HomeMy WebLinkAboutPermit Electrical 2009-10-27
1;~mlltY)E~ARlfMEN'iUSE!Q:~L;Y:,' };"l~,
iW0Y'i"3;t::+S:i.).,,,,::~:;~~:t~"i;q~~~,~";"Ii;ii~~~1
I ~ZJX)'1-CJIS77 I'
Permit no.:
I Date: / () - 2-7 -0 '7 I
ElectrIcal Permit Application
225 Fifth Street. Springfield, OR 97477. PH(54I)726,3753+ FAX(54I)726-3689
.:y,,1V
This permit is issued uuder OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days. .
-!iIi'''~1K00A'IP''GO'MERNMENif~'<<F!F!RO'MA'~~~-''''~1 ~"Yil';,)!"""~~lll!\'!'gEE'E'l'S'C' "'ED"'i!El--;'''''
bE-i04'2i.... ..J!L..,..mm......, __,,'5tl > _m_ , .... ,... ". '''''' .._ ;O':..A,~_.;__k~~~~h;$f" t?~"!i~$L~'E<l'_~fX:,"_'h.'-._Q___ __v.L::__~1m-~~~~~
Z,oni,ng appro,val,verifie"d? , DYes D, No' ~,\<N'.;..'il1Ii''''"''''b'''''', ,;~'!S,.,.I#i~~t"*" '~t,)'i'~('),''''I' <li~,,:II€Ollf 1,!S!,:rotall,ft:'
. ..,., 'm _ Om .. _. om . ~... .... om. om om _ . _' .. ",' " urn ,,_e.rt~,~;m~pe_c IOn}}p:er;,1 .~!!m:;J)!~ <i: Sln-:. ,'<>-'C_' .." ~;}'""."-t'Jo!'~
[~~~~rnEOjR~~~~::~~Ji]Rd_I~O~=~~Jj 11';::::~~:~I;;:::;7.::;'::~:c~::ed;M"~' '" ~~. ,t~g'<lb~'<I'
i~!~~';E~::~B:,~~O~;~ji~6A~i,:~~~~~J I ~~;;~~i:~::II~;O(:~ ft. or portion :1:::::: i
ili~~~~~I~I~~;;Ri:~~=~J I ~~~~:~~:~;:;;; re~~:r (~)OdUIM : :::::: 1
I Te.-\ "'-- () '1' L' ,...... (c:: t' C" \ I Serviees or feeders: installation. alleration, relocation. ,<,.- I
\"",....tt~ rA" lQ,V\V:J. J~LL n "".lAG 1 '"
IDr 1"1:.1',,1<[,:,'1 1?lb.J Ll':>d~ ,L-'O F;<:~c:.) 1 200 amps or less (2) $ 81.00:'$ II
i~~~~ER15Y~!0WN?~~~?c~~~:'!J:t~~h ~~;;:;~~~:~~; :1:::::' .' : I
I Address: 4(7 'TtLM..(o i'~~~~~6-~;,n~~!. ThO~en~i!~~t~~~~(2) $205.00 $ 1
I City: <;A-U::'UA. I State~O. ~ail>;~~~tyb: .~~i'[)QAI1ClllG~Qrvolts (2) $469.00 $ I
I Phone - - . 1 Fax:n~~~~_~~e cen~r. (No ~I;' ~~~b~fJI!~~ $ 63.00 $ I
I E-mail: C I U,o;, Vltlg'on Jtlll~Nl!fllifC~t1fi",'ce~ or feeders: installation, alteration, relocation 1
enter I~ L""" . 3~-1I&'iA.\,- / ? I
This installation is being made on residential or farm property , " 1 . ."'I"'s or less (2) I $ 63.00 $ 10.::>1
owned bJ: me or a member of my immediate family. This I 201 to 400 amps (2) $ 8700 $ I
property IS not Intended for sale, exchange, lease, or rent. OAR. I .
479.540(1) and 479.560(1). 401 to 600 amps (2) $126.00 $ I
Si~nature: . lOver 600 amps or 1,000 volts, see sel!'ices or feeder~ section abov.e ,:. I .
