HomeMy WebLinkAboutPermit Electrical 2008-9-2
Status
Issued
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2008-0I309
ISSUED: 09/02/2008
APPLIED: 09/0212008
EXPIRES: 03/0212009
v' ALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769lospectioo Lioe
SITE ADDRESS: 3957 HAYDEN BRIDGE RD
ASSESSOR'S PARCEL NO,: 1702190003300
Sprioglield TYPE OF WORK: Electrical Work Ooly
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: 1nstallatioo of code blue intercoms
Owoer: CITY OF EUGENE
Address: CITY HALL
EUGENE OR 97401
I CONTRACTOR,INFORMATlON I
Contractor Type
Electrical
Contractor
SELECTRONlNC
License
64341
BUILDING INFORMATION I
Expiration Date
02/16/2010
Phone
503-245-9988
# of U oits:
Primary Occupaocy Group:
Secondary Occupancy Croop:
Primary Coostruclion Type
Secoodary Coostruclion Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Raoge Type:
Eoergy Path:
Spriokled Building:
Lot Size:
Sq Ft 1st Floor:
, Sq Ft 20d Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
, n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Haodicapped:
Compact:
I PUBLIC IMPROV~MENTS I
Street Improvemeots: 'to , Sidewalk Type:
~T:r."Tln!'I' QrcooNl law reqUIreS YOUlt NOTiC!:-
Storm Sewer A~,' able:' .',.'~, ,"tod by the Oregon Uti' Y c ,'1Jowns,pouts/Draios:
Special10strudlioii:N rl\tl ~ _Gat' "T" rules are set forth THI", PERMIT ~HALL EXPIRE IF THE WORK
Notification cente~1O';~~~U9h OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT
Notes: in OAR ;52-00~-~btain copies of the rules by GOMMENCEDOR IS ABANDONED FOR
0090:, P~_Jl1:_,,+o, INote: the telephone ,\NY 1 gn nAY PF'RIOn
;;~b~rd~~;;rei~~~gg~~~j~~~;h~~~~':' ~escr~Dtion ,I
"
Description
, Tvpe of Coostroction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
.~~
Pa2e 1 01'2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
, Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage. Commercial Indus
Total Amount Paid
, Amoout Paid
$5,20
$6.24
$2.60
$52.00
$66.04
Total Value'of Project
Fees Paid.
" .
Date Paid
I ,Plan Reviews I
9/2/08
9/2/08
9/2/08,
9/2/08
CITY OF SPRINGFIELD
-,Building/Combination Permit
PERMIT NO: COM2008-01309
ISSUED: 09/02/2008
APPLIED: ' 09/02/2008
EXPIRES; 03/02/2009
VALUE:
Receipt Number
2200800000000001312
2200800000000001312
2200800000000001312
2200800000000001312
, ,
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.
Low Voltage: Prior to cover.
ReoUlired Insoections I
1111111_lf r
By sigoature, I state and agree, that I have carefully examioed the completed applicatioo and do hereby certify that all
ioformatioo bereoo is troe and correct. and,I forther certify that any and all work perform~d shall be dooe in accordance with
the Ordinances of the City of Springtield and tbe Laws of the State of Oregoo pertaioing to the work described herein, and
that NO OCCUPANCY will be made ofaoy struCture without permissioo of the Commu'nity Services Divisioo. Building Safety.
1 further certify that ooly coo tractors aod employees who are iocompliaoce with ORS 701.005 will be used on/his project.
I further agree to eosure that all required iospectioos 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 plaus will remain 00 the site at all
times during construction.
