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Home My WebLink AboutPermit Electrical 2008-5-14 ZON ([0 INITIALS J? I'Y"-' " DATE \..J /<./-0. ~) SOURCE ~~~ Date S //4-1 ~ I SPRINGFIELD (t:;.-;$.:;~y,\ ~ ( , riJA ...- ~ ,~,,~-"""--~_....~ .... ! / ~" ~'<....<.t..~..~'1 ... 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 · FAX: (541)726-3689 ELECTRICALA'ERMIT APPLICATION City Job Number L./l1/?1 .?/W d - ~ -) 1. LOCATION OF INSTALLATION: J 2 / (~ ~n IJ IH II sf. c:;RPM. 971{ 77- I LEGAL DESCRIPTION (" XTItrv n 2 ~LIJ..../' (1) I /2{i () Ir<: /--t5~ JOB DESCRIPTION fAt rt92ftN2. ~C-rnI9""')l({ . Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electncal Contractor Ct:w~I~1I F~l. U~ Address Jl.15~ ~N_~.rn~ Phone 6fN- ~.aG. . "57. CIty EobE:N"; '1879 S ExpiratIOn Date / D /0/ /D 7 I - .. IlI'!SDq. Constr Contr Number _.:;JD -L/S'~ C!... Supervisor LIcense Number ExpiratIOn Date -iLl 2... .I 6t!f/II a....? Signature ~pervlsmg E/~~nclan f:;,~'/~~ Owners Name &(' OLI.{ '~I fit'), Address .~5"R9X /..(1f2IJrNM t;kvf qJ!iOS City f7 ..Jbbr/ ~ . Phone Sf 7 - CJ 15<' , OWNER INST ALLA nON The mstallatlOn IS bemg made on property I own which IS not mtended for sale, lease or rent Owners Signature Inspection Request: 726-3769 3. COMPLETE FEE SCHEDULE BELOW A. New Residential- Single or Multi-Family per dwelling unit. 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 $ 21 00 $55 00 B. Services or Feeders - Installation, Alterations or Relocation: $ 70 00 $ 83 00 $13800 $18000 $413 00 $ 55 00 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect dhly ','" . r\ ~O' :' I I, C. Tempo~tt~.e~~~~e~.~r~~~~~r~"'JC ,-; 'I ~ ..... I t 11 ..,)... "''' CO~Q \10.1 ,'1:<:" C'J.::~I:I r:.J,JlaS 0, lit"" t;..> v, Installation, l%f~H~JW(;PB~,I&f.a~RJ!)Le: Llle lslepi ,one 200 Amps omMb~" ~Ol ~~8 Oregon UillilY$ 'S~~catIOi1 201 Amps to 400 AnfPin~oo 1$ 1-80g'3;;\~-2f4ft}(')0 401 Amps to 600 Amps $11000 Over 600 Amps or 1000 Volts see "B" above D. Branch Circuits New Alteration or Extension Per Panel One C~J,y~Hh~. _l .. $-4~R8r.:\ tj~. dO EacJ\\Addltlol'!~ C;;lfCl!J.t,jll\Mtlt)(\?\\:!'?::: 1\~ \ P,l: \! ,i~ IV Serv1ce~ ~dJ:'Pem1it ,-,L- -_. ,.. _r; -, $" 4g>OW 1/;:< 0 -GD. Ill}-{!J 1'\ ,"leD \ -' \I..: t . f\,'-illr,"17~n .,,\\1,_ '1 "~, E. M(s:~lIap.eou((Service/feeder not included) -Each Installation '- \, Pumpioi ~lngation $ 55 00 SIgn/Outline Llghtmg $ 55 00 LImIted EnergylResldentlal $ 28 00 Limited Energy/CommercIal $ 50 00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4. SUBTOTALOFABOVE 7? ~ OV 8% State Surcharge 10% Admmlstratl ve Fee 5% Technology Fee TOTAL c?r:. 5~ Shared Dnve(T )/BUlldmg Forms/Electncal Penrut AppldtJOn 7-07 doc Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00565 ISSUED: 05/14/2008 APPLIED: 04/22/2008 EXPIRES: 11/14/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1212 SA ST ASSESSOR'S PARCEL NO.: 1703354108098 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Remodel Commercial PROJECT DESCRIPTION: BWOP owner remodeling interior Owner: LINCOLN TRUST CO Address: 85898 LORANE HWY EUGENE OR 97405 I CONTRACTOR INFORMATION' Contractor Type Electrical Contractor CONRICH ELECTRIC LLC License 149509 Expiration Date 11/02/2011 Phone 541-607-3447 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # 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: A-3 No I DEVELOPMENT INFORMATION. REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Dr~~r.fq~1/0N (', ero~ - 101"1 ."''''U S' '~Compact: %ofLo/~b\l(!rrigb1[,aGd";'J_ '(, " "i/ Notification Center ! '.:; J , - ~ ,,-' h in OAR 952-001-0010 tlirCJJc.,n 0/\., ~b2-(;u1- g . I PUBLIC IMP~cr,h:~TSYlPbtaln copies of the rulE::s by NOTuCE. . '"' Ifl. J i r.,ter. (Note' the telephone Street Imp,~~emMIT SHALL EXPIRE IF THE WliRK number for the Ore~iJte~mt5fNutlficatlon Sto S lUJTL.I()[;),I"1.c:n UNDER THIS PERMIT IS NOT Center is 1-8ClO-332-2344\. . rm e,WIilI11\'WliIaDle'. UownspoulsIDrams: Special IIf}01tf~<<@!CED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pae:e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00565 ISSUED: 05/14/2008 APPLIED: 04/22/2008 EXPIRES: 11/14/2008 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 $7.60 $9.12 $3.80 $48.00 $28.00 5/14/08 5/14/08 5/14/08 5/14/08 5/14/08 2200800000000000662 2200800000000000662 2200800000000000662 2200800000000000662 2200800000000000662 Total Amount Paid $96.52 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 City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00565 COM2008-00565 COM2008-00565 COM2008-00565 COM2008-00565 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000000662 Date: 05/14/2008 DescnptlOn Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmlstrative Fee Paid By CONRICH ELECTRIC Item Total: Check Number AuthonzatlOn Received By Batch Number Number How Received nJm 014233 In Person Payment Total: Page 1 of 1 11 :29:23AM Amount Due 4800 2800 380 9 12 760 $96.52 Amount Paid $96 52 $96.52 5/14/2008