HomeMy WebLinkAboutPermit Electrical 2008-2-1
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CITY OF SPRINGFIELD
Building/Combination Permit
.PERMIT NO: cOM2008-00152
ISSUED: 02/01/2008
APPLIED: 02/01/2008
EXPIRES: 08/01/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1475 5TH ST
ASSESSOR'S PARCEL NO.: 1703264201201
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Public
PROJECT DESCRIPTION: Wire 2-unit heaters
Owner:
Address:
CITY OF SPRINGFIELD
CITY HALL
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
THORNTON ELECTRIC INC
License
116329
Expiration Date
08/21/2008
Phone
541-686-4151
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group,
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Stmcture Sq Ft 1st Floor,
Type of Heat: Sq Ft 2nd Floor:
Water Type: ATTENTION: Oregorf!hfVt~~_\\Il!l!lI~O)~.:.~
Range Type, follow rules adopted~<jIIi~~([~agrte:lIpol1
Energy Path: Notification Center. Ttll,gs!i;t(!iltheu:e set forth
Sprinkled BUild\l'FOAR 952-CJ!j~-001 0 mC~IJeaniJn6'a\J:.2-001-
. \ . _ _ _._:_~ ~.f +h,..., ..,d!:><=" h\1
J 'J.J-"::t,'A .'~ '1\ ..j....., .......t_... - -,_. - - .
I DEVELOPMENT INFO~nter. (Note: the telephone
. n~e Oregon UtilitREQtiiirotif'jrpARKING
. Center is 1-800-332-23441.
Overlay DlSt: Tota :
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Description
Tvpe of Construction
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
." ""'l:.' ........,.......,... I \~II""\r-r. TUle" DCD1\/IIT l~ r-.lnT
.......... ,.'1... ,',,_,---..... :..r.f....'t... '" _ -
I Valuation ~M!\~;'ij'M(JiPJlR IS ABANDONED FOR
. AI~llgu UKI rERIOD.
$ Pel' Sq Ft Square Footage
01' multiplier 01' Bid Amount
Value
Date Calculated
Notes:
Pa2e I of2
~~!!l:!:I,g!'l.EL,.t'!.
(
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00152
ISSUED: 02/01/2008
APPLIED: 02/01/2008
EXPIRES: 08/01/2008
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
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amonnt Paid
Date Paid
Receipt Number
$5.20
$6.24
$2.60
$48.00
$4.00
2/1/08
2/1/08
2/1/08
2/1/08
2/1/08
2200800000000000142
2200800000000000142
2200800000000000142
2200800000000000142
2200800000000000142
Total Amount Paid
$66.04
I Plan Reviews 1
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 RI'OU\; oed Insoections I
111.1,11'1 I 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 fnrther 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 descrihed herein, and
that NO OCCUPANCY will be made of any structure without permission of the Commnnity 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!e20f2
225 Fifth Street
,
. Springfield; Oregon 97477
541-72(1-3759 Phone
Job/Journal Number
COM2008-00 152
COM2008-00 152
COM2008-00 152
COM2008-00 152
COM2008-00 152
Payments:
Type of Payment
CreditCard
cReceinll
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000142
Date: 02/0112008
1:28:16PM
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
THORTON ELECTRIC INC
Amount Due
48.00
4.00
2.60
6.24
5.20
$66.04
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
njm 511072 In Person
Payment Total:
Amount Paid
$66.04
$66.04
"
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Page 1 of I
2/1/2008
,
225. FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL ~RMIT APPLICATION
City Job Number wm 21m f( - (jn /5"2
f?('~lC 200 Amps or less $ 70.00
201 ~V~1f 400 Amps $ 83.00
40t!AYtP1:'ffiI!' ALL EXPIRE IF THt'WQ;~~o
60T\A\llab~ iWJBER THIS PERMIT l~fig10
ov~;'%oo ~I ollBo IS-ABANDONED rOf4l3.00
0nl.nM - \ 'y un
Reconnecr~ODAY PERIOD. $ 55.00
C.
1.
17/) 2, :;:>{~ 4;J, 0 ( ;/0/
LEGAL DESCRlPTION:
/ Aj J;;- f;3- 's pJt)
JOB DESCRIPTION:
,
ttJlf~ 7:.- 1/ JJ ~I- l-I.-e't:iP f=er<:..
Permits are Don-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor '7'7,i::>fi? ).)"~
Address f/. () . u'$0t i;v '-/1/
City
&J' o-ue.
Phone 9t;5-DO~1
Snpervisor License Number 30/7 S
Expiration Date b - 1- oP
Constr. Contr. Number // to 3;;2. ~
Expiration Date
/(1) - / - Df?
.Z) /k' ~1-1
) (J\\. - '0
Owners Name ".A+-lP\c~ ~ I (L
Address~S ;S~ BT 0
City ~UO ,LL)PhonelUv ?75~
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Reqnest: 726-3769
Date
3.
A.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Mannfact'd Home or
Modular Dwelling Service or
Feeder
$117.00
$ 21.00
$55.00
B.
Installation, Alteration or Relocation
200 Amps or less $ 55.00
20 I Amps to 400 Amps $ 76.00
401 Amps to 600 Anlpsv8c"C:8S-0i)\3- ~ b!_J"I~~itJ~llil
lB~IH'~~' AlIll1f1 U'~UO'U ""<I I
E.
Pump or irrigation - ,--. $'55.00
SignlOntline Lighting $ 55.00
Limited Energy/Residential $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
4.
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Shared Drive(T:)/Building FormsJElectrical Pennit Apptcation I-OS.doc
12% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL