HomeMy WebLinkAboutPermit Electrical 2008-5-19
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00703
ISSUED: 05/19/2008
APPLIED: 05/19/2008
EXPIRES: 11/19/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1435 G ST
ASSESSOR'S PARCEL NO.: 1703362206100
SPRINGFIETYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: New feeder for x-ray machine
Owner: MCKENZIE ORTHOPEDIC P C
Address: 1435 G ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
NEW WAY ELECTRIC INC
License
51088
Expiration Date
06/27/2009
Phone
541-686-2365
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 I
Front yard 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:
Street Improvements:
Storm Sewer Availa~{OTlCE.
Special Instruction:THIS PERM
AUTHO IT SHALL E
Notes: COfv1M/!ZED UNDER T XPIRE IF THE W
/J filii J .' NeED no ,,.. . _ HIS PERnn',,..,~ ORK
-, IOllllAllp 'v"D"l\1J- .., ... ,,'~.r
U I ER '" UNtIl 'v,
1/0D, Valuatl6hJ,fr}escri
. _ .. .".... ';"00: \/ClU to
gTEN \lU\\I v, \:''', " . t
I PUBLIC IMPROVEMENT les ~dopt',-C1 b~1 ~YJ C Ie:: Oil \.;..,1 Yth
ow ru 1'1"'10" '1"(' sot to\
NotlfICa1Sr(k~%f~9'y'~e1,)~ ~,:'; t) ,:-l- tll:Hi01-
. OAR~2-001-001,),:\t._. '" I .. . tqb
In '{{:fBliIM!'Q.UtsLDrains:Jf;,,' ,~ flJ jgj Y
0090. -: (Nl.te: ,~!8 lolerhljn~
calling tfhe tChe;~~~aon t/,l!;.y Notltloatlon
number or .:J r' ) (344)
Center IS 1-800-3;)... tr. '
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2;e 1 of2
Status
Issued
CITY OF SPRINGFIELD ..
Building/Combination Permit
PERMIT NO: cOM2008-00703
ISSUED: 05/19/2008
APPLIED: 05/19/2008
EXPIRES: 11/19/2008
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 Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$7.80
$9.36
$3.90
$8.00
$70.00
5/19/08
5/19/08
5/19/08
5/19/08
5/19/08
3200800000000000333
3200800000000000333
3200800000000000333
3200800000000000333
3200800000000000333
Total Amount Paid
$99.06
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Reouired Insoections I
Electric Service: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa2;e 2 of 2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:Jonette@newwayelectnc.com
Receipt # EC530534
5/19/2008 10:26:55 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.sprmgfield.or.us
I Service reconnect only
I Each manufactured or modular
dwellmg, service and/or feeder
1 Pump or lITIgation circle
1 Sign or outlme IIghtmg
Signal clrcUlt(s) or IImlted-
energy panel, alteratIOn, or
extensIOn
I " , "q"'~f~r""t'''''''' I"", , 1
!'It%\t~'$'~'icli!4S:\IT!,;<lt, "EI.:ECT~I~~~~~!,M,~E,~
I Subtotal I $78 00 1
1 State Surcharge (12% ofpenmt fee) I $936 I
I City Of Spnngfield fees *1 $11 70 I
~ ",' ,0"'",1'., r ~RMIT FEE I $9906 I
City Of S~mgfield 10% Local Adn un tee, 5% Local Technology Fee
CO~:K" 11l:S
2') crolS ~ 5~<'
RCPT ##:....=:- ~
5'--/C) ~ U 7
DATE PROCESSEO:~.
PROCESS~ ,,1)\
ThiS Authorization To Begin Work m~st be..Do~te ':;IIl"llll clJlace'u by a Permit
D New constructIOn
[X] AdditIOn/alteration/replacement
D I or 2 family dwellmg
D Multi-famIly
[X] Commercial / Industnal
":,,)f%\':'k~j'oB,clsiTE\'iNFORMATiON\:.\ND,tOCATION,
~W~~$~ 1'<~ll, <f' Al,I"*,,4iWilNII'"%0'''"''[,{
/Jobno' 9110 /Jobaddress, 1435 GST
I CIty/State/ZIP SPRINGFIELD, OR 97477-4113
I SUltelbldg /apt.no
I Project name'
Cross street/directIOns to Job site'
New Feeder for X-Ray Machme
I SubdiVIsion'
map/parcel no.
