HomeMy WebLinkAboutPermit Electrical 2007-05-30Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00768ISSUED: 05130/2007
APPLIED: 05/3012007
EXPIRES: I113012007
VALUE:
SITE ADDRESS: 160 S 14TH ST
ASSESSOR'SPARCELNO.: 1703363204201
Springfield
PROJECT DESCRIPTION: Circuits for new meat case and cooler.
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration Commercial
Owner:
Address:
Contractor Type
Electrical
CANNED FOODS WAREHOUSE
160 S I4TH ST
SPRJNGFIELD OR 97477
Contractor
DOUBLE E ELECTRIC
License
15298s
Expiration Date
09t27t2008
Phone
5038075156
# 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 ImproYements:
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
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:w
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
DEVELOPMENT INFOR]V
PUBLIC IMPROVEMENTS
Description Type of Construction
Page I of 2
Value Date Calculated
lt\I(rIuYlAllur\ |
Valuation ocseriptisa l
Status Issued
225 Fifth Street, Springfield, OR
541-126-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PER1\4IT NO: COM2007-00768ISSUED: 0513012007APPLIED: 05/3012007
EXPIRES: I113012007
VALUE:
Fee Description
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 8%o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
5t30t07
5/30107
5t30t07
s/30t07
5t30107
$4.90
$2.45
$3.92
$43.00
$6.00
s60.27
PIan 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.
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 Cify 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
Pase 2 oI 2
Date
Receipt Number
2200700000000000851
22007000000000008s1
22007000000000008sr
22007000000000008s1
2200700000000000851
Fees rard I
Keq u l r9(Ltllil]cqtxuls_l
City of Springfield
tFf,ttfifirt0
Supervising electrician's name: FREDRIC A EKSTROM
Lrectrical Authorization To Begin Work
E-mailed To: VOLTI@COMCAST.NET
Check on status of permit
By Phone: (541)7 26-37 53 or Email : permitcenter@ci.sprin gfi eld.or.us
Receipt # EC51f 885
512912007 8:13:35 PM
Technology Fee
Upon revlew and approval by your local jurisdiction, your
pormit will be o-mailod or faxed within ono business day,
with instructions on how to schedule your inspection,
NOTE: This Authorization To Bogin 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.
I I or 2 family dwelling l-l tvtulti-famity fil Commercral / Industrial
New construction fl eOaitlorVatt"ration/replacement
Job no.:Job address: 160 S l4TH ST
City/State/ZlP: SPRINGFIELD, OR 97477-5223
Suiteibldg./apt.no.:
Project name: Grocery Outlet
Cross street/directions to job site:
Subdivision:Lot no,:
Tax map/parcel no.i 1703363204201
Name: Dale Blue
Fax:Phone: (503) 804-651 I
Email:
El. lic. no.: 34-627C CCB lic. no.: 152985
Business Name: DOUBLE E ELECTRIC INC
Contact:
Address: 2626 SE SPRUCE ST
CitylState/ZlP: HILLSBORO OR 971 23
Phone: (503)6400801 Fax: (503)4305966
Email: VOLTI@COMCAST NET
City lic. no.Metro lic. no,:
Supervising electrician's lic, no.: 46205
Description Qty.Ea.Total
1,000 sq. ft. or less
Ea. addl 500 sq. ft. or portion
- Limited energy, residential
(with above sq. ft.)
- Limited energy, multrfamily
residential (with above so. ft.)
200 amps or less
201 amps to 400 amps
401 amps to 599 amps
200 amps or less
201 amps to 400 amps
401 amps to 599 amps
8."*h "t*rttr - NIW rtt"""tt,
A. Fee for branch circurts with
above service or feeder fee,
each branch crrcurt.
B. Fee for branch circuits
without service or feeder fee,
first branch circuit;
I $43.00 $43.00
each addl branch circurt 2 $3 00 $6 00
Service reconnect only
Each manufactured or modular
dwelling, service and/or feeder
Pump or inigatron circle
Sign or outline lighting
Signal circur(s) or limited-
energy panel, alteration, or
extension.
not oflered online at this jurtsdiction
Subtotal $49.00
State $3.92
City Of Springfield fees t $7 3s
TO'IAL PERMIT FEE $60 27
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
TYPE OF WORK
CATEGOFCT OF CONSTRUCTION
JOB SITE ]NFORJUATION AND LOCATION
DESCRIPTIOH OF WORK
SITE CONTAGT
COI,ITRACTOR
FEE SCHEDULE
Residcntial SINGLE- OR multi-family dwelling unit, Includes
atlached garage
TEMPORARY services OR feders installalion, altsration,
Ai\iDiOR relocation
Miscellaneous
ELECTRICAL PERM]T FEES
,,,,,,,{Q (k
treet
Springfield, Oregon 97477
541-.726-3759 Phone
Cir--of Springfield Official Receipt
Dr, ,lopment Services Department
Public Works Department
RECEIPT #: 22007000000000008s1 Date: 0513012007 8:33:46AM
Job/Journal Number
coM2007-0076E
coM2007-00768
coM2007-00768
coM2007-00768
coM2007-00768
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5olo Technology Fee
+ 8% State Surcharge
+ l0o/o Administrative Fee
Amount Due
43.00
6.00
2.45
3.92
4.90
Item Total s60.27
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS ddk ONLINE Double E Online
Electric
$60.27
Payment Total:$60.27
cReceint I Page I of I s13012007
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