HomeMy WebLinkAboutPermit Electrical 2008-6-19
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00904
ISSUED. 06/19/2008
APPLIED: 06/19/2008
EXPIRES: 12/19/2008
VALUE:
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 5280 HIGH BANKS RD
ASSESSOR'S PARCEL NO 1702280000401
Spnngfield TYPE OF WORK Electncal Work Only
TYPE OF USE
AlteratIOn
Commercl3l
PROJECT DESCRIPTION Low voltage for vOIce and data cahhng
Owner DEFOE RONALD MAJOR
Address 90751 PRAIRIE RD
EUGENE OR 97402
I CONTRACTOR INFORMATION I
Contractor Type
Low Voltage Electncal
Contractor
LAN TEL SERVICES
LIcense
90461
Expiration Date
04/19/2010
Phone
541-688-1427
BUILDING INFORMATION'
# of UOItS
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary Construction Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
He'ght of Strnctnre
Type of Heat
Water Type
Range Type
Energy Path
Sprmkled BUlldmg
Lot SIze
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT INFORMA TION I
REQUIRED PARKING
Front yard Setback
SIde I Setback
Side 2 Sethack
Rearyard Sethack
Solar Setbacks
Overlay D,st
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
SIdewalk Type
Storm Sewer Available Downspoutsffirams
Specl3llnstrnctlOn
ATTENTION' Oregon law requires you to
Notes follow rules adopted by the Oregon Utility
Notification Center Those rules are set forth
;11 ~n;-I .;:;: Je+-eS1: 't.:':~":JA Q^O o=:" nni - ~!9-~I~~:
0090 You may obtalD copies of the ~Ules oy mJ{iJ>J.,MIT SHALL EXPIRE IF THE WUKI\
calling the center (Note the tele h'(.aluatlOn Desc .UlI, ZED UNDER THIS PERMIT IS NOT
number for the Oregon Utility Noliflcatlon f\ uno b{g<OR IS ABANDONED FOR
DesCrIptIOn Cen~l6ft;8a~I~44). $ PerlSqlFt Gl9~~'MtpERIOD Value Date Calculated
or mu tip lef AlQrTO\Tvt"U- .
\
Paee I of 2
-iik~
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED:
APPLIED.
EXPIRES:
VALUE:
COM2008-00904
06/19/2008
06/19/2008
12/19/2008
225 FIfth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
Fees PaId I
Fee DescriptIOn
+ 10% AdmlOlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercl3l Indus
Amount PaId
Date PaId
Rece'pt Number
$500
$600
$250
$50 00
6/19/08
6/19/08
6/19/08
6/19/08
2200800000000000943
2200800000000000943
2200800000000000943
2200800000000000943
Total Amount Pa,d
$63 50
I ptan RevIews I
To Request an mspectIon call the 24 hour recording at 726-3769. AlImspectlOns requested before 7:00
a m. WIll be made the same workmg day, mspectIons requested after 7'00 a.m. WIll be made the followmg
work day
I Reolllred' nsoechons I
Low Voltage Prior to cover
By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certify that all
mformatlOn hereon 's 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 Springfield and the Laws of the State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY will be made of any structure WIthout permISSIon of the CommuOlty Services D,vlslOn, Bulldmg Safety
I further certify that only contractors and employees who are m comphance WIth ORS 701 005 will be used on this project
I further agree to ensure that all required mspectlOns are requested at the proper time, that each address 's readable from the
street, that the permIt card 's 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
Paee 2 of 2
CIty of Sprmgfield
ElectrIcal AuthorIzation To Begm Work
E-ma,led To ddover@lantelservlces com
ReceIpt # EC532494
6/19/2008 2 01 58 PM
~
By Phone
Check on status of perm It
(541)726-3753 or Emall permltcenter@cl sprmgfield or us
SITE CONTACT
C_ I r FEE SCHEDULE
II DescnptlOn I Qty I En fotal
I ReSlde~tl~1 SINGI:E~~OR m~ulhMfamdy dwelling umt Includes
