HomeMy WebLinkAboutPermit Electrical 2008-3-6
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225 I'll'.If STREET. SPRINGFIELD, OR 97477 . PH:(S41)726~3753 '!' FAX: (541)726-3689
ELECTIlUCAL PERMIT APPliCATION
. City Job Number Cl)YYI~OO~ ,. D0330
1
1. [),OCATIONOF INSll'AJLjAll'I01Y:;
2W 0 {l1a!L(l AJ(fL ' 1<0
LEGAL DESCRIPTION: '
('~ 2.~ jl~
JOB DESCRIPTION: ~?I .. - 7
/J/1~ ~
3., f,:COM18LjE'jtJE FJEJE SCHiElqT[J~JEjJl!;!-OW .
-, .t,
A. k~e~~esi~entiaf-,Sirigle}rit,Muii:i:J{a~i!ype~ dwelling unit.
Service Included
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. rc9bN1l'~C1l'01i;iNSTAl:1,~T1"91V9m.yj
Electrical Contractor G E' E r; lecfrl 'G -::J:i1C.
Address P O. ~O X J ~8&
City A-lbCtr1J.jPhone5LfI-Q&7- giP).1
. I
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.l)~Ri~es ot~e~~ef~:~l'n~t;ll~iion,'Alterations or Relocation: J
200 Amps or less
. 201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Recoimect Only
$ 70.00
$83.00
$138.00
$180.00
$413.00
$ 55.00
,~ .
Expiration Date
Supervisor License Number J. q RD S
/0-- j- OF
Constr. Contr. Number !2 4.-' :2/.5 c.-
/D-- J-- of
. c. r:'q:~~PQr;ary$~~ic~~:o~lB):etl~~
.' .j,
InstaUation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 55.00
$ 76.00
$110.00
Expiration Date
Over 600 Amps or 1000 Volts see "B" above.
r~en~g E1D: Q, D. ~~~~;~~:::E'reDS;.. Per pa.,'
..>' . , ..... Each Additional Circuit or with J
//)""'4 -L-' ( , Service or Feeder Permit $ 4.00
Owners Name . """"I--'f'/{A::::>t.rn)'
Address ~'U. OO'/.. zn E. !(~is~~~!i~~~,(m~(~eiiic~/f~~9~r:~otin~i.J'~~~r"7~a~hB~stan~tiori'1
~
City ~'~ENTlON. Ohone . ' Pump or irrigation $ 55.00
follow rules ad;;tg~n~aw ,reqUIres you to Sign/Outline Lighting $ 55.00
OWNER dWti~'jIj'~ter eyh/ the, Oregon Utility Limited Energy/Residential $ 28.00
. ~~~2.M . se ru es are.set forth .. .
The m.stallri lfmgdeQQ.~d"ij:~~/lt~~_OO. LImIted Ener"&i1~'~Ial $ 50.00
IS not mten C rW lQt'l.m~ebt_ caples of the rules )Ji:nimum Electric-l?~J{llt'1lisPection Fee is $50.00 + Surcharges
, a /Og tne center. (Note; the fele LJ)}' I' f,ql' i'j-p -~. -S . i
Owners Sig~er for the Oregon Urrt N' .~ho~e 4. f,SUBll'Oll'ATA _ HAll EXPIRE'I'"' .
Ct. " Y otIfJcatlon - - - '-EDtJNDE - - r-
en sr IS 1-aOO-332-~). 12% State StG~MENC R THIS PE
10% Admin~ifNi1lfrt1.. ED OR IS ABANDON
5% Technology Fee V uAY PERIOD. ED PO . td c;j
lOTAL ..... -W' DL{
. ',_, . ' S~red Drive(T:)lBuilding FormslElectrical Permit Application l-OS,doc
$ 48.00
4-~ .00
'4vw
Inspection Request: 726-3769
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Iss u ed
".
PERMIT NO:. COM2008-00330j
ISSUED: 03/11/2008
APPLIED: 03/11/2008
EXPIRES: 09/11/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541~726-3769 Inspection Line
SITE ADDRESS: 2000 MARCOLA RD
ASSESSOR'S PARCEL NO.: 1703251301501
Springfield TYPE OF WORK: Electrical Work Only'
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Circuits for espresso machine area
Owner: ' NEW ALBERTSONS INC
Address: PO BOX 20
BOISE ID .83726
I CONTRACTOR INFORMATION I
Contractor Type
Electrical '
Contractor
G & E ELECTRIC INC
License
54468
Expiration Date
,09/15/2009
Phone
541-967-7045
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:
I PUBLIC IMPROVEMENTS,'
Street Improvements: . .' .' Sidewalk Type:
Storm Sew~mWJbQ~: Oregonlaw"reqJires you to. Downspouts/Drains:
Special In~fPnPtt"(j~~les adopted by theOreqon Utility
. Notillcation Center. Those rules are set forth
Notes: in OAR 952-001-001 Othrough OAR 952-001- NOTICE:
0090. You may obtain copies of the rules by !~!~ ~ERMIT SHALL EXPIRE IF THE WORK
:::.IIi.~g t~: ::r~:r. :~I.:~::: :1..,: :':' :~,\.~ :::;; .
number for the Oregon Utility NbtlDcation . . ~'I 'nUtHLtU UIIJUtK I HI::> I-'tKIVlI1 IS NOT
Center is1-80Q-332-234k ValuatIon Descn hon') , lMENCED OR IS ABANDONED FOR
. 1\1 180 DAY PERIOD.
Description , Type of Construction $ Per Sq Ft Square Footage. V I Date Calculated
or multiplier or Bid Amount a ue
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00330
ISSUED: 03/11/2008
APPLIED: 03/11/2008
EXPIRES: 09/11/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project .
.1 Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid Date Paid Receipt Number
$5.20 3/11/08 2200800000000000306
$6.24 3/11/08 2200800000000000306
$2.60 3/11/08 2200800000000000306
$48.00 3/11/08 2200800000000000306
$4.00 3/11/08 2200800000000000306
. Total Amount Paid
$66.04
I Plan Reviews I
;
To Requesfan inspection call the 24 hour recording at 726-3769. AU 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.
ReQuired 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 7.01.005 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 constr'uction.
Owner or Contractors Signature
Date
Pae:e 2 of 2
225 Fif.th Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00330
COM2008-00330
COM2008-00330
COM2008-00330
COM2008-00330
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By,
G & E ELECTRIC.
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000306
Date: 03/11/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 14523 In Person
Payment Total:
, Page 1 of 1
9:08:24AM
Amount Due
48.00
4.00
2.60
6,24
5.20
$66.04
Amount Paid
$66.04
$66.04
3/11/2008