HomeMy WebLinkAboutPermit Electrical 2008-1-18
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00079
ISSUED: 01118/2008
APPLIED: 01118/2008
EXPIRES: 07/18/2008
VALUE:
225 Fifth Street, Springtield, OR
541- 726-3 753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 764 MILL ST APT 1
ASSESSOR'S PARCEL NO.: 1703352206600
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Reconnect Service
Owner: COLLEGE CORNER LLC
Address: PO BOX 5848
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor. Type
Electrical
Contractor
SCOFIELD ELECTRIC
License
38702
Expiration Date
12/21/2009
Phone
541-686-8612
I, 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:
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements: Sidewalk Type:
St S ATTJ;I'ITION: Oregon law requires you to
S or~1 Iewetrfdlra#"RIfes adopted by the Oregon Utility DownspnutslDrains:
pecla ns !lW:fIRD~' C
nv <i'dtlon enter. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
Notes: 0090. You may obtain copies of the rules by
CA"lnn tpA "'.pnt~r '''I('\to.' tho. +o.l"'.....h.....~_
number for the Oregon Utility 1~~lIilcallQn .. NUI'CE:
Center is l'800-332-23~aluatlOn Descrm"lfIr PERMIT SHALL EXPIRE IF THE WORK
. $ Per Sq Ft Squ..wiF~\.ZED UNDER THIS PERMIT IS NOT
Description Type of Construction or multiplier. or B@Qti-dMliNCED OR ISV,ltB\llNDONEDIf.a.Rcalculated
ANY 180 DAY PERIOD.
Paee I of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00079
ISSUED: 01/18/2008
APPLIED: 01/18/2008
EXPIRES: 07/1812008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees paidJ
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Service Reconnect
Amount Paid
Date Paid
Receipt Number
$5.50
$6.60
$2.75
$55.00
1118/08
1118108
1118108
1/18108
1200800000000000057
1200800000000000057
1200800000000000057
1200800000000000057
Total Amount Paid
$69.85
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.
I Reol il'cd Jnsocctions ,
11..111111111111 r
Electric Service: Approval required prior to utility company energizing service.
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
Page 2 of 2
;,<<;:ity of Springfield
Receipt # RC524131
1/18/200811:27:47 AM
Electrical Authorization To Begin Work
E-mailedTo:KAREN@SCOFIELD.NET
$P~.1lV!.~~.!!l!-~... .
.".
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I Description
Ea.
I 0 New constmction
Qty.
[K] Addition/alteration/replacement
I D 1 or2 family dwelling [X] Multi-family D Commercial/Industrial
. "',C'JOEISrrEIN-FoRMATION 'AN[),LOC~llON.~,ti'"'''; ",c.
~""., ."",.........."'......,,._..,---'_.~~~..,. .,........,..._-~~:..,........,..."'^'.. ,.. '.-
IJobno.: 0108-028 IJobaddrcss: 764 MILLST
I City/State/ZIP: SPRINGFIELD, OR 97477-3845
I Suitelbldg.lapt.no.: APT 1
I Project name: COLLEGE CORNER APTS
Cross strecUd~rections to job site:
11,000 sq, ft. or less
I Ea. addl 500 sq. n. or portion
Subdivision:
I Tax map/parcel no.: 1703352206600
ILot no.:
I . Limited energy, residential
(with above sa. ft.)
I-Limited energy, multifamily
residential (with above Sq. ft,)
I ~ Limited- energy, commercia-I
(with above sa. ft,)
I - Stand-alone limited energy,
residential
I - Stand-alone limited energy,
multi-family
I - Stand-alone limited energy,
commercial
:,;~::~;;~~;::]~~ii1SJill~tiO~I:;;-'!~'i!linj~~lR){fil~C.tio"c' " 'I
1201 amps to 400 amps
1401 amps to 599 amps
l~tEMPQR/HtV"s~~t~~~J}RC!!7~~t~'M'st,~,II,a'tj~",n~~IJcr:aij~!I';.:
'A~wPgIS!&511Hpnr,""",~,~, ."';. 7:;~~>,:~s~;'011' . C'"
1200 amps or less
I 20 I amps to 400 amps
1401 amps to 599 amps
1!~~~~H:'E.f~fif~'+:J'~E1Y;;~I,t~~!i~rp~;e~ten~io'i1.(:pc'~cp~a~-e!,
I A. Fcc for branch circuits with
service or feeder fee, each
branch circuit.
I I B. Fee for branch circuits
I without service or feeder fee,
first branch circuit
I I each addl branch circuit
II
I
1
I
1
I
I
SERVICE
IName: STEVE SIMMONS
IPhone: (541)914~2579
I Email:
I Fax: (541) 914.2579
-. '.~;~::71
lEI. lie. no.: 20-1 c:
Business Name: SCOFIELD ELECTRIC CO
I Contact: ERIC SCOFIELD
IAddress: PO BOX 2765
I City/State/ZIP: EUGENE OR 97402
I Phon" (541 )6868612
I Email: KAREN@SCOFIELD.NET
I Metro lie. no.:
I Supervising electrician's lie. no.: 4218S
I Supervising electrician's name: ERIC SCOFIELD
leeB lie. no,: 38702
I
155.001
I
1
1
I
.:'ELECTRICAl:PERMIT ~EES>'.: I
Subtotal I $55,00 I
State Surcharge (12% of pennit fee) $6,60 I
City Of Springfield fees *1 $8.25 I
TOTAL PERMIT n:E $69.85 I
10% Local Admin Fee; 5% Local Technology Fee
IFax: None
I Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
I Signal circ~it(s) or li.rnited-
energy panel, alteratlOn, or
extension.
15500
ICity lie. no.:
Inol offered online al t~is jurisdiction
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.
I
I
I
l
.. City Of Springfield
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 by a Permit.
Total
1
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225 Fifth Street
.
Springfield, Oregon 97477
54i~726-3759 Phone
Job/Journal Number
COM2008-00079
COM2008-00079
COM2008-00079
COM2008-00079
Payments:
Type of Payment
RECEIPT #:
Description
Service Reconnect
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
ONLINE CHGS . ONLINE PERMIT CHGS
Paid By
cReceintl
1200800000000000057
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 01118/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
Page I of I
ONLINE SCOFIELD Online
ELECTRIC
Payment Total:
I :23:48PM
Amount Due
55.00
2.75
6.60
5.50
$69.85
Amount Paid
$69.85
$69.85
(
1/1 8/2008