HomeMy WebLinkAboutPermit Electrical 2007-10-10
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01531
ISSUED: 10110/2007
APPLIED: 10/10/2007
EXPIRES: 04110/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 644 A ST
ASSESSOR'S PARCEL NO.: 1703353103500
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Install receptacleslInstall wiring for lenel system, Fire Alarm System, and circuit on
ground floor near stairwell.
Owner: THORP PURDY JEWETT ET AL PC
Address: 1011 HARLOW RD #300
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
KEIZER ELECTRIC INC
License
25359
Expiration Date
06/25/2008
Phone
503-378-0267
BUILDING INFORMATION I
# 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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I .
Street Improvements:
Sidewalk Type:
Storm ~M;ti.lable.: .
S eciaLTrislt~J.Ht6-h'~: uregon law reqUIres you to
p wHow rules' adopted by the Oregon Utility
Notification Center, Those rules are set forth
Notesjn OAR 952-001-001 ~ thro~gh OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
~/"'l '1'11',:' "h~""n nT''''''" "Hh", ~'t ""j,' ^'!TUC'?']~D UNOCn TI/':' ,-- .
calling the center. (Note: the telep one Cr.Hnrv NC fnlVII 1 I;) NU j
number for the Oregon Utility Notifi ation Descritloli. ED ()R IS ABANDONED FOR
Center is 1-800-332-2344). n 0 DAY PERIOD.
Type of Construction $ Per Sq Ft squBa.rdeAFootage
or multiplier or I mount
Downspoutsillrains:
NOTICE:
Description
Value
Da~e Calculated
Pa2e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 5% Technology Fee
+ 5% Technology Fee
+ 8% State Surcharge
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Low Voltage - Commercial Indus
Minimuml Adjustment Electrical
Total Amount Paid
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01531
ISSUED: 10/10/2007
APPLIED: 10/10/2007
EXPIRES: 04/1012008
VALUE:
Total Value of Project
~
Amount Paid Date Paid Receipt Number
$5.00 10/10/07 1200700000000001297
$10.20 10/10/07 3200700000000000673
$2.50 10/10/07 1200700000000001297
$5.10 10/10/07 3200700000000000673
$4.00 10/10/07 1200700000000001297
$8.16 10/10/07 3200700000000000673
$48.00 10/10/07 3200700000000000673
$48.00 10/10/07 1200700000000001297
$4.00 10/10/07 3200700000000000673
$50.00 10/10/07 3200700000000000673
$2.00 10/10/07 1200700000000001297
$186.96
I 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 following
work day.
UeouireCUnsoections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
Pa!!e 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01531
ISSUED: 10/10/2007
APPLIED: 10/1012007
EXPIRES: 04/10/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 3 of 3
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:lfuchs@keizerelectric.com
Receipt # EC518365
10/10/20078:53:01 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I D New construction
[K] Addition/alteration/replacement
D I or 2 family dwelling
D Multi-family
[XJ Commercial/Industrial
11,000 sq. ft. or less
I Ea. addl 500 sq. ft. or portion
I-Limited energy, residential
(with above sq. ft.)
I-Limited energy, multifamily
residential (with above so. ft.)
IC4l<<mlmMW%i\)~m";_'-"_W" ';C"''"::::'' '^-::;, ;"- _ ',' -,r'f-'10iG,~:-m<,tr~-~;>>\_%, _-C__,',. >'":'::'<;:: ., " - ':',' --~':f{<:<""''''~"'''''o/M'&*'Plt"''+_~~~i'i''''_'1',=,_r':_:)
_'__~_ n:OC"
_1:~~:~~~!IL~J$_:~:!_i_~~~~~~~;~I!~~[~*t~p,~y~~~!::~~-t_~~~~~~~~~ii~~Z~%i1-_;V,WI;~i{
1200 amps or less . . .
1201 amps to 400 amps
1401 amps to 599 amps
I
I I 200 amps or less
I 20 I amps to 400 amps
I 40 I amps to 599 amps
IJOb no.: 10102 IJob address: 644 A ST
I City/State/ZIP: SPRINGFIELD, OR 97477-4609
I Suite/bldg.lapt.no.:
I Project name: ODOT/Eug Proj Mgr
Cross street/directions to job site:
I Subdivision:
Tax map/parcel no.: 1703353103500
I Lot no.:
Install receptacles
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:
I each addl branch circuit
$48.00
$48.00
Name: John Clubb
I Phone: (503) 932-9658
I Email:
I 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.
I Fax: 932-9658
EI. lie. no.: 24-68C I CCB lie. no.: 25359
I Business Name: KEIZER ELECTRIC INC
I Contact: Doug Aljets
!Address: PO BOX 12426
I City/State/ZIP: SALEM OR 97309-0426
!Phone: (503)3780267 IFax: (503)3781861
I Email: Ifuchs@keizerelectric.com
I Metro lie. no.: I City lie, no.:
I Supervising electrician's lie. no.: 2843S
I Supervising electrician's name: DOUGLAS F ALJETS
I
I
I
I
I
* City Of Springfield
Subtotal $48.00
Minimum fee used instead of Subtotal $50.00
State Surcharge (8% of permit fee) $4.00
City Of Springfield fees * $7.50
TOTAL PERMIT FEE I $6150.
10% Local Admin Fee; 5% Local Technology Fee
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.
. C~~:~6-01 -615 2>."
RCPT#' i~ ()Di- I .1- en
DATE PROCESSED' l 0 ~ \ ~ Or
PROCESSED By.r '1
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
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0l531
COM2007-0 1531
COM2007-0l53 1
COM2007-01531
COM2007-0l53 1
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200700000000001297
Date: 10/10/2007
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
ONLINE KEIZER Online
ELECTRIC
INC
Payment Total:
. Page 1 of 1
2:45:33PM
Amount Due
48.00
2.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
10/10/2007