HomeMy WebLinkAboutPermit Electrical 2005-08-02Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-01044ISSUED: 0810212005APPLIED: 08/0212005EXPIRES: 0210212006
VALUE:
SITE ADDRESS: 942 28TH ST
ASSESSOR'S PARCEL NO.: 1703361109600
PROJECT DESCRIPTION: Subpanel and 6 circuits for Church.
Springlield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair Commercial
Owner:
Address:
Contractor Type
Electrical
Contractor
GROUNDED ELECTRIC
CROSSFIRE WORLD OUTREACH MINISTIRES
942 28TH ST
SPRINGFIELD OR 97477
License
158804
Expiration Date
02t24t2006
Phone
541 726-6858
CONTRACTOR INFORMATION
BUILDIN(
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nlz
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
o/o of Lot Coverage:
.litOfl
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
Page 1 of2
Value Date Calculated
qT
Valuation Description r
Status Issued
225 Fifth Street, Springfield, OR
541-7264753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-01044ISSUED: 08/02/2005APPLIED: 08/0212005EXPIRES: 0210212006
VALUE:
Fee Description
+ l$Vo Administrative Fee
+ 77o State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Amount Paid
$8.10
$5.67
$18.00
$63.00
$94.77
Total Value of Project
Date Paid
8t2t05
8t2t05
8t2t0s
8t2t0s
Receipt Number
2200500000000001034
2200500000000001034
2200s00000000001034
2200500000000001034
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. All inspection 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
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Reouired Insnections
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
Pase2 oI2
Date
,Fees raro
CitY of SPringfield
225 Fifth Street, Springfield, OR97477
541-726-3759 Phone
541'726-3676 Fax
January 25,2006
CROSSFIRE WORLD OUTREACH MIMSTIRES
942 Z8THST
SPRINGFIELD OR 97477
Job Number:
Location:
coM2005-01044
942 28TH ST
Project:Subpanel and 6 circuits for Church.
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work which has been authorized by the permit must begin within 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our records, you obtained a permit for a project at 942 28TH ST which is set to expire on
21212006. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notify you that your permit(s) will be expiring shortly. If you are ready
to request an inspection for your project, please phone the inspection line at 541'726-3769. If you do
not request an inspection prior to the expiration date, your permit(s) will expire and additional permit
fees will be required in order to complete your project'
If you have any questions, please feel free to phone me at 541-726-3790 or David Bowlsby at
541-736-1029 after February 1,2006.
Sincerely
Lisa Hopper
Building Safety S uperusor
05
r#j['19635X9'""
D?,tPr,,
A. New Residential - Single or Multi-Family per dwelling unit.
Service Included
LEGAL DESCRIPTION
l-7 0?hGtl mt$
JOB DESCRIPTION
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days
2. goNTRACTORTNSTALT.ATTON ONLY
Electrical Contactor 4l
Address
Phone
Supervisor License Number 77f6 s
Expiration Date 0t - l^a7
Constr. Contr. Number
Expiration Date
S of Supervising Electrician
t.
'lnc
225 IIF'IH STRDET o SPRINGFIELD, OR W477 o PH:(541)72G3753 o FAX:
B LECTRICAL PE RM IT AP P LICATI ON
City Job Number CDwTD$- Q to+-t+
1. LOCATIONOFINSTETTATION
$s0.00
B. Services or Feeders - Installation, Alterations or Relocationl
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
Reconnect Only
C. Temporary Services or Feeders
7o/o State Surcharge
10% Administrative Fee
TOTAL
$106.00
$ 19.00
| $ 63.00 b300
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ s0.00
City t(K 726 ,vfg#ffi;:iilHff
Installation, Alteretion or Relocation
AT?t${4qrryge{lc€on law requires you to
rou 3# d{erndar o+nryot l: : :"Y.*H,
6,.ri 4$.trsEeerry.*r, :':l'i', :',,;+;;
69.00
100.00
$
$
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit $ 43.00
Each Additional Circuit or with ,
Service or Feeder Permit @ $ 3'oo 16.oo
Owners Name uv
Address
City Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
E. Miscellaneous (Service/feeder not included) -f,ach Installation
Pump or irrigation
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Enerry/Commercial $ 45.00
IVlinimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. SUBTOTALOTABOW 9rt.o0
*
$ s0.00
q+.7-l
CITY OIT INGIIIET-D. OREGON
Inspection Request: 726-37 69
Shared Drive(T:/Building Forms/Electrical Permit Application 1-03.doc
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3. COMPI,ETE FEE #TIfrITEBM$EOtrTI - .**...
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SFH]HGFIEI-D.City of Springfield
Development Services Department
Community Services Division, Building Safety
541-726-3759 Phone
541-726-3676 Fax
March 3,2006
CROSSFIRE WORLD OUTREACH MINIST
942 28TH ST
SPRINGFIELD, OR 97477
Date Permit Issued:8121200s
Perrnit Number:coM200s-01044
Location:942 28TH ST
Project Description:Subpanel and 6 circuits for Church.
Dear Permit Holder:
As stated on your permit and./or approved plans, work authorized under the permit issued will
expire if the work is not commenced or is abandoned for any 180 day period. Because you
did not contact us to request an inspection or to call us to veriff that progress has continued to
be made on the project, your permit(s) has expired. This letter is a reminder that the above
referenced permit(s) expired on21212006. Please contact our office at Springfield City Hall,
225 Fifth Street, Springfield, Oregon between 8:00 a.m. and noon or between 1:00 p.m. and
3:00 p.m. Monday through Friday, excluding holidays prior to continuing work on your
project. There are additional permit fees that are due in order to complete your project.
Sinc erely,
Lisa Hopper
Building Safety Supervisor
Dave Puent, Community Services Manager
Code Enforcement
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