HomeMy WebLinkAboutPermit Electrical 2018-11-30SPRINGFIELD
t6 Building Permit
Commercial Electrical
Permit Number: 81 1 -1 8-002687-ELEC
IVR Number: 81 1017483845
City of SPringfield
Development and Public works
225 Fifth Street
Sprlngfield, OR 97477
547-726-3753
Email Address: Dermitcenter@sprinqfield or.9ov
ORE6ON
web Addressi www.springfield-or.gov
Permit lssued: November 30, 2018
TYPE OF WORK
Category of Construction: Commercial
Submitted Job Value: $0.00
Description ot Work: Above ground fuel tank
Type ot Work: New
JOB SITE INFORMATION
Wo,ksit6 address
31OO E 17TH AVE
Eugene, OR 97403
Parcel
1703334400300
Owner:
Address:
COUNTY OWNED LANDS
DEPT
3O4O N OELTA HWY
EUGENE, OR 97408
LICENSED PROFESSIONAL INFORMATION
Business name
CAMP CREEK ELECTRIC LLC -
Pramary
License
CCB
License number
164877
lnspection
4999 Final Etectricat
4500 Rough Electrical
41'10 Grounding/Bonding
4120 UFER Ground
4150 Understab Etectric
4'140 Underground Electric
4225 Service or Feeder
4240 Electrical - Feeder
lnspection group
Elec Com
Elec Com
Elec Com
Elec Com
Elec Com
Elec Com
Elec Com
Elec Com
lnspection status
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
SCHEDULING INSPEcTtoNs
Schedule or track inspections at www.buildingpermits.oregon.gov
""n.du,,
a"n.Or," Oy phone cal i -BBB_2gg_2821 use IVR number: a,l,O,riASAOSr usjng the Oregon epermitting lnspection App, search ,.epermitting,, jn the app storePermits must be posted in clear viewsu.pended ror 180 Day" ., i"^;";;;#I;J;;f::"::il:r"#J"'t:,"JI.is not staned within r80 Days or issuance or ir work is
All provrsions of taws and ordinances governrng this type of work wiI be com.apemircroesnotpresumetosi,eauiho.ityt.,-,.,".;;;;;;;;J;;;:"ilIfH,*#""1l::"i::g:l#ffi#""J"fl:l,ilr.::
:'#rtr'frlTSliiE.T3itlTlino,o, o,"non ,aw requircs you ro rorow rures
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Various inspections are minimally requared on each project and often dependent on the scope of work. Contact the issuingjurisdictjon indicated on the permit to determine required inspections for this prorect.
Phone
541 -7 46-1 47 1
PENDING INSPECTIONS
dd_SuldngpernUr
Perm it Num ber: 811-18-002687-ELEC Page 2 of 2
Fee Description
Branch circuits without service or feeder
Electrical plan review
Technology Fee
State of Oregon Surcharge - tlec (l2o/o of applicable fees)
Quantity
6
Fee Amount
$123.10
$30.78
$7 .69
$t4.77
$L7 6.34Total Fees:
sid,BurldingPerm't-Pr
Paqe 2 ol2
Pinled onr 11130118
PERMIT FEES
k 8 t t -18{02687-ELEC
Receipt Number:168723
Receipt Dat6: 11/30r18
Oev€rooment a.d Pubrrc vyorks
225 Frfth Stret
spnngrie d, oR 97477gr-726-3753
perF tce.ter@spnngneld-or.gov
Transaction Receipt C y ot SprngneE
www.spnngneE-or gov
11t30t14 600 Oty
Feo! Paid
Branch crrcuits wnhoul service orleeder 224,00000{261 02- 1 033 s12310 s123l0
11/30/16 100 Ea Srale o1Orcgon Surcharge - Elec \12o ol
11/30/18
11,8O/18
100 Ea Elecirical plan revpw
821{OO@21 5@4-00@
22rH)00q){26102- 1033
10G0O0OG42560'0000
s14 77 s1477
s30.78
s7 69
t30 78
$7 69
Credit c.rd authonzalion:
03493.1
$ 176 34
$176.34
FrN_Trn*clDnR.o'pr pr
Wo site address: 3100 E 17TH AVE, Eugene, OR 97403
Parcel:'l 703334400300
Cashier: Kairina Anderson
CITY OF SPRIN(;FIELI), OREGON
Electrical Permit A lication
Permit no.
