HomeMy WebLinkAboutPermit Electrical 2008-5-15
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-J753 . FAX: (541)726-3689 ~ SOURCE~-oc.~~
ELECTRlCALPERMITAPPLICATION /" ~.-
City Job Number CO~e.oc.::>y- (S~ b 'Ib Date s//~~r
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1315 A9pD.... ~f- <:l'ti.....g.-r-ial.t: nl? Q7.1JJ.:L . ," _._'oo ',_ p ','7'v';F'-"::'c""''''~I'i.. """"",~_,_,,, '",,,\ "'__ ,0
LEGAL DESCRIPTION: J7D3. Z71 c...( 0 z.. ,,,r' /J~e,~~R.~~g~I~Ji~~~~J~ife~Q!,~ilW-:fa~tlp_~r-1~~I~~t~,~fh;: :
Cpnt-pnni <l1 ~n 1 "Ani 1p.,. Rm _ Tlpgrade ServIce Included
JOB DESCRIPTION'
1000 sq, ft, or less
Each additIOnal 500 sq. ft or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$11700
B.o.i..l "".... Room TTpgnule
Penn its are non-transferable and expire if work Is
not started within 180 days of issuance or If work is
Suspended for 180 days.
-"-/joNiiMiir6AYifdtiiDr1'ioNf:J~:'~
2. ~ ., ' ~_' ~ ~;";f' ......: -'~::. - _1', "!:"",::;_':..~v"J
$ 2100
$55 00
~....... -~---::'i:-...;',l..;:?:t.l:~~"":.-~~~- l:;""......~'""'_,~~..J.."I"I~r... I -- -<.... ~~...." .:;'J.r.l-" __
B. :.~~itv~c~l6}:~~:~d:et~;~I~~.~!I~~?~t~Ai.(er~ti~ri:<i~ R~j?C~t~o;I": '.
Electncal Contractor Sc.nfi e 1 c1 Rl Pl" tric Co.
Address EO........B.ny 176r;
200 Amps or less $ 70.00
A~ 'Ff,PhNNP to 400 Amps $ 83.00
I 161, Y. 1st. [.:'.0"" ~m~1m~~qcfrgQWArIQllPvreqUfr8& $13800
.NC)t:flca9.Q;~-t\..'JWA~O{~ ~fhe Ore o:ou to $18000
Phone ')4 1-686-8612 OAR [Q}.~rd~9Q;g~~I~ rules a~e se~n':l, $413 00
U090. Y~cmwrb1rrJr. through OAR 95: _0.. $ 55 00
calling the am CO jes VUJ.
numtxer ftrC1~ ~i~:~i~~siPi~:;'~~;:;:~
Center is 1-~ ' 'tv NotfflCSti
Installation, ~@ait3~~j.catlOiiOJt
200 Amps or less
201 Amps to 400 Amps
40] Amps to 600 Amps
$ 55,00
$ 76 00
$] 10 00
City
F.1I P'PT1 (>
-"
Supervisor License Number 42188
Expiration Date 10-1-2010
Constr. Contr Number 38702
Expiration Date 12-21-09
s;g"~S"~7t cian
C;:~_/~J~I
~ . v{:~~~IQ
Owners Name ~ J.> ,
Address t ~" 1 '\. '-/1\ ~ E. ~~;~~~'l(~l~~~~l;a;;il~tit~~~JrAil~tlli'tTh~iH~~;
~\U AJ It::J...... ~~f -:;-y,~--~::._..~w..;;p~;..r"'~~'-n=~_<..":"~",.....:;.""'..:!::""'''''-":;",,,~~_i..~..::'\'''':::''~_::.,.:;;-~ _... ""~:;~
City s;e~t\,J..~ Phone 'I \f. ~ -c. to Pump or irrigation $ 55.00
I NOTICE- Sign/Outline LIghting $ 55,00
OWNER INST ALLA TION THIS. Limited Energy/Residential $ 28,00
The installatIOn IS being made on property I own ~tH~ERMf!~f~I.,~~~ercial $ 50 00
IS not mtended for sale, lease or rent C R/~I!JIfbM ~dMJ~lM~'Jf.w~,$50.00 + Surcharges
OMMENCElJcr '- - ~~. " ~fiBilMf II!Un",: ". - "
Own sSi arure ANY1BO{j' T!>>lfllJi' DIiNt~~^m'--'~':Jo:'"i,:': $')6.00
"- Q.uo RD 1..L. I1\fP"fIU9Qurcharge D FOR ....$..-6 _ 7'J
'\ 10% Adminhtrative Fee ot " 61)
.-J 5% Technology Fee -; ~-.-i9
\ Inspjction Request: 726-3769 TOTAL 1t?1 l?
