HomeMy WebLinkAboutPermit Electrical 2007-3-13
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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
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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
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----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