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Home My WebLink AboutPermit Electrical 2008-7-23 (2) SPR1NGFU:LD ,~:w= ~- ZON ~ _, ' - . I' INITIALS ~ IV'-' ,--." 'DATE "l-'2S- ilY -- '-,- SOURCEN\\J5M) Date'1 7 '::> \ u ( 22<; 1<11<1 H STREET. SPRINGFIFI D, OR 97477 . PH e;41)726~3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION u City Job Number CoIA-1Z-008'- C 100-, !"LOCATION OF lNSIALIAII(W - - - 1 3 - ~ -- --~-- 35~ E II*' I\\IP LEGAL DESCRIPTION /7D33lf'E<I oo10( readev.arJ (\<'l~ ~t1d ;;,.t- nt:.....t- JOB DESCRIPTION 'b....\d..j r-- ~- ~ -------~~--,...-- COMPLEIJ<, r EE SCHEDULE BELOW ---------y---~ r ~~~. -~-- - --r-- --, - -~- --- ~, A , Nc\\ Resldcntlal- SlI1gle or l\lultl-Fdlmh per d"cllmg IImt l.--__*_~_....____~___~ ~ .~~_ ~ _ Service Included 1000 sq ft or less Each addltlonal 500 sq pOltlon thel eof $11700 ft or ?/3d1 $ 2100 Each Manufact'd Home or Modular Dwellmg Semce or Feeder Permits are non-transferable and expIre If\\-ork IS not started wlthm 180 days of Issuance or It work IS Suspended for 180 days .."". ~-~~ -.--- ....'.';"""" ~ ---~r~-1'-J""*"'~ - -I 2 '!:<}N /!!~~T(!~ ~'^!..~:.."A!.,J~,/~~?~ ONJ:lC_ $55 00 -~ ------ --~-----------~- ------~--- Feeder~ - InstallatIOn, AllCrJtlOn~ or Reloc.ltlon f ' B ,~en H.e~ ~__~ L ~1ec..+Y-(j(\. InL $ 70 00 $ 83 00 $13800 $180 00 $4 I 3 00 $ 55 00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/V olts .4~Reconnect Only fOII9JA;lftvr/0tv -- - - - -.- ,- -- 1:0"I!cQt""-~PJ~~8n't'-O! ree<J:.r:._, __ _ __'_ ___ '_ J OA,R IOn Ce OPted QW re 0090 'yJ~lfu; A/1ftdtdi7e~Wl/Jlf'jJlr n~Qlltng ~ItJPiJEW~r~e rilles Z90n II~, to f1Jber for. ~fI1/tJ'4~YR1.~ OA,;e Set ;;''( Cefl2rh~ti~iJ..ii,~fJf the 9S<-on'/l Sr 18 {JOn II ilis to rUle .. Ove: ?'}'&:..~311IkffJ9v7/flpiif/h:~above o [_Branch (Irtnlf'j~J<l4).~~CQ!IOII_' __ New AlteratIOn or ExtenSion Per Panel One CITCUlt Each AddItlOna] CHCUlt or wIth Set \ Ice or feeder PC'TIl't Electncal Contractor SJD~'\I+a. ~ Address t:).:l'S City ~+\-;w,d Phone ~3-l.;~..qq\(g q-;y LEA 10) d b$S Supel VIS01 LIcense Number EXpIratIOn Ddte $ 55 00 $ 76 00 $11000 (A-fY-\\ Constr Contr Number ExpiratIOn Date '::?)I\../,O SIgnature of Supervlsmg Electnclan ~-- /-P- Owners Name ~ T'r;}r\s"+ $ 48 00 $ 400 E ~ ~I~:~el~~~eous (S{nll~!e_~~('~ ~ot ~I:.cl~l~_e~) _~~~ l~_st~II.)tlOn I Address ?J'S/:::J::, <E: \ J.H-. A.."f' . City 5;')( ''''fe\d Phone qj l-lnk:2 . (,,13:) Pump or IITIgJtIOn $ 55 00 Slgn/Outhne Llghtmg $ 55 00 OWNER INSTALLATION NOTlCE.Llmlted Energy/ReSIdential $ 28 00 The mstallatlon IS bemg made on property I own WhlCfH/S PER'M'tf'~d Energy/CommcTClal I $ 50 00 c::{) C;{J IS not 1l1tended for sale, lease or rent AUTHtJA'tll,tf'UltlNrk ~mMH!.rffr~'l:''W'0fl'It$50 ?O + Surcharges OwnclS SIgnature COMM~N~fj#!,{l/fP.kB~~&MI! ISJJ.O.L _ _ ' 50 ANY 180 DAf'/f!l1Jl1ftitl'chalgQONED FOR b 10% Admmliitral1ve Fee 5 5% Technology Fee 'ZS"O 10-::' SO luspectlOn Request 726-3769 TOTAL Shared Dllve{T )/Bulldmg forms/[lectncal Penl11t AppltcatlOn 1-08 doc -~..P~.."~ ~~!I.' I -= Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2008-01004 ISSUED: 07/23/2008 APPLIED. 07/07/2008 EXPIRES: 01/23/2009 VALUE: 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 3500 E 17TH AVE ASSESSOR'S PARCEL NO 1703343400301 Eugene TYPE OF WORK Electncal Work Only TYPE OF USE' New PROJECT DESCRIPTION Reader and camera for Mamtenance huddmg CommercIal Owner Address LANE TRANSIT DISTRICT PO BOX 7070 EUGENE OR 97401 Contractor Type Low Voltage Electncal ~.c;ro.R INFO~MATlON I f " ". ..