HomeMy WebLinkAboutPermit Electrical 2008-11-6
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SOURCE~ /.
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH,(541)726"3753 . FAX, (541)726-3689
ELECTRICAL Pk1JJMI'[,4fPU.CATION
City Job Number ~ \ t) - ~ ( )
Date
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LE\~6~~4-34 00201
3. r~M.~~lfji:117~!?il~~~.[eE!J!'if~~J.
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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
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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~
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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
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11/6/2008