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Home My WebLink AboutPermit Electrical 2008-2-22 SPRINGFIELD ii1 ZON LfYI r ~ _ INITIALS NY\A . DATE;). -"").. ")... - 0 ~ SOURCEi"'YVfS~.v Date d jd~Ja r , . -,'crty'o};isPlUN,GFIELD.' OREi::r'ON ,,:.,:':, '" \ '" .'~. " .. "' I...~.' "". _ .. :_ ': ~ '" ' . 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ELECTRICAhPERMIT APPLICATION CityJobNUmbercJJm~01) y - OOd&5 1. LOCATION OF INSTALLATION: 3'SI::iJ E n*' ~ LEGAL DESCRIPTION: ~'ader ~ ~ n1ai 1"'I-\.e..V\~hc.e. BJd~. JOB DESCRIPTION lane- ~ D;4 ,~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, 2, CONTRACTOR INSTALLATION ONLY Electrical Contractor Se}e..c~, \h~. Address 7J-"':2.-S ~W bV\\ta. KJ, City ?D(~ Phone ~:\~g..PJq88' Supervisor LIcense Number ql'-l1...G' A ID) des ExpIration Date Constr Contr. Number ~'-f~ \ p/fltJJo~ ExpIration Date SIgnature of SupervIsmg Electrician /~~~ . Owners Name ~ I ~ I-\-- CD \..:JI Address '3 5c.\.:> ~ \ (~ .(::)u.2/11 ( LR-- Cith ,.~ . 00 Phone OWNER INSTALLATION The mstallation is being made on property I own WhICh is not intended for sale, lease or rent. Owners Signature. Inspection Request: 726-3769 3. COMPLETE FEE SCHEDULE BELOW A, New Residential- Single or Multi-FamIly per dwelling Unit, Service Included 1000 sq. ft. or less Each addItional 500 sq. ft or portIOn thereof $11700 $21.00 - Each Manufact'd Home or Modular Dwelling ServIce or $55.00 Feeder ATTENTION: Oregon raw requlrea you ta B. ServicdPiJj;)Wemte~..adQ~t&aftla\f,tJ\QDIi~M1dJ_cation: Notification Center, Those rules are set forth 200 AmJ.!1JtM\;952-001-001 0 through OW~001- 201 Amp~q~Q )Qf2ILt!lay obtain copies Of tf.~fis cy ca1lnglW6 center, (Note. tile t~~(m ~ntJ 401 AmPSrtB~,19~Wthe Oregon Utility Nb\lWc i~ia;; 601 Amps to 1000~er is 1-800-332-234~)~0.00 Over 1000 AmpsNolts $413.00 Reconnect Only $ 55.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less $ 55 00 201 ~l~t~ Amps 11~ 401 AM}i; 1B16iWl\h.~ALL EXPln~ IFf ~K \j ITk1n~7I=n Ill\In~ THJ~- t-E\;lvll ;1 Over ~OO roll 'dr'fOffl>VQ s~~A' "effl~t> FOR D. BrabW1M ~~D OR I AOI A~N 180 DAY PERIOD. New 'AlteratIOn or Extension Per Panel One CirCUIt Each AddItional Circuit or WIth ServIce or Feeder Permit $ 48.00 $ 400 E, Miscellaneous (Scl-vice/feeder not included) -Each Installation Pump or irrigatIOn $ 55.00 Sign/Outline Lightmg $ 55.00 LImIted Energy/ResidentIal $ 28.00 Limited Energy/CommercIal l $ 50.00 ast> - Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4, SUBTOTAL OF ABOVE Sb.oO ,'J ;8% State Surcharge 10% AdmimstratIve Fee 5% Technology Fee 1'3.50 TOTAL i::. "31~ Shared Dnve(T )/BUlldmg Forms/Electncal PermIt ApplIcatton 7-07 doc Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00263 ISSUED: 02/22/2008 APPLIED: 02/22/2008 EXPIRES: 02/22/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line "~ _A_~ __ SITE ADDRESS: 3500 E 17TH AVE ASSESSOR'S PARCEL NO.: 1703343400301 Eugene TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Reader add to maintenance building . Al TENTION: Oregon law reqUires you to ~: ":\" :""_~R j'" '1~,,--,;-:.+,,,..I h~, th,.. "'r'''\z'.....- 11+:1:+:, Owner: LANE TRANSIT DISTRICT Notification Center. Those rules are set forth Address: PO BOX 7070 in OAR 952-001-0010 through OAR 952-001- EUGENE OR 97401 0090. You may obtain copies of the rules by f.111:r: +10.1 "r,'lt~. {"Into. tho tolorh"'..... I m.1~F~~9r ~1~~gon Utility Notification . CONTRACTOR INlO~800-332-2344). Contractor Type Low Voltage Electrical Contractor SELECTRONINC License 64341 BUILDING INFORMATION I Expiration Date 02/16/2010 Phone 503-245-9988 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % J't!iJJt!&erage: THIS PERMIT SHALL EXPIRE IF THE WORK ;.; r-;-; ;:~(u;-;-;-, IJf,[7;~r; TII15 fLlilv~r;-13 IJC7 I PUBLIC J1YW,R,<it\iFrl\f~ ABANDONED FOR ANY 180 DAY PERIOD. Sidewalk Type: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00263 ISSUED: 02/22/2008 APPLIED: 02/22/2008 EXPIRES: 02/22/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Amount Paid Date Paid Receipt Number $5,00 $6,00 $2.50 $50.00 2/22/08 2/22/08 2/22/08 2/22/08 3200800000000000124 3200800000000000124 3200800000000000124 3200800000000000124 Total Amount Paid $63.50 I Plan Reviews I 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. Reouired Insoections I Low Voltage: Prior to cover, 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 of 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, Owner or Contractors Signature Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00263 COM2008-00263 COM2008-00263 COM2008-00263 Payments: Type of Payment Check cRecemtl RECEIPT #: 3200800000000000124 Date: 02/22/2008 DescriptIOn Low Voltage - CommerCIal Indus + 5% Technology Fee + 12% State Surcharge + 10% AdminIstrative Fee PaId By SELECTRON Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received 062604 By MaIl Payment Total: nJill Page 1 of I 1 :42:04PM Amount Due 5000 250 600 500 $63.50 Amount PaId $63 50 $63.50 2/22/2008