"--/ Shared Dnve(T )/Bulldmg Fonns/EleClncal Penntt Application 1-08 doc
Over 600 Amps or 1000 Volts see "B" above.
D. -' ~~t~~b~ ~iriu{t~::~' .:'~i;~_'~~~ ~~ ~2~~: ~.:~ ~,,"~ ;,: '-; " ~;~.~~~:~~:;',: ':;;;
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or wIth
Service or Feeder Pennit
$ 4800 -1l8....O0
?
$ 400
8.00
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00696
ISSUED: 05/15/2008
APPLIED: 05/15/2008
EXPIRES: 11/1512008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1315 ASPEN ST
ASSESSOR'S PARCEL NO.: 1703273402901
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Public
PROJECT DESCRIPTION: Boiler room upgrade
Owner: SPRINGFIELD SCHOOL DISTRICT 19
Address: 525 MILL ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor License Expiration Date Phone
SCOFIELD ELECTRIC 38702 12/21/2009 541-686-8612
I BUlLDING;ENFORilWAl'FroNtuires you.t.o
,. Ie 'I ,I"" dl.l'..l~)ll;:lO uy lilt; eregon UtllltYh
v " .. .. , tfo t
\\lOLl#:OfIStOr.les(lter. Those rules are se -I-t Size:
in Ourogbeo;~tr\iQrJ}~ro~gh OAR 9520 Ft 1st Floor:
009a: ({eJ~tl1lftYlP'btalO copies of the rules Ft 2nd Floor:
...l thA. ',;>nter, (Note: the telephon
Ci:lYlllJGI" ry f~. n Utility NotificatiOW Ft Basement:
numQijfefCfy n~. o1r~~g0-332-2344). Sq Ft Garage/Carport
Ener~~~~S Sq Ft Other:
Sprinkled Building. n/a Occupant Load:
E
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
NOTICE:
'71\:.0 rCnP.1rr €P..~L~ ~'Q1= '~THY; WORK
PUBLIC I . - -- - - ER THIS PERMIT IS NOT
COMMENCED OR IS A~bt~JW~9p~pR
ANY 180 DAY PERIOD"J)ownspoutslDrains:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!:e 1 of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00696
ISSUED: 05/15/2008
APPLIED: 05/15/2008
EXPIRES: 11/15/2008
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
$5.60
$6.72
$2.80
$48.00
$8.00
5/15/08
5/15/08
5/15/08
5/15/08
5/15/08
1200800000000000502
1200800000000000502
1200800000000000502
1200800000000000502
1200800000000000502
Total Amount Paid
$71.12
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
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
225 Fifth street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
CO M2008-00696
COM2008-00696
COM2008-00696
COM2008-00696
COM2008-00696
Payments:
Type of Payment
Check
cRecemtl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200800000000000502
Date: 05/15/2008
Description
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
SPFD PUBLIC SCHOOLS
Item Total:
Check Number AuthorizatIOn
ReceIVed By Batch Number Number How Received
dJb
64815
In Person
Payment Total:
Page 1 of 1
1 :35:44PM
Amount Due
4800
800
280
672
560
$71.12
Amount Paid
$71.12
$71.12
5/15/2008