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Home My WebLink AboutPermit Electrical 2011-3-28 225 Fifth Street+SpriDgfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 Date: :;;; Electrical Permit Application "" l' ~ ,;.' _'_..,;..'~<~_'" ~ ~: ........ --:~. =-"'''. "_. - -, :.; ',:. _ _f ~, ]-. , CI'R~OE4SRRINGEIEED"~OREGON), ,~ '. '---:;,~t-~.;;;oJ .;::. .-,::,::-.,;j 'I ., .\t;.~~<:.r'~"" ;"x '~':-_' _l'tI... ~~-:';}":";"~'):I~ > '. ~"-: .- -\ ~~ "".'~ Y;f~ ".'. 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. ~~~~~~~g~~M~~~~!l~'q~~ c~" , -""V~r'G'k"E{f0e,~i0ij1lt€lf!f$11Cltiei'f;"i~I:I\\J~1~I\lt!W~ "_" ~..IL,,,_,,,,_, """", ,~"",_,,~,,_,illi!;!,fil1,... ~ Residential, per unit, service included: =~:~mt~!ll!~k~g~~;~l'~~~~';~~~~ 1,000 sq. ft. or less (4) $134,00 $ Job site address: ,S ') LI /) F- JKL r 11 ) Each additional 500 sq, it. or portion $ 25.00 $ City:~~e7 I State: ' 'ZIP: thereof Limited energy (2) $ 32.00 $ Subdivision: !7n33'l:..i.5 ( Lot no,: D{(DD Each manufactured home or modular $ 63.00 $ .' "'","u""",__~u''''''''._'';''' ',""" dwelling service or feeder (2) /".(l}~~~~~]!~Q~~7%r-";~c:!',_: Services or feeders: installation, alteration. relocation N"~~r-'- ,~~~~~""~'" 200 amps or less (2) $ 81.00 $ 20 I to 400 amps (2) $ 95.00 $ , .' . ~FtR@J?,G. '~.'~~;W.N.~~~~>?,,*":,,;~::_~~"~5W~~r;. Name: 1J('h(2...tlY\J (",'; T II LeI ])f\ V 401 to 600 amps (2) $158.00 $ i\ddress: ~::?~t1~ ~""J'\lli , Y7 60 I to 1,000 amps (2) $205.00 $ City: r:lJ!:~~ 1 State:rtl " ZIP~LfOK Over 1,000 amps or volts (2) $469.00 $ Pbone: - - Fax: - - Reconnect only (2) $ 63.00 $ E-mail: Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less (2) $ 53.00 $ owned by me or a member of my immediate family,This 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent OM 401 to 600 amps (2) 479.540(1) and 479.560(1). $126.00 $ Signature: Over 600 amps or 1,000 volts. see services or feeders section above 'i ;04_G.E5ll!lIi~Qln~~!!~~IltAi~~'p';;':ii@~~~'1~~ Branch circuits: ne)v, alteration,' ex~ension per panel Business name: J[L4 ['16J .',r a. Fee for branch circuits with purchase of a service or feeder fee: i\ddress: 3'6SY ,);"",Jo r O,..l Each branch circuit I $ 8.00 $ City: Rnl-'l 'I'State: (Jr ZIP: (J,-" (7'{; b. Fee for branch circuits without purch&s&of a service or feeder fee: Phone: '-S-cf-r 7AQ-/074 Fax: I 811- 7 <16 on.7 First branch circuit (2) I $ 55.00 $ '"'''' E-mail: Each additional branch circuit $ 8.00 $ CCB license no.: 1~/J::,51 BCD license no.: -;;11 ~';;;'7c. Miscellaneous fees: service or feeder not included Signing supervisor's license no.: dlOG-5 Each pump or irrigation circle (2) $ 63.00 $ Print name of signing supervisor: ~V7_ { J Each sign or outline lighting (2) $ 63.00 $ Signature of signing supervisor: f\~ 'J / A 'i/I ,--+ Signal circuit or a limited~energy panel, alteration, or extension (2) $ 63.00 $ ATTENTION, O.goo ',."~ y':Jt(~ ,,,' ...~.. ..,~.., '" $U I III rol,..do~,dbylh' 19O' y ~'~'_ o ow J~ r set for ,. -" '- -, . "" '-"~ti\;m1 "0.'00000"', Th"'" ", ~'" " - "." NO~~R952_001-0010thrOugh OAR 952- 1- (A) Ente,! of above fees' :'oso Yoo mO'( ob"" 00,,,, '" Ih",I," by 1 \ / ,';";;.m '.m"......, $ &f. " Note: the telephone I~ .c.V Ci;llling the center. ( Urlity Notification ~ NO ,(f\),l2.'lte. ..,..urcllarge (.12 x [AD " $ :). er for the Oregon I .. - -. numb Center is 1_800-332-2344). ~~\ TI1 ~(c)i!:qqtmqlogyjAq~~5~(::~~~ 1~ ~~E W?