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HomeMy WebLinkAboutPermit Electrical 2009-12-2 . ~ , O\T-25-2007 14:08 ,10/25/2007 .13:07 BUILDERS ELECTRIC' 7263676 , 541 485 4055 P,01/01 CITY OF SPRINGFIELD PAGE 01 ~ CITY Of SPRINGFIELD, qREGON . "'IIIIIINQ~'lI:"'O '. .... .-, k~ ZON !!'o1T1 ALS DATE SOURCE 225 F11TIl STRUT . SPRlNGfl~LD, OR 97'17 . PH:(5'lm6-375~ . FAX: (5'1)72(.3689 ELECTRICAL PERN+f Af.PUCATION Cily Job Number ' l.~ u,.. \-'\ \ ':\ . l~''l''~' "':.~" ..... """'7'~'-:"I:' .,.'.' I ~": .'.~ ~~:.-."'~ "'C' '.' ~-..':""'>'" .,~ .,<':": -::-,~:': ~-" 1. ~;,,~~\Of=r~g>::" 3. LEGAL DESCRIPTION: \ 6t52>Nl. 2.0 ()33CV , JOB DESCRIPTION: ~t()~mo Sero("~ , P,rmltsare non-tnnsferAble and expire If work is not start.d within 180 day. o(;".ance or irwork j. Suspended for 180 d.ys. "'_~"l-~~""",._."'-""'-'. r. .. ___",~,~~",,'<,",_,m:"'~"-':.'-''''--'''''-'-':. ',:CbNTR.4:CT6ROOTAttAi10NONLY' 1. :l~~!:~_~,~; .,li' .~ ",: .:.. :".". '.' ":.,.:;,,.;. ."':: . ',~!.I;: ":'-'1': '.'<: "," ,~-.;;. ,~. r. <' ;;".:: :..:' ! _':,co' : ~!\:;: "" Electric.1 Contractor Pi Ii k IfYS E.] f C h:" C \ Address lye) .l-k:ri 1=, en ,City ,. . -, C \. ]c\( '(i.f- . Phone t+\(~) - Cc/ L'~~~ Supervisor License Numlla- ~2 7 ~'J S E~piration Date /0-/-10 ConSU". Conlt. Number 47 C] l."7 E.piration D.te SigTIature of Supervising Electrician' ,.--~ ~~ OwnersNam. w\ \r\ \ ~'f\ . Address YJ~ \ Srt-C.lJ\ 'lJ lr-. City fa ),\f'.NZ--Phonc_ OWNER INSTALLA nON Tho install.tion i. being made on propertY I own which is Dot intended for sale, lease or rent. Owners Signature: rf"ff . \~ \ ,\\1 ~~\i Inspection Request: 72~\\ "^"~ &"\\( ,\) \0Y \'0' Date D,(;ii~fEfEJ.'@,$~Dm~f~tM~~';;.:(m,';:~~~t~~;;,~; ATTENTION: Oregon law requires you to ' "m'~' iiI'iWj'p."'m::" 'm.~" .Yii'.m'..e,.-'.....,.~' . - ,", . la' .' . . . : '".'n".,:.: '..~ A. "Ne:- ' .. ,'.,unit.)::'" ,",,' 0 I ca n er,'.' ase ru .I d set ".,".....,.. Se",,4f1iSvtlRe52-OO1.(101 0 through OAR 952-001. 1000 A9ft~r ~ may obtain copies ofthGIMeG by Each .d.oolli~~~eNer. (Note: me telephone portion IlItfil1sr for the Oregon Utll~ Nolllllsaliln Each Manur.~t'.R?o~o" HlOO-332.~). , ; ... Modular Dwelling Service or Feeder . $55.00 11:;lo:~::~f:~:~~;~;i~1~~;"~ME:~~~~ 201 Amps to,~OOAmps . $ 83,00 401 Aml'sto.600Amps $138,00' 601 Amp. to iOooAmps $180,00 Ovct 1000'AmpsNolts $413,00 RecQnnect Only'. , ' $ 55,00 ,.', .-. c. :.5~~=;~I!;::~;~'~~;;,€.!~~P:;7~:f~i~~i:~~0Y!~1[::7;1~f,::~~1~~fiff,8 lostaltadon, Attention or Relo~tion 200 Amp' or less 20 I Amps to 400 AniI" 401 "mp,st9:690,Amp. $55,00 $ 76.00 $110.00 Ov':',~lJ.O.(\rnps;"'l{)O(lyol!S see "B" .bove, D. .~::~:~~~ ~~';'~~~~{4'~,;;:;::,; ;:!~.~~)t~';.'l::~:~; :~:~~~:,:{:~~~~_~;,,:,;Jt;~::'i~:i;;"f::;.~1~~D~:?;1~7~;::: New Alteratloo";or:E,;tensioD Per Pand One Cfrcuif~ Each,Additional'Circuit or'with Service or Feeder Permit $ 48,00 $ 4,00 .. ': ,.,. '~":;: ~ ~-, :~'c.7," ,"',::!,''::~':':'':.,\ .~';:;";:':7,_':~"~~-'-:'::"~':~~i~. ;:':"~_.'-~~,'~~'. '~'.""'~" p.-' ,'-'. ~"\ E. :M......II..eoll.(S.r:Vi.elf..de~ not iilClnd.dj:'Ea.i> IosWi'itiori, '.' . . ," .'..: ,:,,' .. ," ",;,"" .:_ . ... ".', '."'" .:' ", :'." ., '.::.:-::. .: . :. ."