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Home My WebLink AboutPermit Electrical 2003-11-13 ., 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~'{RiJl~J.A~~B!t'lt as SUbmitle~ has Ihefollowing ELECTRICAL PERMIT APPLICATION /; ~ zoning, and does nol require ,specific land use approval. City Job Number CC>>I1zoo3 ~O/JL{l- Date /1 13 Os Zoning "PlO. . I :~"f~,r....c~~'h'fe..~'T~!l;f~_I.~~~~-~~:.t'1r~l~:~..."'.~~ 3. ~,:eOil'IELl:!"lJ::.:.r.1!.:l!.";:)eHf!,..uV..L...L:.t_.u...L.o.lJV f""'"":!~~~_V...'2l~.:.~~ ~';.&.~~~"JC';;i>.~~:!'~~""it~t~~iectgtg~~~;::~~~:-' """"'r"f-n~1eoliW:;;.~..1'':,~1 'if;f.--...,..,~?~~~~,~~:~.__.._"._.~"~.,,,,~.~.- ?,.~~ 1. i~EO€ATIONOF!INSTAEI1ATIg,lf!1irJll~'l ~-:"';";'iz6"'J:.~~~',;:i,;.w:a-..:.'1:';: ..' ~ .- ""'. F"(LA.o.1 kJ '...... ~ I" J . .3'DDI LEGAL DESCRIPTION 17033341-( JOB DESCRIPTION" C-'o'l,A K--t ]c')b i-IZ-k +-= S ll/C PermitS are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days.' , 02600 .. ~~~~.,,,,.u'J),~';);."lJl,~~~':!l:;,;l'-';~~'I!::'}>:::;il4'!'~'~.'!'~1:''''fl'".;,,,<;:r;A~.' *C@NTRAeTORiINSTA:EEAJ10NONE.&l 2. ~4\r'~~~~.-w~~1;'f'''?I~~'S<~m;i~1.~ Electrical Contractor O1ris tenson ElectriC: Address 1298 Bet"F'l Orivp City Eugene Phone 541-688-6121 Supervisor License Number 3759 S Expiration Date 10/01/04 CODStr. Contr. Number 26- 34C Expiration Date 10/01/04 Si~e of Su rSing Elec~ /"'- 0 'tIfC-, - T~ ,y~n Owners Name 0 Dc) 'I Address 3S'S- G4-f2JT<)L csT City sAt.- t-wr M... Phone -~.~. ... OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 """'''''__ffil,!\.""o;;;,''';;;>"""",,,,_'l'''i'':!d'''~~''''''''-''''''''''''''!tt~'. A fiiN"""R"'''~~' -t'''I'.'S.'.gi~l;;'''''''l' I "'F ''R'I'A''.<<"d''''''"\'.'I'''''''"7>.... . . \..:~~. em eSlw:n la ~-f-: ma eior,.,'H' u ti- ,arru y,- per..:, we jfirriumt . ~~...,'"''!!"Q.,.F'''')O>I'I~..~.,.,~~~~~~,'},,-:li'n:~..~....~:..~~f.I.(L'.':..~~k.!.w~:~...1f.t Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or ' portion thereof . Each Manufact'd Home or Modular Dwelling Service or Feeder ' $106.00 $ 19.00 $50.00 ~~~7"~.-.:r-',...~.\,~~~,t'".l.'t~j'!;jd.l-.:o4"i,a;..i\...,~~Z&~~-L-1'>t~4~~W B. t.'Ser.~ijces:J)rJFee(Je.r,~,f'liist:illatio,!O~Altera tions"Qr.~Reloc:itioit:..1';t.' ~~~:':\'i-4s....._~"""':;,;:;:';;I.u._ ...u_~,~':r'!~~~<'-'1l'~~"''f.~~~ 63 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only I $ 63.00 $ 75.00 $ 125.00 $163.00 $375.00 $ 50.00 C ~t':f':lA#-""~:n:~~:?Sf,..~"Xtl'j:'.if':~,;f~E~d-..~.tfi~~~~~. ~~.m1~~ . ~.;;;W~~~~&2rs~~,L~~~~~jf~~ ,~.>>3 , .-r.n::I',TIOI\I.Oreoon laW requires you.. ' InstaUation, Alteration or~loca\\onOregon Utility 'nllow rules aOO!J1 U uy .. - _ -"t Ion ' 200 Amps or less Center. Those rules arS 50:uO 201 "RJ1~fR~~'6o ~ps001 0 through OAP$%'9?oCj'v. ~ UA ;:::I'O':=:'- v' . at th'" "1.)Og ~ 401 Amps t'f600,AmpsJbtain 'copies $100.00 . OU~V.. uU.,':~' .' ,_ (N()!.";,tne telephone . ov.er 60021,\inp. s or<1000 'V. o.lts see ,B. ,a!:>Oy,e"H{i"" .~. ' D m.....,. ....;:;~'11<~~ . " ...... ~ ~Il~"'~ ~oL,;;'" .; ~ l~~ .;rK ,. . :'\~._ roa.J1 l~. 4~; ,~. ..'_:<'" . ~ . . -\p~~'. . "'~ l ,pnH. j;;:) -'J .-- New Alteration or Extension Per Panel One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Permit $ 3.00 J1_,,;>;,~~L~....:.:.,"'''''''~..:.'I...~J,a~~1!l;~:..\.......,M.-.:..,..,...'';<1l E. i'J.oMiS.iie ,.~~~fJ;:e)f~d~~nollinclliiled)f;;:EaCii"'ilistallatiOn';j; "~'f't:: ' CCEXP1~fJ. --'_"""'''~''!...""",=",,~i! Flt~hllii~ UNDER THIS PE'~r1~E, ~I Si ~W.