The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2010-11-1 Ele~trical Permit Application : Ci;ry:'iOF"SPiUN,GEIEti>;;OiEGQN;~~ "'t,;;~.,?~-:c. '.t",,~~-,,:..t",-~s- l'f,""'!t~'t::;"f.{!h_-'" "~.lY:' 225 Fifth Streett Springfield I OR 97477+PH(S41)726~37S3.FAX(541)726-3'6S9 " DEPARTMENflisE ONLY. 010 - &2:] Pennit no.: Date: II I lD This permit is issued under 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. , .~. ',;120CAL:GOVERNMENT'AP.P.ROVAG~'.0';'f;'!,:1':'\?'~Y Zoning approval verified? 0 Yes 0 No ,!:",:,:.S,A,CJl.TEGORY0(jF;"CONSTROCTION':;!!~. o Residential 0 Government -tf'Commercial mi~~.:JOB311SIl[E~INF(jRI\IIJl.TIOlllrJl.ND~Llo.CMIONs~~~~~i~! lob site address: ':5osDJv..'tll"_,/V1 LP1 City: S ....,. (" <:,k\ State: O~ Reference: Taxlo\.: , ,., 'DESCRIPTION; OFWORK"i,:,,;:'lr:i:"'j~;::\,l:n: S'<:\-'v;'" <.. ':;",\'>."""", L\ "'"b,~ '-.f NI3 \!:IFF RoM . 'PROPERTY OWNER Name: Address: City: Phone: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, This property is not intended for sale, exchange, lease, or rent OAR 479.540(1) and 479.560(1). ZIP: Signature: . 1:CONTRACTOR'INSTALlATlON Business name: $4 ,<, Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: ~.P \\\\9 W .~~ ~ 440-2584,) (9/08/COM) '1' ~....,--.._,~ . . ....,. .-.. '.',..' , '" .' Cost. Total" ::~,~~:,~,~r,?,f,;j~:~p.e\ct~~:~~'g~r1~~~,T:()\':':f~.' 9.~f': ~i'.'t~"~~~;, ';' <.i" cost: :',', Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft, or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) i $ 81.00 $1/ 20 I to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit ~I $ 600 I $ i ~ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder ~ot included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (J) $58.00 $ riW~~~~I~~~~i?&t~~~,f:tcrfC/{Nt~JjsE~#i~tt:~i[~;t1{tt~:~::.gt,l;:,';:~,; (A) Enter subtotal of above fees 19-- (Minimum Permit Fee $58.00) $ (3) Enter 12% surcharge (.12 x [A]) $ 11 8~ (C) Technology Fee (5% of [A]) $ 4 ~ TOTAL rees and surcharges (A through C): $ (IS;o SPi ~.\N~_FIEL~ - r;~:"~h~' ,-'.""".., \'; . ~T~ ; <m;~ OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00623 IVR Number: ,811182920701 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 11/01/2010 ISSUED: APPLIED: 11/01/2010 11/01/2010 EXPIRES: VALUE: 04/30/2011 $0.00 SITE ADDRESS: 3030 JUDKINS RD, Eugene, OR 97477.00 ASSESOR'S PARCEL NO: 1703334402500 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: OWNER: . ADDRESS: Street Lighting for 15 northboun~ offramp . OR DEPT OF TRANSRORTATION . .' J.", :..JI!"W' 0"8 J ' 355 Capitol SI. NE,'Room 4.1"1 . . I -gem a'N requires you to '-' ,. , I tH'" aOj....t::..d b SALEM OR 9730.1:38!,1tjo~ (;An~;: -Th _ ~ the Oregon Utilitv ~~ UAH 952-0tJ1-001C0NTRiic:rOR;rNt6RWi~ION 90. YoUm:::lV1HJI"! ^ '" :VI g:Bn~~~~'9r,)'!,a,.,~~_ d fl. ~oples ,of the rul!::: ic Type (R.!t!tH9~NiELEtnT~r9~~~ ~ ?0~~.?~-IDAttqephone CCB Center j . 1~i?!fr!<:t!N~ORMMION Contractor Type # of Units: o. # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: r~OTlCE: THIS PERMIT SHALL EXPE'i'e't1lfcm\ie~Wt9Gode Edition: AUTHORIZED UNDER THI~~m8tlA/JFbf"eb'J, Edition: COMMENCED OR IS ABNM';)Q,'J[;\MS'p'ilcially Code Edition: ANY 180 DAY PERIOD. Municipall D~velopment Code: Sprinkled Building: Fire Alarms: Energy Path: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty: Code Edition: Phone Number: ~ Lic No 67442 Lic Exp 07/31/2011 Phone 503-359-0604 Lot Size: Sq Ft 151 Floor: Sq FI 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: o Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area; Retaining Wall: Soils Report Required: Springfield Building Permit 11/1/2010 2:19:41PM Page 1 of3 . S~~~IN. G.. F IE.l. ~ .