Owner or Contractors.8igoature
Pa2e 2 01'.2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-01309
COM2008-0 1309
COM2008-0 1309
COM2008~0 1309
Paymeots:
Type of Payment
ONLINE CHGS
cReceiotl
RECEIPT #:
2200800000000001312
. "Descriptio""
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
j'
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/02/2008
11 :02:49AM
c
Amount Due
52,00
2,60
6.24
5.20'
$66,04
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
ONLINE
Page I of 1
Amount Paid
selectron Online
,
,Payment Total:
$66,04
$66,04
9/2/2008
City of Springfield
Electrical Authorization To Begiu Work
E-mailed.To: erin.butrico@selectron.copl
Receipt # EC537121
9/2120089:53:38 AM
Check on status of permit
By Phooe:(541)726"3753 or Email: permitcenter@cLspringfield.or.us
I Description J" Qty~ lEa. J Total
I~RC.Sidciithli-SiNCLE?::OlfnIUI-ti':fam1i)':dW-,cHjng4rtnit)InclulJes:.':'~;.: '~i;.1
=,.-v,u""~'-,,"'9"~-:r~~:~ "'i -'-i'j.~, '-"rii"'<'!t~1i-,;.f,l'J\ -, :;;;'i!'f;:?f~". - - '.
~~t~~~~~__~~r~~~Z::"!.J.'t~~~:tf,5;i1W~;:';;:~g:t~~iqtii1ry,~"",,~~~i,~'; ,l
I ] ,000 sq_ ft. or less I I
I Ea. addl 500 sq. n. or portion
D New construction
[KJ Addition/alteration/replacement
o lor 2 family dwelling
DMulti~family
[X] Comme~ciall h1du;tria]
1.lob no.: P7UO IJob address: 3957 HAYDEN BRIDGE RD
ICity/Stllte/ZIP: SPR1:t'lGFIELD, OR 97477-[860
I Suite/bldg.Japt.no.:
I Project name: EUGENE WATER & EcECTRIC B
Cross street/directions to job site:
1
1
1
I
I
1 Subdivision:
I Tax map/parcel no,: ]702190003300
1 Lot no.:
energy, residential
(with above Sq. ft.)
I-Limited energy,.multifami]y
residential'(with above sq. ft.)
I ~ Limited energy, commercia-]
(with above sq. ft.)
I -.Stand-alOne]imited energy,
residential
I - Stand-alone limited energy,
multi-family ..
I' - Stand-a]onelimitecJ energy,
commercial
$52,00
$52,00
INSTALLATION OF CODE BLUE ITERCOMS
1 200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps'
I Name: BOB BORSL Y
I Phone: (541)954-1014
Email:
11'."
I 200 amps or less
1201 amp~fto 400 amps
140] amps,to 599 amps
IEI.lie.,no.: 26-497CLE
I U'usincss Name: SELECTRON INC
IContact: ROBERT BIRLEY
IAddress: 7225 SWBONITA RD"
1 City~Statt~JZIP: TIGARD OR 97224
I Phone: (503)6399988
Email:..erin.butrico@sc!ectron.com
I Metro lie. no.:
1 Supl.'n'ising electrician's lie. no.: 9'74LEA
1 Supcn'ising eleCtrician's name: JAMES R LEPPER
jCCulic.no.: 64341
I A. F.ee fo~ brunch circuits with
servIce or feeder fee, each
branch circuit.
1'1 B.Fee for brunch circuits
I without service or feeder fee.
first branch circuit
I addl branch circuit
I
I
I
I
I
I
I
Ie
I
11'." (503)6844357
I Service reconnect only
I Each m.'lllUfactured or modular
dwelling. service andlor feeder
I Pump or irrigation circle
1 Sign'or o~t1ine lighting
I Signalcircuit(s) or limited-
energy panel, alteration, or
extension:
I City lie. no.:
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or f.axed within one business day,
with instructions on how to schedule your inspection.
This Authorizatio(l To Begin Work must be posted
I Subtotal I $52.00 I
I State Surchan!:e (12% of permit fee) $6,241
I City nrcr . ",f:JJ [\;;\;;s...,-- l $7.80 I
l __ ~ '!P.JAqiljfMjij."EIJ' $66,041
\ 'c,rY"\lI~IKeeSlUQNA~"''', I Lu."",)%Te nologyl'ee
CO~:..Q\ ___ \:5 I-z.:,: _
R~#:~r)t')D.'t O~ '
, DATE PROCESS,ED: '. \
l'ROcES~-BY: J
".,,~,!' .
. 'un I replaced by a Permit
NOTE: This Authorization To Begin Work expires within 180
days if a permitis not obtained.
The local building department may determine that an
Authorization To Begin Work is null"and void if it does not
meet applicable land use laws and local ordinances.
.'