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Home My WebLink AboutPermit Electrical 2008-6-24 t"0Ll~o t i.c\'L--\ ~'7~;V CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2008-00920 ISSUED 06/24/2008 APPLIED' 06/24/2008 EXPIRES: 12/24/2008 VALUE Status Issued 225 Filth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 FdX 541-726-3769 InspectIOn Lme SITE ADDRESS 420 MAIN ST ASSESSOR'S PARCEL NO 1703353107500 Sprmgfield TYPE OF WORK Electncal Work Only TYPE OF USE Alteration PROJECT DESCRIPTION Add CirCUIts for lottery machme and general pnrpose onUets Commercial Owner DUGGER JACK L Addless 420 MAIN ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electncal Contractor C & SELECTRIC License 3849 BUILDING INFORMATION' ExpiratIOn Date 09/0112008 Phone 541-741-2236 # of UOlts Pnmary Occnpancy Gronp Secondary Occupancy Group Pnmary Construction Type Secondary ConstructIOn Type # of Bedrooms # of Stones HeIght of Structure Type 01 Heat Water Type Range Type Energy Pdth Sprmkled BUlldmg Lot SIZe Sq Ft I st Floor Sq Ft 2nd FloOl Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupant Load nla J DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback SIde I Setback SIde 2 Setback Rearyard Setback Solar Setbacks Overlay Dlst # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage Total HandIcapped Compact I PUBLIC IMPROVEMENTS I Street Improvements Sidewalk Type Downspoutsffiralns Storm Sewer Available SpecIal InstructIOn ATTENTION' Oregon law reqUIres you to follow rules adopted by the Oregon Utility Noliflcatlon Center Those rules are set forth 1","f\Onl:I"lf"l^" t'\1"I"I'\..L__ ___l.. "'\.....,........... __. - -.- ....--,.1., _.....:.....~ ~~. NOTICE. f T~\w'\QM I 0090, You may obtam copies of the rules by ERM1T SHAll EXPIRE \ , /ufn DescrIolton calling the center (Note the telephone THIS P 71=~ ~DER THIS PERMII I" " number for the Oregon UlIIity Notification DescnpMbTHORI'f'\1 ~ .c\\flslltU.~NED~ Sq Ft Square Footage Cente(7,\$ul-800-332i:i~lculdted COMMENC UK'" 1'\"" or multiplier or BId Amount ANY 180 DAY PERIOD Notes Paee I of2 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO ISSUED APPLIED. EXPIRES VALUE: COM2008-00920 06/24/2008 06/24/2008 12/24/2008 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total V dlue of Project Fees Palll , Fee DescllPtlOn + 10% AdmmlStratIve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend CIrC Add, Alter, Extend Ctrc Ea Add Amount PaId Date PaId ReceIpt Number $560 $672 $280 $48 00 $800 6/24/08 6/24/08 6/24/08 6/24/08 6/24108 2200800000000000966 2200800000000000966 2200800000000000966 2200800000000000966 2200800000000000966 Total Amount PaId $7112 I Plan ReVIews I To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7.00 a.m. WIll be made the same working day, mspectlons requested after 7:00 a m Will be made the followmg work day. I. Reouired TnsnectlOns I 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 apphcatlOn and do hereby certIfy that all mformatlOn hereon IS true dnd correct, and I further certIfy that any dnd all work performed shall be done m accorddnce With the Ordmances of the Ctty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, dnd that NO OCCUPANCY Will be made of any structure WIthout permissIOn 01 the CommuDlty Services DIVISIOn, BUlldmg Safety I further certIfy that only contractors dnd employees who are m comphance WIth ORS 701 005 will be used on thIS project I further agree to ensure thdt all reqUIred mspectIons dre requested at the proper tIme, that each address IS readahle from the street, that the permIt card IS locdted at the front of the property, and the dpproved set of plans WIll