HomeMy WebLinkAboutPermit Electrical 2007-10-31
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CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01623
ISSUED: 10/31/2007
APPLIED: 10/31/2007
EXPIRES: 04/30/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1930 MOHAWK BLVD
ASSESSOR'S PARCEL NO.: 1703252405500
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: 200 amp serVice change out, panel B
Owner: 1950 MOHAWK LLC
Address: 668 GREENWOOD
JUNCTION CITY OR 97448
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
C & SELECTRIC
License
3849
BUILDING INFORMATION I
Expiration Date
09/0l/2008
Phone
541-741-2236
# 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:
Street Improvements:
Storm Sewef(QJJG~.e:
Special InstlM~80ffERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
Notes: COMMENCED OR IS ABANDONED FOR
lIMV 1 ~~ ~.W r[n:QE;.
I Valuation Description I
I PUBLIC IMPROVEMENTS t
1\1 11:..... ON: Oregon law requires you to
follow rules dH~p~y~ Oregon Utility
Notification CEl!S\\Wns1t\g~mUlre set forth
In OAR 952-001-0010fhrougn OAR 952-001-
0090. You may obtain copies of the rules by
calling the center.. (Note: the telephone
number for the Oregon Utility Notification
.:, t. ,-" 1"\1"\1"\ -:>,?r, r,"AA)
'-''''''II, ...... ._ . .. ....- - ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal:!:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01623
ISSUED: 10/31/2007
APPLIED: 10/31/2007
EXPIRES: 04/30/2008
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
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$7,00
$3,50
$5.60
$70.00
10/31/07
10/31/07
10/31/07
10/31/07
3200700000000000718
3200700000000000718
3200700000000000718
3200700000000000718
Total Amount Paid
$86.10
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.
L Reouired Insoections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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
Paee 2 of 2
City of Springfield.
Electrical Authorization To Begin Work
E-mailed To: Mgehrke@cselectric.org
Receipt # EC519671
10/31/20079:21:57 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@cLspringfield.or.us
I D New construction iii Addition/alteration/replacement
I
I D I or 2 family dwelling D Multi-family [K] Commercial/ Industrial
~JOb no.: 6650
I City/State/ZIP: SPRINGFIELD, OR 97477-6514
I Suite/bldg.lapt.no.:
Project name:
Cross street/directions to job site:
Description
Qty.
Ea.
Total
1,000 sq. ft. or less
1 Ea. addl 500 sq. ft. or portion
I-Limited energy, residential
(with above sq. ft.)
I-Limited energy, multifamily
residential (with above sq. ft.)
rSe~ici~rOR1ife~'drrs%iA"st~iiWtioh";aiW~'[iioiil',~NDioR Yrelocation ...
1: ,~;,_:-:;" ,::' ;:,,:;:,:o13:i"-'.':;);:,-:At."-'A~ 'v1t~m'."" ^t'*q,'.k\t,~~,1~4"'{\'k: !Jt!m_':;')J,?0f:rti;(i:r%i",)."~' , fJ) >:'1w~'^",i0!1-'-~<A{1 /!1" ;,-} ,-;' ,~~ ,('c.'
-' '~,'
200 amps or less
120 I amps to 400 amps
140 I amps to 599 amps
$70.00
$7000
I Lot no.:
1200 amps or less
120 I amps to 400 amps
1401 amps to 599 amps
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit.
8. Fee for branch circuits
without service or feeder fee,
first branch circuit;
1 each addl branch circuit
I Name: Izzys
I Phone:
I Email:
I
I El.lic. no.: 20-14C
I Business Name: C & SELECTRIC INC
I Contact: David Gehrke
iAddress: PO BOX 1482
i City/StateIZIP: SPRINGFIELD OR 97477
Phone: (541)7412236
Email: Mgehrke@cselectric.org
Metro lie. no.:
!Fax:
Service reconnect only
Each manufactured or modular
dwelling, service and/or feeder
1 Pump or irrigation circle
I Sign or outline lighting
Signal circuit(s) or limited- not offered online at this jurisdiction
energy panel, alteration, or
extension.
I CCB lie. no.: 3849
I Fax: None
I
I
I
I
* City Of Springfield
Subtotal $70.00 I
State Surcharge (8% of permit fee) $5.60 I
City Of Springfield fees * $10.50 I
TOTAL PERMIT FEE $86.10 I
10% Local Admin Fee; 5% Local Technology Fee
I City lie. no.:
Supervising electrician's lie. no.: 4894S
Supervising electrician's name: DAVID E GEHRKE
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.
COM: ~:(jV:7"~ ()\ ((1 ') 3
RCPT#' :$2(5V I - '710
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.
DATE PROCESSED: 10 -~ \ .-0(
PROCESSED BY:4fY1f 11~
This Authorization To Begin Work must be posted at the job site until relPlace~ a Permit.
225 Fifth Street
Springfield, Oregon 974?7
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3200700000000000718
Date: 10/31/2007
9:38:51AM
Job/Journal Number
COM2007-01623
COM2007-0 1623
COM2007-01623
COM2007-0 1623
Description
Perm ServIFdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
70.00
3.50
5.60
7.00
$86.10
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
NJM
ONLINE C&s ELECT Online
Payment Total:
$86.10
$86.10
cReceint 1
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