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HomeMy WebLinkAboutPermit Electrical 2008-11-6 iON un \ INITIALS \ t DATE 1I-: - (Y?) SOURCE~ /. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH,(541)726"3753 . FAX, (541)726-3689 ELECTRICAL Pk1JJMI'[,4fPU.CATION City Job Number ~ \ t) - ~ ( ) Date 1. flrroeA1ii&NT6EiNsLipi+;("lI;;iN~'I!!IFJJl !!f'''~='''''=''''''"''~r~K':p~ . ~';11) 0L \ \ \ f\;\j9J LE\~6~~4-34 00201 3. r~M.~~lfji:117~!?il~~~.[eE!J!'if~~J. ~~?r.';~;-':'~~J;""~~'t;'~~~~~OO'W'-~~~,fa A. . ~'YtJl.~si\te.'ltl!~g!~~!.!iJ!.hF;~.f!ti!YiP..<ii!lXl}!!!ngl!!&i-',~ Service Included J;. ~ESCRJPTI0N: LJJ:r~ts~~~~1~I:a:~~re ~s not started within 180 days of issnance or if work is Snspended for 180 days. 1000 sq. ft or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $ 21.00 $55.00 ~N1RA€TOwiNSTA13j14TmNtONI;Y' B. ~~~~~~~,'~oWEW~~W;t~ltit~~~~~.r~~1f~~fJfi'tj'b1i~ 2. p~.W"~N~"'\!"".W";(;.""-~~''''fj'''''''''~.'''''''i._u.~.,.~,,__~ ",;,.,...,:.""",,,,:~..,~'1:~'m-r~~"""-'''''''''''''''''''.'''''''''&t$t#.,,,,,,.>J>'M~~'~'''''''''f.'{e.~~,.,!'l'S~ Electrical Contractor en t J Sf (All <'(\Y) ~},.e.TUc' 200 Amps or less $ 70.00 1\ ,^ _ .. 201 Amps to 400 Amps $ 83.00 Address 5D6 S. \/iM1W6 V11J.{... 401 Amps to 600 Amps $138.00 J 601 Amps to 1000 Amps $180.00 City f 11 .LJt-vJ', Phone ("Cf;f.-{p l.J.l Over 1000 AmpsNolts $413.00 Reconnect Only $ 55.00 ... 4-DI'1-5 (0 ) /) '1 4s1? 1i!"~'<""._"'~"'-"'"'''''''''''''1Jt~_:''''i1JA'''1l~ c. i!T~n!P?r~,~y"~~d!S"~I(friJ,,,~.t;,g~~~; ;:t; '-"x*frij::~lit~\,,'Yl~ ,~~~-,~~ Supervisor License Number Expiration Date Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. iB;::;;~h'{jjil't':iits'll!l\t~W"'V!>fj"'1l1i!:l\!t"'f~'l'~ill-~'lIi~ .~",,,~.L.,._,.,i\l....,,._~",,'l/i!lWi_, _,_ ~~. New Alteration or Extension Per Panel One Circuit Each Additional ,Circuit or with Service or Feeder Permit $ 55.00 $ 76.00 $110.00 Constr_ eontr. Number, Expiration Date ~II 0 "i "<Mj(p~ () . ~ Owners Name~ /\{'dJ\S--\ ~ Address)X) ~lmU . City f I \t1-P11 ~hbne Pump or irrigation $ 55.00 ~ \.. Sign/Outline Lighting $ 55.00 OWNER INST ALLA nON Limited Energy/Residential $ 28.00 . TRfflRlIffI\'fi[ ~bbeinM'.ilde oM1lWem: I om which Limited Energy/Commercial I $ 50.00 ..!:!l J. LV ifoWii~~t~Ws 1~J~Cle~~'Meed~e~~X~~i1i~ . Minimum Electric Permi! lnspectio~ Fee is $50.00+ Surcharges " }~i~~~~~~:1?~~r~eU~~e~;~e9~i_~o~~ 4. ~if~~~!!a.- 12:~ JC~iinl~~h'~'~~~~'t'iN~U;:~th~'t~i~~~tl~~ ~~. J~~~~~Ail EXPIRE IF THE WO ~#XJ;' number for the Oregon Ut]lity Notlf]cali Ch ~ ITiUHILtlJ ffflOER THIS PERM ~1I'::l, -., IUspectio~1{lJ~.ljft:l'11<t-'j1W-2344). \ ~ 'AG,QMMtNCEO OR IS ABANOO IT IS NOIj/'n . . .' ,... ~ ~ ~ ~}'JY' 18(MJ,lj'P~IC1fj~ding Fo~F.oQ;f.OOm;t Application 1.08doo $ 48.00 $ 4.00 Status Issued CITY OF SPRINGFIELD ... Building/Combination Permit PERMIT NO: COM2008-00540 ISSUED: 11/06/2008 . APPLIED: 04/1812008 EXPIRES: . 05/06/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line SITE ADDRESS: 3500 E 17TH AVE ASSESSOR'S PARCEL NO.: 1703343400301 Eugene TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Low Voltage - 38 cables Owner: Address: 'LANE TRANSIT DISTRICT . PO BOX 7070 EUGENE OR 97401 Phone Number: 541-687-5555 I CONTRACTOR INFORMATION I Contractor Type Low Voltage Electrical Contractor CHRISTENSON ELECTRIC INC License 458 Expiration Date' Phone 05/01/2009 (503) 419-3300 .1 BUILDING INF~RMA TlON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: , Primary Construction Type Secondary Construction Type: . # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy'Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 'n/a 1 DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMpROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation DescrIDtion I Description Type of Construction . $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I on 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 + 10% Administrative Fee + 12% StateSurcharge + 5% Technology Fee . Low Voltage - Commercial Indus Total Amount Paid Amount Paid $5.00 $6.00 $2.50 $50.00 $5.00 $6.00 $2.50 $50.00 $127.00 Total Value of Project Fees Pairl U Date Paid 4/18/08 4/18/08 4/18/08 4/18/08 1116/08 1116/08 1116/08 11/6/08 Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00540 ISSUED: 11/06/2008 APPLIED: 04/18/2008 EXPIRES: 05/06/2009 VALUE: Receipt Number 1200800000000000373 1200800000000000373 1200800000000000373 1200800000000000373 2200800000000001619 2200800000000001619 2200800000000001619 2200800000000001619 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 7:00a.m. will be made the following work day. Low Voltage: Prior to cover. ,~~,,!~ire~ Tn~,'.ledions I By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon -is true and correct, and] further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permissiou of the Community Services Division, Building Safety. I further certify that only contractors and employees who are iu compliance with ORS 701.005 will be used on this project. I further agree to ensure that all rcquired inspections 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 remain on the site at all times during construction. . Owner or Contractors Signature Pa2e 2 of2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200800000000001619 Date: 11/06/2008 12:31 :27PM Job/Journal Number cOM2008-00540 COM2008.00540 COM2008-00540 COM2008-00540 Description Low Voltage - Commercial Indus + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By KEN JACOBS Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 610734 Phone Payment Total: Amount Due. 50.00 2.50 6.00 5.00 $63.50 Payments: Type of Payment CreditCard Amount Paid $63.50 $63.50 cReceintl Page 1 of 1 11/6/2008