I~C:(::)Nm~'(1:jTLQR~INsJrfAtll!~]IQJimlt.A~~1J~'~f!:1. J Branch circuits: new, alteration, 'extension per panel .'C." 01'"
I Business name: S'Crl_ ".l~L-.JIo .. '- /E..II:"'L.lp.....'.c I I a. Fee for branch circuits with purchase of a service ~r feeder fee: I
I Address: p. b bOX. , Z. -<7 1 Each branch circuit I I $ 6.00 1 $ I
1 City: FOlZ.-::,,'b b I2DIYL. I State: f">1L I ZIP: q 1 /I bib. Feefor branch circuits without purchase ofa service orfeeder fee: I
I Phone:.505 -%~- Obod I Fax:>,...j -39.7' 0:<:1>& I First branch circuit (2) $ 55.00 $ I
I E-mail C?c......~s.-..~-I...._...NjJlLGJiL.Cc-...y~ :-1 , .I;:ach additIOnal branch cirCUit $ 6.00 $ I
I CCB license no.: 6. 7lJLJ L I BCD licmlS1.P.ERMlrlchl~C Mi:;c'e"~ri'o'Js::fees:.servlce or feeder not Ineluded I
" Signing supervISor's license no.: ,4 Z 1~f.HORIZED UNn2 . ~ ~~f~"'ft~clr"le (2) $ 63.00 I $ I
Print name of signing supervisor: be. n ;;~~' 1$1~&UUs 48. ;~{hlsflMJloISINOfn~mg (2) $ 63.00 I $ I
I Signature of signing supervisor: U UAY P1=RIO" ~ig,g,I\{!;k\"rQR,h'Jllted-energypanel, $ 63.00 I $ I
I~~ V[2/ A:!,A _u", alteratiOn, or extensiOn (2)
Each additional inspection: (I) $58.00 I $ I
"~
~~~~\'\.\
'\;(.;
.. . eD
~~~.
~.~
~~
(A) Enter subtotal of above fees
(Minimnm Permit Fee $58.00)
,I (B) Enter 12% surcharge (.12 x [AD
1 (C) Technology Fee (5% of [AD
I TOTAL fees and surcharges (A through C):
b3
$ 7>" I
$ '3-1 J I
$ 7-:, 7/1
$
"
440-2584-J (9108/COM)
t::~.1'
Status
Issued
.,
CITY OF SPRll~tjl1u,LD
Building/Combination Permit
PERMIT NO: COM2009-01577
ISSUED: . 10/27/2009
APPLIED: 10/27/2009
EXPIRES: 04/27/2010
VALUE:
225 Fifth Street, SPringfield,O~~;ii;ii; ': . '
541-726-3753 Phone': ::'i,:::' ,.:/ ",:,'\,
541-726-3676FaL;' '.. "
541-726-3769 In~pec.tion Line
. ,_; '1
SITE ADDRESS: , 3001 Frankliri'Blvd"
ASSESSOR'S PARCEL NO.: 1703334402600
Eugene
TYPE OF WORK: Electrical Work Ouly
TYPE OF USE: New
PROJECT DESCRIPTION: _ Temp path lights south side of Franklin under 1-5 bridge
>;,' . " , " . "'- ,~~;,:-::'
Commercial
Owner:
Address:
ORDEPT OF TRANSPORT A TION
'417,TRi\NSPORTATION BLDG
SALEM OR 97301'3871
I CONTRACTOR INFORMATION I
Contractor Type
Electrical ;'," -,
Contractor License
J:-I., .
.:.;: SUNDOWN ELECTRIC CO A CORP OF IDAf67442
Expiration Date
,07/31/2011
Phone
503-359-0604
7 ~ ~
.-; ~~.,. -.
I BUlLum\J H,FORMATION I
"lrr~
# f S' f-"I t N7'.IO L S'
. 0 tones: ^ u"OI~, AI: 0 ot Ize:
Height of Strudt1ire-,~trl!les ~rl regon~ Ft 1st Floor:
It; 0 -4'/On 440Pl
Type of Heaao '4R 95 ., Cent ed b F~~8!JFloor:
Water Type: 90. YOll 2'OOl,O~r. rl}os <ll'Ql.!l ~<<uro!J to
Range TypehZa/ling tl} may Ob, '~ tl}ro q2~wort
Energy Path: mber fo e center. am cOp ~ t forr"
Sprinkled BUildinICen', tl}e. o-pJa (/vOte: lMftl1i ,.
e, 'y Ifrn. .. 'J,\, /",. ..)
