HomeMy WebLinkAboutPermit Electrical 2014-4-1 •
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,SPRINGFIELD 225 Fifth St
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' CITY OF SPRINGFIELD Sprmgfield,OR 97477
'+\vim Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
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PERMIT NO: 811-SPR2014-00692
www.springfield-or.gov permitcenter @springfeld-or.gov
PROJECT STATUS: Issued ISSUED: 04/01/2014 EXPIRES: 09/28/2014
STATUS DATE: 04/01/2014 APPLIED: 04/01/2014
SITE ADDRESS: 3001 FRANKLIN BLVD,Eugene,OR 97403 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703334402600 TYPE OF STRUCTURE: Public
PROJECT DESCRIPTION: Franklin Blvd Pedestrian Hybrid Beacon
(Just East of 1-5 Bridge)
OWNER: OR DEPT OF TRANSPORTATION - Phone Number:
ADDRESS: 4040 FAIRVIEW INDUSTRIAL DR SE
SALEM OR 97302-1142
CONTRACTOR INFORMATION
• Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor SUNDOWN ELECTRIC CO A CORP OF IDAHO CCB 67442 07/31/2015 503-359-0604
L INSPECTIONS REQUIRED
Inspections
4220 Electrical Service Electric Service: Approval required prior to utility company energizing service.
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 accordande 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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or S
0 = sr Cont-! ignature Date
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ATTENTION: Oregon law requires you to
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follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth NOTICE:
in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR:
number for the Oregon Utility Notification ANY 180 DAY PERIOD. -
Center is 1-800-332-2344). .
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Spnngfield Building Permit 4/1/2014 8:07:37AM Page 1 of 1
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,SPRINGFIELD —' CITY OF SPRINGFIELD
TRANSACTION RECEIPT 225 Fifth St
Springfield,OR 97477.
OREGON 541-726-3753
811-SPR2014-00692
www.springfeld-or.gov 3001 FRANKLIN BLVD permitcenter @springfield-or.gov
RECEIPT NO: - 2014000698 RECORD NO:811SPR2014-00692 DATE:04/01/2014
fo14,Yaf;11A11ol:20-1. fi'; >, k - ,. "!_ `'' t r C/ACCOUNT'CODE/TRANS CODE _, <°_-"s9 L AMOUNT.DUE
Branch circuits with service or feeder each circuit 224-00000-426102 1004 - 13.00
Services 200 amps or less - 224-00000-426102 1004 89.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 • 12.24
• Technology fee(5%of permit total) 100-00000-425605 2099 5.10
-. TOTAL DUE: 119.34
ISTAYMENT4:YREatigaR: Agiaxz.I= COMMENTS ,,, A.NI_OUNT8FPNDIMMIWNO
Check SUNDOWN ELECTRIC CO A CORP C 119.34
5540 IDAHO •
TOTAL PAID: 119.34
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Electrical Permit Application DEPARTMENT USE ONLY
SPa�RINGFIELD
CITY OF SPRINGFIELD, OREGON -� Permit no.: / 2ol4 —D0492_
325 Fifth Slretl*Springfield,OR 97;77*PH(5;ip26-37531 FA\(5;1)726-7(89 OREGON U/// L
Date:
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? Qf Yes ❑No Numher of inspections per item() Qty. Cost l
Tota
CATEGORY OF CONSTRUCTION
Residential,per unit,service included:
❑ Residential ®Government ❑Commercial
• JOB SITE INFORMATION AND LOCATION 1,000 sq.ft.or less(4) $147.50 $
Each additional 500 sq.ft or portion $ 27,50 $
Job site address: thereof
City: $ ,'al G,.id State: Q ZIP:970 77 Limited energy(2) $ 35.00 $
Reference: TaxloL; Each manufactured home or modular $ 69.00 $
DESCRIPTION OF WORK dwelling service or(ceder(2)
- - —-- Services orcet.dei2 installation,alteration,relocation
'¢ 200 amps or less(2) $ 89.00 $
I.t� c,›in C 5'r ;t East or- t- 5 FiRakilc_
PROPERTY OWNER 201 to 400 amps(2) $ 104.50 $
Name: 04 17, 7/ /p-Q,..71,�. -7 401 to 600 amps(2) $174.00 $
Address: 4 601 to 1.000 amps(2) $225.50 $
City: State: ZIP: 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
479.540(I)and 479.5600). 401 to 600 amps(2) $138.50 $
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: Sjsh rOt..)h E.lectiCt c _ a.Fee for branch circuits with purchase of a service or feeder fee:
T24-0.,C 17.b. T24-0.,C 12..n Each branch circuit 7.--f S 6.50 $
City: r e-it3 C yc,VL State:OR ZIP:q]/]L. b.Fee for branch circuits without purchase of a service or feeder fee:
Phone:5b5-554 egSati Fax$* 'y. c zoo First branch circuit(2) $ 60.50 $
E-mail: q,,,NCg SAN , hrlec±e,c, -C.n ,..n Each additional branch circuit $ 6.50 $
Miscellaneous fees:service or feeder nor included
CCB license no.:67tjyZ BCD license no.:37 4q5 C..„ f
Signing supervisor's license no.: 3 417 S Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervisor: teete C. (col$an sign or outline lighting(2) $ 69.00 $
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Signature of signing supervisor: Signal circuit or a limited-energy panel, $ 80.00 $
Signature g g p t 0. )Q-°44.,__ alteration,or extension(2)
Each additional inspection:(I) $80.00 $
APPLICANT USE
(A) Enter subtotal of above fees $
(Minimum Permit Fee$80.00)
(B)Enter 12%surcharge(.12 x IA]) $
• (C)Technology Fee(5%of[A]) $
440-2584-3(4I01/2013/COM) - TOTAL fees and surcharges(A through C): $ //7,341