HomeMy WebLinkAboutPermit Electrical 2008-5-5
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00624
ISSUED: 05/05/2008
APPLIED: 05/05/2008
EXPIRES: 11/05/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2537 5TH ST
ASSESSOR'S PARCEL NO.: 1703233403000
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Relocate two (2) heaters,
Owner: CARDONE TERRI L
Address: 2537 N 5TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BUILDERS ELECTRIC INC
License
4296
Expiration Date
12/10/2011
Phone
541-485-0922
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 Ist 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 I
Street Improvements:
Sidewalk Type:
DownspoutslDrains:
Storm Sewer t\Y~~'~W~eb gon law requireS you to
SpecialIhsHm!tib , ' d rpeted by the Oregon Utility
follow ru es a 0 " t
Notification Center. Those rules are set .01 ,n
Notes: I OAR 952-001-0010 through OAR 952 001-
n 'f tl e "ule" h'f
ES~r. V~" WI"'\, nht~tn r.0018S 0 d 1 I ,,'.. )
calling the center. (Note: the tel~ ~':':'
number for the Oregon UtIlity Not l,i\lit.lunation Descri
Center is 1-800-332-2344).
$ Per Sq Ft
or multiplier
Type of Construction
tlnTU"':.
C:..twLo.
HIS PERMIT SHALL EXPIRE IF THE WORK
~UTHORIZED UNDER THIS PERMIT IS NOT
Square Fij0~g~ENGED O~JS ABANDONED FOR
or Bid AtJm1fD~ 80 DAY PERlBn. ))ate Calculated
Description
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00624
ISSUED: 05/05/2008
APPLIED: 05/05/2008
EXPIRES: 11/05/2008
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-l
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid
Date Paid
Receipt Number
$5.00
$6.00
$2.50
$48.00
$2.00
5/5/08
5/5/08
5/5/08
5/5/08
5/5/08
1200800000000000436
1200800000000000436
1200800000000000436
1200800000000000436
1200800000000000436
Total Amount Paid
$63.50
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m, will be made the following
work day.
Reouired InsDections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pae:e 2 of 2
City of Springfield
Electrical Authorization To Begin Work
E-malledTo:kelly@builderselectnc.com
Receipt # EC529796
5/5/200810:29:00 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
~n"'=TYRE~OF\'v5RKlir&i.. ..
~~"w,'\'iIAk~r ~OZ't"'Ag$ffl@'''W'
D New constructIon
[K] AdditIOn/alteratIOn/replacement
I,' J'''o/~l18 "'\"~<-li<~<,,"( '<<W"'~r,I~II~,*( '~'~h''ii"\1"-'1''''''- !'\-,'''"Ul<'M''
. ..j~ .. "~~'li!!lI~~AT:EGO~X~~EONS.lT:~!t~1JgN1mlili!J:l.,::::j'i~'1;N...~
D I or 2 famIly dwellmg D Multl-fmTIlly [i] Commercial /Industnal
I. .. '''N1$Wliil;il:au6B.SITEliiNF0RMATiON~NbII:.OCATioN**:",.~7i~." ..
( '" >>~m.,,%Z~~)(-f'''1 ~ W"iti>UM_M""", ~;if{liiu,'\l!m, AltM%%?\1\1\ ( ~i,,,.,,",
I Job no.: 08-1128-s I Job address: 2537 5TH ST
I City/State/ZIP: SPRINGFIELD, OR 97477-1503
1 SUlte/bldg./apt.no,:
I Project name'
Cross street/directions to job site,
I SubdivIsIOn:
Tax map/parcel no,: 1703233403000
11lJ.~DESCRi'P.pi0'N!OF WbRK~{;"'. ".
" f ~ ~JIIIHI"%W' ~ ~ " 1 *~jJ81\:&tM( "'!'%lJ;&;Twb I
I Lot no..
i .
reel cate 2 heaters
I.
