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Home My WebLink AboutPermit Electrical 2010-2-4 S~~=~.N~:ELD ,.. :;:~: . ,~lIA 'J ;;..~ ~..' ~ .Lti:'::'~:OREGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us G /0.151 Commercial Electrical Authorization To Begin Work 69600-BEL-10-00058 Approval Code: 004055 2/4/2010 2:05 pm e.mailed To: tena@orelectricservice.com " IRl Addition/alteration/replacement ,.': o 1 or 2 family dwelling o Accessory o Multi-family [Z] Commercial ", .' &c.:. ., ~ '~cJ6B:SITE'IN~6RMAfl()N'ANb;tr6cA ffoN':'f!i~~~~";~l Job Address: 3500 E 17TH AVE City/State/ZIP: EUGENE, OR 97403 Suite/bldg.lapt.no, : Project Name: C&K1L TD I Cross SlreeUdirections to job sile: Glenwood 'Blvd to 17th Ave, I Tax map/parcel no.: 1703343400301 It$-',ti~1f~~~",~%r~~:(:P;;i-~~bE$CRiFiJJ9.~LQF.:~WQRis~o;il,;;;i~~~~~j;'~~~~~ Repair conduit. ..N':; , "" Name: Jeff Brooks Phone: 541-343-1681 Fax: 541-343-1683 Email: Elec lie. no.: C408 181997 CCB lie. no.: Business Name: OREGON ELECTRIC SERVICE LLC Contact: Address: PO BOX 2237 I CitY/State/ZIP: EUGENE, OR 97402 Phone: 5413431681 Fax: 5413431683 Email: Metro lie. no.: City tic. no.: Supervising Electrician's lie. no.: 1392S Supervisin~ Electrician's Name: HERMAN OLLAR Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 " Upon review. and apprc,val by your local Jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how 10 schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit iS,not obtained. The local building department may determine thai an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps for all other o Fire pumps o Emergency systems o Addition of a new motor load of 100HP or more o Six or more residential units in one structure o Health care facilities '. ",II t>X~'" ~.:~ D Hazardous locations o A service or feeder rated at 600 amps or more D Buildings more than three star D Marinas and boat yards D Floating buildings D Commercial-use agricultural buildings ' o Installation of a 150 KVA or larger seperately derived sys D "A", "E",' or "1-2" or "1-3" D Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal 1 Description I Branch circuits without service ;r feeder IMisc.en[6~~l;l-.!!;,;~\,,;~t, . I Balance of permit fees I Subtotal I State surcharge (12% of permit total) . I Technology fee (5% of permit total) I TOTAL PERMIT FEE / ~ 0:\'0 ~. Com2-()/o /7 /Y7 I $55,00.1 $55 00 'i~~i-.~ $3.00 'ij $58.00 $6,96 $290 I $67.86 I \~\ ,,0 t;;~~Q/' ~& ~ 00/5 ( ~/ij//O Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by'a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-00151 ISSUED: 02/04/2010 APPLIED: 02/04/2010 EXPIRES: 08/0412010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3500 E 17TH AVE ASSESSOR'S PARCEL NO.: 1703343400301 Eugene TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Repair couduit Owner: LANE TRANSIT DISTRICT Address: PO BOX 7070 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05/09/20 I 0 Phone 541-343-1681 ~UILDlNG INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: , Primary Construction Type Secondary Construction Type: # of Bedrooms: #,of St~ries: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st 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 Frontyard Setback: Overlay Dist: Side 1 Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar SetbalJlc<!;TENTION: Oregon law requires you.to i'iOTICE' .' ~;~ifi~aii~h ~~~~;r: - ;h~~~:hr~ I:~ ~f;~::iMPRo~EMi_NiS1D' .~ ~8~~ ~H1S~i~~\~E,~/~~; , In OAR 9fi2-001-0010 tnrough OP,,, _"L -- "" "-,,.-- , Street ImPo8~'(f.'W~:may obtain copies of the rules by ;:OMMENCED Ol'li~"/l.iYA~NED FOR Storm sewe~UinlJltJrtl center. (Note:t,h\l tele~ho~e ,NY 180 DAY P!iR,hQ.upoutslDrains: SpeciallnstflWflliwf for the Oregon Utility Notification Center is 1-800-332-2344). Total: Handicapped: Compact: ; Notes: ;'.t,:! " I.' "it)> I Va,luation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ;' j'" .!.: i.' " ., TotalValue of Project I Fee~ P~id I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amonnt Paid Date Paid $6.96 $2.90 $55.00 $3.00 2/4/10 2/4/10 2/4/10 2/4/10 Total Amount Paid $67.86. I Plan Reviews I CITY OF SPRINGFIELD , Building/Combination Permit PERMIT NO: COM2010-00151 ISSUED: 02/04/2010 APPLIED: 02/04/2010 EXPIRES: 08/04/2010 VALUE: Receipt N nmber 1201000000000000104 1201000000000000104 1201000000000000104 1201000000000000104 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. '-:',' o. , " ~~' Reciuired 'Insnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signatnre, I state and agree, that I have carefully examined the completed application and do bereby 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 (he City of Springfield and the Laws of the State of Oregon pertaining to the work described hereiu, 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. 1 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 f,'ont of the property, and the approved set of plans will remain on the site at all times d~ring construction. Owner or Contractors Signature ,1'1,A' , ' Paee 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00 I 5 I COM2010-0015l COM2010-00151 COM2010-00151 Payments: Type of Payment ONLINE CHGS cRcceintl RECEIPT #: an~;"';_,"" .,..',.,',' ~"'[ ~m'__..~_l _,: City of Springfield Official Receipt Development Services Department Public Works Department 1201000000000000104 Date: 02/04/2010 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 12% State Surcharge + 5% Technology Fee raid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE OREGON Online ELECT SERV Payment Total: '1::1; ".Iv .r.\.. :}I.:: .. ,.~":-~' " '!! '. . '1': Page 1 of I 2:17:I7PM Amount Due 55.00 3,00 6.96 2,90 $67.86 Amount Paid $67,86 $67.86 2/4/20 I 0