HomeMy WebLinkAboutPermit Electrical 2008-3-4
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'< CITYOF SPRINGFIELD, OREGON
}25 I'll' In STREET · SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELEl.,lKlCAL PERlhl'.l'APPLICATION
City Job Number (OlA/f~og-oO>og Date
l.
3.
Z50~lkJ ~+ f~C(lo '~Mh..~ (0.
-.:EGALDESCRIPTION:,7D33bl.{ I 0 Z30C A.
~~~l,\ 1l..S~ ,hv,+t-L h'\A.4.~ 6iJ Service Included
JOB DESCRIPTION:
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$117.00
PolL A-+ 2 fs"Ih. sf-
'E'A,) -t~~c.
$ 21.00
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$55,00
B.
2.
Electrical Contractor VV\,L (\ iAam'd... ~N~11
70
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 70,00
$ 83.00
$138.00
$180,00
$413,00
$ 55,00
Address BS~~ tfw~ q~. 5
City Et)~G.J~!
Phone /1...1:, - '~17
Supervisor License Number 2. 8 COc:!? .S:.
Expiration Date ,/0 1/ 1/ t1J
Constr, Contr. N~be~' 71 0 1. ~
c.
A TTEt1:liWi}hla~oft9~ft~il~hHfiC1,\~rR~1 V2~t!O
follow ~Io~ ~g.op-1ed-15y tTie U"regoW UTI'~
Notifica 'R~~MF.1ffrbse rules are set forth '
in OAR 52~rot91W~~Q$1 OAR 952-001.
0090. vHU ~~b:tt6~~ of the rules by
callint;)~~ s(~P' t leph9n~ bove.
nur1]9.
$ 55,00
$ 76.00
$110.00
10/1...'-1 loB
Expiration Date
Signature of Supervising Electrician
O~m~
'j /
/ - - ---- ----;
Owners Name ~I.JS (! &<1..0 ~~-L.~l
Address '2 ~-o, JIJ1 A-(I'/ SJ
City c;;=PF;j Phone
New Alteration or Extension Per Panel
One Circuit. '
Each Additional Circuit or with
Semc;-or' F~ed~; Permit
$ 48.00
$ 4.00
/2
3
E.
Pump or irrigation $ 55,00
Sign/Outline Lighting $ 55.00
LimN:aiiAGiY/Residential $ 28.00 ,
Limiltd1ltiltFgyMiTn&iAh!t EXPIRE IF THE~@.W<
MinimumfltjlJ~cRt?~Q.i~~~tIMlpJ'~.bBSr ~QJharges
~ ,gZ
<t !Ie.;
If;'ZO
if/V
jO(/It..{
OWNER INSTALLA nON
,The installation is being made on property I own which
is not intended for sale, lease or rent. '
Owners Signature:
Inspection Request: '726-3769
TOTAL '
Shared Drive(T:)/Building Fonns/ElectricaI Pennit Application I.08.doc
, "
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00308
ISSUED: 03/04/2008
APPLIED: 03/04/2008
EXPIRES: 09/04/2008
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: Repair
PROJECT DESCRIPTION: Install 125 amp meter main and 3 circuits - pole at 28th st entrance
Commercial
Owner: ROSBORO LUMBER CO
Address: PO BOX 20
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION 1
Contractor Type
Electrical
Contractor
MCDIARMID CONTROLS INC
License
77023
Expiration Date
10/24/2008
Phone
541-726-1677
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
BUILDING IN
ATTENTI. b the Oregon I Y
follow rules a~~. ~II 1ij rules are set forth
Notification Celft . U"~t\t~R 952-001-
in OAR 952-001r9 fa~ 8fJ'es of the rules by
0090.. You maw: er ~8fe: the tel~~hone
calhng the cftq~~'~fll\:Jtility Notlf,cation
number for ti\ir~~~t.6a2-2344).
centESp'nn"kled Building: n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION .1
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 Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
. Sidewa.lk~~O~~
. . ~\~t. '':.~~~~;~O,
"O~~~RlA\1 S~'t\\ il\\~"~;Uf~S:
. '~'n\OR\lt\) U OR \S ~'3~~\)
~OlJ\\'J\t~Ct~ ptR\O\).
Wi \ p{J fI
I V aluaiion ~escription I
Notes:
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: COM2008-00308
ISSUED: 03/04/2008
APPLIED: 03/0412008
EXPIRES: 09/0412008
VALUE:
225 Fifth Street, Springfield, QR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid 1
Fee Description
+ 10% Administrative Fee
+ 12 % State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$8.20
$9.84
$4.10
$12.00
$70.00
3/4/08
3/4/08
3/4/08
3/4/08
3/4/08
1200800000000000197
1200800000000000197
1200800000000000197
1200800000000000197
1200800000000000197
Total Amount Paid
$104.14
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.
Reouired Insoections 1
Rough Electric: Prior. to Cover
Electric Service: Approval required prior to utility company energizing service.
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 shallbe 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 2 of 2
225 Fifth.Street
Springfield, Oregon 97477 .
,.
541-726-3759 Phone
Job/Journal Number
COM2008-00308
COM20Q8-00308
COM2008-00308
COM2008-00308
COM2008-00308
RECEIPT #:
Description
Perm ServIFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000197
Date: 03/04/2008
10:13:53AM
Amount Due
70.00
12.00
4.10
9.84
8.20
$104.14
Payments:
Type of Payment
CreditCard
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
MCDIARMID CONTROLS INC djb 612141 In Person'
Payment Total:
cReceintl
Amount Paid
$104.14
$104.14
Page 1 of I
3/4/2008