Loading...
HomeMy WebLinkAboutPermit Electrical 2013-9-24 -1 - SPRINGFIELD 225 Fifth St ' A°- " CITY OF SPRINGFIELD Springfield,OR 97477 _Cv �, 2 Phone: 541-726-3753 `OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR201 3-021 47 www.springfield-or.gov permitcenter @spnngfield-or.gov PROJECT STATUS: Issued ISSUED: 09/24/2013 EXPIRES: 03/23/2014 STATUS DATE: 09/24/2013 APPLIED: 09/24/2013 SITE ADDRESS: 3005 FRANKLIN BLVD,Eugene,OR 97403 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703343300700 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Temp power for hotel construction OWNER: PATEL ALPESH 8 KOMAL Phone Number: ADDRESS: 1857 FRANKLIN BLVD EUGENE OR 97403 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor EA WHITE CONSTRUCTION CO LLC COB 130039 06/08/2014 503-691-8311 General Contractor EA WHITE CONSTRUCTION CO LLC COB 130039 06/08/2014 503-691-8311 INSPECTIONS REQUIRED Inspections 4000 Temporary Power Service 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. ill 9/. 41-23 Owner •r ":0*•trl ctor Signature Date FTTENT{ON'. Oregon law requires you to follow tules adopted by the Oregon Utility WORK Notifioation Center. Those ruh OAR 9524001 �oT�CE. ►T IS NOT in OAR 952 001-0010 through o the rules by THIS PERMIT SHALL EXPIRE IF THE S pogo. You may obtain cop hone AUTHORIZED UNDER THIS PERM the center. (Note. the telep calling on Utility Notification COMMENCED OR IS ABANDONED FOR number for the Oreg ANY 180 DAY PERIOD. Center is 1 800 332 2344). Springfield Building Permit 9/24/2013 10:06:17AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD hir-.I. -o: .,.r 225 Fifth St (` ; ' TRANSACTION RECEIPT Springfield,OR 97477 ^ ``OREGON 541-726-3753 811-SPR2013-02147 www.springfield-or.gov 3005 FRANKLIN BLVD permitcenter @springfield-ar.gov RECEIPT NO: 2013002122 RECORD NO: 811-SPR2013-02147 DATE:09/24/2013 DESCRIPTION - i. - ' ,; - - _ "'„ xLAC000NTCODE/TRANS.CODE1 _AMOUNT_DUE:- w Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 11.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 Temp services 200 amps or less 224-00000-426102 1003 69.00 TOTAL DUE: 93.60 v AMOUNT PAID , k:PAYMENTTYPE,� „PAYORcaSHiER:ccarseeNrER ,.,,," COMMENTS, .r -,_ ,__ _..;,,_... .,_ a,„ ,.:__ _._,:._ _.,_.. ,. ...v' Credit Card PATEL ALPESH& KOMAL 93.60 094965 TOTAL PAID: 93.60 Electrical Permit Application DEPARTMENT USE ONLY sst ', 't i' is e`f yr�++Y SPRING FIELD--r CITY OF SPRING 4QREGON ' -F- . t y S13 —2(v7 '+.4sa9ar< .F li ..a. ;'d'x-_ a.HAJll .*.r -+. Permit no.: 225 nob Snccr•Splmgtield,OR 97477.1'11(541) 263753,1 \x(541)726-3689 `4 a'LOREGON Date: CY:2"i/ i 3 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within I80 days of issuance or if work is suspended for 18U clays. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? 111 Yes ❑No . Number of ius sections ter item ( ) (Zty,l Cost Total CATEGORY OF CONSTRUCTION 1 i 111 ca. cost Residential,per unit,service included: ❑ Residential ❑Government Commercial JOB SITE INFORMATION AND LOCATION 1.000 or less(4) $147.50 S. {{ Each additional 500 sq. ft,or portion $ 27.50 $ Job site address: 3e 10 .1t-it aH��lik �(�1 thereof City: C-01a K State: Or ZIP: 971,/0t Limited energy(2) $ 35.00 $ Reference: - Taxlot.: Each manufactured home or modular $ 69.00 DESCRIPTION OF WORKqq�� { dwelling service or feeder(2) / of Po a✓ Cs/ `tO('donr Services or feeders:ilrslrtllaliml, alteration,relocation • 200 amps or less(2) $ 89.00 $ PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $ Name:M____ I .Q., 401 to 600 amps(2) $174.00 $ Address:( i- cyyakPvi IS\ 4 601 to 1.000 amps(2) 5225.50 $ City: L/ State: a ZIP: Tn�7 Over 1.000 amps or volts(2) $516.00 S Phone: c� -._..c c4,.. -440 Fax: - - �- Reconnect only(2) $ 69.00 S E-mail: lent porn ry services or feeders:installation. alteration.relocation This installation is being made on residential or harm property -'1111 amps or less(2) / 6 2 5 69.00 owned by me or a meinher of my immediate family.This 201 to 400 amps(2) $ 96.00 $ property is not intended for sale,exchange, lease, or tent. OAR 479.540(I)and 4 c 0(1). 401 to 600 amps(2) $138.50 $ Signature: �7� Over 600 amps or 1.000 volts.see services or feeders section above e`'FACTOR INSTALLATION Branch circuits:new alteration.coorsian per panel Business name: egeN. eon 51 L:, � tjh1--- e_ a. Fee[Jr branch circuits with purchase of a service or feeder fee: r Address: Z n �/ 9 (.-. Ate{ /y Each branch circuit I_-._-_ $ 6.50 $ City//t© /O�//Q State:-9 C ZIP: �+ b. Fee Ibr branch circuits without purchase of a.service or feeder fee: Phone.�03(j. 9 i-p3// Fax:30-3 69/ Sc/o First branch circuit(2) $ 60.50 $ E-mail: Each additional branch circuit $ 6.50 5 CCS license no.: /3 003 9 BCD license no.: Miscellaneous fees:service or feeckr not included Signing supervisor's license no.: Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: t4 i e it/a( Each sign or outline lighting(2) $ 69.00 $ Signature of signing supervisor: 10 Signal circuit nr a limited-energy panel. $ 80.00 $ 3 s I nitcation.or extension(2) Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees �J (Minimum Permit Fee$80.1)1)) $ (B)linter 12%su charge(.12 x[A]) $ 9 lCl Technology Fee(5%of(Al) $ �U 440-2584-1(4101/2011/COxll TOl'A I,fees and surcharges(A through C): $�j 3----