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Home My WebLink AboutPermit Electrical 2008-5-20 ~ 225 I'll' HI STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELEcl.KlCAL PERMIT APPLICATION (\8... -1\0 :s ,<<",~" W~1t" ~*"'''''''' ~~/AV I..< N =:ms~r~~ 1. LOCATIOl\l:OF INSTAt;tA!iidN:~" QD::2-)~ ~~"" S\g~"~"~~0<' LEGAL DESCRIPTION ~ Rx JOB DESCRIPTION. ., 1000 sq. ft. or less \CO ~ 'fl n II 1 ~ () (\ I"" I .S r ~~ \ I, Eac~ additional 500 sq. ft. or f\ ~ \ L. IJJ \.;~ 1D ~ ~lt'<:\ortlOn thereof Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder o rs eOh\~~{m ~~ \ '\::l. __ t\ I~ C\. ,.. :.. ~ <~ i^"il-Al~{ :?,iM1ylF ^"//~/' ~:,.:,.</" t;;11*;!~ft~ F>"<<'<"fi""i\"" i ~< """\.;kr:<i<' n; ""'H \f:..: \ Address ~ ~~ \QX. ~,~ E. ,~JSC~!~~~o~~"I~~e~,~~~r~:1~'J~ot ~~.\~~~~,~Eac~4!~~,~~~~i?,:, City ~ <)a~ Phone ~ Pump or irrigation $ 55.00 \ . Sign/Outline Lightmg $ 55.00 At~I=N1J.Q~,;.J)regon law requIres you to OWNER INro'rowL~\OaClopted by the Orego" ')~lilty LiImted EnergylResidential $ 28 00 The mstalla.dfj~_pTlv~\vjrl.J~,~M1[ f,~~'h Limited Energy/Commercial $ 50.00 IS not intendMQ)}\~2eO~~lil~1dlthrough CAH 9~,~ CCMinimum Electric Permit Inspection Fee is $50.00 + surch~r es 0090. You may obtain copies ofthe n/c;s :JY kWI~:;'!ffi:::''' {'4'~:,w'-'II:,,;,,/""h") I ~ /7r., O. (N th t I I- 4 ""BUD' I,V t" PI', 'w ~ wnersSlgna_lingthecenter. Ole ,8 ee~: Oft' . r/ ::11"",/))';'11"'11'" 'II' , :1 "'PI,',,^, ," . number for the Oregon Utility No::flca~;G:l Tlfl_tate Surcharge t WOR\{ q .~Lt7 Center IS l-tlUU-;;;;~-<::,)'+4). NO 't . 'At~~t \1= TH NOT '1.1!:.O T\-\\5 ~ f\el\-\\5 PERM\T \5 '~ .C\0 ~~~~~iP OR \5 ABANDONED fOR q Cl . f1.(L ANY 180 DA'thltlal}Q.Q'f )/BUlldmg FormslElectncal Permit ApphcatJon 1-08 doc City Job Number , ; \= v!~P ~i,) -;.N-wr:fL"R <l' 'WJ..tV" A^'>>r.k~:;-"L" ~~~7S<<",<t 2 CONTRACTOR lNSTALMTIQ';IONLY " " 'mn ^~ > , . __ " "'kt:j / ,n~,,,) ",~{',,}, ' "7-. !ilf(4W / ,"",4 ~ Electncal Contractor Johnsen Electric Inc dba Beacon Electric Address 2585 Roosevelt Blvd City Euqene Phone 54 1 - 4 61 - 0291 Supervisor License Number 34858 Expiration Date 10/01/2010 Constr. Contr. Number 38497 Expiration Date 01/10/2010 Signature ofSup,ervlsing Electrician Inspection Request: 726-3769 ~ 40\ -l::Au ZON INITIALS ~ DATE --5 .1..D~O't> SOURCE \j\.~ Date 5)2o\o~ 3. f:COMPLiilE'FEifscHifDiiiilB~w:-~T ,,, <, ;;;>"<<"// '.., ~~ > qf:~~>~ >>'N'~ > < -"j"",<<<:,<< ~'-'{::i?<<~ rtr.;,,;,:; ;- A. kNew:' ,:, / "-.:rrr::>1>~;>;, ~; r N?>i+nWMl" ""::: ~1%f;;\1 dlti-,Family 'per:"d~elling'"unit4 ',' '( ,~" " k: ~ ~ 1 'i ~(iS',l?/!'!'w' ... q~ '>:' "" ,-1' Service Included $117.00 $ 21.00 $55.00 ,~(' 1<i ;" ';g;W'"z,;,\" -,~ ~ j\:r~ ~ ,p.s; or }l!el()catjon,~, :;'>>; " '''' v,,~""~&' l ~"",l};r44<~~" 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only \ $ 70 00 $ 83.00 $138.00 $180.00 $413.00 $ 55 00 r;{ft' >~ ... I' ~,Y>~'l~'. .,),.,.,.