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Permit Electrical 2013-5-10
SPRINGFIELD • 225 Fifth St ll lir-A ____i_ii S CITY OF SPRINGFIELD sphngfiela,oR97477 1 Phone: 541-726-3753 • OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00928 www.springfieldor.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/10/2013 EXPIRES: 11/05/2013 STATUS DATE: 05/10/2013 APPLIED: 05/10/2013 SITE ADDRESS: 2000 HENDERSON AVE, Eugene,OR 97403 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1803032000190 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Welder circuits for work stations OWNER: FARWEST STEEL CORPORATION Phone Number: ADDRESS: PO BOX 889 EUGENE OR 97440 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor BUILDERS ELECTRIC INC CCB 4296 12/10/2013 541-485-0922 L INSPECTIONS REQUIRED Inspections 4500 Rough Electrical Rough Electric: Prior to Cover 4999 Final Electrical 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 or 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. . APIA S/i — 5- 10 - 13 • •• Owner oContractor Signature Date ATTENTION: Oregon law requires you to • follow rules adopted by the Oregon Utility set Notification Center. Those r h OAR 952-001h in OAR 952-001-0010 through NOTICE: 0090. You may obtain copies of the rules by calling the center. (Note:. .the telephone THIS PERMIT SHALL EXPIRE IF THE WORK number for the Oregon Utlty Notification . AUTHORIZED UNDER THIS PERMIT IS NOT Center is 1-800-332-2344). COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 5/10/2013 2:05:31 PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifils St i TRANSACTION RECEIPT SpnngfieI OR 97477 ' OREGON 541-726-3753 811-SPR2013-00928 w4w.spnngfield-or.gov 2000 HENDERSON AVE permitcenter©spnngfield-or.gov RECEIPT NO: 2013000925 RECORD NO:811-SPR2013.00928 DATE:05/10/2013 �e7&-3m371 (01 t3"; ' N_ ` `� -,s€itrtlf :h?_ r R A_Tc.j.::ACCOUNT CODEFFRANS CODE.0 CtCi4rAMOUNT.DUEi- Branch circuits with service or feeder each circuit 224-00000-426102 1004 448.50 Electrical Plan Review(25%of electrical fee) 224-00000-426102 1085 222.38 Services 200 amps or less 224-00000-426102 1004 267.00 Services 401 to 600 amps 224-00000-426102 1004 174.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 106.74 Technology fee(5%of permit total) 100-00000-425605 2099 44.48 TOTAL DUE: 1,263.10 IW@A IAENT7YP.E. - PAXOR cnsweR"�"�Wan COMMENTS AMOUNT;P.AID Check BUILDERS ELECTRIC INC 1,263.10 3892 TOTAL PAID: 1,263.10 Electrical Permit Application DEPARTMENT USE ONLY + SPNINGVIELO .t - C TMLOE SPRIN,'FIiELDd, OREGON a .,,;: Permit na.:S/3 -0 0 ein ate. , ff z m 225 Fifth Street•Springfield,OR 97477.PH(541)726-37534 FAX(541)726-3689 �..3,s, o.. , Date: 3----'1 Q- 13 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. c „fiLOCAL-,GOVERNMENT :APPROVAL- q _; r t• 'IEEE;",SCHEDULE 'l Zoning approval verified? ❑ Yes ❑ No c ?" " Cost Total =Number df inspections per item O Qty .,., ' `;t' vst'-r. Residential,per unit,see `,, =;CATEGOR'COF CONSTRUCT[ON 'f �. ° , p service included: ❑Residential ❑Government ❑Commercial 1,000 sq. ft or less(4) $147.50 $ „u( JOB:S ITEM FORMATION-ANO`LOCATION,,; 'I: 7;., OF Each additional 500 sq. ft.or portion Job site address: 7 (9 d D /4-FA) SC� thereof $ 27.50 $ City: rd.,bEitiC - State:© ZIP:97yd3 Limited energy(2) $ 35.00 $ Reference: / $O3 C)3 Z-0 Taxlot.:00 ( It Each manufactured home or modular $ 69.00 $ fiar� ,} ;, DESCRIPTIO N,'OF:WORK;?. ,1j"", p :" dwelling service or feeder(2) W el,Ve A G l415 Services or feeders: installation,alteration, relocation aRA,i1 5 1--4-4-r.�JC 200 amps or less(2) J7.. $ 89.00 war, -_. i viv ° " J f k +":,; 201 to 400 amps(2) $ 104.50 $ ;=_iaz , ?, .PROPERTY; OWNER `;?r:. ..0 h,;irs _ _ �� Name: f, a,uesr ;. }'Ep L (®/L? 401 to 600 amps(2) 1 <5174.00 $ 17 Address: 2000 )41:3A O Pte, 0 601 to 1,000 amps(2) $225.50 $ City: V) 6,PA/LE State: /92 G ZIP: -1, ` 9 Over 1,000 amps or volts(2) $516.00 $ Phone: - - Fax: - - • Reconnect only(2) $ 69.00 $ E-mail: Temporary services or feeders:installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less(2) $ 69.00 $ owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 96.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.5400)and 479.560(1). 401 to 600 amps(2) $138.50 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above VE- ..,:9,;y,CONTRACTOFUNSTALL'.AT,ION _,t'Zi, Branch circuits:new,alteration, extension per panel Business name: r,,A R-Ah gj 6.r te a. Fee for branch circuits with purchase of a service or feeder fee: Address: 1 9.6j ,t/1�,,(�y60,� ,l,T Each branch circuit Gr y $ 6.50 $ [,11]�:)-0 City: �i✓�sfN.fip/V States, ZIP: b.Fee for branch circuits without purchase of a service or feeder fee: Phone: - - Fax: - - First branch circuit(2) $ 60.50 $ E-mail: Each additional branch circuit $ 6.50 $ CCB license no.: BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: - Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: Each sign or outline lighting(2) $ 69.00 $ Signature of signing supervisor: Signal circuit or alimited-energy panel, $ 80.00 $ alteration,or extension(2) Each additional inspection:(1) I $80.00 $ v .g ; ' ,''AP,PLICANTI'IUSE kA,kt11.-4-ctii7":`;N (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $ • (56 41.15 `5 (B)Enter 12%surcharge(.12 x[Al) - $ )04/7w (C)Technology Fee(5%of[AD $ -19I1/43 TOTAL fees and surcharges(A through C): $ 00572 /7( w 2W ,w zza13% 440-2584-J(410 1120 1 3/COM) �,/ ' .� `JC . 10 TOTfa-t- I.