HomeMy WebLinkAboutPermit Electrical 2008-7-9
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SOURCE\Y" {lS'j'0'
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726.3689
ELECTRICAL PERMIT APPLICATION
CIty Job Number CO"",,,- zco'i?-oo ?b;S
r - - -- - - - - - - - - ---
I LOCA1ION OF INSTALLATION
2220 Nv.~c;.e.f-
LEGAL DESCRIPTION
(( ,'rI.,J,'t't !.~
I
JOB DESCRIPTION
~/ec\Y-, c~1 -fur
Date
3 COMPLb1'l:.1''Eb SCHbDULE BELOW
/rJo-,:! Euq.w>.., 0(2 '17'(03
/86J C> 3 14 DIl.{O~ -New ReS[(lcntlJl-5rn!!.l~or MU!!I,l'd,mly pel dwelling UIll!
fIIl<..'\u..t...~(',:" \ Servlee Induded
1000 sq ft or less $11700
Each addItIOnal 500 sq ft or
I?'lc~ L; I\,<.S portIOn thereof $2100
Electncal Contractor D r.e.j 0 n {;Ole c.1<-I- t. Co ~ 1k"cJ! 0'1"200 Amps or less
20 I AmdlS'\O 400 Amps
Address /0 /0 .,;:r 1/ '[!\ Pt"Q. 4~~1a~li\~'lh'~Amps
ell ~e~~9tl'~%~ Amps
Phone (Q '3 -2-;'1 -(i'fl~~ ~~~~~~~>>)\,lts
(',,0v ,0'0 e~Rec6llft~~K0e
,'" ,)1\v 'I.'00~0\)'0\~ 0' :<>"e9'(<J",\\0~
\ 1'.\ \'0\ "ew,_ ,~\C~ - - -
Supemsor L.cense Number 3GO~S ' ~(',\J\\J G)1J.e'llIP.'\.~Servlce'or leeders
) ,,,,\'I>\0,v.O 0\~'\f:l, ;~1i.\, - - --
~ ),' ~'\C' \ ".(\ nil'
~ \ ,,,",'\.2, e(\l{nst~HtrhoD, AlteratIOn or RelocatIOn
, ..", O~ fY"
I" ,\ ,) 'w'" \'\;!~O Amps or less $ 55 00
, , 0\ ~ \"
,.'1' v\' .,\1'. 201 Amps to 400 Amps $ 76 00
\,,,,,," \JV 401 Amps to 600 Amps $110~
O~.:r_600 Amp~~_~O.2g_ V:olts_see.:'B" abo~~~~I;)'\ _
o ~ra~"-~ (;lrlU~S _ _ I-,~~ ,~\\ 'S; _
New AlteratIOn or Extet\.'t~~;a~~'?' x..\) ~()
One CIr.l'tt~. ~~~~(.\l- '\~ . ...\~\)~ $ 48 00
Ea~~li}i\llt~~\' 't>~Wrth I>-'Q~'
serv'~.~~ ~t\)~ \~\)\f'-'7 '1 $ 400 .1.1 {In
~\\'\~:.r.ili~'€ ~'i:.~ - - -- --
E _MI'C~~~~~~effeeder not mcludedl ~E~~~~a~ta~"'o
Pump or n\\~,on $ 55 00
SlgnlOutlme Llghtmg $ 55 00
LImited Energy/Resldenllal $ 28 00
LImIted Energy/CommerCial $ 50 00 50
MlDlmum Electnc Permit InspectIOn Fee IS $50 00 + Surcharges
~- ~-- - - ---- - 1
,
Permits are non-transferable and expIre If work IS
not started wlthm 180 days of Issuance or .fwork IS
Suspended for 180 days
l~ ~~ ~- -~~-- -------- ~---
2 CONTRACTOR INSTALLA110N ONLY,
CIty PMt-I"......J...
EXpiratIOn Date
10 / I /2.<>Q,"'r
\
Constr Contr Number '2P!:>
ExpiratIOn Date ,II /z..oulf
Signature of SupervIsmg ElectncIan
A~R,~- .----
/d
Owners Name IN J I d l ~ L. J:>ev
Address :PO 130 IC 7'1 z.15
CIty ~ &e;V~ Phone
[oaf>
OWNER INSTALLATION
The mstallatlOn IS bemg made on property I Own whIch
IS not mtended for sale, lease or rent
Owners Signature
InspectIOn Request 726,3769
Each Manufacl'd Home or
ModuJar Dwellmg ServIce or
Feeder
$5500
B Services or Feeden ~ In"it.lIlatlOn. AlteratlOn'i or RelocatIOn
7
(..,
$ 70 00
$ 83 00
$13800
$18000
$413 00
$ 55 00
'110
1.f9~
4
sum OTAL OF ABOVE
2\':)q
'2..,'ij 'i!.
2,1<) 'i:?
