HomeMy WebLinkAboutPermit Electrical 2008-7-1
CITY OF SPRIr~t:iJ1lJ'.LlJ .
Building/Combination Permit
PERMIT NO: COM2008-00957
ISSUED' 07/0112008
APPLIED. 07/0112008
EXPIRES 0110112009
VALUE'
-iii..~
Status
Issued
225 F,fth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspechon Lme
SITE ADDRESS 303 S 5TH ST STE 400
ASSESSOR'S PARCEL NO 1703350000307
Springfield TYPE OF WORK Electrical Work Only
PROJECT DESCRIPTION New 200amp servIce
TYPE OF USE New
Public
Owner CITY OF SPRINGFIELD
Address 225 N 5TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMA nON I
Contractor Type
Electrical
Contractor
THORNTON ELECTRIC INC
LIcense
116329
BUILDING INFORMATION'
# of Umts # 01 Stories
Prlmdry Occupancy Group Height of Structure
Seconddry Occupancy Group Type of Heat
Primary COD,tructlOn Type VB I W r~!f~ to
Secondary ConstructIOn ul1e'HION OregonbB ....I1-~~tl\"1..
IV ,I;;' dopted Y'" o.t!OIU'
# of Bedrooms I \\oW rules a ...... se &\m"gjI'lPlim ~
o center I' ,0 "..~Il~;R ,. nla
Not\l\ca~?~ nM -O,Q1 0 throuyw::";;:", ;\Ires
\~o~~' \,;; may o~)&i.:r~EN~rri?RMA nON I
calling the cen6regon LtlM f.J,,!.
ber lor the "--<l~2-~4l.
num center IS 1-80u."Uverlay DlSt
# Street Trees Rqd.
Paved Drive Rqd,
% of Lot Coverage
Front yard Setback
S,de I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
I PUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewer Available
Special InstructIOn
ExpIratIon Date
08/21/2008
Phone
541-686-4151
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
REQUIRED PARKING
Total
HandIcapped
Compact
SIdewalk Type
TRe"flaB~S/Drams
N01'\CE~ ,,^Ii S\\r>.t\. ~"~~i~,,^1i IS ~Oi
1\-\IS P~~lEO \.I~OER 1~~~OO~EO fOR
AU1I1 <,!:n OR IS ~
~t:.....J~~\ l fE.III':".
I Wl'u'ltm~'tlescnDtlOn ,
Notes
DescriptIOn
$ Per Sq Ft
or mulhpller
Square Footage
or Bid Amount
Type of ConstructIOn
Page I of 2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00957
ISSUED' 07/0112008
APPLIED: 07/0112008
EXPIRES 0110112009
VALUE'
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOn Lme
Total Value of ProJect
Fees p~
Fee DescrIptIOn
+ 10% Admmlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm ServlFdr 200 amps or less
Amount PaId
Date PaId
ReceIpt Number
$700
$840
$350
$70 00
7/I/08
7/I/08
7/I/08
7/I/08
2200800000000000996
2200800000000000996
2200800000000000996
2200800000000000996
Total Amount PaId
$88 90
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 Re/llllrerl Tnsnechons I
EleLtflc ServIce Approval reqUired prior to utility company energIZIng service
By SlgnatUl e, I state dud agree, that I have carefully exammed the completed applicatIOn and do hereby certdy that all
mformatlOn hereon IS 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 alld the Laws of the State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY will be made of any structure WIthout permlSslOlI ot the Commumty Services DIvISIOn, BUlldmg Safety
I further certlty that only contractors and employees who are m compliance With ORS 701 005 will be used on thIS project
I further agree to ensure that all reqUired mspectlOlls dre 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 remam on the SIte at all
tImes dUring constructIOn
Owner or COli tractors Signature
Date
Paee 2 of2
ZON (s16'YI1.G
INITIALS N I"-
DATE '-1 -.2, -0"'1
SOURCE~.s~
7-/-03
225 FIFI1I STREET. SPRINGFIELD, OR 97477 . PH (~41)726-3753 . FAX (541)726-3689
ELECTRICAL PERMIT APPLICATION
CIty Job Number _LOWl7--Oc%-OO ?)7 Date
~ -~--~~-~---~--..."
