HomeMy WebLinkAboutPermit Electrical 2008-5-12
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00673
ISSUED: 05/12/2008
APPLIED: 05/12/2008
EXPIRES: 11/12/2008
VALUE:
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
SITE ADDRESS 876 BEL TLINE RD
ASSESSOR'S PARCEL NO 1703153000900
SPRINGFIETYPE OF WORK ElectrICal Work Only
TYPE OF USE' New
PROJECT DESCRIPTION' ElectrIcal for Tenant mfilI - McAyeals Dry Cleaners. SEE PERMIT
#COM2008-00309
Commercial
Owner SYCAN B CORP
Address 840 BEL TLINE RD STE 202
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
ElectrIcal
Contractor
BEAR MOUNTAIN ELECTRIC LLC
License
136298
Expiration Date
08/06/2009
Phone
541-741-8844
BUILDING INFORMATION'
# of Umts
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:
Sprmkled Buddmg
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,
REQUIRED PARKING
Frontyard Setback'
Side 1 Setback
Side 2 Setback
Rearyard Setback'
Solar Setbacks
Overlay Dlst. 1 Orpc t'r \~ ~, v;[otal '!: 1'0" +1)
# Street Trees Rqd ATTENTION d .',. ,I Handicapped !
Paved DrIve Rqd follow rules a I' ~ '1 ~ Compact 1
o Motlflcatlon Centu. ,(.,' _
Yo of Lot Coverage" OAR 952-001-001l ,: ,~ ., , ,
In bt ,r \ \ , ·
0090. You may 0 al~.~'~r-':~: :'c,', "
dng me \;l;:lllC;1 \. ,- '"
I PUBLIC IMPROVEMEN . bar for the Oregon Utility NOLlI:.:;&tIGn
C&a~Jtk 'Ir~B2-332-2344)
Street Improvements
Storm seJ~PIJlft~ble'
Special InltW&I~fiRMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
Notes. CmrlfVJENCED OR IS ABANDONED FOR
AI\IV 1 ~n nw DE~Ir;fJ
I Vallllation Description I
Downspouts/Drams
DescrIption
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of 2
OPQI~CCllCli.D' ZON (ll.J
l-^^~ fNlTIAL~ ,.j,,^-
~ bP.,...1 DATE 5-1 Z.-D~
'<YhJ9 ~ SOURCE ~"'S{'Y7./
Date <57,~)()i
rUT)! (Q)n'~ ~!J>>~nN<GJfiL,"n[Et[iJ)" ~2)~n:<GJ<<~~
22';;HFTH~lRH,r - <'I'RINGFIELD OR 97477 _ PH (';41)726-37';;3 -FA'\. (';;41)726-3689
ELECTRICA(f}!/:;lT APP11CA TION
City Job Number 2/fOK' ", rr::liiJ ~
LOCATION OF INS'l'ALLATION:
~~ /~ \6.Q Q +0 A Yu, !ZT)
LEGAL DESCRIPTION
\ 103 I ~ ~c-y'"'{)9 u u
/8 DESCRIPTION _
'I J -- true -P-01 tCL/Q
Permits are non-transferable and e:\plre Ifwor" IS
not started WlthlO 180 days of Issuance or If work IS
Suspended for 180 days
2 CONTRACTOR INSTALLATION ONLY
Electrical Contractor EE/lR. !JJ{fJItIlAIAJ E~c
Addressg5!/gg D/LUlRlJ fJaES5 I?D
Cit),EU(OEll/b Phone 2!IJfl if tj
Jj/ptf(r 5
/0//0
/jh~qg
Exp'mlWn D":a '1,/0 f!
t)'r~"t~"'~
Owners ~a~~ 6 Co~
L\ddreS~o p ~lu" w~ 2-eJ~
C1ty~" Q & Phon0 Lifo - ~44'f
OWNER ~ST .\.LLA TION
Supervisor License Number
ExpiratIon Date
Constr Contr Number
The mstallatIon IS bemg made on plOpert)' 1 own whIch
IS not mtended for sale, lease or rent
Owners SIgnature
InspectIOn Request 726-3769
3
COMPLETE FEe SCHEDULE BELOW
A
New Re..idt'IlOOI- S111gie. (II' Multi-flimlfy pel dW\<mil~ uHft
Service Included
1000 sq ft or less
Each additIOnal 500 sq ft or
portIOn thereof
Each Manufact d Home or
Modular Dwellmg Service or
Feeder
$11700
S 2100
$55 00
B
Services or Feedei S - installahon, AlteratIOns or Reloeat.!Qi1'
200 A.mps or less ) $ 70 00
20 I Amps to 400 Amps $ 83 00
40 I Amps to 600 Amps S 138 00
601 Amps to 1000 Amps $180 00
Over 1000 Amps/Volts $41300 t
- y;j
Reconnect OIJ{tTENTION Or;;Qc,n law re~L95'lfo utJu I t..