\QihlililR IS ABANDQNED ro~~6! 0 Linuld ~Q,.~J\5ruGllD. $'25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is 545.00 + Surcharges ~W'.:.,-.it.;:.~~:;..\-~t?:t'.4-'l-<;;:;Pi'..,.~.~:~;:..,,\..~~U?~~ 4.."1SUJJTOTAr;"OFABOVE~. !!,tlij'lJ:!W,"\i,;s. ~~~'fy.,~~"t~\o:,',~":A,.""....~~~'~J - _;:;:." ,;$>1, -i,_,. .,. '''::'' ,,-~~~~--,,-~ 63 l-j If I b30 73 ?!.. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:YBuilding FonnslElectricl1l Permit Applic:l.tion l-03.doc . . CITY OF SPR.J.l'luI' lELD Status Issued Building/Combination Permit PERMIT NO: COM2003-01142 ISSUED: 11114/2003 APPLIED: 1111312003 EXPIRES: 05/14/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3001 Franklin Blvd ASSESSOR'S PARCEL NO.: 1703334402600 Eugene TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Connect job trailer to service Owner: OREGON DEPT OF TRANS HWY COMMISSION Address: 355 CAPITOL ST RM 119 SALEM OR 97310 ' I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor CHRISTENSON ELECTRIC INC License 458 Expiration Date 05/01/2007 Phone 541-688-6121 BUILDING INFORMATION' SETBACKS # of Stories: Lot Size:ol.l \0 Height of Structure \ .., tes/{Ft'lst, FJcl~~~' '" a~'1 .....l...OI)' ",...r\ Type of Heat: 'Otego" \neSq Ftj~d,;I:loo:: Water Typ.e:r:",\,\\O~'Ao,,\eO '0'1 r,SqlFfBasement9 ~\~\..... u t" sa..... r:t""\~....- \ Range Type: .., rl.l\eS a \er ,nO I.IS!I Ft. Garage/(;;ilrport "n.. en' ....ro "" ,"g .~' Energy P.iith: \',On e 0010 \\. ,Sq,Ft10tJier:,ofle 'of ca. 01' o?'" I<>U' \0\11 <>95'2..0 ,,\a.in c Impe..vlous\Surfaoo Area: t""\t.l.n '."" Qu '....\n\e. \" ...\n\\ \\.I~_. . I DEVELOPMEN;r'INFORM:Af[ION':';~90n ~\'~~hAA). C<>"" - lot \\,v, .. .'000....:3- REQUIRED PARKING utflOer ,,"" ,e. ~ Overlay Dist? r ~ # Street Trees Rqd: Paved Drive Rqd:' Total: Handicapped: Compact: # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: % of Lot Coverage: E WORY- ~~1\~~~M\15\-\r>-l.l E~~~~~~~~1l5 NOl I PUBLIC IMPROVEM~NTS'R\It.O U~~~; ~B{>.NOONt.O FOR COt-/lt-/lHlCme,~aI\\GllPe: ,,~ H~O O~~~ rt: r>-" DownspoutslDrains: Street Improvements: Storm Sewer Available: Special Instruction: Notes: \. I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Valuc Date Calculated Total Valuc of Project Paee 1 of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01142 ISSUED: 11/14/2003 APPLIED: 11113/2003 EXPIRES: 05/14/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number $6.30 $4.41 $63.00 11/14/03 11/14/03 11/14/03 2200200000000001765 2200200000000001765 2200200000000001765 Total Amount Paid $73.71 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 Remlired Insnections . 1 Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that 1 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 Paee 2 of2 225 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone JoblJournal Number COM2003-01142 COM2003-01142 COM2003-01142 Payments: Type of Payment CreditCard _~AJNcm>;_, .' Itiii'..'. "....'.-.-...."."~ '''. ,..... .,!, ! '. I ;-...1 ,.."..,.. . "'-".. . Receipt #: 2200200000000001765 Description + 7% State Surcharge + 10% Administrative Fee Penn ServlFdr 200 amps or less Received By djb Check Number Batch Number Authorization Number Paid By CHRISTENSON ELECTRIC 000221 051771 'City of Springfield Official Receipt Development Services Department . Public Works Department Date: 11/14/2003 11:50:37AM Amount Paid Item Total: 4.41 6.30 63.00 $73.71 How Received In Person Payment Total: Amount Paid $73.71 $73.71 . .