225 fifth Srrecrtspringfield, OR 97.177. PH(541126,37$. i'.\-\(5.{ I )726-3'689
This permit is iss[ed under OAR 9l&309-{10(X). Permits arc nootrrnsfersblc. Pcrmils expire ifwork is not stert.d within 180
days of irsurlce or ifwork is suspended for lEO days.
KT
*Cc;]t 6-ll . bl1' t1z5;
dt4h "^t b.,.4sti('ns
t8l)ate
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? n Yo E lo
CATEGORY OF CONSTRUCTION
fl Residential n Golernment $(iommercial
JOB SITE INFORMATION AND LOCATION
Job site address: 3100 E 1?th
ztP. 97 403^, EuqeneL r():stater oR'
Rcference:Taxlot.
DESCRIPTION OF WORK
Above cround Fuel Tank
PROPERTY OWNER
Name. County Ovrned Lands DePt.
Address l25 E 8th
city: Eusene State'9R'zP. 9'14O1-
!'ax
E-mail:
This installation is b€ing made on residential or farm prope*y
owned by mc or a member of my immediate family. This
property is nol intended for salc, exchange, lease, or rent, OAR
479.540(l ) and 479.560(l).
Signature:
CONTRACTOR INSTALLATION
Business name: camp creek ElectLic
Address: P.O- Box 41900
city:Eugene shte: oR .ZIP: 91444
p1ron". 54]-7-46-1471 Fax.54 L_- 741 - 6 2 0 8
E-mail: lonnie@campcreekelectric, com
cCB license no.: I blFdfl1 BCD license no.
Signing supervisor's license no.: 37BA S
Print name ofsigning supervisor:Pa.ahu.,hno-s
Signature of signing supervisor
0
0
FEE SCHEDULE
\umber of inspecions pcr it.m ( )Qry Cost
ea-
Tqtrl
cost
Resideotial, pcr l,nit, ser['ice included:
s163.00 :i1,000 sq. ft. ot less (4)
Flach additioial 500 sq. fl. or portiot
thcreof $ 3t.00 \
l,imited rrrcrgl (2)s 39.00 5
Each manufa€lued home or rnodulat
d\rElling service or fe€der (2)$ ?7.00 s
!i.n kcs or fcrdcrs: ixtirdll!:rtion. alterotion. tektcalion
200 arnp6 or less (2)J 98.r)0 $
20 I to 400 amps (2i $111.00 S
.t0l to 600 &mps (2)s193.00 s
601 te I,000 arnps (2)!249.00 s
Ovcr 1.000 arnps o. volts (2)\570.00 5
Reconrlect onl),(2)1 77.00 5
Tcmporrry scrviccs oJ lccalcrsi t rrollction, aherotion, rcloaaion
200 alnIx o. les-i (2 )$ 7f.00 s
3 106,00 il0l to 400 amps (2)
1i154.00 $401 lo 600.unps 12)
(\er 600 arhps or 1.000 volts see seni€s or Hc$ section above
Brsnrh circoits: neu,, dheralion, eyension per pahel
a. Iee lbr brarrch circuits \trith purL'ha-re ofa scrvice or fecder lte
lrach branch circuit $ 7.00 s
b. Fee for bronch circuits lvithout purchase ofa service or t'eeder fee
l:irn branch ci(..uit (2)2 $ 77.00 S, 154.
lliscallrntour fcctr ff^'ice orfee.lel not inchtded
S
$ 28.I $ 7.00Irach addilional branch circuil
s rr.00EEch pump or ir.igrrion circle (2)
[ach sig or o(tlire lightjng (])$ 89.00 !t
Signal circuit or a Iimilcd-energ] parEl.
aieratiofu or e\tension (2)$ E9.O0 S
Each edditional imt clion: ( I )s89.00
DEPARTUENT USE
(A) l:ntlY subtotal ofatn\e fers
(Miniqrum Pcrmit lcc $89.00)$ 182.0(
(B) Edsr 1296 surcharec (.12 ri [Al)s 2l .84
(C) I!.chmloSl l-ee (f/. of [Al)S 9.10
(D) Continuing Educarion Fte $2.50
TOTAL fees and surchlrgcs (.{ through D):$ -ei#l
v440-2581-J (.1/r /201 6/COM)I?Q,
DEPARTMENT USE ONLY
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$2.s0