HomeMy WebLinkAboutPermit Electrical 2007-07-06Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
FIELD
Building/Combination Permit
PERMIT NO: COM2007 -00997ISSUED: 0710612007APPLIED: 07106/2007
EXPIRES: 0l/0612008
VALUE:
SITE ADDRESS: 220 sTH ST Springfield TYPE OF WORK: Electrical Work Only
ASSESSOR'S PARCEL NO.: 1703353101100
TYPE OF USE: Addition Public
PROJECT DESCRIPTION: Add/Alter/Extend five circuits for remodel of the "Carter Building"
PhoneNumber: 541-726-3753Owner:
Address:
CITY OF SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD OR 97477
Contractor Type
Electrical
Contractor
CONRICH ELECTRIC LLC
License
r49509
Expiration Date
ru02t2007
Phone
541-607-3447
CONTRACTOR I,
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street lmprovements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid AmountDescription TvPe of Construction
Page I of2
Value Date Calculated
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Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007 -00997ISSUED: 0710612007APPLIED: 0710612007EXPIRES: 0l/06/2008
VALUE:
Fee Description
+ l0"h Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid Receipt Number
2200700000000001091
2200700000000001091
2200700000000001 091
2200700000000001091
2200700000000001091
$6.40
$3.20
$5.12
$48.00
$r6.00
7t6t07
7 t6t07
7t6t07
7t6t07
7t6t07
$78.72
Fees Paid
Plan Reviews
To Request an inspection call the24 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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
nsnections
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 Springlield 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 Safefy.
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
Pase 2 of 2
Date
JOB DESCRIPTION
2.
Electrical Contractor
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
200 Amps or less
201 Amps to 400 AmPs
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
New Alteration or Extension Per
One Circuit
Each Additional Circuit or with
or Feeder Permit
zoN
INITIALS
DATE
SOURCE
$55.00
$ 70.00
$ 83.00
$ 138.00
$180.00
$413.00
$ ss.00
C"ryAen{ F - ttc
67.
il'ltl' -Ltt
Date
225 FIFTH STREET o SPRINGFIELD,OF.9T4TT o PH:(541)726-3753 r FAX: (541)726-3689
ELECTRICAL
City Job Number
3.
LEGAL
t-4
are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Address
City EaOqUrE Pnole 688gfrCo -
Supervisor License Number /B'9 S
Expiration Date
Constr. Contr. Number 20-c
Expiration
Owners
Installation, Alteration or Relocation
200 Amps or less $ 55'00
201 Amps to 400 Amps $ 76.00
401 Amps to 600 AmPs $110'00
Over 600 or 1000 Volts see "B" above.
Panel
\
_*_
$ 48.00 +g@
$ 4.00 \\OQS
City (r=Pump or inigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
Minimum Electric Permit Inspection Fee is $50'00 +
4.
8% State Surcharge
$ 5s.00
$ 5s.00
$ 28.00
$ 50.00
OWNERINST TION
oalllng tre cenil'
rurDer
u)
l0im['#fl:'*
THIS PERIITT SHATL SPIRE IITHE WO
Inspection
uh
SCANNES AI{Y1&ONPHOE
IS
Application 7-07.doc
CITY OF SPRIN OREGON
1.OF
A. New Residential - Single or Multi-Family per dweltring unit'
$117.00
$ 21.00
coNTRAcroR IN9TALLATION ONLY B. Services or Feeders - Installation, Alterations or Relocation:
C. TemporarY Services or Feeders
D. Branch Circuits
Miscellaneous (service/feeder not iucluded) -Each Installation
OFABOYE
oAR952-001-
E.
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
' 'v of Springfield Official Receipt
t :lopment Services Department
Public Works Department
RECEIPT#: 2200700000000001091 Date: 0710612007 l0:02:32AM
Job/Journal Number
coM2007-00997
coM2007-00997
coM2007-00997
coM2007-00997
coM2007-00997
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ l0%o Administrative Fee
Amount Due
48.00
16.00
3.20
5.12
6.40
Item Total:$78.72
Payments:
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
INT CHGS 420-22000-810045 CATR BLD llh INT CHG In Person $78.12
Payment total:
-5?5177
cReceintl Page I of I 71612007