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Home My WebLink AboutPermit Electrical 2008-7-23 .. SPRINGFIELD ZON L(V\.~ INITIALS -Pl"^ DATE '1-7_<>~DJ< SOURCEt' ~ 225 FIFfH STREET. SPRIj\jGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 - ELECTRICAL PERMIT APPLICATION CltyJobNumber I'.OW1 z-005--o 10D1- LOCA 1 ION OF INSTALLATION. .2rxx:::, ~ "'[:;,./ LEGAL DESC~lMION / 11.s..~" /Bo3 D3 r I DatM \ 1:;:>..! lJl COMPLEl'l!- FEE SCHEDULE BELOW 3 A Ne,." ResldentJaI- Smgle or Multl-Famllv per d\\cllmg UUlt D3~OC?efVIce Included , JOB DESCRIPTION OdIrd rL"'d.ff clt:Id ~ cI()OI(' 1::2..0A Permits are non-transferable and expire If work is not started WlthlO 180 days of Issuance or If work IS Suspended for 180 davs 2 CON1RACTOR INSTALlATION ONI,y Electncal Contractor <::,.. Jer:6n,,,\ I n<-. ShJ~~.~~ Address t;;L;)..S CltyY()(~ Phone ~..,,-~ -J:Ri% SupervIsor LIcense Number _~_LE_~P\ EXpIratIOn Date 'DI, ) OS<. EXpIratIOn Date (d-f3:l-\ I ;;2111o/'6 Canstr Contr Number S41smg Electnclan /' ~-)Y" Owners Name U 'S., ~\:::erv Address f)C'rY, N.LlT ~ CIty ;) 'j.H\<_ Phone ':Sb3 -t<,P:1r;"17 OWNER INSTALLATION The mstallatlOn IS bemg made on property I own whIch IS not Intended for sale, lease or rent Owners Signature InspectIOn Request 726-3769 1000 sq ft or less Each addItIOnal 500 sq ft or portion thereof Each Manufact'd Home or Modular DwellIng Servlce or Feeder $11700 $ 2100 $55 00 B Sen-Ices 01 Feederl) -In'itallatlOu, -\lteratJon!) or RelocatIOn 200 Amps or less 20 I Amps to 400 Amps 40 I Am!,s to 600 Amps 17 r,-,,,- 601fAmps to lOOOiAmns $18000 "'1'., 'vTegOn/ OverJ!9,901I'.;ops/\!Qt\pted aW reql</'CS $413 00 ReC0-9):\licto9ryIYCenter Th by the Or~ YI!l!!;f6jo 0090 ~vv2'001'OOI 0 t;Jse rUles arel:lI, Ull/ity C ~,~f~(jb1~fH' 6o'Jl!cjlih, OAR 9 Set fOrth nUmber lo~ center (Not1es of the r~r;r;o1. InstalIat~ AIAA-:IiIl9WrR~QYallJlIlephon by nter IS I,D 'rdlluty N t II 200 Amps or less -uOO-332_2~ ~ If/CllIl/i,j5 00 201 Amps to 400 Amps 'tJ. $ 76 00 40 I Amps to 600 Amps $110 00 $ 70 00 $ 83 00 $13800 Over 600 Amps or 1000 Volts see "B" above D Branch CJrclllh New AlteratIOn or ExtensIOn Per Panel One CIfCUIt Eac~ Addlt10nal CIrclIIt or Wlt]-1 ServIce or Feeder Penmt $ 400 NOTICE: E1H~I~~ffu, (Sen ICe/feeder not IllcIllded) -Eaeh InstalIdtloll ~.H igll,fl1t~~:~ ~~J~E~HE WctBl(oo A I G&/ilIAAtJS ABA IT IS NOiJ; 00 1'J~g &}gP~.ttal NDOfVED FOR $ 28 00 LImIted Energy/CommercIal '$ 50 00 t:q') 6t\ MlOlmum ElectrIC PermIt InspectIon Fee IS $50 00 + Surcharges $ 48 00 4 SUBTOTAL OF ABOVE '2b CD 12% State Surcharge 10% AdmInIstratIve Fee 5% Technology Fee TOTAL It, ,?:>,"SJ:::, ~ Shared Dnve(T )/BUlldmg forms/Electrical PermIt Application 1 08 doc Status Issued 225 FIfth Street, Springfield, OR 541-726,3753 Phone 541-726-3676 Fax 541-726-3769 InspectIon Lme CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO ISSUED. APPLIED: EXPIRES VALUE: COM2008-01002 07/23/2008 07/07/2008 01/23/2009 Eugene TYPE OF WORK Electrical Work Only SITE ADDRESS 2000 Nugget Way ASSESSOR'S PARCEL NO 1803031103800 TYPE OF USE Commercial PROJECT DESCRIPTION Card reader New Owner UNITED STATES BAKERY Address 2000 NUGGET WAY EUGENE OR 97403 Contractor LIcense SELECTRON I~~" r..MI\~,\aW :~.~~'re~,~~::~41 '" ,,1'SlaBl'JII'iDINdIl'\TEOr{MA~Jli)"'" , f' I I I IV 'u/J';il ,"~If o\lonv"T'"'' " 'rol,l hOAR9 ~- . ,,10 .f\ 952-001'01ii1.1f:si~'iJ~s of the rules by 0090 You may otH~ln~ It~Sffi~laphone calling the centf"J1 d\{ ~!