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Home My WebLink AboutPermit Electrical 2008-7-23 SPRINCt'UZLO _~ ::..:~ ZON Lrrv.5' , /- ,.: INITIALS . \'A 1\( ~a. ~ ',~' DATE'-1-Lf'> 'Of.. ,., IliilIJ'I ~ SOURCE {X:L~,:sy:V Date 'i h.-!, 10 X '1 3 'COMPLETEFEESCiiEVdLFBELOW -~--"-'~1 '~ ~'~,,~_ __ ' __ __.J._ ~__ 225}< IF rH STR~l!.l . ~l)RINGFJEI D, OR 97477 . PH (<;4t)726~3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number C. 0..... r:.o CS' X ' oioo'3, 1 fiOG"ATION o'invslJ1LiATl"ON - .-- ~___ _ _ _--'1__ ~ _~_ "----..I....______k..-"'~_ 3'$ClD SE Itfh t:w l' LEGAL DESCRIPTION ,'n';,1a.\\ $Cu..s<, ~, :<.+- 'I<.dt.. ~-c JOB DESCRIPTION fJ",' I rv /7033"7 oJ'" 00 ~o ( ''l..L ,'b"l Permits are non-transferable and expire If work IS not started \\ltllln 180 days of Issuance or If work IS Suspended lor 180 days !I'-~ - - ~",- ,~--*- - 2 'CON1RACl'ORlNSTALLAnON'ONl Y' ; ~_ ~__ _,- __ ........ ~ __~ - ~ ~~ ~"""'_____ - - - _J Electncal Contrdetor Se.\e."-i-<n.,,,,. \ V"\< Address ,'J.;;F, ~'7i-...1,h kA clty'Kx-+t=-v! Phone ~?,q~ Supervisor ~rce.'2.:':..r'umber 11""}1 u::: PT Exp" dtlOn Date - JDI \ Ir'l'i. Con so Contr Number l.:t-l-:H \ , ;;1) Iloilo EXplratlOn Date SIgnature of Superv1smg ElectnclaTI /~<-. Owners Name Lane.. T~",<;;.,+ Address 3;OD 5E' nt1, A.\J eo City S:r\~,vJ Phone"Sl\\~2-l..r~ OWNER INSTALLATION The installatIon IS being mdde on property I own whIch 'lS not Hltend~d for sale, lease or rent O\-vners Slgnature - ? l/1r~ I j r; f I...t;~j~" V ,'f ~ InspectIOn Request 726-3769 r -----.,..-- ~---~_. A I ~'1e" Resident]:,!:: ~~~Ic,~~ ~~lll-F d][~ll.!'er d~.""I,:g "."'.1__ Service Induded 1000 sq ft or less Each addrtJOnal 500 sq ft or portlOn thereof Each Manufact'd Home or Modular Dwellmg Service or Feeder $11700 $ 2100 $55 00 .6 ~ Sen-KUl 01 Fredel i'!- InstaaatlOl1, \!tel atuws '), ,RelOI,..ltHH' -----~- ~ ~--,~-------------- - - --- 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70 00 $ 83 00 $138 00 $18000 $41300 $ 55 00 ~~-~"'~--- - ~- ------........ ~- __~w__""'" ~- < I c,.\]?1~Nrr-IOt' ~.r\'.':es o~ I~e."~ers _ __._~~_ ...::..: _'.._-==_~ IOllow r'll,," Oregon laW.rAm. -- --- - -- No InstallallOnflAllte{~1108' orHRelodftionyou to '. ,___ UIll-elf/On Cent' ~ Y I e Orego U In C20P' 6B'P-'b'(fll~W Those rules n ti/lty!; 55 00 009QOIYf>O;M,0 4f]gJ"WpllOugh 'OA<l:, ",,':.".1 lort/1; 76 00" ;,. Cafu<J,9\IhI<Sc~AI~tjl.lflrP.',pPles ofth~ ':.~7-UUI"$11 000 nU7)~~f l~{j ~r@~..l~~t'?IQ\Ues!@I~h~'~Y tiente ;; 11 lltlllly N t I ' 'Wlt: - - ---- D , II] d11~rr_C1!c~~.o.'332'2344).:~O'"!!9~_ ~ _ _ ,_ ,__ :! New Alteration or ExtenSIOn Per Panel One CIrCUIt Each Add1tlOnal Circuit or with Seq,lCe or Feeder PermIt $ 48 00 $ 400 ~ ( MIscellaneous (Senter/feeder not mcludcd) ~Cach InstalldtlOn : '--~__~_____~___ ______ _____ - ___I r!i~"\lf rrngatlOn $ 55 00 '~ r /&Ene Lrgl1trng $ 55 00 I] RrtrcfgMliiY$HAtt'tE'XPIRE $ 28 00 C !rht\~lRtthfJiM/:Ni~rV/'l's PE.qij!(OO, '5b cO MIl:4#~J'JGlifN}Rt,(f}I/tBmJl!fb'IIfEtJ. dllQ.TsII rlhar~e' 4 I s~AM}Ntif'JiRJamVE , ' .>--0 -1-i%~S;a~-SU1~ha~ge'. ~ ;-\-- -y ~~ - & 10% Admmlstratlve Fee r 5% Technology Fee ~J- TOTAL tL.3,c:::"O Shmed Dllve(l )/BU11dmg ronns/LlectncaJ Pennlt ApphcatlOn I 08 doc _"R'._~..iiii Wir:~ . Status Iss u ed CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01003 ISSUED: 07/23/2008 APPLIED. 07/07/2008 EXPIRES: 01/23/2009 VALUE: 225 F,fth Street. Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fdx 541-726-37691nspectlOn LIne SITE ADDRESS 3500 E 17TH AVE ASSESSOR'S PARCEL NO 1703343400301 Eugene TYPE OF WORK Electncal Work Only TYPE OF USE New Commerc..1 PROJECT DESCRIPTION Access control at nde center Owner LANE TRANSIT DISTRICT Address PO BOX 7070 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Low Voltage Electncdl Contractor SELECTRONINC LIcense 64341 ExpIration Date 02/16/2010 Phone 503-245-9988 # ofUmts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms BUILDING INFORM:ATI0N.tv reqwr , "",, oy the Ore e~ you to # 01 Stones r br] hose rUles a? rJi,Ii/lSiZe (HeIght oflS,~~~ctgrJIO through OARe9~lf'lf'ltst Floor Type of Hedt eY tbtam Copies of the ' JIl; 2nd Floor ~ "- c n er (N ru '.h.~ WaterJfype Ihe 0 ate the teleph ('Wllasement Range T.YJI~ar IS ;~J10rJ Utility Not/flc ~Ett GaragelCarport Energy Path. 00-332-2344) q ilt Other SprInkled BUIldIng nla Occupant Load I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback S,de 1 Setback SIde 2 Setback Rearyard Setback Solar Setbdcks Overlay OISt # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage Total HandIcapped Compact Street Improvements Storm Sewer A vadable SpecIal InstructIOn I PUBLIC IMPROVEMENTS I NOTICE' SIdewalk Type WOnll . "".lOll I='J(P~'f THE nl\ THIS PERMIT "I'J'dlI1I>p.!!.I1( ~mt11T IS NOT AUTHORIZED UNDER THI COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes I ValuatIOn DescrIotion ~ DescnptlOn Type of ConstructIOn $ Per Sq Ft or multIplier Square Footage or B,d Amount Value Ddte Calculated Paee 1 01 2 -iiiL~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO' COM2008-01003 ISSUED. 07/23/2008 APPLIED 07/0712008 EXPIRES 0112312009 VALUE. 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total V dlue of Project Fees PaulJ Fee DescnptIon + 10% AdmlDlstrdtIve Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Amount PaId Date Paid Receipt Number $500 $600 $250 $50 00 7/23/08 7/23/08 7/23/08 7/23/08 2200800000000001135 2200800000000001135 2200800000000001135 2200800000000001135 Total Amount PaId $63 50 I Plan Reviews I 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. I. Re(]lIIre~ Insnechons , Low Volt,lge Pnor to cover By Slgn,ltUl e, 1 state and agree, thdt 1 have carefully exammed the completed apphcatIon and do hereby certIfy that all mformatIon hereon IS true and correct, and 1 further cerllfy that any and all work performed shall be done 10 accordance With the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY Will be made ot any structure WIthout permISsIOn of the CommuDlty ServIces DIVIsIOn, BUlldmg Safety 1 further certify that only contractors and employees who are 10 comphance With ORS 701 005 will be used on thIS project 1 turther dgree to ensure that dll reqUIred mspectlOns 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 remam on the sIte at dll times dunng constructIOn Ownel or ContI actm s Slgndture Date Paee 2 of2 225 Fifth Str.eet Sprmgfield, Oregon 97477 541-726-3759 Phone ':"".NGFlELO ttII '_.~ - E-. City of Sprmgfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-0 1 003 COM2008-0 1003 COM2008,O 1 003 COM2008-0 1 003 Payments Type of Payment Check cRt.cemtl RECEIPT #: Date: 07/23/2008 2200800000000001135 DescriptIOn Low Voltage - CommercIal Indus + 5% Technology Fee + 10% Administrative Fee + 12% State Surcharge Paid By SELECTRON Item Total l.:heck Number AuthorizatIOn Received By Batch Number Number How Received D18 63482 In Person Payment Total Page 1 of 1 2 41 53PM Amount Due 5000 250 500 600 $63 50 Amount Paid $63 50 $63 50 7/23/2008