~ ,. ~~.. '. ;.,~ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 81,1-SPR2010-00623 IVR Number: 811182920701 225 Fifth SI Springfield,OR 97477 Phone. 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permi1center@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 11/01/2010 ISSUED: APPLIED: 11/01/2010 11/01/2010 EXPIRES: VALUE: 04/30/2011 $0.00 SITE ADDRESS: 3030 JUDKINS RD, Eugene, OR 97477.00 ASSESOR'S PARCEL NO: 1703334402500 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Street Lighting for 15 northbound offramp DEVELOPMENT INFORMA TION ~ Overlay Dist: # Street Trees!Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I DescriDtion Tvee of Construction Unit Amount Unit Tvee Unit Cost ~ Descriotion :Services 200 amps or less _ Branch circuits with service or feeder each circuit State of Oregon Surcharge (12% of applicable fees) Technoiogy fee (5% of permit total) Total Amount Paid FEES PAID Amount Paid $81.00 $18.00 $11.88 $4.95 $115.83 , Date Paid 11/01/2010 11/01/2010 11/01/2010 11/01/2010 Receiot # 374763 374763 374763 374763 Springfield Building Permit 11/1/2010 2:19:41PM Page 2 of 3 . S:;~N=L~ ~'~"if,>4i ~'. 1o~. .. ,,+K'OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00623 IVR Number: 811182920701 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 11/01/2010 11101/2010 Issued 11/01/2010 EXPIRES: VALUE: 04/30/2011 $0.00 SITE ADDRESS: 3030 JUDKINS RD, Eugene, OR 97477.00 ASSES OR'S PARCEL NO: 1703334402500 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Street Lighting for 15 northbound offramp Plan Review ~ DeDartment Initial Review Received Due Date 11/01/2010 11/01/2010 ComDleted 11/01/2010 Result Over the Counter ~~eE~Ji~~:t6;9fP~-~~~ . L:'.>+j-,.",_';;:--"'-'i'f-_';i~;.",?c., Permit Issuance 11/01/2010 11/01/2010 11/01/2010 Issued Reviewer Chris Carpenter Chris Carpenter iElectricaIReJi€'N~~'F..o_/~~f""F>11/0112016;:,1'1/0112010_" 11/01/2010 ~ ":Not F3eqy!red:-~;t~:C-hns garpenter'~ _~' ...-.~~t'""':::,.;' ;;-#: j I~~'" ':,'.'::::\b':~""~"'/ "~.~~"\-/.:; ., ~:,'~;:~~j/-:~7":'~_;'~' '~':"~:':':;R ::::~~E~~;0:"'-:'~'" '{L7"_ ;~~:," _ _" '- .'~ ',' ~. _~~,~ _.' , ,,~j INSPECTIONS REQUIRED ~ Inspections 4225 Service or Feeder 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 or ,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 of the property, and the approved set of plans will remain on the site at all times during construction. ~- / - .-,-- / ~ - /(-I-(D Date Springfield Building Permit 11/1/2010 2:19:41PM Page 3 of 3 . SPRING. FIEL~D - Ii=" '~', ~ ;;:> . OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2810-00623 3030 JUDKINS RD CITY OF SPRINGFIELD 225 Fifth Sf Springfield,OR 9747,7 541-726-3753 permilcenter@ci,springfield.or.us RECORD NO: 81 I-SPR20 I 0-00623 DATE: 11/01/2010 : ';;;.':" "';:'t;;i~;ei!j~:'(~C,CO_lJNij:;J.>PE.~..''7':;:{~M()_@I&U.g. c, ., ~ 224-00000-426102 $81.00 224-00000-426102 $18,00 821-00000-215004 $11.88 ili__..'_-'-~.__0 100-00000-425605 . $4.95 TOTAL DUE: $115.83 ';., :':?>;/'..::!~.MOlJNT~AID RECEIPT NO: 20 I 0000721 tQgSCRIPTION: ',.,. :':_::~':'TC"";- Services 200 amps or less Branch circuits with service or feeder each circuit ~~te of Oregon Surcharge (12% of applicable fees) Technolo~x fee (5% of permit total) I. .pAYMENT TYPE:;" PAYOR.-: _C~Sj.i1ER cC~RPE~TER1,;'c:.<J.MM~rirs;-; '>,: Check 24464 SUNDOWN ELECTRIC CO A CORP OF IDAHO $115.83 $115.83