid: After drywall approval but prior to cover.
Final Fire Department. After all requirements of the Fire Department have been met.
Final 'Building: After all required inspections have been requested and approved and the building is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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 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 70L005 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.
Owner or Contractors Signature
Date
Paee 3 of 3
225 Fifth Street
Springlield, Oregon 97477
541-726-3759 Phone
"
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, Jf!b/Journal Number
'COM2005-00772 '
COM2005-00772
COM2005-00772
C,?M2005-00772
Payments:
Type of Payment
Check
'; 6
,\
::~
::1.
. "
, 0
7/25/2005
'J.
RECEIPT #:
2200500000000000975
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Add, Alter, Extend Circ
Add, Alter, Ext~nd Circ Ea Add
"tty of SpriIigfield Official Receipt
evelopment Services Department
Public Works Department
Date: 07/25/2005
2:16:44PM
Item Total:
Amount Due
4.48
6.40
43.00,
21.00
$74.88
Paid By
JB ELECTRIC
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
Page 1 of 1
16081
In Person
Payment Total:
$74.88
$74.88