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Home My WebLink AboutPermit Electrical 2009-9-11 <..09tIQ I' . ~ . --~ CITYOF SPRINGFIELD, OREGON J 225 Fifth Street.Sprin~,field, OR 97477+PH(S41)726~3753+FAX(541)726-3689 ._........... I - DEPARTMENT USE ONLY & ~ I Permitno.('Sl- \ 3E)O I Date q - \ \ - nq I I, I .. Electrical Permit Application This permit is issu'ed under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance of if work is suspended for 180 days. I LOCAL.: GOVERNMENT APPROVAL I FEE SCHEDULE 1 Zoning approval verified? 0 Ves 0 No ]1 Number or inspections p<r item () !Qty.1 ~ I ~::I I CATEGORY OF CONSTRUCTION I I I I I Residential, per unit, service included: o Residential ,M'Government 0 Commercial I JOB SITE ilNFORMATION AND LOCATION 1 11,000 sq. ft, or less (4) $134.00 $ I Job site address' 3 f, '1 '8 f";l... t \ ~ " ~, v rl 1 I ~~~~:ritionaI500 sq. ft. or portion $ 25.00 $ I City: E" '" 0, ~ .... ~ I State. '> ~ I ZIP: 91 ~ 071 I Limited energy (2) $ 32.00 $ I I Reference: ~~\ I TaxlotDO\CX) I I Each manuractured home orl1)odular $ 63.00 $ I I DESCRII'TION OF WORK I dwellmg servICe or feeder (2) I -r C""'..1::' ": ("' I I I Services or feeders: installation. alteration, relocation I I (~"'" C' ...)1J "'." I r- v~,' It> 1 '1 I] \ 1"\ 1 200anlps or less (2) I \ $ 81.00 $'g\~1 r~"..........h...' Dt "'~ H">>d....,Sl>,..., n Ve- I PROPERTY OWNER ! 201 to 400 amps (2) $ 95.00 $ I I Name: 0 DO)' , \ I 401 to 600 amps (2) $158.00 $ I 1 Address: 'is'&S J\;Y'~o<\ ~d -Sf... B).\e, I'l I I 601 to 1,000 amps (2) $205.00 $ 1 1 City: 0d\~-': I State:O'R, I ZIP. "I "P3 0 1 I Over 1,000 amps or volts (2) $469.00 $ I I Phone:~o3 -<t~6-2633 I Fax:S0 -"l'86-<.6Q,5 I 1 Reconnect only (2) 1$63.00 $ I I '1 C\' c. L ""D ^ ( . , ;t ~ ~ 1 Temporary services or feeders: installation, alteration, relocation 1 E-mm:' .._ .1\.'<;.)E.(!)O<i1J ..~I"I~.O'_l.1~ 200 amps or less (2) I $ 00 $ I This installation is ,'being made on residential or farm property 63. owned by me or a member of my immediate family. This 1 201 to 400 amps (2) $ 87.00 $ I I ~l?1qp~t!Y=)s not mtended for sale, exchange, lease, or rent. OAR I I .. 472.~40Ul and 479.560(1). 401 to 600 anlps (2) l$1~..00 $ . ~11'~a I-'tuE,Re.rVlIT SHALL EXPIRE IF THE WORK - lOver 600 amp,s or 1,'OoO!;jbi~,\~;~~ld~!:t'i~ ,,~'r'foe'd~;.'declionabove I 1'-1 M 1l""r'1 ".... ....."",," '"'.., .1..1111 n Ilnr,::.l h '::).\'11 11'1 .1i-lnliHlul I", ,-.-.,;, ;;~.CO~~1iO~I~S"Atll!AnQ)l\ll J I Branch cii.~its;de;;'~;I&;di;:'~,<!xt.nsiD;'jJZerJo'l!!~11 BUlIIBO 1 ;i~~~~~;R~:~~~~.~~Mo~ftl~~c:t.. L I a, Fee r9ll~~~C;~i~l;;~';&r,,;;:Se~~";~ce6'{feede'i(fee~ I l"Adch-~s~: '1O"l.?::'<:::t:~ J S1',......~ $,E. I 1 Each?hQ.~li:CSt20!.'?~.~,,~u:,;,\~'I.l:cJ~~$,~,~~!l,~I~:$rt~ I 1 City: '" ~ 1 0 ~_ I State: <.) ~ \, ZIP: to 7 <' ","11 I b. Fee rOl;~rahclicircu[t,wiiiiou(puiciias~~o'f,aservice:orlfeede;j'fee. -....J.. ,.... .~ J'.,. -, ~ ",,-- 1\1111111 ulludJf I dUJ. J,U I..IO~Uu.....", ......1'... ."...11....,- I Phone(6o,3),s G 6~t \) 0 I Fax:(s~) <5 S9-c'l "I-S I I First braIlWcircuit(,g)lbaJ Mel uotlaJol:MJ5).06~1$V' I IE-maiLk.h...~;'\'\~"..<:.k.rfJc;-r~e,.,-:h~",.l'.o"",1 I Each additionalbraoch circuit I 1$ 6.001 $ I [ CCB license no.: 7t \ ~ G "8 I BCD liceJse no.:3 7-~z..() c. \ \ Miscellaneous fees: service or feedernot included I I Signing supervisor's license no,. 13 8t;- 5 I I Each pump or irrigation circle (2) $ 63.00 $ I I Print name ofsign'l"ng supervisor:,<~y\"T'~)... W ~ ~o. ~ \ 1;1~ Each sign or outline lighting (2)' $ 63.00 $ I I S. f."" . :....y ..1\\\. \y I ...... t\h Signal circuit or a limited~energy panel, $ 63.00 $ 1 19nature 0 slgnmg supervIsor. t\ ~W '" ~ alteration, or extension (2) I Each additional inspection: (1) $58.00 $ Ilml~1i!;l~:;,;mi!~i!Yiiiif.i~~cii/'A~~UC:a:NTllJSE.ifdiJ."'d.iil~'1iB~dilF I (A) Enter subtotal of above fees 0"3 $l::!':<-. (Minimum Permit Fee $58.00) ,'-.) 