... .<"'_":" __:. '. :!..:. ,_, ::. e.. ,;;, ,.,,:~: ~. ::~' Pump or irrigation' $ 55,00 Sign/Outline Lighting $ 55,00 Limited EnergylRcsiaenrial $ 28.00 Limited Energy/Commercial $ 50,00 Minimum Electric'Pennit IDspection Fee i. $50,00 + Surch.r~t.! ~ ~~i%1?T~:6r1B~Hl"'~n'::-;:T~:~~ . ~'y~SlaleSurcl1.r8' <..t.,"L- I~~~:.?__ fP 5% TochnologyFee "'\ . <:> 0 NOTIC~.oTAL .", ,,',.,., QA,.-Y\ THIS PERMIT ~tn~~flf~~nnil AppHcmon 7.07."'" AUTHORIZED UNDER THIS 'PERMIT IS NOT COMMENCED ORiS ABANDONED FOR ANY 180 DAY PERIOD. TOTAL P,01 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01719 ISSUED: 12/02/2009 APPLIED: 12/02/2009 EXPIRES: 06/02/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5001 FRANKLIN BLVD ASSESSOR'S PARCEL NO,: 1803022003300 Eugene TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Industrial PROJECT DESCRIPTION: One (1) 100 amp service Owner: WILDISH LAND CO Address: PO BOX 7428 EUGENE OR 97401 'I CONTRAC!OR INFORMATION' , Contractor Type Electrical Contractor BUILDERS ELECTRIC INC License 4296 Expiration Date \2/1012011 Phone 541-485-0922 ~UILDING INFORMATION 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 1 st Floor: Sq Ft 2nd 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 Z Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I ~UBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I V ~Iuation Descrir.tion I Description Tvpe of Construction $ Per S<!, Ft or mnltiplier Square Footage or Bid Amonnt Value Date Calculated Paee 1 of 2 _Se!!!~9EI!!'i;.r!i t f ,. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01719 ISSUED: 12/02/2009 APPLIED: 12/02/2009 ' EXPIRES: 06/02/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Ffes Paid I $9.72 $4.05 $81.00 12/2/09 1212/09 1212/09 Receipt Number 2200900000000001344 2200900000000001344 2200900000000001344 Fee Description + 12% State Surcharge + 5':10 Techuology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Total Amount Paid $94,77 Plan,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 ~e/lui~ed Insnections. Electric Service: Approval required prior to utility company energizing service. 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 OCCUP ANCY 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 iuspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the frollt of the property, and the approved set of plans willremaill 011 the site at all times during construction. Owner or Contractors Signature Date Pa2e 2 of 2 .'" .,.....;- 225 Fifth Street Sp'ringfleld, Oregon 97477 541-726-3759 Phone &a;~;;.""," "I,> 1* " -. ,-' '<, >.............,.., ....~, ,",-,.,. . - City of Springfield Official Receipt Development Services Department Pnblic Works Department Jop/Journal Number COM2009-0 1719, COM2009-0 1719 'COM2009-01719 Payments: Type of Pay~ent CreditCard cReceintl RECEIPT #: 2200900000000001344 Date: 12/02/2009 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge Paid By BUILDERS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number' How Received .. 1111 512071 Phone Payment Total: Page I of 1 1:18:32PM Amount Due 81.00 4,05 9.72 $94,77 Amount Paid $94.77 $94,77 12/2/2009,