HomeMy WebLinkAboutPermit Electrical 2008-4-8
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00485
ISSUED: 04/08/2008
APPLIED: 04/08/2008
EXPIRES: 10/08/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1613 MAIN ST
ASSESSOR'S PARCEL NO.: 1703363104800
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: HV AC Modifications
Owner: QWEST CORPORATION
Address: 6300 S SYRACUSE WAY STE 700 US WEST INC
ENGLEWOOD CO 80111
Phone Number: 541-747-0811
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor License
OREGON ELECTRIC CONSTRUCTION INC 203
BUILDING INFORMATION I
Expiration Date
07/0112008
Phone
503-234-9900
# 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:
nla
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 I
Street Improvements:
Sidewalk Type:
Storm Sewer Available: ._ \,..,,,, "r".' ' "", '/' " ~ ~ DownspoutslDrains:
SpecialInstructioAiTENTION' ore~~J;'b li'"_ ( "'," '
foHoW rules aclopl~~\lO~~~ I ulCS '1\ e . \ I J~ tI \
Notes: NotifICation cente~1 0 th;;Ugh OAB 952-0~U~.
in OAR 952-001-?t~"'n ~noies of the r~\e~ _ Y NOnCIE:
0090,. lO~h~~e~ter. (Not: t:-r- ~~'~i~;~~t~n . THIS PERMIT SHALL EXPIRE IF THE WUKK
calling 1 the Oregon t~}ilurt(Ju JJeSCrI ,'.,I'Ti-iORiZED UNDER THIS PERMIT IS NOT
number Of . 1-800-3' - ( I , -
centens, $PerSqFt S uareFootaieOfv1[\ljENCED OR IS ABANDONED FOR
Description Type of ConstructIOn or multiplier 0; Bid Amou~tNY 180 DA~~RIOD. Date Calculated
Pae;e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00485
ISSUED: 04/08/2008
APPLIED: 04/08/2008
EXPIRES: 10/08/2008
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
Amount Paid
Date Paid
Receipt Number
$6.40
$7.68
$3.20
$48.00
$16.00
4/8/08
4/8/08
4/8/08
4/8/08
4/8/08
2200800000000000420
2200800000000000420
2200800000000000420
2200800000000000420
2200800000000000420
Total Amount Paid
$81.28
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.
L Reouired Insnections ,
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 he 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
Pa2e 2 of 2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:s.a.lans@oregon-electric.com
Receipt # EC528349
4/8/20088:19:15 AM
Check on status of permit
By Phone: (541)726-3753 or Emad: permitcenter@cl.springfield.or.us
L,
'1''1", '~"\"(&I''/I/fyPE OF\WORK,
" , " <I~ ;> "'':%.J ' ,
[Xl AdditIOn/alteratIOn/replacement
o New constructIon
, , , CAT~~pRY 'dF:Cq~STRUC:t;,lpN
o I or 2 family dwell mg 0 MultI-famIly IX] Commercial / Industnal
',' , ' I"' 'JJOBIISITe.'I'NJ;PJ~lYI~TION\A~P(OCATIPN
Job no.. 45882 IJob address 1613 MAIN ST
I City/State/ZIP. SPRINGFIELD, OR 97477-4945
I Smte/bldg /apt.no
Project name Qwest Communlcatms
Cross street/directIOns to Job site.
I SubdiVIsion'
ITax map/parcel no
I
HVAC ModificatIOns
I Lot no .
1703363104800
De.S,CRIPTIONOF WORKI,;'
, '< I I"
LI'
'"
'ji
SIT~.c9NTAC;r , I
"III
I "' ~,I
'II"
'"
'I, (
I Name Mike McCall
IPhone. (541)747-0811
I Emall
I '"i
IFax. (541)741-1585
I CONTRACTOR
cA ,I) Ii ~ ~
lEI hc no. 26-95C I CCB hc no.. 203
I Busmess Name. OREGON ELECTRIC CONSTRUCTION INC
I Contact SHIRLEY LANS
Address. 1010 SE 11TH AVE
) '\ Ii' i
/y ~ I
City/State/ZIP PORTLAND OR 97214-2507
I Phone (503)2349900 I Fax (541 )7411585
I Emall.salans@oregon-electnc com
Metro hc. no . I City hc. no.:
Supervlsmg electriCian's hc no. 3006S
I Supervlsmg electriCian's name. GARY LEE PEOPLES
Upon review and approval by your local JUriSdiction, your
permit Will be e-malled or faxed Within one bUSiness day,
With instructions on how to schedule your inspection
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
( ";,
I" FEE,SCHEDULE
I DeSCriptIOn I Qty I Ea I Total
"Residential SINGLE- OR m'ulti-family'dwelUng Qmt ,Includes
attach'ed,garage ", ' "''': " ' '"
'0 " Ii I I)
11,000 sq ft or less
I Ea add I 500 sq ft or portIOn
I, L~\ted En'C~
- Limited energy, reSidential
(with above sq ft)
- Limited energy, multIfamily
reSidential (with above SQ ft)
I-Limited energy, commercial
(With above SQ ft)
I - Stand-alone hmlted energy,
reSidential
I - Stand-alone hmlted energy,
multI-family
I - Stand-alone !tmlted energy,
commerCial , ,
L~~t."ice~I'olr.f~~~ers in~tal'~t~?D: (alterati~n, AND/OR, relocation
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
TEMPORARY ser'VJces OR feeller; installatIOn, alteratron,
'AND/OR;'~io~tionr., ,'1.,\ \1, .....,...", "'" , ,
"" '"IIJ!, h >10 ' <<( h ~y
1200 amps or less
I 20 I amps to 400 amps
1401 amps to 599 amps
1)~r~Dcb cir::ui~ - NEW," al~~~atlon, OR ~xten;non;' per panel
A Fee for branch circuits With
service or feeder fee, each
branch circuit
B Fee for branch CirCUits
Without service or feeder fee,
first branch CirCUit,
I each addl branch CirCUit
1M' "II r"lh I~
'II I<<I~~ aneousf?,~ "1
I Service reconnect only
I Each manufactured or modular
dwell mg, service and/or feeder
I Pump or lITIgatIOn circle
I Sign or outlme !tghtmg
Signal clrcult(s) or !tmlted-
energy panel, alteratIOn, or
extens Ion
I
I
I
I
I
· City OfSpnngfield
:' ~ J A
'1<11 ,
$48 00
$48 00
4
$400
$1600
'<1<!i'I,it
\'1",
~ \ ~,
not offered on!tne at thiS JUrISdiction
.. I'
-I, ( \
ELECTRICAL PERMIT FEES
(,,,' , 1"'1'
Subtotal $64 00 I
State Surcharge (12% ofperrmt fee) $768 I
City Of Spnngfield fees · $9 60 I
TOTAL PERMIT FEE $81 28 I
10% Local Admm Fee, 5% Local Technology Fee
COM: 2 CTb ~- q K\')
RCPT #:~~ em 'C" - Lf) c~)
DATE PROCESSBD: Lf -- K -- 08:
This Authonzatlon To Begm Work must be post~P~~~WW~ti~~I~ a Pern,lIt
, - I ,
\
-I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00485
COM2008-00485
COM2008-00485
COM2008-00485
COM2008-00485
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000420
DescrIptIOn
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 04/08/2008
Item Total:
Check Number AuthorIzatIon
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
NJM
Page 1 of 1
ONLINE OREGON Online
ELECT
Payment Total:
8:32:43AM
Amount Due
4800
1600
320
768
640
$81.28
Amount Paid
$81 28
$81.28
4/8/2008