remam on the sIte at all times dunng constructIOn Owner or Contrdctors Signature Date Paee 2 of2 CIty of Sprmgfield Electrical Authorlzahon To Begm Work E-malled To awood@cseleclnc org Receipt # EC532709 6/24/20089 48 38 AM ~ Check on status of perm II By Phone' (541)726-3753 or Emall permllcenler@clsprmgfield orus I ~I he no 20-14C I Business Name C & S ELECl RIC INC I Contact Ddve GchrJ...e IAddress PO BOX 1482 I C1ty/StatelZlP SPRINGFIELD OR 97477 I Phooe (541)7412236 I ~mall awood@cseleltTH.. org I Metro lie no I SUpcrvl"mg dectnclan's he no 48945 I ~upcrvlsmg electriCian's name DAVID E GI:IIRKE CONTRACTOR ICCB!lc 110 3849 I I FEE SCHEDULE II DescrlptlOo I Qty I Ea I Total I Resldent!al SINGLE- OR multi-family dwdllllg omt Includes I dttached ga!age j 111000sqftOcl"S I I I I Ea addl 500 sq n or portion I I Limited Fllergy I[ - LlIUitcd energy reSidentIal I (wIth above Sq ft) I LImited energy multifamily I reSidential (with above Sq ft) I I-Limited energy, commercial (wIth above SQ ft) I - Stand-alone limited energy reSIdential I - Sland~aJone JUnJted energ) multI famllv I Stand-alone limIted energy commerCial I Senlce'\ OR feeders installatIOn, alteration, AND/OR relocdtloll I 200 amps or less 120 I dfTIpS to 400 amps f 40 I amps to 599 amps I TEMPORAR\' services OR feeders installatIOn, alteration, A~!>L~R relocation I 200 amps or less I 201 amps to 400 amps 1401 amps to 599 amps I Branch CIl CUlts ~ NEW, alteration, OR e~tensJOn, per pJnel I A fee for branch CirCUIts wIth servIce or feeder fee each branch CIrcUIt I B Fee for branch CirCUIts wIthout service or feed~r fu:, first branch <.Ir<.ult each add! branch mCUJl 2 $400 I D New constructIOn ~ TYPE OF~WORK lliJ AddltlOn/altt.TaUonlreplacement CATEGORY OF CONSTRUCTION I D 1 or 2 family dwelling D MultI fanuly [K] Commercial/ IndustTlal I ~JOB SITE INFORMATION~AND LOCATION IJob no 7026 I Job address 420 MAIN ST I City/State/LIP SPRINGfiELD OR 97477-5467 I SUlte/bldg /apt no I Project name Uncle Jach. Inc Cro'\s street/directions to Job site 1 Subdlvl.'lIon 1 Tax ffiJp/parcel no I [Lot 00 1703353107500 DESCRIPTION OF WORK add CIrCUIt for lotteI) machmg dnd alter 2 CIrcUIts for generdl purpose outlets SITE CONTACT I Name Jack I Phone (541) 501-0325 1 Emall IFax Miscellaneous $48001 $8001 I I I I I I I Subtotal $5600 I State Surchar~e (12% ofpermll fee) $672 I CIty Of SpTlngfield fees * $840 I TOTAL PER~II r FLL I $71 12 I 10% Lo<.al Admm Fee 5% Locallechnology Fee $48 00 I hx (541)7412473 ServIce reconnect only I Fach manufactured or modular dwellmg service and/or feeder I Pump or Irngatloll Circle SIgn or outlmt. IIghtmg Signal clrcUlt(s) or limIted. energy panel alteration or extenSIOn I I I I . CIty Of Spnngfield loot offered 001 me at thIS Junsd"tmo ) CltV hc no 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 The local bUilding department may determine that an AuthOrization 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 Sprlngficld, Oregon 97477 5111-726-3759 Phonc ~ Job/Journal Number COM2008-00920 COM2008-00920 COM2008-00920 COM2008-00920 COM2008-00920 Payments Type of Payment ONLINE CHGS cRecelOtl RECEIPT #: 2200800000000000966 DeSCription Add, Alter, Extend Clrc Add, Alter, Exlend CIfC Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmlsrratlve Fee CIty of Sprmgfield Official Receipt Development Servlccs Dcpartment Pubhc Works Dcpartment Date' 06/2412008 Item Total l:heck Number AuthOrizatIOn Received By Batch Number Number How Received Paid By ONLINE PERMIT CHGS ddk Page] of I ONLINE C & S Onlme ELECTRIC Payment Total 11 51 47AM Amount Due 4800 800 280 672 560 $71 12 Amount Paid $71 12 $71 12 6/24/2008 Lt33-- a) 10