I DEVELOPMENT INFORMA TION' r~~: /votif~f1e .,
, 'a4.t), K!!lMJlRED PARKING
~ ~
# of Units: ",.
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constrnction Type
Secondary Construction Type:
# of Bedrooms: -
"
,
~; . to ' 1.-'
'.
-:"('
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:" ,
"
~~.. ....
..
Street Improve;;;ents:
Storm Sewer Available:
Special Instruction:
"
I PUBLIC IMPROVEMENTS I....
NOrl" . ,..,.~. Sidewalk Type:
'iiI. 1Jc.' -
AU 'S PfR. ' Downspoutsmrains:
'liO 'Mils.'
COiv!, 'R/lfD '/-fAll '
ANy,'MfNCfD UNDfl1 t'Xp/l1f
80 DAv. OR I.~ 'I.!lifS pr-': 'lHf!IA'A
. '~'iJrjlV/1 --IWII,1. 'vITI(
I V~luation DescriotioiT'" ONfD ~O% NOr
$ Per Sq Ft Square Footage
or multiplier or Bid Amounl
,-
Notes:
. :.
;! ." ~ . f I
Description
Type of Construction
Value
Date Calculated
u
Paee 1 of2
Status Issued 'c'1-; ;,'>, :,::~/!i
" .. .,;:"..\q::. '.:: :.::c
225 Fifth Street;'Sprlngfield, OR .
. 541-726-3753 Phone ,
'541-726-3676 Fa~- .,;1 ~.
541-726-37691nspection Line'> ~:: \'
CITY OF SPRIr~\.>dELD
Building/Combination Permit
PERMIT NO: COM2009-01577
ISSUED: 10/27/2009
APPLIED: .10/27/2009
EXPIRES: 04/27/2010
VALUE:
,',
~:. ,,'
';.
. .~ . ,
"
-:." Total Value of Project
:..';:.'-'"
'( Fees Pair! .
" Amount Paid Date Paid
,.. ~ $7,56 10/27/09
$3,15 10/27/09
, $63.00 10/27/09
Receipt Number
1200900000000001195
12Q0900000000001195
1200900000000001195
"V"<;
Fee Description-:-; ,
+ 12% State Surcharge
+ 5% Technology Fee
Temp Power 200 amps or less
Total Amount Paid
- ;~
$73.71
t .:
i
,.
All;'
"
I Piau Reviews I
" .
- 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. ~
.
'.
I ReolJirer!l!,snectuon< ~
~ \111....
Temporary Electric: Approval required prior io Utility Company energizing pole.
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 I 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 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Cont~acto.rs Signature
Date
I' ., '.
'.~ .. :
"
j" .i, .l::~'. ~
Paee 2 of2
225 }?i~th, S.treet
Springfield, Oregon 97477
541-726-3759 Phone
.....;-~"--"}!I!!!-I:!".',".,',.,'.
'''J' "
.....-:"" ~- .,
~~. -
_____ -o:.-~;.;'- _..',_~\
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number....
COM2009-0 1577
COM2009-0] 577
COM2009-0]577 '
Payments:
Type of Paymeol
. Check
cReceintJ
RECEIPT #:
Qe~~~.jptiQn :.;:':A~:'\.:~~::,~;':}'.. ;': '
!TeinpPower:20d amps or less
> ',"-',','C. " .' . ..- ..'
";+,5'/0 Technology Fee
.1?% State Sw:charge
;:.' ,.',
..
''''.;';i
..
Paid By"
SUNDOWN ELECTRIC CO.
"
;s::/t-;.i?;,:, '
..; ..'~:' .-,~t.
,,' ..
1200900000000001195
Date: 10/27/2009
Hem Tolal:
Check Number Authorization
Received By Batch Number Number How Received
djb 23090 In Person
Payment Total:
Page] of]
3:00:48PM
Amount Due
63.00
3. ]5
7.56
$73,71
Amount Paid
$73.71
$73,71
10/27/2009