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Home My WebLink AboutPermit Electrical 2018-11-28SPRINGfIELO OR€GON Web Address: ww.springfield or.gov Building Permit Commercial Electrical Permit Number: 81 1-18-002757-ELEC IVR Number. 81 10031 33409 City of Springfield Development and Public Works 225 Fifth Street Springfeld, OR 97477 541-7 26-37 53 Email Addressr permitcenter@spnngfield-or.9ov Permit lssued: November 28. 20'18 TYPE OF WORK Category of Construction: Commercral Submitted Job Value: $0.00 Description of Work: Wring for new facility (hypo-chlorite building) Type of Work: New JOB SITE INFORiIATION Worksitg addreas 3957 HAYDEN BRIDGE RD Springrield, OR 97477 Parcel 170219r)003300 Owner: Address: CITY OF EUGENE CITY HALL EUGENE, OR 97401 LICENSED PROFESSIONAL INFORiIATION Businesg name US WEST CORPORATION - Primary License CCB Licensg number 202266 Phone 541-863-6969 PENDING INSPECTIONS lnspection 4999 Final Electrical 4500 Rough Electrical 4225 Service or Feeder 4250 Branch circuits lnspection group Elec Com Elec Com Elec Com Elec Com lnspection statua Pending Pending Pending Pending SCHEDULING INSPECTIOiiS. Various inspections are minimally required on each project and often dependent on the scope of work Contact the issuing JUrisdiction indicated on the permit to determine required inspections for this project. Schedule or track lnspections at www.buildingpermits.oregon.gov Schedule by phone call 1-888-299-2821 use IVR number: 81'1003133409 Schedule using the Oregon ePermitting lnspection App, search "epermitting' in the app store PeImils must be posted in clear view on the worksite. Permits expire if work is not started within 180 Days of issuance or if work is suspended for 180 Oays or longer depending on the issuing agency's policy. All provisions of laws and ordinances govehing this type of work will be complied with whether specitied herein or not. cranting of a permit does not presume to give authority to violate or cancel the provisions of any olher state or local law regulaling construction or the p€rformance of construction, ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to tollow rules adopted by the Oregon Utility Notification Center. Those rules are set lorth in OAR 952{01{010 through OAR 952-001-0090. You may obtain copies ot the rules by calling the Center at (877) 668{001 or dial81l. All persons or entities performing wo.k under lhis permit are required to be licensed unloss exernpted by ORS 7O'1.010 (StructuraUMechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing). Prinred on 1'l/28h8 Page l ol2 std_Buitdrngpermit_pr Permit Number: 81 1 -1 8-002757-ELEc Page 2 ol 2 Fee Description Branch circuits wath service or feeder each circuit Electrical plan review Services 401 to 599 amps Services 200 amps or less Technology Fee State of Oregon Surcharge - EIec (12olo of applicable fees) Quantity 37 Fee Amount $274.54 $149.64 $215.00 $109.00 $37 .41 $71.82 $457 .4t 1 1 Total Fees: Pnnred on 11/28/18 std_B!ildrngPeffi it_-tcr PERMIT FEES SPRINGTIELD ,b OREGON www.springf ield-or. gov Worksite address: 3957 HAYDEN BRIDGE RD, Springfield, OR 97477 Parcel: 1702190003300 Transaction Receipt 81 1-18-002757-ELEC Receipt Number: 468697 Receipt Oate:'l 1/28/18 City of Springfield Fees Paid Transaction date 11128t18 Units 1.00 Ea Description Services 401 to 599 amps Branch circuits with service or feeder each circuit Services 200 amps or less State of Oregon Surcharge - Elec (12olo of applicable lees) Eleckical plan review Technology Fee Account code 224-00000426102-1033 Fee amount $2'15.00 Paid amount $215.00 11t28t14 37.00 Ea 224 -OOOOO426102-1033 $274 54 $27 4 54 11t28t18 11nU18 1.00 Ea '1.00 Ea 11t28t18 11/28t18 1.00 Ea 1.00 Automatic 224-00000426102-1033 821 -00000-21 5004-0000 $109.00 $71 .A2 $109 00 $11 82 224 -OOOOO - 426 I 02 - 1 033 1 00-00000-425605-0000 $149.64 $37.41 $149.64 $37 41 Payment Method: Credit card authorization 260292 Transactaon Comment: via phone Payer: steve babcock Payment Amount:$857 41 Receipt Total:$857.41 Pinted 11/28/18 1 15 pm FIN_TransaclionReceipt_pr Development and Public Works 225 Fifth Street Springfield, OR 97477 541-7 26-37 53 permitcenter@sprin gfield-or. gov Cashier: Katrina Anderson CITY OF SPRINGFIELD, OREGON Electrical Permit A plication 225 Fifth Str0ct Springficld, OR 97.r77r PH(5.11)726-37s3. FAX(s.ll)726-1689 ffi#DEPARTMENT USE ONLY Pcrlit no a1c--)./ t.) t \r I '\:'1 t.Datc This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within lE0 days ofissuance or if work is suspended for lE0 days. FEE SCHEDULE NuEber ofinspections per item ( )Cost ea. Totalrost Residential, per unit, service included 1,000 sq. ft. or less (.1)s181.00 s Each addilional 500 sq. ft. orportion lhereof s 35.00 s Limited energy (2)$ 43.00 s Each manufactured home or modular dwelling service or feeder (2)$ 86.00 S Services or feeders: lnstallation. aheratio , rclocation 200 amps or less (2)$ 109.00 s 201 to 400 amps (2)s't27.00 $ 401 to 600 amps (2)1 $215. oo 601 to 1,000 amps (2)$277.00 Over 1,000 amps or volts (2)s635.00 3 Reconnect only (2)$ 86.00 s Temporerv scrvices or feedars:. ilistdllation, aheration, relocatio 200 amps or less (2)s 86.00 s 201 to 400 amps (2)s 118.00 S 401 to 600 amps (2)$172.00 s Over 600 amps or 1,000 volts, see services or feeders section above Brrnch circuits: xar', aheration, e ensiott per panel Each branch circuit 31 $ 7.42 $21a.s4 b. Fee for bnnch cilcuits without purchase ofa service or feeder fee First branch circuit (2)$ 86.00 s Each addilional braDch circuil $ 7.42 s lvliscellaneous fees: ,ervice orleeder ot i chded Each pump or irrigalion circle (2)$ 86.00 s Each sigu or outline lighting (2)s 99.00 s Signal circuit or a limited-energy panel, alteratio,r, or extension (2)$ 99.00 $ f,ach additional inspection: ( I )s99.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Ntinimum Permit Fcc $99.00)s 489. 54. (B) Enter l27o surcharge (.12 x [A])$ sa. zl' (C) Technology Fee (5% oflAl)$ 2+.48 TOTAL fees and surcharges (A through D)s sl2.te .!Prq'Io'rD a, J9*v\ /E b/Dra/(fll- 8oo'e/47 at- LOCAL GOVERNMENT APPROVAL Zoning approval verified? ! Ves n No CATEGORY OF CONSTRUCTION E Residential E Govemment fi Comrncrcial JOB SITE INFORMATION AND LOCATION Job site address:3957 Eayden Bridge Road City: Sprinqfield State: oR Ltp.97477 Re l'crcnce Taxlot. DESCRIPTION OF WORK New HIE)o-chloli-te Facility PROPERW OWNER Namc: Buggn6 llate! and Electlic Board Address: 566 East 4th Avenue City: gsqene State: Or ZIP: 91 440 Fax E-mail: coltin. logan€ereb. org This installation is being rnade on residential or farm property owned by me or a member of my immediate family. This property is rtot intended for sale, exchange, lease, or rent. OAR 479.s40(l ) and 479.560(t). Signature: Business name;gg West Corporation Address: PO Box 1020 Ciry: MyrtIe Creek Stare: Or Phone;541-863-5959 Fax:541-- 8 50- 74 0 9 E-mail: 6s6s61e1@uswestcorp. com CCB license no.:202266 BCD license no.:C1027 Signing supervisor's Iicense no.: 55?9S Print name of signing supervisor: Brlndon- Eve_rett Signature ofsigning supervisor, f Last edited 7/ l/2018 BJoncs \ d,2Z Phone:541- 685-700 0 CONTRACTOR INSTALLATION ZIP:91451 lqo s215.00 $ a. Fee for branch circuits rvith purchase ofa service or feeder fee;