HomeMy WebLinkAboutPermit Electrical 2007-7-27
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CITY OF SPRINGFIELD J
Building/Combination Permit
PERMIT NO: COM2007-01115
ISSUED: 07/27/2007
APPLIED: 07/27/2007
EXPIRES: 01127/2008
VALUE:
Status
Iss u ed
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: Alteration
PROJECT DESCRIPTION: Low voltage for camera and panic button at Glenwood Reception area.
Residential
Owner: LANE TRANSIT DISTRICT
Address: PO BOX 7070
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Low Voltage Electrical
Contractor
SELECTRONINC
License
64341
BUILDING INFORMATION I
Expiration Date
02/16/2008
Phone
503-245-9988
# 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
ATTE~tlM~fA~cf"~w requires {'ill to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
iC&nDCll MAn VnlJ mAY nhtAin ~nniA~ nf thc:l rI r1c:lQ hl'
THIS PERMIT SHALL EXPIRE IF nit: WuRK. .. I calling the center. (Note: the telephone
ORIZED UNDER THIS PERMI ~on DeSCrIptIOn number for the Oregon Utility Notification
AUTH BANDONED J;OQ Center is 1-800-332-2344).
,l',nrdIMEN~l=n m:l IMI, )'P~'r Sq Ft Square Footage
DescrlJmwvl \f'f1fe~f'CRI struchon It' I' BOd A t Value Date Calculated
ANY 180 DAY PE. or mu Ip ler or I moun
Notes:
. ..';,,~'~"
Pal.!:e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01115
ISSUED: 07/27/2007
APPLIED: 07/27/2007
EXPIRES: 01127/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Commercial Indus
Amount Paid
Date Paid
Receipt Number
$5.00
$2.50
$4.00
$50.00
7/27/07
'7/27/07
7/27/07
7/27/07
2200700000000001200
2200700000000001200
n00700000000001200
2200700000000001200
Total Amount Paid
$61.50
I Plan Reviews,
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.
LReouired Insoections I
Low Voltage: Prior to cover.
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 of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pal.!:e 2 of2
City'of Springfield
o New construction
Electrical Authorization To Begin Work
E-mailedTo:erin.butrico@selectron.com
Receipt # EC514637
7/27/20079:01:05 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
lliJ Addition/alteration/replacement
Qty.
o I or 2 family dwelling
Description
o Multi-family
[K] Commercial/Industrial
11,000 sq. ft. or less
I Ea. add I 500 sq. ft or portion
I-Limited energy, residential
(with above SQ. ft.)
I-Limited energy, multifamily
residential !with above s9. ft.) .
1 Se;;jc~'(}~~ ~ffiJers'iristanaiiori;'aitera!io~;AND/OR r~location
1200 amps or less
I 20 I amps to 400 amps
140 I amps to 599 amps
TEMPO'
Job no,: 6602 IJobaddress: 3500 E 17TH AVE
1 City/State/ZIP: EUGENE, OR 97403-2375
I Suite/bldg.lapt.no,:
I Project name: LANE TRANSIT DIVISION
Cross street/directions to job site:
I Subdivision:
I Tax map/parcel no.: 170334340030 I
1 Lot no.:
INSTALL CAMERA AND PANIC BUTTON AT GLENWOOD RECEPTION AREA
1200 amps or less
1201 amps to 400 amps
I 40 I amps to 599 amps
1 ~~~itc~ ci~~i~~~.~W~ alt~:~iion,'6Re.~t~,!~io~, p~r. pan'er'.
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit.
B. Fee for branch circuits
without service or feeder fee,
first branch circuit:
1 each addl branch circuit
I EI. lie. no.: 26-497CLE
I Business Name: SELECTRON INC
I Contact: STEVE RUNKLE
IAddress: 7225 SW BONITA RD"
1 City/State/ZIP: TIGARD OR 97224
I Phone: (503)6399988
I Email: erin.butrico@selectron.com
1 Metro lie. no.:
I Supervising electrician's lie, no,:
1 Supervising electrician's name: 8TH DAY AUDIO & VIDEO INC
I Name: RICK BAILOR
I Phone: (541) 682-7474
I Email:
1 Fax:
... .' .,'.c >k .. .':.' ..,.,. '.... .I J
....Wr
_,) ~f -
\J:J\l
CONTRACTOR-
, ,. - - - .
1 CCB lie. no.: 64341
Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
extension.
$55.00
, ,
:ro~
I Fax: (503)6844357
I
I
I
I
· City Of Springfield
~5>60' t..p~
$4 AO
$825....( ),\
TOTAL PERMIT FEE $67 ~5' \V \ .
10% Local Admin Fee: 5% Local Technology j€e
Subtotal
State Surcharge (8% of penn it fee)
City Of Springfield fees ·
1 City lie. no.:
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to 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 that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
54-1-726-3759 Phone
Job/Journal Number
COM2007-01115
COM2007-01115
COM2007-01115
COM2007-01115
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200700000000001200
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/27/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of I
ONLINE Selectron Online
Inc.
Payment Total:
1:19:33PM
Amount Due
50.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
7/27/2007