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Home My WebLink AboutPermit Electrical 2008-4-18 ZO~ \m1 INITIALS \]'\;' ~. ' DATE -'\. -l,. \ · v-o 'GD' SOURCE \J...~~ 0r IR I ot I lTREET . SPRINGFIELD, OR 97477 . PH'(541)726-3753 . FAX: (541)726-3689 _UCAL PERMIT APPLICATION city Job Number r ~(~ i lIL2.0m - oc;::-AO Date 1. LOCATION OF INSTALLATION: 3. COMPLETE FEE SCHEDULE BELOfV 350f) [. 11th !We'fn~ -h'di LEGAL DESCRIPTION. ~ \ . ?;; W~( A. New Residential - Single or Multi-Family per dwelling unit. Lrrw V 0 t~ - 3g a I J to DD()~ Service Included JOB DESCRIP~18N. 1000 sq ft. or less $11700 I .... " ~ '..L l\, \ J.-.r \.. I .. Each additIOnal 500 sq ft or Lt\.VUC \ '( OJf\SlT dll S) IlLA portion thereof $ 21.00 Owners Name L.,.ID Address ~O ~ -, mo .. E. 1\Ii~ceIlaneous(Service/reeder not i~c1ude~):-Eacb In~t~lllation City ~ ~ n 0 r\CL" ~hone \..DB 1,..,'C:P55 Pump or lITIgation $ 55 00 ' ~ SlgnlOuthne LIghtmg $ 55.00 OWNER INST ALLA nON Limited Energy/Resldenttal $ 28 00 The mstallatton IS bemg made on propertl I OWl! which LimIted Energy/Commercial $ 50 00 ,C)O .1m I&AGt~~~'fot~edea$a'6'rrefit'~'1r8.) you LO Minimum Electric Permit Inspection Fee is $50.00 + Surcharges :'(l~l- -- . ~,'a' ,!,'on'~,.., 'JY ~h3 Or3gol1 U~qlty ~~LO\V 'rJ,? t.: ~ ~~\ \Jlv~ .. It "h ners S12A~atm~ "r "":1ose rules ale sellon '\Io :f~C"" '\:1 -\JeT',u. " "'2001 1\1 ~~R~h;-OOi-QO~C lhrou~h O/-,rl9~,- b: O. 0;':;0' You may obtain cople~ 01 ll:t:: I u.~ , v ,". ... + (Note: toe telephone CB.,lllig the c~n.er. U'Tt'l NO\liicaUoll numQal' tor tna O(egon 1~ I ) I Inspectlo~Wt'fSts 116OO'~2-2a44). Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR lNSl'A.LL.4TION ONI...Y Electncal Contractor & lSfeJ1$OY\. {;;~ r j( t'c Address l \ \. 5 W CJJ l U mbl~ SWit- 4Xo CIty ~el[~ Phone 583- ~lq-33di \qqli-S lD(dlo I Constr Contr Number 4-.s-g 5{ " oc\ - Supervisor LIcense Number Expiration Date Expiration Date Gg41a;T"~ Each Manufact'd Home or Modular Dwelltng Service or Feeder $55 00 B. Services or Feeders ....Installatlon, Alterations 01" Relocation: 200 Amps or less · 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70 00 $ 83 00 $13800 $ I 80 00 $413 00 $ 55.00 C. Temporary Services or Feeders / Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 55.GO $ 76 00 $110 00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional CIrcuit or WIth Service or Feeder Permit $ 48 00 $ 400 ,l:)() ,tv 12% State Surchar~e (n . /)0 1 0% Admi!{sft;{\t~ tee c;. (Jl) 5% Techn~f.f~::~HV:r: SHAU. rXPlRE IF THE \OOffiO TOTAL t'UTI-:O~:ZEO l1~;iY:ri THiS PE1~1~~\l5b shfrJJ'Dri~Mf~I~P.~Ie&{~i'WrMj}l 'I a on1t-08 doc ~ -\'\1 '-In ~ ^V DC!:JIOl'1 ~ (}An-:Jif Cmrt' 'ptHk ~ ./ 4. SUBTOT.4.L OF ABOVE Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00540 ISSUED: 04/18/2008 APPLIED: 04/18/2008 EXPIRES: 10/18/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3500 E 17TH AVE ASSESSOR'S PARCEL NO.: 1703343400301 Eugene TYPE OF WORK: Electri~al Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Low Voltage - 38 cables Owner: LANE TRANSIT DISTRICT Address: PO BOX 7070 EUGENE OR 97401 I CONTRACTOR INFORMATION' Contractor Type Low Voltage Electrical Contractor CHRISTENSON ELECTRIC INC License 458 Expiration Date 05/0112009 Phone (503) 419-3300 BUILDING INFORMATION. # 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 I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Sidewalk Type: Storm Sewer Available: DownspoutslDrains: Special In~i'~;'Q'ION: Oregon law requires Y~l~ to follow rules adopted by the Oregnn ~l :~lY Notes: Notification Center. Those rules a~e osC"e2 l~~;h if' OAR 952-001-001 0 through (~~~~~':~ ,;~" "h"' NnTU~E~ 0090. YoumayoUl~1I1 vWIJ'''''' V'" - ~. _ . . h ter (Note: the t8 E'\ 'I \u(\,:) . . THIS PERMIT SHALL EXPIRE IF THE WOR ( n~a:~/fO~ ~:~ Or~gon Utlltty,.N~ .Y.alu IOn Descn AUTHORIZED UNDER THIS PERMIT IS NO . Center is 1-800-~32-2344kPer Sq Ft Square Footage COMMENCED OR IS ABANDONED FOR Description Type of ConstructIon or multiplier or Bid Amount ANY 180 M~'lflERIOD. Date Calculated Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00540 ISSUED: 04/18/2008 APPLIED: 04/18/2008 EXPIRES: 10/18/2008 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 4/18/08 4/18/08 4/18/08 4/18/08 1200800000000000373 1200800000000000373 1200800000000000373 1200800000000000373 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 InsDections 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 Pa2e 2 of 2 225 Fiftb Street Springfield, Oregon 97477 541"726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00540 COM2008-00540 COM2008-00540 COM2008-00540 Payments: Type of Payment CredltCard cRecelOt I RECEIPT #: 1200800000000000373 Date: 04/18/2008 DeSCriptIon Low Voltage - Commercial Indus + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By KEN JACOBS Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received ddk 018395 Phone Payment Total: Page 1 of I 8:45:26AM Amount Due 5000 250 600 500 $63.50 Amount Paid $63 50 $63,50 4/18/2008