I Name: jeffbrown
I Phone: I Fax:
IEmaJl:
lEI. lic, no.. 20-12C I CCB hc, no.: 4296
I Busmess Name: BUILDERS ELECTRIC INC
I Contact' Kelly O'Bnen
I Address: 195 MADISON ST
I City/State/ZIP: EUGENE OR 97402
'Phone. (541)4850922 I Fax: (541)4854055
I Emall: kelly@bUllderselectnc com
Metro hc. no . I City hc. no.:
Supervlsmg electnclan's hc, no,; 5275S
Supervlsmg electnclan's name: RUSSELL R ROBBINS
Upon review and approval by your local Jurisdiction, your
permit WIll be e-mailed or faxed Within one bUSiness day,
With instructions on how to schedule your inSpectIOn,
NOTE' ThiS AuthOrization To Begin Work expires Within 180
days If a permIt IS not obtained
The local bUIlding department may determine that an
AuthOrization To Begin Work IS null and VOid If It does not
meet applicable land use laws and local ordinances
""'->0 '5lfltfUt "~<"W:~<'~ (\ '" '''i<I''iI~~\ik
. w{1lI~~0&ffu~E SCHE.P@YHE";+'\\'J:q;iJ,.
DeScriptIOn I Qty, I Ea. Total
"Risill~tiaIJ' S
i1IMl_ "
kattacl!~!!i\~~l;;~W
11,000 sq ft or less
Ea addl 500 sq ft or portIOn
I-Limited energy, reSidential
(WIth above sa ft)
I . - LImIted energy, multlfmmly
reSidential (With above SQ ft)
I-Limited energy, commerCIal
(WIth above sa ft)
I - Stand-alone hmlted energy,
reSidential
I - Stand-alone Itmlted energy,
multi-famIly
I - Stand-alone Itmlted energy,
commerCIal
1"Se'tVices oR'i~~d~%~s\installatioit"alteratioii,fAND/qR reIo~at!on"
'" =) ->4~*,"'"$""" ~, I j~I'<I')HI)k '" p '1111 ~t71 P II I, 'iii< ,r, ~'^
1200 amps or less
1 20 I amps to 400 amps
1401 amps to 599 amps
m;TEMPOi8m"liser IcesORI~'"
N\^{^"""0" t o",ii;W;k.~-H, )
'fA~m!~IocatJ"()" ' , , '
1200 amps or less
I 20 I amps to 400 amps
I 40 I amps to 599 amps
rBlZanch'circuits'~INEWlfalteratioil'~fORJextenslon"peripanel
! ~ ~ ~qi!%.it-..Ii..ljlWPb '1 ~ , ~ 0i!~1*~ n c' 0;;.1.-.,; 'MIiI\iIIIl" i ,{'I Il'i " ,
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
I J 1.'NllhlWl%~*A,iM,~ %.
'Mlscel,!1l~~M~i\'i'lN
1 ServIce reconnect only
I Each manufactured or modular
dwelltng, service and/or feeder
I Pump or lITIgatIOn clrele
I Sign or outlllle Itghtlllg
Signal clrcUlt(s) or Itmlted-
energy panel, alteratIOn, or
extensIOn
I
,
I
I
I
I
* CIty Of Sprlllgfield
$48 00
$48 00
" I ~
" ,
not offered online at thIS JUTlSdlctlOn
'1W<<I#~" '1II1,(}j' (""~ If'" r ~
"~~f,"E.H!H~jl:R!eWL PERMI! f"
Subtotal $48 00
Minimum fee used Instead of Subtotal $50 00 I
State Surcharge (12% ofpenmt fee) $600 I
CIty Of Spnngfield fees * $7 50 I
TOTAL PERMIT FEE I $63 50 I
10% Local Admlll 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
S.pringfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00624
COM2008-00624
COM2008-00624
COM2008-00624
COM2008-00624
Payments:
Type of Payment
ONLINE CHGS
cRecelOt 1
RECEIPT #:
1200800000000000436
DescriptIOn
Add, Alter, Extend Clrc
Mtmmum/AdJustment ElectrIcal
+ 5% Technology Fee
+ 12% State Surcharge
+ lO% AdmInIstratIve Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 05/05/2008
Item Total:
Check Number AuthorIzatIOn
Received By Batch Number Number How ReceIved
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of 1
ONLINE BUILDERS Online
ELECTRIC
Payment Total:
1l:40:17AM
Amount Due
4800
200
250
600
500
$63.50
Amount Paid
$63 50
$63.50
5/5/2008