HomeMy WebLinkAboutPermit Electrical 2009-12-2
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O\T-25-2007 14:08
,10/25/2007 .13:07
BUILDERS ELECTRIC'
7263676
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541 485 4055 P,01/01
CITY OF SPRINGFIELD PAGE 01
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CITY Of SPRINGFIELD, qREGON .
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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,.. \-'\ \ ':\ .
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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.
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',:CbNTR.4:CT6ROOTAttAi10NONLY'
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Electric.1 Contractor Pi Ii k IfYS E.] f C h:" C
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Address
lye)
.l-k:ri 1=, en
,City
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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'
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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~\\
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\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,
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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
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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,