HomeMy WebLinkAboutPermit Electrical 2008-2-21
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DATE ~-I JTJ 0 Y
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Date :2/ :;L/ / 0 ~
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~ CITY OF SPRINGFIELD, OREGON
2251'11' I n STREET · SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELE-.;l1<lCAL PERMIT APPLICATION
City Job Number ({)yyl J.OV3 p 00 z::::,~
Pump or irrigation $ 55.00
Sign/Outline Lighting_ _n $ 55.00
OWNER INST~~: Oregon taw requires you t,o Limited EnerR/Residential $ 28.00
The installationfCllbein~uffa8e36lPP/tJQthf lto~Wmeti Utility LimIted Ener~~t~cial $ 50.00 ___
is not intendedtf<ntsa1e1,tl6al;~~~t. Those rules are set ~.h. EI t' WWnRij Ut~~~t-it:~d!"tt~ .\Fsl~l~~1\
in OAR 952-001-0010 through OAR 952-vtf10Imum ec r1C . I T
Owners Signa1OO90. You may obtain copIes of the rules J;y ,00
calling the center. (Note: t.he tel~pho~e zs- g
numoeriul i.Il\"J ~~~ lJtlh~y NotifIcation 12% State.S~m-~RO DAY PERIOD. . f',
2344) 10% Administrative Fee 2-0 ) 0
Center is 1-800--332- . .
5% Technology Fee /0 .I-t..~-
Us., 4-3
1. 3.
2-5oCi t'Y\A\~ CSt. /i2..o~loc.(Z.b Luwt.bee..
I
LEGAL DESCRIPTION:
Ius\p.- \ \ 1-J"D A 4fuu t:-c<<J..eil.. +
JOB DESCRIPTION:
LOOA I,<,l~l^,( Pf,,~d W 1/4 c. '~("H-\s
),J ~
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor lv\L~lJ'~ll'f. r u~~IS
Address BSSl'f H~" q'l'S
. -
City ~e~-e.. Phone ,'2k-lb 11
Supervisor License Number Z 8 a:::> ..s
Expiration Date 10 J I 110
( I'
Constr. Contr. Number .~ ",- \~"1 <'- 1 70'2-3
Expiration Date lO/z.. J, I t:J B
Signature of Supervising Electrician
i2A'~')n~
/ /
Owners Name r.2o~lo{JYO
Address -f 0 fzfDI- 20
City ~'do/ Phone
Inspection Request: 726-3769
A.
Service Included
1000 sq. ft. or less
Each additIonal 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$117.00
$ 21.00
$55 00
B.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
I
I
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55 00
7().OO
g3, Ol)
c.
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Am s or 1000 Volts see "B" above.
$ 55.00
$ 76.00
$110 00
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Perrmt
$ 48.00
$ 4.00
50,0[)
iJ./
.
E.
TOTAL
Shared Dnve(T )/BUlldmg Fonns/Electncal Penmt ApplIcatton 1-08 doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00255
ISSUED: 02/21/2008
APPLIED: 02/21/2008
EXPIRES: 08/21/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2509 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364102300
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
PROJECT DESCRIPTION: 200 amp lighting panel and feeder with 14 circuits.
Industrial
Owner: ROSBORO LUMBER CO
Address: PO BOX 20
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
MCDIARMID CONTROLS INC
License
77023
Expiration Date
10/24/2008
Phone
541-726-1677
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 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:
Notes:
I PUBLIC IMPROVEMENTS I
Street Impro).\~~ION: Oregon law requires you to
Storm sewe191IP.mIM\.e.s adopted by the Oregon Utility
. "'ntjtl('~tion Center Those rules are set forth
Special InstntCf mr. . AR 952 001
in OAR 952-001-0010 through 0 --
0090. You may obtain caples of the rules by
calling the center. (Note: the telephone
..~;:::': S1 f=~ ~RO Orognn Iltihty N~tificatlon
Center is 1-800-332-2 4"t).
Valuation Descri
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PFRMIT I~ ~,nT
. .... IVflVltNGED OR IS ABANDONED FOR .-
tlOtA Y 180 DAY PERIOD.
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00255
ISSUED: 02/21/2008
APPLIED: 02/21/2008
EXPIRES: 08/21/2008
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 J
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
Amount Paid
Date Paid
Receipt Number
$20.90
$25.08
$10.45
$56.00
$70.00
$83.00
2/21/08
2/21/08
2/21/08
2/21/08
2/21/08
2/21/08
2200800000000000232
2200800000000000232
2200800000000000232
2200800000000000232
2200800000000000232
2200800000000000232
Total Amount Paid
$265.43
I Plan Reviews ~
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 Insnections .
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When aU 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 aU work performed shaU be done in accordance with
the Ordmances 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
Pae:e 2 of 2
225 Fiftk Street
SpJ;.ingfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00255
COM2008-00255
COM2008-00255
COM2008-00255
COM2008-00255
COM2008-00255
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000000232
Date: 02/21/2008
DescnptlOn
Perm ServIFdr 200 amps or less
Add, Alter, Extend Clrc Ea Add
Perm ServIFdr 201 to 400 amps
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
JEFF BROOKS
Item Total:
Check Number AuthorizatIon
Received By Batch Number Number How Received
ddk 615193 In Person
Payment Total:
Page 1 of 1
1:19:16PM
Amount Due
7000
5600
8300
1045
2508
2090
$265.43
Amount PaId
$265 43
$265.43
2/21/2008