HomeMy WebLinkAboutPermit Electrical 2008-5-2
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00616
ISSUED: 05/02/2008
APPLIED: 05/02/2008
EXPIRES: 11/02/2008
VALUE:
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
SITE ADDRESS 1014 HARLOW RD
ASSESSOR'S PARCEL NO 1703220002305
SprIngfield TYPE OF WORK Electncal Work Only
TYPE OF USE
AlteratIon
CommercIal
PROJECT DESCRIPTION Connect HV AC eqUIpment
Owner GA TEW A Y MALL PARTNERS
Address' PO BOX 617905
CHICAGO IL 60661-7905
I CONTRACTOR INFORMATION I
Contractor Tvpe
Electncal
Contractor
BUILDERS ELECTRIC INC
License
4296
Expiration Date
12/10/2011
Phone
541-485-0922
BUILDING INFORMATION I
# ofUmts'
PrImary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIon Type
Secondary ConstructIOn Type'
# of Bedrooms.
# of Stones
HeIght of Structure
Type of Heat
Water Type'
Range Type:
Energy Path
Sprmkled BUlldmg
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 Dnve Rqd
% of Lot Coverage.
REQUIRED PARKING
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
A1'[c16NVQ~ltvOeegon law reqUIres you to
fol w rules aaopted by the Oregon Utility
NO~~~UW~m~RIIT~OSe rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090 You may obl2'n CODles of the rules by
calling the cent81 k' e tile telephone
ber for the Oree, Jtlllty NottllCabon
nllm ~___'\
Cent8f IS I-h. v vvc.--r...v-' I
Street Improvements
Storm Sewer AvaIlable
Special InstructIon'
NOT~CE:
;U1~ Dp:anlT ~HA,II FXPIRE IF THE WORK
AUTHORIZED UNDER THIS PE~MIT 13 f~OT .. I
COMMENCED OR IS ABANDO~II:V13Ilu.IOn DescnptIOn
AN:i 1 RQ DAY PERIOD $ Per Sq Ft S F t
DescnptIon 'type of ConstructIOn I I quare 00 age
or mu tIp Ier or BId Amount
Notes.
Value
Date Calculated
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00616
ISSUED: 05/0212008
APPLIED: 05/02/2008
EXPIRES: 11/02/2008
VALUE:
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
LFees Paid I
Fee DescnptIOn
+ 10% AdmmIstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend CIrc
MImmum/Adjustment Electncal
Amount PaId Date PaId ReceIpt Number
$5.00 5/2/08 2200800000000000569
$6.00 5/2/08 2200800000000000569
$250 5/2/08 2200800000000000569
$48 00 5/2/08 2200800000000000569
$200 5/2/08 2200800000000000569
Total Amount PaId
$63 50
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspectIOns requested after 7:00 a.m. will be made the following
work day.
Reouired InsnectlOns I
Rough Electnc Pnor to Cover
Fmal Electnc When all electncal work IS complete
By sIgnature, I state and agree, that I have carefully exammed the completed apphcatIon and do hereby certify that all
mformatIon hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance wIth
the Ordmances of the City of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structure wIthout permIssIon of the CommuDlty ServIces DIVISIon, BuIldmg Safety
I further certify that only contractors and employees who are m comphance wIth ORS 701 005 wIll be used on thIS prOject
I further agree to ensure that all reqUired mspectIons are requested at the proper time, that each address IS readable from the
street, that the permit card IS located at the front of the property, and the approved set of plans wIll remam on the SIte at all
times durmg constructIOn
Owner or Contractors SIgnature
Date
Paee 2 of2
City of. Springfield
Electrical AuthorizatIOn To Begm Work
E-maIledTokelIy@buIlderselectnc.com
ReceIpt # EC529699
5/2/2008 8 32 30 AM
Check on status of perm It
By Phone (541)726-3753 or Ematl permJtcenter@cl sprmgfield or us
'H,
o New constructIOn
" TY~E:dE~WORK
""",;JJ<Jli,",,&>uJ$f
[XJ AddItIOn/alteratIOn/replacement
Y"CATEGORY(OF CONS:J;BUC'TlbN *"(
'" \ ~JIIII W 1", 1 '01 I', \~p <<< <<-
