HomeMy WebLinkAboutPermit Electrical 2014-2-27 •
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SPRINGFIELD_. 225 Fifth St
'1t CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02695
www.springfield-or.gov permitcenter @springfield-ar.gov
PROJECT STATUS: Issued ISSUED: 02/27/2014 EXPIRES: 08/26/2014
STATUS DATE: 02/27/2014 APPLIED: 12/18/2013
SITE ADDRESS: 3005 FRANKLIN BLVD,Eugene,OR 97403 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703343300700 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: EL-Wiring for New hotel
OWNER: CBS OUTDOOR INC Phone Number:
ADDRESS: PO BOX 404
BROADWAY NJ 08808
OWNER: DHRU LLC Phone Number:
ADDRESS: 1857 FRANKLIN BLVD
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EUGENE OR 97403
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
WRIGHT 1 ELECTRIC/THREE PHASE ELECTRIC (C)Electrical Cont 3-332C 07/01/2014 503-760-8522
INSPECTIONS REQUIRED
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Inspections
4225 Service or Feeder
4500 Rough Electrical Rough Electric: Prior to Cover
4550 Limited Energy
4999 Final Electrical Final Electric: When all electrical work is complete.
• 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. -
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pr Owner or Contractor Signature Date
NOTICE' .,. •
jçTSHALL ATTENTION: Oregon law requires you to
EXP/RE IF follow rules adopted by the Oregon Utility
Notification Center. Those rules are set NCED OR IS AB PERMITES NOT in OAR 952-001 0010 through OAR 952-001-
AYpER/OD ANDONED FOR 0090. You may obtain copies of the rules by
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calling the center. (Note: the telephone
Springfield Building Permit 2/27/2014 11:11:24AM tuber for the Oregon Utility Notification
Page Center is 1-800-332-2344).
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SPRINGFIELD -` . CITY OF SPRINGFIELD
TRANSACTION RECEIPT 225 Fifth St
Spnngfield.OR 97477
541-726-3753
OREGON 811-SPR2013-02695
www.springfield-or.gov 3005 FRANKLIN BLVD pennitcenter @springfield-or.gov
RECEIPT NO: 2014000447 RECORD NO:811-SPR2013-02695 • DATE:02/27/2014
DESCRIPTION :" 'f'iZ ;to,..fg, iV,. ,;'St IP.:.:' P���M :ACCOUNT'CODE/TiRANS1CODE k_ Ft-arrAMOUNT o .:;1
Branch circuits with service or feeder each circuit 224-00000-426102 1004 4,985.50
CCTV 224-00000-426102 1004 80.00
Data/Telecommunications 224-00000-426102 1004 80.00
Electrical Plan Review(25%of electrical fee) 224-00000-426102 1085 3,657.13
Intercom/Paging 224-00000-426102 1004 80.00
Other Limited Energy 224-00000-426102 1004 80.00
Services 200 amps or less 224-00000-426102 1004 7,832.00
Services 201 to 400 amps 224-00000-426102 1004 627.00
Services 401 to 600 amps 224-00000-426102 1004 348.00
Services over 1,000 amps or volts 224-00000-426102 1004 516.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 1,755.42
Technology fee(5%of permit total) 100-00000-425605 2099 731.43
TOTAL DUE: 20,772.48
AYMENT■T;YP. PAYOR 'castflEii,ccnRP,eRieR COMA/IENTSTS nnAMOUNI¢P,4IDngi Qf,r�� "",
Check DHRU LLC 11,272.48
1041
Credit Card KOMAL PATEL 9,500.00
090437
TOTAL PAID: 20,772.48
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SPRINGFIELD'- CITY OF SPRINGFIELD
225 Fifth St
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TRANSACTION RECEIPT Springfield,OR 97477
OREGON 541-726-3753
811-SPR2013-02695
www.springeeld-or.gov 3005 FRANKLIN BLVD permitcenter @spnngfield-or.gov
RECEIPT NO: 2014000447 - RECORD NO: 811-SPR2013-02695 DATE:02/27/2014
1t = ud n - _ -':t " ACCOUNT CODE/TRANS'CODE ' :t ."5IAMOUNT DUE"f,'
Electrical Plan Review(25%of electrical fee) 224-00000-426102 1085 2,81148
Services 206 amps or less 224-00000-426102 1004 7,832.00
Services 201 to 400 amps 224-00000-426102 1004 627.00
TOTAL DUE: 11,272.48
ErP.%1YMENTyTYPEv.. .PAY,OR'sW'a!CASRT6rr ARPERTERF COMMENTS- - AMOUNT]-PAID
Check DHRU LLC 11,272.48
1041 •
Credit Card KOMAL PATEL 9,500.00
090437
TOTAL PAID: 20,772.48
Electrical Permit Application SPHtND Vl LLD
`DEPARTMENT USE ONLY
C
C'I! i ,OF'1SP t s GE ELD,iOREGON; ! 11U1. == Permit no S ( S
225 Fifth Street•Springfield.OR 97477•PH(541)726-3753♦F1X(541)726-3689 J e
Date: / 2-7/ /) '3
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.
