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Home My WebLink AboutPermit Electrical 2008-5-8 / \L.r' ~ ~v\~ ,,0 q ~,q F r0{P CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00649 ISSUED: 05/08/2008 APPLIED: 05/08/2008 EXPIRES: 05/08/2008 VALUE: Status Issued 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2011 LAURA ST ASSESSOR'S PARCEL NO.: 1703271002300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: 2 circuits to connect ansul system Owner: SPRINGFIELD LODGE #1726 Address: PO BOX 1067 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMA nON. 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: Downspouts/Drains: Special It9iiit'iihiOK:lN: Oregon law req'Jlres }/I)U to follow rules adopted by the OreQo.l Ulillty NOTICE: Notes: Notification Center. Those rules are r:;el fortn THIS PERMIT SHALL E In OAR 952-001-0010 through OAR 9S2-001- AUTHnRI7r:n Iln _XPIRE IF THE WORI< UUl;1u., IUU may omam caples 01 tne :.;~:: C]' cervil - .;;.y/DG11 hi.:> t-'tK/VIIT IS NOT calling the center. (Note: the tele )t~alUation Do' VIJ:IVC 0 OR IS ABANDONED FOR number for the, Oregon Ut,hty Noti I c:t Y PERIOD. , Center IS 1-800-332,-2344). $ Per Sq Ft Square Footage DeSCriptIOn Tvpe of ConstructIon I ' I' B'd A Value Date Calculated or mu tIp ler or I mount Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00649 ISSUED: 05/08/2008 APPLIED: 05/08/2008 EXPIRES: 05/08/2008 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' 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 $6.24 $2.60 $48.00 $4.00 5/8/08 5/8/08 5/8/08 5/8/08 5/8/08 1200800000000000442 1200800000000000442 1200800000000000442 1200800000000000442 1200800000000000442 Total Amount Paid $66.04 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Reauiredt:. Insoections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pa2e 2 of2 City of Springfield Electrical Authorization To Begin Work E-mailedTo:kelly@builderselectric.com Receipt # EC529997 5/8/2008 9:34: 11 AM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us ~7:: :7"" "IV~$~3~j~y~l4IWr;<TY:BE:OEfWOa.K , '" -p,'~<l!fMIII"~ )1'hr~ j~' y ~ " o New constructIOn IKJ AddItion/alteratIOn/replacement :,.~ ""'~"'":tj;:J};0Xl1fYmvjlt1J\(>>'-v ~ J, ~~ ' '''''''*''Fj''1Y'$4)'clt\1L10i:p$d~(~ ,,~ " ""K' ;;'+0kfTZ'i",liV,f$io/a.04W4+"+4/:A TEGORY00E;€01';1~1~IJ~l!2!:!"+w,:'" "' ,:$:-fr&4Y"tl1if;l+ o I or 2 family dwellmg 0 Multi-family !Xl Commercial/Industrial , wtI10+00\,j+p:rio/\'(011l;VITr jOB~'srrEn"NEORMATlbN AND: L<5CATioN';0V1ill:\'\fr4:M,r:~4 "" 1_' ">1.)O{~,_!;/w<<Iii<><1fu,",,~,,t '<- "A ~ v 1,~iJlfl"" '" :I \'1^0,I'~llrl,i'(IW' IJobno.08-1402s IJobaddreSS: 2011 LAURAST IClty/State/ZIP: SPRINGFIELD, OR 97477-2100 I SUlte/bldg.!apt.no.: I Project name: Moose lodge Cross street/dIrectIOns to Job sIte: I SubdIvIsIOn: I Tax map/parcel no.: I" I Lot no : 1703271002300 'DESCRrPTld~tOF*V,VORK <<'<1''''"' ~,,; 1*'~~01!j"i"Nidl'l>>."'r"1' I 2 CIrcUits to connect ansul system I Name: todd hlhngston I Phone: I EmaJl: I lEI hc. no,: 20-12C I BUSIness