I Lot no
1703362206800
, "",, , " "" '4'''''''''''''''"'''l'lifRilI'&II,,$@iplei. '"
,,?ES9RI~TION OF WORK' ,\I'?I'II'41'~I'ltij, ;ce,
New Feeder for X-Ray Machme
l'cI
IName
I Phone
IEmall:
I
Mike Slaven
(541) 501 -1569
I Fax.
lEI hc no' 20-145C
I Busmess Name NEW WAY ELECTRIC INC
I Contact Jonette Buss
[Address POBOX21503
I City/State/ZIP EUGENE OR 97402
[Pbone. (541)6862365
I Emall Jonette@newwayelectnc com
I Metro hc no
1 Supervlsmg electriCian's hc. no.: 5252S
I Supervlsmg electriCian's name JUSTIN M PASLAY
I CCB he. no.. 51088
I Fax, None
I CIty hc. no.. 409647
Upon review and approval by your local Jurisdiction, your
permit Will be e-malled or faxed Within one business day,
With Instructions on how to schedule your inspection
NOTE ThiS AuthOrization To Begin Work expires Within 180
days If a permit IS not obtained
The local bUilding department may determine that an
AuthOrization To Begin Work IS null and VOid If It does not
meet apphcable land use laws and local ordinances
I ' "I' '"'d'+V";';>>!.il'i!JL1'!i'I!i'~>>AFEE"SCHEDULE .. ',\<:,;111:":1: .. I
" , , '''"' k " ~~ '-cct'~",ll"~ ~ I l!d'<I'?I!
I DeSCriptIOn I Qty I Ea I Total
Residential SINGLE~' OR1iiliiiti:faInilY1d~elling;unit. ,Inchides
;1$!(<<<t'"J!- ( , '<" 'w&""" <m""',))11<011" <4 >>0:111
dit!a"chea"g~t!ger1;~i1I1~II~liE~?t!Ptr'+ljiii1?0M;;;;;A+i~ ~ y < ,H"",*l It I,VJ'~}I~!
11,000 sq ft or less
1 Ea addl 500 sq ft or portion
" 'F,
I-Limited energy, reSidential
(With above so ft)
I-Limited energy, multifamily
reSidential (With above so ft)
I-Limited energy, commerCial
(with above sq ft)
I - Stand-alone lImited energy,
reSidential
I - Stand-alone lImited energy,
multi-family
I - Stand-alone limited energy,
commercial
Iw'Services%ORlf~iie~0iastaJjMJ:onl;~laiter~t~on~'ANDJOR ~e)ocation ,t<< I
q0,yI"'tXnrff'~t"",,'t(~ w~ ""jr,;rS "~~I" t", ,,,, F~tt~~~ <<- I
1200 amps or less $70 00 $7000 I
1201 amps to 400 amps I
1401 amps to 599 amps I
TEMPORAll,y$le'~I,~'q~:f~ers inshlllatiorifaltefation;
,ANDfO~llrelocatlon1*\1A1~*,)l'(Y0"i,}(q", eqt\I,)yr!i1w(<Id:\"~~>rit~'i&~ " <r~ i'l (j
I 200 amps or less
I 20 I amps to 400 amps
1401 amps to 599 amps
11Br11\i"'Chcl(~iM;i'~ NEW/alteration, 'OR extens.ou{ per panel"
I " " ,,( (I", {h,", , ~<<" ~:>ii", ~ 1~"'f ( II li",,,,>'II", 1<<(,,/ ',,11
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
2
$400
$800
"','
not offered onlme at thiS JunsdlctlOn
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00703
COM2008-00703
COM2008-00703
COM2008-00703
COM2008-00703
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
3200800000000000333
DescriptIOn
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 05/19/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How ReceIVed
PaId By
ONLINE PERMIT CHGS
NJM
Page I of 1
ONLINE NEW WAY In Person
ELECT
Payment Total:
10:53:01AM
Amount Due
7000
800
390
936
780
$99.06
Amount Paid
$99 06
$99.06
5/19/2008