~K $ ,< ~ .<t; ~ . AU -~R?i4f[e~I~1iAs"r~harges!(Jdtbrb.lghl'~:1 $ Vj?, / . BANDUJ~I:U tun ~ (J'D 440-2584-J (9108/COM) ,~ COMMENCED OR IS A ANY 180 DAY PERIOD. ~ CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00503 IVR Number: 811102763925 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/28/2011 ISSUED: APPLIED: 03/28/2011 03/28/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us EXPIRES: VALUE: 09/24/2011 $2,000.00 SITE ADDRESS: 3540 FRANKLIN BLVD, Eugene, OR 97403 ASSESOR'S PARCEL NO: 1703343101100 SCOPE: Commercial Miscellaneous WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Light pole repair Phone Number: OWNER: ADDRESS: COCHRAN FAMILY INVESTMENTS LP 3298 LAKEMONT DR EUGENE OR 97408 Contractor Type General Contractor Electrical Contractor Contractor Name JEM ELECTRIC INC JEM ELECTRIC INC CONTRACTOR INFORMATION ~ Lie Type CCB ceB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: . Structural Specialty Code Edition: L.:ic No 161235 161235 Lic Exp 09/07f2012 09f07f2012 Phone 541-729-1074 541-729-1074 Lot Size: Sq Ft 1 st'Floor: Sq Ft 2nd Floor: Sq Fl Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information , Engine.ered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: ' . t Retaining WaIlATTENTION: Oregon law reqUIres you .0 Soils Report ~e;q\1lI'l!d':ules adopted by the lorego~e~~~;ih Notification Center. Those ru es are in OAR 952-00i -OOi 0 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility NotjfjccitlOll Center is 1-800-332-2344). ,:.-..1' NOTICE: HE WORK THIS PERMIT SHALELRETXH~~~~~~lT IS NOT AUTHORIZED UNO R COMMENCED OR IS ABANDONED FO ANY 180 DAY PERIOD. Springfield Building Permit 3/28/2011 11 :25:06AM Page 1 of4 CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-00503 IVR Number: 811102763925 permitcenter@ci.springfield.or.us . PROJECT STATUS: STATUS DATE: Issued 03/28/2011 ISSUED: APPLIED: 03/28/2011 03/28/2011 EXPIRES: VALUE: 09/24/2011 $2,000,00 SITE ADDRESS: 3540 FRANKLIN BLVD, Eugene, OR 97403 ASSESOR'S PARCEL NO: 1703343101100 SCOPE: Commercial Miscellaneous WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Light pole repair Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ 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 ~ Descrietion Bid Tvee of Construction NA Unit Amount Unit TVDe 2,000.00 Bid Unit Cost 1.00 Value 2,000.00 2,000.00 FEES PAID ~ Description Branch circuits without service or feeder. 1st circuit State of Oregon Surch~!:!:..~ 2% o~. aPElicable fees) Technology fee (5% of permit total) Building Permit Fee . Balance of Minimum Electrical Permit Fees Total Amount Paid Amount Paid $55.00 $13.92 .__.~~_~_O<_. $5.80 $58.00 $3.00 $135.72 Date Pa id 03/28/2011 03/28/2011 03/28/2011 03/28/2011 03/28/2011 Reciot# 2011000563 2011000563 2011000563 2011000563 2011000563 Springfield Building Permit 3/28/2011 11:25:06AM Page 2 of 4 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00503 IVR Number: 811102763925 www.ci.springfield.ar.us PROJECT STATUS: STATUS DATE: Issued 03/28/2011 ISSUED: APPLIED: 03/28/2011 03/28/2011 225 Fifth 5t 5pringfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or.us EXPIRES: VALUE: 09/24/2011 $2,000.00 SITE ADDRESS: 3540 FRANKLIN BLVD, Eugene, OR 97403 ASSESOR'S PARCEL NO: 1703343101100 SCOPE: Commercial Miscellaneous WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: light pole repair Plan Review ~ Deoartment Permit Issuance Received Due Date Completed 03/28/2011 03/28/2011 03/28/2011 Result Issued Initial Review 03/28/2011 03/28/2011 03/28/2011 Over the Counter Comments: Over the counter permit Reviewer David Bowlsby David Bowlsby Mechanical Review 03/28/2011 Comments: Over the coun!er permit ~tr~c~u.