HomeMy WebLinkAboutPermit Electrical 2008-5-7
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00635
ISSUED: 05/07/2008
APPLIED: 05/06/2008
EXPIRES: 11/0712008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1952 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703254307600
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
PROJECT DESCRIPTION: 200 amp service and four circuits for kitchen.
Residential
Owner: BITLER DELORES
Address: 1952 CENTENNIAL BLVD
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor License
RG SMITH ELECTRICAL CONTRACTING I 16699
BUILDING INFORMATION I
Expiration Date
OS/21/2008
Phone
541-- 7 54-0880
# 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 I
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
DownspoutsfDrains:
ATTENTION. Oregon law reClLII~ec you to
follow rules adopted by the 01 egon \Jullty
Notification Center. Those rules are set forth
. in OAR 952-001-0010 through OAR 952-001-
IIOTIGI::. . . reu. IUU II10y UUI""' Cup'., UI Hie ru'es uy
THIS PERMIT SHALL EXPIRE IF I ~;~on Description calling the center. (Note: the telephone
AUTHORIZED UNDER THIS PERM number for the Oregon Utility Notification
. f:'n11I1MEl\I.cl=n nR I~ ABANDONEDf~R Sq Ft Square Footage Center is 1-800-332-2344).
Descnpti'Oil'VI I "1't1)'e b'f Cp, UructIon It' )' B'd A t Value Date Calculated
ANY 180 DAY PERil U. or mu Ip ler or I moun
Notes:
Pae:e 1 of 2
Status
Issued
CITX OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00635
ISSUED: 05/0712008
APPLIED: 05/06/2008
EXPIRES: 11/0712008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L Fees Pai~
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
$8.60 5/7/08 2200800000000000600
$10.32 5/7/08 2200800000000000600
$4.30 5/7/08 2200800000000000600
$16.00 5/7/08 2200800000000000600
$70.00 5/7/08 2200800000000000600
Total Amount Paid
$109.22
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 I
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 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
Pa\?:e 2 of 2
City of .Springfield
Electrical Authorization To Begin Work
E-mailedTo:junctJoncityeIectric@yahoo.com
Receipt # EC529909
5/6/20083:11:03 PM
Check on status of permit
By Phone: (541)726-3753 or Emall: permitcenter@ci.springfie1d.or.us
OF
o New construction
[i] AdditIOn/alteration/replacement
I w 4 ~~ "'.,,~111,llllr",1'I@@lwr ~>>~~~,. ~~,*,""MII~4ir}m,}11
, ~,,'~" CATEGq~r.~g~~~TRl:ICTIOti4V.iiL~,
[i] I or 2 family dwelhng 0 Multi-famIly 0 Commercial /Industnal
"'"W~1J18._ " """""''''f.-'' 'p '~%I'W!F'"''''''' ""*'*'a",
1""'\1,< ~bi,;,"" ' I '*_~'~4~!!~1,,~~9RMATI9~\~f'lJ2i1,,~q,~ATION6i';K;\I"",1'~'",di, ' 4,,15\<411*6"'$10,
Job no.: I Job address: 1952 CENTENNIAL BLVD I
I City/State/ZIP: SPRINGFIELD, OR 97477-9745 I
I SUlte/bldg.!apt.no.: I
I Project name: I
Cross street/directIOns to Job site:
I SubdivIsIOn: I Lot no.:
I Tax map/parcel no.: ] 703254307600
I ", ':l'''''''II~'li11o <:::;DESCRIPTlOillfoii!'r*ORK
1'.-~-.,J,19k11ili11~~f0,~,", "" P'>O~~'01ItILm:0,.""t,,,
200 amp servIce and four CircUits for kitchen
1IIIlFY#I#SifE"CONTACT
"'"%',d,';,1II1111 ')
Name: JunctIon City Electric
I Phone: 998-6466
I Emall:
111<1'"
lEI. hc. no.' 2-40C ICCBhC no.: 16699
I BuslOess Name: RG SMITH ELECTRICAL CONTRACTING INC
I Contact: Ten
IAddress: 5480 SW PHILOMATH BLVD, PO BOX 1204
I City/State/ZIP. CORVALLIS OR 97333
I Phone: (541)9986466 I Fax: (541)9983047
I Emall: Junctloncltyelectnc@yahoo com
I Metro hc. no : I City hc. no.:
I Supervlsmg electncmn's hc no 5112S
I SupervlslOg electncmn's name TIMOTHY RAY HAMBLIN
IFax:
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
Descnptlon
~R~~l~
'atta'c
,FEE,SCHEDULE
.. "cr"'Qty. I
: OR midt.-fa"Mi
.'
11,000 sq ft or less
I Ea addl 500 sq ft or portIOn
,,!~ ,
I-Limited energy, reSIdential
(With above so ft)
I-Limited energy, multIfamIly
reSidentIal (With above so ft)
- LImited energy, commercial
(With above so ft)
- Stand-alone limited energy,
reSidentIal
I - Stand-alone hmlted energy,
multI-famllv
I - Stand-alone hmlted energy,
commercial
I,,;'S"Atic~sfOR:feeders installati't:'!f~'I't~'ration, AND/OR ~~Iocation
'" "N/IiLlllm%fii&r0'I~Nf'"'J.) 4,l" =~ ~." "II I ~%_~ ~',
1200 amps or less II $70 00
120 I amps to 400 amps
140 I amps to 599 amps
'TEMPOromY;"set;:vic
'hAtNU/OR,,;'lrelocatio;:' .
~>> "'" "', """~ >>' -.il"iN'JM W!X'*!) ~~'J'
I 200 amps or less
1201 amps to 400 amps
140 I amps to 599 amps
IWBranch clrculUm:.'NEWhfalteration okexte'n;lont1per.panel
"t?\''''I+;KNbll&fu%v~YhJml"~"'-'''' I ~+~+0j10ItJV;~)d''f ~ ~"X,)'t~"~H~/
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,
1 each addl branch CIrCUIt
$70 00
feeders'lnstallanon;'altera'IU)n, ,. ..' I
"' ~ v ~ <<- '-'" ~ '^'""'''"& 'btk*'f%f)~"'~f~~ '1, \
4
$1600
$400
I Service reconnect only
I Each manufactured or modular
dwelhng, service and/or feeder
I Pump or Irngatlon Circle
I Sign or outhne hghtmg
: Signal clrcUlt(s) or hmlted- not offered onhne at thiS JUrisdictIOn
energy panel, alteratIon, or
extensIOn
1':ieJ" I> '1)'10'11+,)1] W~BiF0'f ~ fi":Allilh~ @f"" 41of* ,,-" e- ~&
"'~~~!!f1jl:$~fll:1'~'Il,,1t11\1Ik~I;Z.E;$~I}!~f<~ le5~.!'t'I!,!. ~~.~~
I Subtotal $86 00
I State Surcharge (12% ofpenmt fee) $1032
I City Of Sprmgfield fees · $12 90
. TOTAL PERMIT FEE $109 22
· CIty OfSpnngfield 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 Fi(th Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00635
COM2008-00635
COM2008-00635
COM2008-00635
COM2008-00635
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000600
DescriptIOn
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 05/07/2008
Item Total:
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
DDK
Page I of I
ONLINE RG SMITH Onlme
ELECTRIC
AL
CONTRAC
TING
Payment Total:
8:02:18AM
Amount Due
7000
1600
430
1032
860
$109.22
Amount Paid
$109 22
$109.22
5/7 /2008