HomeMy WebLinkAboutPermit Electrical 2008-5-8
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00644
ISSUED: 05/08/2008
APPLIED: 05/08/2008
EXPIRES: 11/08/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6330 MAIN ST APT 27
ASSESSOR'S PARCEL NO.: 1702343103003
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Low Voltage
Owner: V-E DEVELOPMENT
Address: 5729 MAIN ST PMB 302
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
JULIE LEIGH FORD
License
171130
Expiration Date
0712012008
Phone
541-434-5600
BUILDING INFORMATION'
# 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'
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 MSTt:th!l!ib1iN: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notes:Notlflcatlon Center, Those rules are set forth
in OAR 952-001-0010 through OAR 95~-001. NnTlr.F~
uu~u', YOU may ODli:mllJu!JI~::' UI tllC 1L.l}<'-,," L~ n-llS , ERMIT SHALL EXPIRE IF THE WORK
calling the center. (Note, the tele~hW18uation Descrip.tlO~ '. MIT IS NOT
number for the Oregon Utility Notiii.~L!1'\ I '" ~"'RIZED UNDER THIS PER
Center is 1-800-332:2344). $ Per Sq Ft SquraMrF6J~&'tfeD OR IS ABANDONED FOR
Description Tvpe of Construction or multiplier otABJ\f ~O{hUhW PERIOD.Value Date Calculated
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00644
ISSUED: 05/08/2008
APPLIED: 05/08/2008
EXPIRES: 11/0812008
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
Low Voltage - Commercial Indus
Amount Paid
Date Paid
Receipt Number
$5.00
$6.00
$2.50
$50.00
5/8/08
5/8/08
5/8/08
5/8/08
2200800000000000620
2200800000000000620
2200800000000000620
2200800000000000620
Total Amount Paid
$63.50
I Plan Reviews ~
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Reouired Insoections I
Low Voltage: Prior to cover.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans wIll remain on the site at all
times during construction,
Owner or Contractors Signature
Date
Pal!e 2 of 2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:JULIE-DPE@COMCAST.NET
Receipt # EC529982
5/7/20084:43:15 PM
Check on status of permit
By Phone: (541)726-3753 or Emad: permitcenter@cLspringfield.or.us
'"-f ",,- ~'^
)B~l' ~''*r- *'%'^f~ifJ;'l'f1\iifW!'"r''11,.d',IIi$''~,vn?iI-:FEE''SCH~EDULE ),1/ /Y t
Of ' )
"
I SubdivISIOn" I Lot no,:
!Tax map/parcel no,: 1702343103003
I ~~ , J,.. '~;::!0J~,\Il;l:;l0r'~19irl!l!;::'DESCRIPTION .OE WORK
" '" -'B" ,'t>! I ',(I>I't'w"!<~, ibj iU,hl "<"I",,,,"'-r ,?"!!! ~~
low voltage work
Description I Qty
Illl.~~GLE7 OR multi.:tamij~'d)\)~I'~~g"
IV, 11 * ,r...... rilU.I!lbI4iEJrJ,j'"'4'J J " ;
tg!l!i~ge>tDtt"( J J"",'W~~L:>?'$$lf0g;\>
11,000 sq ft or less
I Ea addl 500 sq ft or portion
I I:ltnlted' Energy . '..:': 'J' I' ,J. ,'J
\1 "il"'+1 <<'<<'l'il!<'1"',*" I tI:"IW0nk ,:." kllhl/WYl1kr1
I-Limited energy, reSidentIal
(With above Sq ft)
I-Limited energy, multIfamIly
reSidential (With above sq ft)
I-LImIted energy, commercIal
(wIth above Sq ft)
I - Stand-alone limIted energy,
reSidential
I - Stand-alone limIted energy, $50 00 $50 00
multi-famIly
I I - Stand-alone limIted energy,
commercial
I I!SerYiCes~ORI:fi~der;s:mstlilIation, alteration, AND/OR relocatuln I
'"( 0"",w-M"Ii"'>>"<,/:0'~l\l'I~T fl f 'i{'f" ,y\n,<if1e, \,i\, 'I'd , " ~
'I 1200 amps or less
I 201 amps to 400 amps
401 amps to 599 amps
"TEMP'O J. Y s~rvlces OR'feeded'mstallatlOn, alteratIOn,' ,."
