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HomeMy WebLinkAboutPermit Electrical 2007-3-13 ..~ .., ., L-{Yl~ 3-/3-01 NM SPRINO"ffl'-~ 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 _ ELECTRICAL P~IT A1?FUCATION City Job Number ( : 7 -- (jf7...?~ / Date l~) /.)..&\7)'/ 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Phone Co9:,'I. ~5s 15 Over 1000 A,,!,p~/~Q.I~ IU ,,,,'v .."-' Reconne50~lYon Utiity f\ \ I ~ 'l~sadoPted" by the,,,,r ~!~sat i'ort Supervisor License Number 9.o<!S'IIC-VE,. "-..nter. -cnO$ehfp",,1h: tt~ic~~o-"ee~~rs_ \lOllll\'~"-' 001 0010thrOughOA :> I \ C/OAR 952,' '. - nf I"" r'l as . I D- l - 0'0 .. .....^" obtair!'l}(II,IIatiiin, \\:Iteration "J Relocahon 00\:lu ,\Ju "'-. . "?Ii ',nrjAlepnOn . \ .,,;\~ tha center. 100.... press T ation $ 50.00 Constr. Contr. Number \ ~~ ;)r;~ ~!1 i 'he Or.aQ;/lWffip~ill ~M)''A..,\fps $ 69.00 num lj' V" . ."40I,,,,,,,"'.!)'l6AA' $10000 ,..<' n 1'\.1rV'o '7'lentar is I'Vv ,,,,,,ps to'Ouo' mps . Expiration Date :::.'llJ..!J G -, ...J..r ~ Over 600 Amps orlOOO V~1ts see "B" above., ~. Signature of Supervising Electrician D. . Br:mch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with fl" n \: ,~.PJICE: Servicc or Feeder Permit $ 3.00 Owners Name I~"'~ "(1(l \[ ~ERMIT SHALL EXPIRE IF THE WORK . _. . Address fu ~'l ~'1Sc:., ';U~IIORIZEllufIW~'W'rP.'~P@l'!flF1'Jf&~not inciUlI"d) -Each Installation. City ~ 0 Phone '7 '-fi.? i':bQ~CED P.l.IbJi3MQ,ti;QJJNEO FOR $ 50.00 ANY 180 DAY ~g~~!line Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial l $ 45.00 -<..j 5 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges I. LOCA{rIONOFINSTALlATlON ~J> r.:-~\( _~.I/\. ~\ 11 C\ LEGAL DESCRIPTION 1/035Lf4'-foolOl JOB DESCRIPTION t~.1 ('(7'lhl.L / Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. CONTRACTOR INSTALLATION ONL'Y- 2. Electrical Contractor ~ c...\.- -'-0 ~ LLL- Address JILlD \1):\\r~I\\(.c...p.'L ~\8. City t:u.~ Expiration Date OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3. COMPLETE EEE SCHEJ)Ul,E BELOW A. New Residcntial- Single or Multi-Family per dwelling nnit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Servicc or feeder $106.00 $19.00 $50.00 B. Services or Feeders - Installation, Alterations or Relocation: $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 43.00 4. SUlJJ'Ol'ALOFAlWVE // t;i'"0 ----to. d-:;L r S'00 -1'60 7% State Surcharge 10% Administrative Fee Jtr 55. 35 TOT AL ~ Shared Drive(T:)/Building Forms/Electrical Permit Application I-03.doc . .ITY OF SPRINGFIELD Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2007-00361 ISSUED: APPLIED: EXPIRES: VALUE: 03/12/2007 09/12/2007 SITE ADDRESS: 4446 FRANKLIN BLVD ASSESSOR'S PARCEL NO.: 1703344400101 Eugene TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Data Cable Owner: BRING RECYCLING Address: PO BOX 885 EUGENE OR 97440 Phone Number: 541-746-3023 I CONTRACTOR INFORMATION I Contractor Type Low Voltage Electrical Contractor BEST TEL LLC License Expiration Date 148256 07/05/2007 BUILDlNGINFORMNl'lONf w'-!Utl"", Y~~.;.~ tallOW rUI"''' C1"'UI-"V'~ ~ J ,he Oregon I. Y '\jcJMf:.~iiJjesCenter. Those rules are~~M9J;: in B~i~~toJ~t~i!cMe:1 0 thro~gh OAR S~F!.qlJl Floor: O~'-l'J>~'l'btl~~t.:JY obtain copies of thfSq,'Ftn2nd Floor: ;Mff,1'F.Y:l?f.il center. (Note: the tel~!>Ijt'FI~Basement: ",'~IfIl;r,Y!lW the Ore!Jon Utility NotISq:;(ilj~rage/Carport Energy"i(al,Ii:'r..r is 1-800-332-2344),Sq Ft Other: Sprinkleil'B~ililing: nla Occupant Load: Phone 541-842.1000 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: NOTfIlStr.eet Trees Rqd: iiiifed Drive Rqd: rHIS o/fo'fMj,t C~t~gf:XPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT I p.vaLJC!~f~Q~~~~~ul~cu run Sidewalk Type: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Downspou ts/Drains: Notes: , Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 on . .ITY OF SPRINGFIELD Building/Combination Permit Status Pending 225 Fifth Street, Springfield,. OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2007-00361 ISSUED: APPLIED: EXPIRES: VALUE: 03/12/2007 09/12/2007 Total Value of Project Fe..s~ Fee Description + 10% Administrative Fee . + 5% Technology Fee + 8% State Surcharge Low Voltage - Commercial Indus Amount Paid Date Paid $4.50 $2.25 $3.60 $45.00 3/12/07 3/12/07 3/12/07 3112/07 Receipt Number 1200700000000000264 1200700000000000264 1200700000000000264 1200700000000000264 Total Amount Paid $55.35 , 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 foliowing work day, Uel1l1ir..rll~ Low V oUage: 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 berein, 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 Paee 2 of 2