- t d "',\1 tlle Oregon till Y
foil ('\II rule::; aClOp,e. L.J} tfarth
c Tcmporr~fif{~~fi"?j\1lClk~~Ts1I1ose rules are S8 _
in OAR 952-001-0010 through OAR 95~-OO~
InstallatlOno~ra~n l'IIl~biiltailmCoples of the ru as y
200 Amps or lcalllng the center. (NO~t ~~iheg~h~~~~r'
201 Amps to ~sfor the Ort:l\dulI II ~~~9
401 Amps to 600 AmpCenter is 1-800-332-s110 ~o
70
Over 600 A.mps 01 1000 Volts see "8 above
D Branch CurcUlts
New AlteratIOn or ExtenSion Per Panel
One CirCUIt $ 48 00
Each AWIila;M;OrcUlt or wIth (2_ 1/ 1\ oD
Servlce1H~se1'Ptf{wrrr SHALL EY.P~ !f$Tt1~WORlV,-y
E l\1i~cAhiJ!ig~~ If..~P.cVJfJeQ,~ lJA~J~l~~~~~~\ ~~J311ation
COMMENCED OR1s Aljt'\I'IJUUI\ltU
Pump o~NltaMQ) DAY PERIOD $ 55 00
Sign/Outline Llghtlllg $ 55 00
LImIted Energy/Resldentlal $ 28 00
LImited Energy/Commercial $ 50 00
Minimum ElectriC Permit InspectIon Fee IS $50 00 + Surcharges 0-9
4 SUBTOTAL OF ABOVE f( 2 ' .
l~ ~ State Surcharge - t- ~ r-
~ Admllllstratlve Fee ~ '.c..c..J
5% Technolog) Fee 4- ,) 0
(
TOT.\L '>Il1ILd DlJ\.!' )/BuIiJlllg' lHmS/IIeLlr~rn\lti?!::f!:7-if~
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00673
ISSUED: 05/12/2008
APPLIED: 05/12/2008
EXPIRES: 11/12/2008
VALUE:
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
Total Value of Project
Fees Paid I
Fee DescnptlOn
+ 10% AdmmlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServIFdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$820
$984
$410
$12.00
$70 00
5/12/08
5/12/08
5/12/08
5/12/08
5/12/08
2200800000000000642
2200800000000000642
2200800000000000642
2200800000000000642
2200800000000000642
Total Amount Paid
$104 14
I Plan Reviews,
To Request an inspectIOn call the 24 hour recording at 726-3769. All mspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the followmg
work day.
I Reauired Insnections I
Electnc Service Approval reqUired pnor to utility company energlZmg service
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 applicatIOn 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 Commumty Services DIvIsIOn, BuIldmg Safety
I further certify that only contractors and employees who are m compliance 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 dunng constructIOn
Owner or Contractors Signature
Date
Pal!e 2 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00673
ISSUED: 05/12/2008
APPLIED: 05/12/2008
EXPIRES: 11/12/2008
VALUE:
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS. 876 BEL TLINE RD
ASSESSOR'S PARCEL NO 1703153000900
SPRINGFIETYPE OF WORK. Electncal Work Only
TYPE OF USE New
PROJECT DESCRIPTION' Electncal for Tenant mfill - McAyeals Dry Cleaners. SEE PERMIT
#COM2008-00309
Commercial
Owner
Address
SYCAN B CORP
840 BEL TLINE RD STE 202
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electncal
Contractor
BEAR MOUNTAIN ELECTRIC LLC
License
136298
Expiration Date
08/06/2009
Phone
541-741-8844
I BUILDING INFORMATION'
# of UOlts
Pnmary 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
Spnnkled BuIldmg
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 Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
Handicapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewer AvaIlable
SpeCial Instruction
Sidewalk Type.
Downspouts/Drams.
Notes
I Valuation Description I
DescnptIon
Tvpe of Construction
$ Per Sq Ft
or multIpher
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00673
ISSUED: 05/12/2008
APPLIED: 05/12/2008
EXPIRES: 11/12/2008
VALUE:
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
Fees Paid I
Fee DescnptlOn
+ 10% AdmmlstratIve 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
$820
$984
$410
$12.00
$70 00
5/12/08
5/12/08
5/12/08
5/12/08
5/12/08
2200800000000000642
2200800000000000642
2200800000000000642
2200800000000000642
2200800000000000642
Total Amount Paid
$104.14
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.
I Reauired InsoectlOns I
Electnc Service Approval reqUired pnor to utilIty company energlzmg service
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 applIcation 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 Commumty Services DIvIsIOn, BuIldmg Safety
I further certify that only contractors and employees who are m complIance 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
Page 2 of2
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
City of Sprmgfield OffiCial Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00673
COM2008-00673
COM2008-00673
COM2008-00673
COM2008-00673
Payments
Type of Payment
CredttCard
cRecemtl
RECEIPT #:
2200800000000000642
Date: 05/12/2008
DescrIptIOn
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Ctrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
JACKIE BEIDLEMAN
Item Total
Check Number AuthorIzatIOn
Received By Batch Number Number How Received
nJm Rory/Bear Phone
Mountam
Payment Total
Page 1 of 1
10 25 01AM
Amount Due
7000
1200
410
984
820
$104 14
Amount Paid
$1 04 14
$104 14
5/12/2008