o 1 or 2 famIly dwellIng 0 Multi-famIly IX] CommercIal/IndustrIal
, '} {, "}H'}~OB0SITI~JNFdRMATION}~Ni5uLdcAtION,}~
I <<- jlill~I'F'W F~ 'Hili> ~ ,j I>>:),
I Job uo 08-1286-s I Job address 1014 HARLOW RD
I CIty/State/ZIP SPRINGFIELD, OR 97477-1141
I SUlte/bldg /apt no
I Project name red WIng
Cross street/dIrections to Job site
I
I SubdivIsIOn
I Tax map/parcel no
I
I Lot no
1703220002306
U)"*'+H&'41R[tI!4DESCRIPiior;;loF WORK
) <,'1!f1 ~I)~~II "'tl", "i " ~il ~I'1Pt,l F
Connect HVAC equIpment
SITE"CON'TACT
~\. \:h~fl1'] u(:;
IName
I Phone
I EmaJl
I
russ crane
I Fax
"{}{'JIQ'~~~I:;CON:J;RACT6R
<<-~~ w + liNlllll1 <<-
I CCB hc no 4296
lEI hc no 20-12C
I Busmess Name BUILDERS ELECTRIC INC
I Contact Kelly O'Bnen
IAddress 195 MADISON ST
CIty/State/ZIP EUGENE OR 97402
Phone (541)4850922
Emall kelly@bUllderselectnc com
Metro hc no I CIty hc no
I Fax (541)4854055
Supervlsmg electriCian's hc no 5275S
Supervlsmg electriCIan's name RUSSELL R ROBBINS
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 apphcable land use laws and local ordinances
11111111111};
Ie/I}! ' " } f~~'SCHEDUL~:I~;~III~~
DeSCriptIOn I Qty I Ea Total
IIR~sl1Jentl GnEioR multI-famJ'I~dweJhng uIlItlflucludes t ;
l.attache'a s::S1F%I'Nlir\;;,,~~"'14 "0~;~ili" ~,-c",i*'1)1'
1W~1r1 q~ff) t4JJ<<VIIIII)li~h,*~ ,W Ibr ->i ,"I< "% 4..ffi'
11,000 sq ft or less
I Ea addl 500 sq ft or portIOn
I L;~ifeaIEnergy} ~
~~ ; Nil,} J,., "i III11 1 \f I
I-LImIted energy, resldenltal
(WIth above sa ft)
I-LImIted energy, multlfaJllIly
resldenltal (WIth above sa ft)
I-LImited energy, commercIal
(WIth above sa ft)
I - Stand-alone limIted energy,
resldeutlal
I - Stand-alone limited energy,
multl-famllv
I - Stand-alone limIted energy,
commerCial
I <k III IPi'" ~ J f "" I\lldq I f %w
;~~f"~~~s OR}feeders~ms,tll~L!ltlon, alteration, ~D/OR relocation
I 200 amps or less I
120 I amps to 400 amps I
1401 amps to 599 amps I
TEMPdIDrnYjs es OR fiea~10s~L1lst
1$ "') j M "
1~~P(~iJ:~~2f~t~o
1200 amps or less
I 20 I amps to 400 amps
I 40 I amps to 599 amps
I '^ fl"'1i "'I{~%'Mi<1'<hill+ M ;j>~ '*"}" '<< i> ~ """'I<i!l"'\i>L j I I
JlJ;,~R~~", ~}Ircu!ts}. NEW!ial'~5at~~n0P~ extensIon} p~~,!pa~el: (
A Fee for branch CIrCUIts With . .
servIce or feeder fee, each
branch circuit
B Fee for branch CIrCUIts $48 00 $4800
Without service or feeder fee
first branch CirCUIt,
1 each addl branch cIrcuIt
1 "WI )jJllilliI!1,,;' 0JI~jllilli J
MlsCenl!~~}ous"f'I}U?{{, J r
I Service reconnect only
I Edch manufactured or modular
dwelhng, service and/or feeder
I Pump or Irrlgalton CIrcle
I SIgn or outhne hghtIng
Signal clrcUlt(s) or hmlted- not offered online at thiS JUrisdiction
energy panel, alteralton, or
extensIOn
II
}">il
. ELECTRICAL PERMIT FEES
1< ~"<tl"-i> I , "" ^t1* "' ~ "'
I
I
I
I
I
* City Of Springfield
Subtotal $48 00
MInImum fee used Instead of Subtotal $50 00 I
State Surcharge (12% ofpertlllt fee) $600 I
CItY Of Springfield fees '*1 $7 50
TOTAL PERMIT FEE 1 $63 50
10% Local Admm Fee 5% Local Technology Fee
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
225 Fifth Street
Sl?rmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-006I6
COM2008-006I6
COM2008-006I6
COM2008-006I6
COM2008-006I6
Payments
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000569
DescrIptIOn
Add, Alter, Extend Clrc
Mmlmum/ Adjustment ElectrIcal
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
City of Spnngfield OfficIal Receipt
Development Services Department
Public Works Department
Date: 05/02/2008
Item Total
Check Number AuthorIzatIOn
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
DDK
Page I of I
ONLINE BUILDERS Onlme
ELECTRIC
Payment Total
93527AM
Amount Due
4800
200
250
600
500
$63 50
Amount Paid
$63 50
$63 50
5/2/2008