I .1Itached garage ~,
111,000sq ft or less I I
I en addl 500 sq fl or portion
I I Limited Energy
I I LImited energy reSidential
I (with above SQ ft)
I LImited energy, mullilan11]Y
I reSldentlal (with above so ft)
1 I-Limited energ), commercla-]
(\\Ith above sa ft)
I . Stand-dIoDe limIted energy, I
reSIdential
I - Stand-alone limited energy I
multi-famllv
I - Stand-alone limited energy, 'I $50001 $5000 I
commerCial
I Sen Ice_~ OR feeders mstullatIOD,- alteration, <\1'D/OR relocation
200 amps or less I
20 I amps to 400 amps
40 I amps to 599 amps I
TEMPORAR\ services OR feeders IOlitallatIon, alteratIOn,
AND/Q.~~ relocation -,~
200 amps or less
20 I amps to 400 amps
40 I dI11pS to 599 amps
Branch CirCUits - NFW, alleratlOn, OR e'\:tenslOn, per panel
A Fee for branch CIrcUIts \\Ith
servIce or feeder fee each
branch Circuit
B I-ee for branch CirCUIts
without service or feeder fee
first branch Circuli
each addl branch Circuit
J\llseellaneous
TYPE OF WORK
o New constructIOn
[IJ AddItIon/alteration/replacement
CATEGORY OF CONSTRUCTION
10 1 or 2 famIly dwellmg 0 Multi-famIly [Xl Commerclal/lndustnal
I JOB SITE INFORMATION AND LOCATION
I lob no IJob address 5280 HIGH BANKS RD
IClty/S1a1e/LlP SPRINGfiELD OR 97478-6176
I SUlte/bldg /apt no
1 PrOject name POSTLE ALUMINUM
Cro...s ...treet/dlrectlOns to Job Mte
I SubdIVIsIOn I Lot no
Ilax map/parcel no 1702280000401
1 DESCRipTION OF WORK
LOW VOLlA0E VOICE AND DATA CABLING
IName
IPhone
!t..mall
DAWN DOVER
(541)6881427['1215 IFax (541)688-4642
DDOVER@I ANTELSERVICES COM
CONTRACTOR
I ceo hc no 90461
I
1....1 lie no 20-353CLE
J Ousllless Ndme LAN TEL SERVICFS INC
I Contact DAWN DOVER
IAddrcss 1900 IRVING RD BLOG C
IOt}/Stater.llP CUGENCOR 97402
IPhone (541)6881427exI215
I Emall ddover@lantelservlces com
1J\letro hc no
I ~lIpervlsmg electriCian's he no
!SupenlSlng electriCian's name
I..x (541)6884642
ServIce reconnect only
Each manufacturcd or modular
_dwelling service and/or feeder
Pump or lITIgatIOn CIrcle
I Sign or outline IIghtmg
I Signal clrcUlt(s) or limIted-
energy panel, alteration, or
extenSion
I
I
I
I
I
Subtotal $5000 I
State Surcharge (12% ofoermlt fee) 5600 I
Clt~ Of SDrm~tield fees * $7 50 I
lOTALnR~1Il FEI>. I $6350 I
10% LOl"dl Admin r ee 5% Local Technology I-ee
Innl nllcred onlme al thIS JunsdlClIon
I City he no
I13LEB
ERIC C RUSSELL
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
ELECTRICAL PERMIT FEES
NOTE ThiS AuthOrization To Begin Work expires Within 180
days If a permit IS not obtained
I
I
I
* City Of Spnngfield
The local bUilding department may determme that an
Authonzatlon To Begin Work IS null and VOid If It does not
meet applicable land use laws and local ordinances
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
225 FIfth Street
Sprrngfield, Oregon 97477
541-726-3759 Phone
.:;~
ai:-
Job/Journal Number
COM2008-00904
COM2008-00904
COM2008-00904
COM2008-00904
Payments
1 ype of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000943
Descnptlon
Low Voltage - Commerclallndus
+ 5% fechnology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
CIty of Sprmgfield Officl3l ReceIpt
Development Services Department
Public Works Department
Date' 06/19/2008
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
Pa,d By
ONLINE PERMIT CHGS
ddk
Page I of I
ONLINE LAN TEL Onlme
SERVICES
Payment Total
2 20 I3PM
Amount Due
5000
250
600
500
$63 5U
Amount PaId
$63 50
$63 50
6/1912008
Pay to the order of
Spnngfleld Brancl1
U.S NATIONt.L :JAI\.~ CF OREGON
For Deposit Cnly 1 536 ':145 25
CITY OF SPRINGFIELD '
DE'IElOPMENT SERVJCES