HomeMy WebLinkAboutPermit Electrical 2008-1-28
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CUY OF SPRINGFIELD, OREGON
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225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRI~ PEEJIHT APPLICATION
City Job Number \.' 0 -- m \ d-- I
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LEGAL DESCRIPTION:
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JOB DESCRIPTION:
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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Electrical Contractor Me D;t-.r",,',c)... (0. \--tbls
Address 855"7'1 I-\w.... 9'1 S
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City t ~''f1'(' Phone (q41) 70H - U; 7 7
Supervisor License Number (l '8005;
Expiration Date
/tJ-o/- ?0/o
Constr. Contr. Numher
77DJ.3
Expiration Date 10 - a ~ - ~oc ~
Signature of Supervising Electrician
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OwnersName W;iL"", W€.A.d."q
Address 83.i?71 tl\kror,,>~
City C"t5....., \ \ Phone
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OWNER INSTALLATION
The installation is being made on property.J own which
is not intended for sale, lease or rent. '
Owners Signature:
Inspection Request: 726-3769
SPRINOP'IELD _.,...,,~, ..~,
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Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$117.00
$21.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$55.00
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. ~f~\llr"J\ee er:s,'\ll:rl:'" a on""", ern 10ns,0r,!x e oca Ion:' ,
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fnstallation, Alteration or Relocation
2001'NPPS$I~eSS
20Ir~p~ <f400 Amps
'IIIV r P~I"
401 !Amps lo'600T_ALL '
~'~ltiU8/lc{) I"" EXP/8I:Jr
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New Alteration or
One Circuit '_"_
Each Additional Circuit or with
Service or Feeder Permit
$ 55.00
$ 76,00
$110.00
~
$ 4.00
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55,00
Limited Energy/Residential $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Sorcharges
4. ~1f",'1iiiiim,""',~,'" ,'~~-, '"li:~_~ 717
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12% State Surcharge '1.3G
10% Administrative Fee 7. ~O
5% Technology Fee 3. q"
TOTAL qC{ . 06
Shared Drive(T:)/Building FonnsiElectrical Penni! Application I-DS,doc
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00 121
CO M2008-00 121
COM2008-00 121
COM2008-00 121
COM2008-00121
Payments:
Type of Payment
CreditCard
cRecciotJ
RECEIPT #:
Description
Perm ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
JEFF BROOKS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000118
Date: 01128/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
616195 In Person
Payment Total:
Page I of I
2:21:54PM
Amount Due
70,00
8,00
3.90
9,36
7.80
$99.06
Amount Paid
$99,06
$99.06
1/2812008
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Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00121
ISSUED: 01/28/2008
APPLIED: 01/28/2008
EXPIRES: 07/2812008
'VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3815 FRANKLIN BLVD
ASSESSOR'S PARCEL NO.: 1703344311200
Eugene
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Add 60amp suh-panel with two-branch circuits
Commercial
Owner: WALKER WILLIAM WENDELL
Address: 83271 ENTERPRISE RD
CRESWELL OR 97426
Contractor Type
Electrical
I CONTRACTOR INFORMATION'
ATTENTION: Preqon law r~gui(es ~ou~
Contractor follow rules aM&~;rnlby thEfeIWIlI1I~1 te
MCDIARMID CONTROLS INCNotification ce7i19f.3Those rules llll!~~ h'
BUlLDINq'rnFbiti\iAJfidifll~ through OAR 952-001-
_ _ _" . __ .} __llln copies of the rules by
# f St .caJling the center. (Note: th~~el ~l?ne
o. or,l;'ilinbeJ..for the Oregon Utility eation
HeIght of Mruc'Center is 1-800-332-2 ~ sl tloor:
Type of Heat: q t 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq.Ft Other:
Sprinkled Building: n/a Occupant Load:
Phone
541-726-1677
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
I DEVELOPMENT INFORMATION I
NOTtCE'
Overla)j-Dist: . Total:
l'fl0 pr-o" '
# StJ'eeAi5m~~dq~MIT SHALL E)(p Handicapped:
Pavedr?rrj,;~~~;ED UNDE IRE IF TH Compact:
% ofr;ot(]oven\g~:D OR R THIS PERM E WORK
ANY 180 DAY P{:o!~3~BANDON{:r,'~~~ NOT
I PUBLIC IMPROVEMENTS I
REQUIRED PARKING
Street Improvements:
Slorm Sewer Availahle:
Special Instruction:
Sidewalk Type:
Downspoutsillrains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
,Square Footage
or Bid Amount
Value
Date Calculated
Paee I 00
.~s)i!~'!l'~F.I'!L':l'''', ,
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, Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726.3676 Fax
541-726-3769 Inspection Line
Total Value of, Project
Fees PairlJ
Fee Description
Amounl Paid
Date Paid
Total Amount Paid
$0.00
I Plan Reviews I
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-0012I
ISSUED: 01128/2008
APPLIED: 01128/2008
EXPIRES: 07/28/2008
VALUE:
Receipt Number
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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, Reouirerllnsnections'
Electric Service: Approval required prior to utility company energizing service.
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 furthe." certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will he 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.
Owner or Contractors Signa,ture
Pa2e 2 orz
Date