Name' BUILDERS ELECTRIC INC \ Contact: Kelly O'Bnen IAddress: 195 MADISON ST I City/State/ZIP' EUGENE OR 97402 I Phone: (541)4850922 1 Emall: kelly@bUllderselectnc com I Metro hc. no I SupervISIng electrIcIan's hc, no,: 5275S I SupervIsIng electrIcIan's name: RUSSELL R ROBBINS I Fax' ~ "" ~+/),J.jw:ll"~'t'W,^"'+I\\\ ~ ',' €ONT~~1q~r.q':.'I;;'V:';1 I CCB hc. no,: 4296 I Fax: (541)4854055 I City hc, no,: 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 ~ , "0 't ':1, r "', , FEE S€HEDULE, ."" , I DesCrIption I Qty, Ea. I Total 'R~sidential SINGI;E~~6R:m'ulli~famiJf(lweIIing..u"nit:;Ilrc/'~des' ",' . . g~$!>"'i'(ifli-$tJ~ " ~ ~J~ '~<)l~'0.~'j,l~ji?'II~I%~{,'), <~ ( J "-!;:fili'r$..th~i71j{irL;>t <' 'attac, eu.!ga,!il,!gei%l1,'PJ;M0lm,;:4.". .""...."' , "'II'. ""'11 1"+"'\'1<";;,,+,, """ '''',,'''..'' 11,000 sq ft or less I Ea addl 500 sq ft or portion I I I I ~ 'i~ I-LimIted energy, resldentml (wIth above SQ ft) I-LImIted energy, multifamily reSidential (With above SQ ft) I-Limited energy, commercial (WIth above SQ ft) I - Stand-alone hmlted energy, reSIdential I - Stand-alone hmlted energy, multl-famllv I - Stand-alone hmlted energy, commercial I"Services "01i:feect'ef:"iii'stallatioii, alteration"ANDjOR:trelocation " ~< 1::-" t-~t'""M"II'j'I'<1.'\"'~Y(''t.~ J"-~ ''til- ' ,>"N l'l,H "l 1200 amps or less 1 20 I amps to 400 amps 1 40 I amps to 599 amps '(TEMPORARY semces'ORfcciJe"rs'liistallatIOn, aIferl\iIon~"" "" ,,' ,tfu0 ,0t$V"~~<;l1fiIbl:011#'P1i.W\' ,. /,~, o/~'~''W;U:illHrHW*}4l Q;':&;""" ( k~P~2~~~~~?*~Eon (I: i~f%~$$r4~*n'i*N%S<M~11 m'~: ~ of,~T1N\$~y," ~f\ 1 200 amps or less 1 20 I amps to 400 amps 1401 amps to 599 amps I;B;'ancil"e;rt.M"~INEWi"aIteratlOn,~O:R"e~teDslon;perpaneJ >" II':"'" 11""1 <<ill',! 0~W"4,i(i\l;A1N~j,,",1 ~IJ, I, 1 Awwi' ttll '<<"~I(I<j <,, "M ~ 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 MIscellaneous " -"-*", '"~~~ - $48 00 $48 00 $4001 $400 ,1 ,~ Service reconnect only I Each manufactured or modular dwellmg, servIce and/or feeder I Pump or IrrIgation circle I Sign or outlIne hghtmg Signal clrcUlt(s) or hmlted- I energy panel, alteratIOn, or extensIOn , I I I * City Of Sprmgfield not offered onhne at thIS JUrISdiction J Subtotal $5200 State Surcharge (12% of penmt fee) $624 City Of Sprmgfield fees * $7 80 TOTAL PERMIT FEE $66 04 10% Local Admm Fee, 5% Local Technology Fee ELE€TRI€AL PERMIT FEES ~ This Authorization To Begin Work must be posted at the Job site until repla€ed by a Permit 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00649 COM2008-00649 COM2008-00649 COM2008-00649 COM2008-00649 Payments: Type of Payment ONLINE CHGS cRecemtl RECEIPT #: 1200800000000000442 DescnptlOn Add, Alter, Extend Ore 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: 05/08/2008 Item Total: Check Number AuthonzatlOn Received By Batch Number Number How Received PaId By ONLINE PERMIT CHGS ddk Page 1 of I ONLINE BUILDERS Onlme ELECTRIC INC Payment Total: 9:58:51AM Amount Due 4800 400 260 624 520 $66.04 Amount Paid $66 04 $66,04 5/8/2008