~al.,~.~y!t~{~~';C~:;::~~{3~{rW~q:~'~'~~2~{~e~~~,1]" (,\Com!!l~nts:';r Oy~rthe..~~DLe.rp~r~TlIt:~ ~S'k:t':::,J'.:j, ~ ':',; Planning Review 03/28/2011 03/28/2011 03/28/2011 Comments: Over the counter permit r:?~".-::~ .... "'.,:,~~ .'.~' IFir~>R~~i:~W". "'. ',,'-:\,t:S$:Jff\ . O~/28/~,~1~~~9~~!2~~~O: r,o Cgmments: ~Ov~rthe'cCiUhte~rpermit~, ';"".(5~:~'" "'0 ':, C;':'"...,':"'::_ .' _...._.~.~..~.,:;;e}~:......,...;.,~~~~i.M~ PubJ)c Works Review 03/28/2011 03/28/2011 03/28/2011 Comments: Over the counter permit ~:~6!i~~i;~~~l;:;~~:~~il~f~ Traffic Review 03/28/2011 03/28/2011 03/28/2011 Not Required Not Required David Bowlsby David Bowlsby 03/~W~Oj1,,1,;,:t~3{2:2~01;1L>5;,NQL~~:9]ir ~ 0' '~#i;#~~~:' t~/ ~''':'~<f~fji Not Required INSPECTIONS REQUIRED ~ Inspections 1110 Footing 1999 Final Building Footing: After trenches are excavated. David 80wlsby ~,:,:~;, ~~}~:';J ".."::~" ,,,-,..C',,","',',:.': .' ~ .': _;~';jy?;;;,/>:t<'G;,?'<0' .... Final Building: After aU required inspections have been requested and approved and the building is complete, Rough Electric:, Prior to Cover Final Electric: When all eleCtrical work is complete, 4500 Rough Electrical 4999 Final Electrical Springfield Building Permit 3/28/2011 11:25:06AM Page 3 of 4 CITY OF SPRINGFIELD 225 Fifth Sf Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-00503 IVR Number: 811102763925 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: . APPLIED: 03/28/2011 03/28/2011 EXPIRES: VALUE: 09/24/2011 $2,000.00 03/28/2011 SITE ADDRESS: 3540 FRANKLIN BLVD, Eugene, OR 97403 ASSESOR'S PARCEL NO: 1703343101100 SCOPE: Commercial Miscellaneous WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Light pole repair 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 f 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 ensurret all reqUired Inspectlons are requested at the proper time, that each address IS readable from the street, that the permIt ca~ IS located at the front of the property, and the approved set of plans wJJJ remam on the site at all times dUring const,"! n A ,1- 6!6- {{ 0wner r Contrk tor Si Date Springfield Building Permit 3f28f2011 11:25:06AM Page 4 of 4 TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth $t Springfleld,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00503 3540 FRANKLIN BLVD perm itcenler@ci.springfield.or.us RECEIPT NO: 2011000563 RECORD NO: 811-SPR2011-00503 DATE: 03/26/2011 !DESCR1f!'TION,:~ '.:;';!);_l'.:~.::....:,;"':fi-:' 'j"-~~;c:_,~ACCOJ'fN.tcb5E~-L__!;:"c::~4[fAMOlJNIDUE3L__.~ ___Bala~:.e ~f Minimum Electrical Permit Fe~~._.._ __~_~?~.~~~43.6102 _,___-'____.292-____ ____ Branch circuits without service or feeder -1st circuit 224-00000-426102 55.00 -.--",., - ----~--~--,.,..,.._---- Building Permit Fee 224-00000-425602 58.00 State of Oregon Su~harge (12% of applicable fees) 621-00000-215004 13.92 Technology fee (5% of permit total) 100-00000-425605 .__ .__ _ 5.60 TOTAL DUE: 135.72 t:R.~YM~i.jJ;LW:""~:':-;e.~YOR.;'::cASHIER:bBOWlsBy;~:~'l'-b-'~.",C_Qr.'tMg-~i~~;1::':;''''' it .-;.C, )',,'; ..)AMO.llNT;pAID); ',-,," . ~ '!-'zj Credit Card JEM ELECTRIC INC 135.72 195415 TOTAL PAlO: 135.72