HomeMy WebLinkAboutPermit Electrical 2007-05-17l-il Building/Combination Permit
PERMIT NO: COM2007-00716ISSUED: 0511712007APPLIEDz 0511712007
EXPIREST llll712007
VALUE:
1
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
rn
SITE ADDRESS: 2492 5TH ST Springfield TYPE OF WORK: Electrical Work Only
ASSESSOR'S PARCEL NO.: 1703262102801
TYPE OF USE: New Public
PROJECT DESCRIPTION: Traffic signal service (Installation address: 2499 sth Street)
Owner:
Address:
Contractor Type
Electrical
ANN C & IAN FULLER 1991 TRUST
4839 OLD DILLARD RD
EUGENE OR 97405
Contractor
MORROW MEADOWS CORP
License
91668
Expiration Date
07t20t2007
Phone
503-399-7609
CONTRACTOR INFORMATION
BUILDING INFORN
# 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 Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
F!01lct
E
i,iJMl\,,lI_i{fiED OR IS ABANDO
DAY PERIOD
REQUIRED PARKING
Total:
Handicapped:
Compact:
Downspouts/Drains:
l$[FtrHuq]'.'
$ Per Sq Ft
or multiplier
Square Footage
or Bid AmountDescription Type of Construction
Paee I of2
Value Date Calculated
Valuation Description I
F
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 -007 16ISSUED: 0517712007APPLIED: 0511712007EXPIRES: tlll712007
VALUE:
Fee Description
+ l$oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
5n7t07
5t17/07
5n7t07
sn1t07
5n7t07
Receipt Number
3200700000000000279
3200700000000000279
3200700000000000279
3200700000000000279
3200700000000000279
$6.90
$3.4s
$5.52
$6.00
$63.00
$84.87
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769. AII 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
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Reou
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
Page 2 of 2
Date
City of Springfield
Supervising electrician's name: KENNETH W HAMILTON
Upon review and approval by your local Jurisdiction, your
permit will be e-mailod or faxed wlthln one business day,
with instructlons on how to schedule your inspectlon.
NOTE: This Authorlzation To Bogln Work expircs wlthln 180
days if a permlt is not obtained.
The local building department may determine that an
Authorization To Begln Work ls null and void lf lt dooE not
meet applicable land use laws and local ordinances.
l,tectrical Authorization To Begin Work
E-mailed To : khamilton@cherrycityelectric.com
Check on status of permit
By Phone : (541)7 26-37 53 or Em ail : permitcenter@ci.springfi eld.or.us
+ City Of t0%A
Receipt # EC511494
511712007 l0:48:28 AM
Fee
lxl New construction l-l Rddition/alteration/replacement
I t or z family dwelilng f-l uulti-family [Il Commercial / Industrial
Job no.: 876004 Job address: 2492 5TH ST
City/StateZIP: SPRINGFIELD, OR 97 477 -2206
Suite/bldg./apt,no.:
Project name: 5th & Hayden Bridge Rd
Cross streeUdirections tojob site: Installation address: 2499 5th St
Lot no.:Subdivision:
Tax map/parcel ao; 1703262102801
F WORKDESCRIPT
Tralfic Signal Service
Name: Ken Hamilton
Fax: (503) 362-2468Phone: (503) 566-5600
Email: khamilton@cherrycityelectric.com
I
El. lic, no.: 37-620C CCB lic. no.: 91668
ACTOR
Business Name: MORROW MEADOWS CORP
Contact: Ken Hamilton
Address: l59622NDSTSE
City/State/ZIP: SALEM OR 97302
Fax: (503)3622468Phone: (503)5665600
Email: khamilton@cherrycityelectric.com
City lic. no,:Metro lic, no.:
Supewising electrician's lic. no,: 1388S
Description Qty.Ea.Total
1,000 sq. ft. or less
Ea. addl 500 sq. ft. or portion
- Limited energy, residential
(with above so. ft.)
200 amps or less
- Limited energy, multifamily
residential above
alleration, A
I $63 $63 00
!tion
201 amps to 400 amps
401 amps to 599 amps
200 amps or less
201 amps to 400 amps
401 amps to 599 amps
Branch circuils - NEW, Blteratio
A. Fee for branch circuits rvith
above service or feeder fee,
each branch circuit.
l, OR extens
2 $3.00 s6.00
I
B. Fee for branch circuits
without service or feeder fee,
first branch circuit:
each addl branch circuit
Service reconnect only
Each manufactured or modular
dwelling, service and/or feeder
Pump or irrigation circle
Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
extension.
not offered online at this jurisdiction
s69 00Subtotal
$s 52State
$r 0.3sfees *
,ERMIT FEE $84 87TOTAL
COM:
RCPT tY-of
DATE
PROCESSED
This Authorization To Begin Work must be posted at the job site until pl a Permit
TYPE OF IITIORK
CATEGORY OF CONSTRUCTION
JOB SITE INFORMATION AND LOCATION
SITE CONTACT
FEE SC}IEOULE
Residential SINGLE- OR multi-family dwelling unit. Includes
attached garage
TEMPORARY services OR fecders installation, alteration,
AND/OR relocation
N{iscellaneous
Ciw Ols
N 1-"I
225'Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cit- of Springfield Official Receipt
D .lopment Services Department
Public Works Department
RECEIPT #: 3200700000000000279 Date: 0511712007 1l:56:55AM
Job/Journal Number
coM2007-00716
coM2007-00716
coM200'7-00'716
coM2007-00716
coM2007-00716
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ lUYo Administrative Fee
Amount Due
63.00
6.00
3.45
5.52
6.90
Item Total:s84.87
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS njm ONLINEcherrycity/m
OITOW
Online
Payment Total:
$84.87
s84.87
cReceint'l Page 1 of I 5fi712007