I LOCATION OF INSTALLATION:
__ __ ~M~~~'
,3 fJ) 3 5 - s~ {',.;,I", ~{']
LEGAL DESCRIPTION 1703:t 5b 0 or:::>S'C;)A C~!! ~';;!..~;~I::- S~gle;r ~;it;-FlIIIlIIY per dw:elhng UOIt
M~r::.J> // .OtZo/ dO!? &n/ /d?-J-ef
JOB DESCRIPTION
ZOO 4...1
3 l cgM!~jfl<~ SCHED~ BEWW _ _
'Sl.vc
PermIts are nnn-transferable and expire If work IS
not started wlthm 180 days of ISsuance or If work IS
Suspended for 180 days
~~ ---
,
2 ,CONTRACTl!R INSTALLATION 01Yl:Y,--,
ElectncaI Contractor ~/f' tJ7D ,( )
Address fl 0
~c
t;;C9 l./ V
Phone 9'5'3 '--CO.) 7
j~
City &<6
SupervISor LIcense Number ~ /7
s
ExpIratIOn Date / Ii) - 1-/{9
Constr Contr Number II &7 '5;J;7
ExprratlOn Date
/fJ7~ (- /0
OWNER INSTALLATION
Owners SIgnature
InspectIOn Request 126-3769
ServIce Included
1000 sq ft or less
Each addItIOnal 500 sq ft or
portIOn thereof
Each Manufact'd Home or
Modular DwellIng Service or
Feeder
$11700
$ 2100
$5500
B . Services or Feeders - Installation, Alterations or Relocation-
. -
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
ATTENTION Oregon law requires you to
foll~ r~~r.l:~A!t~ O1~lJlillty
Nollflcatlon Center. 1!iosefUfe's are sef forth
In OAR~~?:1l01.001.QJhro\l.9h OAR 952-001.
0090. 'I'llUlWiji&'btilll\rclla~'Hl\kflUl\lll'b,
calhrqp~terle~ote: tha telephone
numbel) fOlJlt)e Gf4lUPAd.l!Ylly Nolificatlon
4tl:ie_J\b~.2344).
Over 600 Amps or 1000 VollS see "BOO above
D I Branch CIrCUIts __ _ _ __
New Alteration or ExtenSIOn Per Panel
One CIrCUIt
Each AddItIOnal CrrcUlt or WIth
ServIce or Feeder PeIlDlt
TOTAL
I
-?m ,-
$ 70 00 /LY
$ 83 00
$13800
$18000
$413 00
$ 55 00
SIgnature of SupervlSlng Electnclan
qUj~
Owners Name C. ~ u.f 5 f -hi
Address z:z. r S~ ~ t- E MlScellaneons (Servlce/feeder not mcluded)-Each InstallatIOn
'" __~ &-J~_"'~~ ~~ ~ _~_ ~ ~ ~
CIty <::.PP~ Pholle 72-f.-37f3 Pump or lITIgatIOn $5500
NOTl~Outlme LIghtmg $ 55 00
THIS IifiliIMlTtSHM:.tREilRIRiIIF THE WORI( $ 28 00
The mstallatlOn IS bemg made on property I own which AUTHQ.5JliIHJbJ.l~~<IhII&i$RMIT IS NOT $ 50 00
IS not mtended for sale, lease or rent GQMMJiJlIj:;iQcO& 1S,~IiQRIS $50 00 + Surcharges
AN11~QRiABO_~ . . (7(5) ~
12% State Surcharge 5Yf 0
10% AdmmlstratlVe Fee 700
5% Technology Fee ~.50
g t!3 10
$ 55 00
$ 76 00
$110 00
$ 48 00
$ 400
Shared Dnve(T )/BUlldmg Forms/ElectncaJ PermIt Appllcatron 1-08 doc
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~
City of SprIngfield Official Receipt
Development Services Department
PublIc Works Department
Job/Journal Number
COM2008-00957
COM2008-00957
COM2008-00957
COM2008-00957
Payments
Type of Payment
CrcdItCard
cRccemtl
RECEIPT #.
2200800000000000996
Date' 07/0112008
DescnptlOn
Penn Serv/F dr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admllllstralive Fee
Paid By
THORNTON ELECTRIC
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 411091 In Person
Payment Total
Page 1 of I
12 17 14PM
Amount Due
7000
350
840
700
$88 9U
Amount Paid
$88 90
$88 9U
7/1/2008