1 (8) Enterl2% surcharge (.12 x [A]) $ \ \ ~ 1 I (C) Technology Fee (5% of [A]) $qJ.!- I I TOTAL rees and surcharges (A through C): $ \ 0 ~ ~ I ~ ~~\W> 1\\1 .\,\ -,\.'~ ~ ~ ~\,OC\ ~~\l-" & 440-2584.) (9IGBICOM) _~!il~IJ!~I!!II!Ii!J~,i . l;~, .i': CITY OF SPRINGFIELD' Building/Combination Permit Status Iss \1 ed PERMIT NO: COM2009"01350 ISSUED: 09/11/2009 APPLIED: 09/11/2009 EXPIRES: 03/11/2010 VALUE: ' , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line " SITE ADDRESS: 3698 FRANKLIN BLVD ASSESSOR'S PARCEL NO.: .1703343100100 Eugene TVPE OF WORK: Electrical Work Only , TYPE OF USE: New " PROJECT DESCRIPTION: Traffic signal for Franklin Blvd. & Henderson Ave. Public Owner: MOE STEPHEN S 1-2 Address: PO BOX 847 SPRINGIiIELD OR 97477 I CONTRACTOR INFORMATION . Contractor Type Electrical Contractor CHERRV CITY ELECTRIC License 91668 Expiration Date 07/20/2011 Phone sdempsey@Ycher BUILDING INFORMATION,' # of Units: # of Stories: Primary Occupancy ~roup: Height of Structure Secondary Occup'.ncy r.roup: Type of Heat: . ~.lill:tl~~ Pnmary Construchoni:fo/pe Water Type: Secondary Co~,SHfuc'tio,', nrI]yp<l!HALL EXPIRE IF T~"l\~R'~pe: # ofBedrooms:UTHORIZED UNDER THIS PERMlt~.rl\1~ ath:. . COMM5NCED OR IS ABANDONED mRn'Ri d BUlldmg: J;I~ Y IOU UAY t'tKIUD. Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I _ ~' J.El]lla,Cl . ~\78'1:-'1:88-008 \R \.!UI~E!I.JI~ING UOllllOll'lON Al!l!ln, uoBalU ~"" Liw" . aUOllda\al alll :aloN) '!Folli)] alll 6u!!lll0 Aq sa!nrallllO sa!doo U!llHan~It~pp'(,\j: 0600 -\00-'1:96l:llfO ll6nollll 0IQllnl(i.l'ci':;i6l:llfO U! llPOllas alll salnl aSOll1 'lalua::> uO!\llo!l!loN A1I\lln uoBalO alll Aq paldopll SalDA MOllol _"'M' o~,,,,h,,, ",,, uo6al() :N011N3111f Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Availabl~: Special Instruction: Sidewalk Type: Downspoutsffirains: Notes: I V~luatio~ DescriDtio~ I' Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee l'of 2 , -r!~~~~'~;:"::' " Status II Issued " 225 Fifth Street, Springfield, OR 541-726-3753 Phone " 541-726-3676 Fax 541-726-37691nspection Line Fee Description + 12 % State Surcharge + 5% Technology Fee" Add, Alter, Extend qrc Ea Add Perm ServlFdr 200 "')Ips or less Amount Paid $11.16 $4.65 $12.00 $81.00 Total Amount Paid $108.81 Total Value of Project Fee,s Paid I I Plan Reviews , Date Paid 9111109 9111109 9111109 9111109 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01350 ISSUED: 09111/2009 APPLIED: 09/11/2009 EXPIRES: 03/11/2010 VALUE: Receipt Number 2200900000000001036 2200900000000001036 2200900000000001036 2200900000000001036 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. ' Reruired Tn,~nection~, I Rough Electric: P~ior to Cover Final Electric: ,iWhen all electrical work is complete. By signature, T state and agree, that I have carefully 'examined the completed application and do hereby certify that all information hereon is :'true and correct, and I further certify that any and all work performed shall be done in accordance ~ith the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and tbat NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required 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 Paee 2 of 2 Date 225 Fifth Street Springfield, Oregon ~7477 541-726-3759 Phone . City of Springfield Official Receipt Development Services Department Public Works Department I; RECEIPT #: , 2200900000000001036 Date: 09/11/2009 1:54:15PM Job/Journal Number COM2009-01350 COM2009-0 1350 COM2009-0J350 COM2009-01350 Description ~erm ServIFdr 200 amps or less Add, Alter, Extend Circ Ea Add -t: 5% Technology Fee I' i 12% State Surcharge ~ . Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 81.00 12.00 4,65 11.16 $108.81 Payments: Type of Payment Check Paid By MORROW-MEADOWS CORP/CHERRV CITV ELECTRIC Amount Paid KR 22109 By Maij $108.81 Payment Total: $108.81 cReceintl Page 1 of I 9/11/2009