%lillm=qn- 1;;>>> ~IN<:"'hA'<0~~:~;-:( ',">> >>~, > C. Temnnrary,Sel'Vlce8lorFeeders:" "'''WhAt,,, " " ~V0"'~~ I':;fu;wff, w:r""';.,,<<'- /, ~ ,~ "", ;;.;P'W%k,h/ "..;%:;~'(.:)V' ',, Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. " "'*"!"i ~, *t;Jt j) '" D. ',BraDch"eirc' ' ,r' d" P'xo",< fx''l>-<4',j--;,,,,~,,;::-. ~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 55.00 $ 76.00 $110.00 $ 48 00 ~ f2y I CO $ 400 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00710 ISSUED: OS/20/2008 APPLIED: 05/19/2008 EXPIRES: 11/20/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2035 31ST ST RRX ASSItSSOR'S PARCEL NO.: ROW-MISC SPRINGFIETYPE OF WORK: Electrical Work Only TYPE OF USE: Addition PROJECT DESCRIPTION: Installl00amp service and two circuits for railroad crossing Industrial Owner: UNION PACIFIC RAILROAD Address: 1035 BETHEL DRIVE EUGENE OR 97402 Phone Number: 541-954-7707 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor JOHNSEN ELECTRIC INC License 38497 Expiration Date 01/10/2010 Phone 541-461-0291 BUILDING INFORMATION I # 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: Total: Handicapped: Compact: requires yoU to ATTENTION' ?!~?"o: ~~~he Ore9on Util!ty 1 \I w rult;;;:> <A~~I- les al~ "",l !_1~ I PUBLIC IMPROVEMENTS I 0 t?f catIon Center. 1hose rUh OAR 952-001- No II 1;?J'\{lj -001 0 throu9 les by - - - in OSitlewaIKTYBB\ in copies of the ru 009~ '{ou may a Il\Iote' the telepho~e cd\'lmw~d1im"frin'S6n Utility Notification number tor the.or198900_332-2344). Center \5 - Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special InstNDtTJ.G E: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT C0~n~~~C'H' Q+l ,~ ,\~~\m;gN~~ ron ANY 180 DAY PERIOD. I Valuation Description I Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paj!e 1 of 2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00710 ISSUED: OS/20/2008 APPLIED: 05/19/2008 EXPIRES: 11/20/2008 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. Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $7.80 $9.36 $3.90 $8.00 $70.00 5/20/08 5/20/08 5/20/08 5/20/08 5120/08 2200800000000000710 2200800000000000710 2200800000000000710 2200800000000000710 2200800000000000710 Total Amount Paid $99.06 I Plan Reviews, 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. ReQuired Insoections I Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 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 City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00710 COM2008-00710 COM2008-00710 COM2008-007l0 COM2008-00710 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000000710 Date: OS/20/2008 DescriptIOn Perm Serv/Fdr 200 amps or less Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmmlstratIve Fee Paid By BEACON ELECTRIC Item Total: Check Number AuthOrizatIOn Received By Batch Number Number How Received llh 007490 Phone Payment Total: Page 1 of 1 1 :40:38PM Amount Due 7000 800 390 9.36 780 $99.06 Amount Paid $99 06 $99.06 5/20/2008