'LOCAL'GOVERNMENT APPROVAL ' ' 'FEE SCHEDULE ,
Zoning approval verified? ❑Yes ❑No Number of inspections per item() Qty. Cost Total,.'
r +CATEGORYtOF CONSTRUCTION • ' ' ea. cost:
Residential,per unit,service included:
❑Residential ❑Government Commercial 1,000 sq.fl or less(4) $134.00 $
'JOB SITE INFORMATION 'AND '.LOCATION -
Blvd Each additional 500 sq.ft.or portion
Job site address: 3005 FfuIAkl:v. Bl Vd thereof $ 25.00 $
City: CtA.,5F like_ State: CA ZIP: Y 7 403 Limited energy(2) $ 32.00 $
Reference: 72)1 ?9,73 Taxlot.:rC700 Each manufactured home or modular $ 63.00 $
1DESCRIP_TION-OF WORK dwelling service or feeder(2)
W Services or feeders: nstallation,alteration,relopN2W S �S1 FuC�ol — �K* ITO I
200 amps or less(2) $�'4'r070 $7b37/
' ` .PROPERTY OWNER - 201 to 400 amps(2) (p $ I " $O27
Name: 014 4Z u L 4C-
401 to 600 amps(2) � $1 $3‘11��c t y3 J 601 to 1;000 amps(2) $205.00 $
Address: lbJ 7 f=Yc,h�l t h •LI�lJL1
City: Eu9eutc_ State: OQ ZIP: 97403 Over 1.000 amps or volts(2) i $4* $5140
�J Reconnect only(2) $ 63.00 $
Phone: - - Fax: - -
E-mail: Temporary services or feeders:installation,alteration. relocation
This installation is being made on residential or farm property 200 amps or less(2) $ 63.00 $
owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 87.00 S
property is not intended for sale,exchange.lease,or rent. OAR
479.540(1)and 479.560(1). 401 to 600 amps(2) $126.00 $
Signature: Over 600 amps or 1.000 volts.see services or feeders section above
CONTRACTOR 'INSTALLATION Branch circuits:new,alteration,extension per panel
Business name: Lir,c a.Fee for branch circuits with purchase of a service o f-eder fee:
ATE qEiecfr .y.
Address: 9 93 VE .3rAke SACfe J3 200 Each branch circuit 767 $ t.•'• $ 0% Ste'"
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City: Cc,lib v State: OQ ZIP: 9 70 3 b.Fee for branch circuits without purchase of a service or feeder fee:
Phone:` '3II-Zhb // zSSS Fax:5fo)-65! 391 O First branch circuit(2) $ 55:00 $
E-mail:SFtawtt gfvtree f4c.`x'c Iec+rtc. , Cowl Each additional branch circuit $ 6.00 $
CCB license no.: i b.z3t, BCD license no.:3 -33 Z(.._ Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: y� 33 9 85 Each pump or irrigation circle(2) $ 63.00 $
Print name of signing supervisor: OelAhCS WelLk Each sign or outline lighting(2) $ 63.00 $
4)4-1- Signal circuit or a limited-energy panel, id $ c`
Signature of signing supervisor: !�c^'t*'� alteration.or extension(2) �
Each additional inspection:(1) $58.00 $
i ? t "I,W ti" 'APPLICANT 11USE •' i:l';a•�. , IY. ..
(A) Enter subtotal of above fees $ �7p (7j
(Minimum Permit Fee$58.00) /q621 0 d�
(B)Enter 12%surcharge(.12 x[A]) $ 05-5 Q
(C)Technology Fee(5%of[A]) $ ?3/,1l - 1
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TOTAL fees and surcharges(A through C): $ /wrr/i
440-25841(9/08/COM)