:~mOR "I~t~~Oj)"/:I;:III~Y:I~:IIII~"I}II<<i'>I<n~~ e0tl~Jh1nfMj<<I<I< >\II ~"<<IJ<I ii;;;:\' " f 1'<'
C ~ ~ >;;;L"" I"" < i<)Jt<10\+\hllltrlij,KyMt"'t-11Jh\hll$1t'j{ <
o New constructIon
[2J AddItIOn/alteratIOn/replacement
(, ,,,9,I'l"'" >>'''''Wlj><''.r~''''''P!~"',,''>>lI<'U~II<I~Ii-:<<<I<I'<IIr1'''>>{WJ:>9"i1<I"<I< I" '1{<~<0 kMJy
'\ I),," ~~,",,"9~TEgG.?~Y 9f'CONSTRUCTIONll,i'i;;;rl~t\I~f 'Ii::"))"
o 1 or 2 famIly dwellIng [i] MultI-famIly 0 Commercial/Industrial
I ' "-~ ~ I' o!~>l/<' .",~~'~,~<~<1<(j"lj<<,,<~I<~II~II"kl'Hr1<'{i1 "If t''1,,,,"';',,u ~., <-,
, '\\! "dq~,)~,I)r~},~,I:gj~M~JJ.qJ~"A~D)~~9CA TI0N~,*\\;b146: ;\"}l.) "u,
I Job no,: I Job address 6330 MAIN ST
I CIty/State/ZIP, SPRINGFIELD, OR 97478-6930
SUlte/bldg.!apt.no: APT 27
Project name: VIllage east apartment
Cross street/directIOns to Job Site,
I
I Name: Julie ford
I Phone: I Fax:
I Emall:
I '
I EI he. no.: C263 I CCB he no' 171130
I Busmess Name: JULIE LEIGH FORD
I Contact. JULIE FORD
IAddress: 1368 BARRINGTON AVE
I City/State/ZIP. EUGENE OR 97401
I Phone: (541)4345600 I Fax: (541)7621056
I EmaJl: JULIE-DPE@COMCASTNET
I Metro he. no.: I CIty he. no.:
I Supervlsmg electriCian's he. no.: 2742S
I Supervlsmg electrICIan's name DOUGLAS G PALMER
200 amps or less
~11201 amps to 400 amps
1401 amps to 599 amps
r Br:~~hl~it~~it$r:::r~mwtaltetation, OR exten~ion,per'\P~,nel.1 "
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
li'HM+'~S!f,'I!~S<~~~Hi>'lk(4";H~h/\' ,I,' I'", <I
I Service reconnect only
I Each manufactured or modular
dwellIng, service and/or feeder
I Pump or lITIgatIOn CIrcle
I Sign or outlIne lightIng
SIgnal clrcult(s) or IImlted- not offered online at thIS JUrisdiction
energy panel, alteration, or
extensIOn
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
I
I
I
I
* City Of Springfield
ELECT~IP.c\L'~,E~~Q:: fI;E"l? II' I
Subtotal $50 00 I
State Surcharge (12% ofperlmt fee) $600 I
City Of SprIngfield fees * $7 50 I
TOTAL PERMIT FEE $63 50 I
10% Local AdmIn Fee, 5% Local Technology Fee
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
ThiS AuthOrization To Begin Work must be posted at the job site until replaced by a Permit
225 Fifth Street
,
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00644
COM2008-00644
COM2008-00644
COM2008-00644
Payments:
Type of Payment
ONLINE CHGS
cRecemt 1
RECEIPT #:
2200800000000000620
Date: 05/08/2008
DescriptIOn
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
ddk
ONLINE
JULIE Onlme
LEIGH
FORD
Payment Total:
Page 1 of 1
8:43:50AM
Amount Due
5000
250
600
500
$63.50
Amount Paid
$63 50
$63.50
5/8/2008