~" -"'""c~"you 10 o ow rules adopted by tbElnrpnon Ut w.. Contractor Noliflcatlon Center Those'ltf~ns"- 1i\\Yl'lratlOn Date SELECTRON INC 10 OAR 952-001-001n thrn,,~~rjl1~en~e~ ~O!!h 02/16/2010 i" Blhl11INcitNifoRM-A-TluIDtlhe rule; -by ,. \"'{ "I' I h - -....".. ,," e ep one num~~iflft~A Oregon Utility NoliflcatlonLot SIZe He.ghtl or SrrJc~8Pe332-2344). Sq Ft 1st Floor Type of Heat Sq Ft 2nd Floor Water Type Sq Ft Basement Range Type Sq Ft Gardge/Carport Energy Path Sq Ft Other Sprmkled Buddmg nla Occupdnt Load Phone 503-245-9988 # of UUltS' Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIon Type # of Bedrooms I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback Side I Setback Side 2 Setbdck Rearydrd Setback Solar Setbdcks Overl~.l' DlSt NIiJSt\!;et'rrees RqKll EXPIRE IF THE WORK T~!'3'Tf))ll-,~g-~~ lOR THIS PERMIT IS NOT Atm ,~:o.\@ !It.Qis ABANDONED FOR COMMENCED 9~n'nn I PUBltli!lINip'RbVil&'Jfs I Total Hdndlcapped Compact. Street Improvements Storm Sewer Available SpecIal InstructIOn Sidewalk Type Downspoutsffiralns Notes I ValuatIOn DescflotlOn I DescrIPtion Type of ConstructIOn $ Per Sq Ft or multIplier Square Footage or Bid Amount Value Date Calculated P d2e I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2008-01004 ISSUED' 07/23/2008 APPLIED: 07/07/2008 EXPIRES: 01/23/2009 VALUE: 225 Fifth Street, Spnngfield, OR 541-726,3753 Phone 541-726-3676 Fax 541-726-37691nspeclIon Lme Total Value of Project Fees Pai~ I Fee DescrIPtIOn + 10% Admmlstratlve Fee + 12% State Surcharge + 5% Technology Fee Low Voltage - Commercial Indus Amount Paid Date Paid $500 $600 $250 $50 00 7/23/08 7/23/08 7/23/08 7/23/08 Receipt Number 2200800000000001134 2200800000000001134 2200800000000001134 2200800000000001134 Total Amount Paid $63 50 I Plan Reviews , To Request an mspection call the 24 hour recordmg at 726-3769. All inspectIOns requested before 7 00 a m WIll be made the same workmg day, mspechons requested after 7'00 a.m wIll be made the followmg work day. I ReoUlred InsnectJO~s . Low Voltage PrIOr to cover By signature, 1 state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certify that all mformatlOn hereon IS true and correct, and I turther certify thdt any and all work performed shall be done m accordance With the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregon pertdlDlug to the WOI k descnbed herem, and that NO OCCUPANCY Will be made of any structure Without permiSSIOn of the CommuDlty Services DlVlslOn, BUlldmg Safety I further certify that only contractors and employees who are m comphdnce With ORS 701 005 Will be used on this project I further agree to ensure that all reqUIred mspectlOns dre requested at the proper lIme, thdt each address IS reddable fl om 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 all times dunng constructIOn Owner or Contractors Signature Date Page 2 of2 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone City of Sprmgfield OffiCIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-01004 COM2008,Ol004 COM2008,O 1 004 COM2008,O I 004 Payments Type of Payment Check cRecelOtl RECEIPT #: 2200800000000001134 Date' 07/23/2008 Description + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Low Voltage - CommercIal Indus PaId By SELECTRON Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received 63482 DJB In Person Payment Total Page 1 of 1 2 41 05PM Amount Due 250 600 500 5000 $635(/ Amount Paid $63 50 $635(/ 7/23/2008