\\\ty NotificatiOn number for the "\~ or~Bl!.2344). Center IRa~ge Type Energy Path Sprinkled BUlldmg Contractor Type Low Voltage Electrical # of UUlts Primary Occupancy Group Secondary Occupancy Group Primary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms Flontyard Setback Side I Setbdck Side 2 Setback Rearyard Setback Solar Setbacks Street Improvements Storm Sewer AvaIlable SpeCial InstructIOn Notes DescnptIon I CONTRACTOR INFORMATION I Expiration Date 02/16/2010 Phone 503-245-9988 n/a Lot SIze Sq Ft I st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant LOdd I DEVELOPMENT INFORMATION I REQUIRED PARKING Total HandIcapped Compdct Overlay DISt # Street Trees Rqd Paved Drive Rqd % of Lot Coverage i\\E 'NO?\C. t.1ni\C~~ ._ ,.uf.' \: ~?\?~~~M\i \'21 "Oi I pupuicfi~Ji.~i~~ilsll~,O' Q~f.O fO~ ){ J1'"~, , Hi\ I ~:J'\\. u ~NW."Ct.O 0 ~OO Sidewalk Type CO <80 Op..'i pE.R . t>,tW I DownspoutslDrams I ValuatIOn Descriution I $ Per Sq Ft or mulhpher Square Footage or BId Amount Type of ConstructIon Value Date Calculated Pa2e I of2 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO ISSUED APPLIED EXPIRES VALUE COM2008-01002 07/23/2008 07/07/2008 01/23/2009 225 FIlth Street, Sprmgfield, OR 541-726,3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Value of Project Fees Paid I Fee DescrIPtIOn + 100/0 AdmInistrative Fee + j2% State Surcharge + 5% Technology Fee Low Voltage - Commerctallndus Amount Paid Date P dId ReceIpt Number $500 $600 $250 $50 00 7/23108 7/23/08 7/23108 7/23/08 2200800000000001136 2200800000000001136 2200800000000001136 2200800000000001136 Total Amount Paid $63 50 I Plan RevIews I To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7'00 a.m. wIll be made the same workmg day, mspectlOns requested after 7.00 a.m. will be made the following work day. I ReoUlred Tnsoechons I 11 I I l Low V oltdge Prior to cover By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby cerhfy that all mlormatlOn hereon IS true and correct, and I further certlly that any and all work performed shall be doue 10 accordance WIth the Ordmances of the CIty of Springfield and the LdWS of the State of Oregon pertammg to the work described herem, and thdt NO OCCUPANCY will be made of any structure WIthout permIssIOn of the CommuDlty ServIces DIVIsIOn, BUild 109 Safety I further certIfy that only contractors and employees who are 10 comphance With ORS 701 005 will be used on thIS project I further agree to ensure thdt all reqUired mspectlOns dre requested at the propel hme, that each address IS reddable from the street, that the permit card IS located at the front of the property, dnd the approved set of plans will remam on the sIte dt all times durmg construction Owner or Contrdctors Signature Date Pa!!e 2 of 2 225 FIfth Street . Spnngfield, Oregon 97477 541-726-3759 Phone ~~ CIty of Sprmgfield OffiCIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008,O I 002 COM2008-01002 COM2008-0 I 002 COM2008-0 I 002 Payments Type of Payment Check cRecelOtl RECEIPT #. 2200800000000001136 Date. 07/23/2008 Description Low Voltage - Commercial Indus + 5% Technology Fee + 12% State Surcharge + 10% AdmInistratIve Fee PaId By SELECTRON Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received DJB 63393 In Person Payment Total PaRe I of I 2 43 09PM Amount Due 5000 250 600 500 $63 50 Amount Paid $63 50 $63 50 7/23/2008