IOf .:u
1,J3:;-~
12% State Surcharge
10% AdmInIstrative Fee
5% Technology Pee
TOTAL
Shared Dnve(T )IBUlldmg Fonns/Electncal Pennlt ApplicatIOn I 08 doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00963
ISSUED: 07/08/2008
APPLIED: 07/02/2008
EXPIRES: 01/08/2009
VALUE:
-~~
Status
Iss u ed
225 FIfth Street, Sprmgfield, OR
541,726,3753 Phone
541-726,3676 Fax
541,726,3769 InspectIon Lme
SITE ADDRESS 2220 NUGGET WAY
ASSESSOR'S PARCEL NO 1803031401400
Eugene
TYPE OF WORK Electrical Work Only
TYPE OF USE
PROJECT DESCRIPTION Electrical for extruder hnes
Owner WILDISH IND DEV CORP
Address PO BOX 7428
EUGENE OR 97401
Contractor Type
Electrical
I CONTRACTOR INFORMATION I
Contractor . Mnn laW requireS V~~flnse
OREGON ELECTRIc'CONS'I\R,q<';{fm~%\.h
- .\\~-_.- ._j
I BU~~~~~~'~Nf~ ;
, _ ,,<,pies 0 "0\18
# of Stories.. tile telep" n
Heighl "'brStGI\\ltthl@tlllca\IO
'Type ~i'H~:'.2344).
:\_I1(lu-\J~ -
vo ,,0 ,Wafer Type
Range Type
Energy Path
Sprmkled Bmldmg
# of UOItS
Primary Occupancy Group
Secondary Occupancy Group
Primary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms'
I DEVELOPMENT INFORMATION I
New
CommercIal
Expiration Date
07/0112010
Phone
503,234,9900, I
n/a
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
REQUIRED PARKING
Overla;l:. DISt R\<. Total
NOlfUithees RIli..U. EX"IRE If 11-IE WO Oi Handicapped
1fl\S"\l'_R~1I' R ililS PERMIT \S N Compact
ATIff1B~\@",fJtgj;}~S ABANDONED fOR
r.f1~M,ENC,~D ~~~w~n
I PUBLffi'lliliWdVF!K'lENTS I
Frontyard Setback
SIde 1 Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Street Improvements
Storm Sewer A vadable
SpeCIal InstructIOn
SIdewalk Type
Downspoutsillrams
Notes
I V al~ation .nesc~IOtion I
DeSCriptIOn
$ Per Sq Ft
or multIplIer
Square Footage
or BId Amount
Type of ConstructIOn
Pal!elof2
Value
Date Calculated
Status
Iss u ed
Ul y OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO' COM2008-00963
ISSUED: 07/08/2008
APPLIED: 07/02/2008
EXPIRES: 01/08/2009
VALUE:
225 Fifth Street, Springfield, OR
541,726,3753 Phone
541,726,3676 Fax
541,726-37691nspechnn Lme
Total Value of ProJect
Fees Paid, I
Fee DescriptIOn
+ 10% Admmlstrahve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Cuc Ea Add
Low Voltage, Commerc1311ndus
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
Amount Paid
Date PaId
$21540
$258 48
$10770
$1,11600
$50 00
$490 00
$498 00
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
7/8/08
Receipt Number
1200800000000000747
1200800000000000747
1200800000000000747
1200800000000000747
1200800000000000747
1200800000000000747
1200800000000000747
Total Amount Paid
$2,735 58
I Plan ReVIews .1
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 workmg day, mspectJons requested after 7 00 a m. WIll be made the followmg
work day.
I Re()l!ir~~,Tnsn~ctJl!ns I
Rough ElectriC Prior to Cover
ElectriC ServIce Approval reqUIred prior to uhhty company energlzmg service
Fmal ElectriC When all electrical work IS complete
Low Voltage Prior to cover
By signature, 1 state and agree, that 1 have carefully exammed the completed apphcahon and do hereby cerhfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done 10 accordance With
the Ordmances of the CIty of Springfield and the Laws of the State of Oregon pertammg to the work deSCribed herem, and
that NO OCCUPANCY will be made of any structure Without permiSSIOn of the CommuDlty ServIces DIVISIOn, BUlldmg Safety
I further cerhfy that only contractors and employees who are m comphance WIth ORS 701 005 Will be used on thiS project
I further agree to ensure that all reqUIred mspechons are requested at the proper hme, 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 rem am on tbe site at all
tImes dunng construction
Owner or Contractors Signature
Date
Page 2 of2
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~:... ~~!1;..
~
_OJ "
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008,00963
COM2008,00963
COM2008,00963
COM2008-00963
COM2008,00963
COM2008,00963
COM2008,00963
Payments
Type of Payment
Check
cRecemtl
RECEIPT #,
1200800000000000747
Date 07/08/2008
DescnptlOn
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 20 I to 400 amps
Add, Alter, Extend ClfC Ea Add
Low Voltage, Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
OREGON ELECTRIC CON STR
INC
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb
69049905
In Person
Payment Total
Page I of I
2 58 28PM
Amount Due
490 00
498 00
1,11600
5000
10770
25848
21540
$2,735 58
Amount Paid
$2,735 58
$2,735 58
7/8/2008