HomeMy WebLinkAboutPermit Electrical 2008-8-21
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01260
ISSUED 08/21/2008
APPLIED' 08/21/2008
EXPIRES: 02/21/2009
VALUE:
Status
Issued
225 Filth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 IlIspeclIolI Lme
SITE ADDRESS 875 7TH ST
ASSESSOR'S PARCEL NO 1703351202600
Sprmgfield TYPE OF WORK ElectrICdl Work Only
TYPE OF USE
PROJECT DESCRIPTION ProvIde 120v connectIOn for new gate opener
New
Public
Owner SPRINGFIELD SCHOOL DISTRICT 19
Addre.. 525 MILL ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electncal
Contractor
C & SELECTRIC
License
3849
BUILDING INFO~ATION I
Expiration Date
09/01/2008
Phone
541-741-2236
# of UDlts
Pnmary Occupancy Group
Seconddry Occupancy Group
Pnmdry Constl uctlOn Type
Seconddry ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Hedt
Water Type
Range Type
Energy Path
Sprmkled Bmldmg
Lot S,ze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Gdrdge/Carport
Sq Ft Other
Occupant Load
n/a
I DEVELOPMENTINFORMATION I
Front yard Setback
S,de I Setback
S,de 2 Setbdck
Rearydrd Setback
Solar Setbdcks
Overlay DlSt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Compact
Notes
T SHALL
I "'rD L I' EXPIRE IF Tl-iE WORK
('r. -, I uER TH/C:: PeD ,~ ,~ .
"' uLU UK IS ABAN :. . J.L..v.u..
t,IVY 180 DAY PERIOD. ~~Qf~ DescnotlOn I
6TTI=~IT'()" ("r-' "1
'j
I PUBLIC IMPROVEMEJN'I'S... .~rL,~~ [1,1 J: - .
. )/_. . .1ltlon CenlC! 1 I th
In OAR 952.sweMilk Type ' " 11-
0090 You !Ray'obtaln c', - V'e; by
calling the811ffl'iW'u(N!J,~al~~J t "J:' 'one
number for the Ore~on Utt'I.~1 il!ul"lc"uon
Center IS 1-800-332-234'1),
Street Improvements
Storm Sewel A vatlable
Special Instructuin
DescnptlOn
Type of Constl uctlOn
$ Per Sq Ft
or multiplier
Square Footage
or B,d Amount
Value
D,lte Calculated
Paee 1 of2
-u.::;- ~
......
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED.
APPLIED:
EXPIRES:
VALUE:
COM2008-01260
08/21/2008
08/21/2008
02/21/2009
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 IlIspectlOn Lme
Total Value of ProJect
Fees P,,,d I
Fee DescnptlOn
+ 10% Admmlstratlve Fee
+ 12% State SUI chdrge
+ 5% Technology Fee
Add, Alter, Extend Clrc
Amount PaId
Date PaId
$500
$600
$250
$50 00
8/21/08
8/21/08
8/21/08
8/21/08
ReceIpt Number
3200800000000000593
3200800000000000593
3200800000000000593
3200800000000000593
Total Amount Pdld
$63 50
Plan RevIews ,I
To Request an InspectIOn call the 24 hour recordmg at 726-3769 All mspectlOns 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 ReoUlred Insnecttons I
Rough Electnc Pnm to Cover
Fmal Electnc When all electncal work IS complete
By signature, I state and dgree, that I have carefully exammed the completed applicatIOn and do hereby certIfy that all
mformatlOn hereon IS true dnd correct, and I further certIfy that any and all work performed shall be done m accordance WIth
the Ordmances of the CIty of Spnngfield dnd the Ldws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY WIll he made of any structure WIthout permISsIOn of the CommuDlty ServIces DIYISIOII, Butldmg Safety
I further certify that only contractors and employees who are m comphance With ORS 701 005 WIll be used on thIS proJect
I turther agree to ensure that all reqUIred mspectlOns are requested dt the proper time, thdt each address IS readable from the
street, thdt 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 dunng constructIon
Owner or Contractors S,gnature
Date
Pal!e 2 of2
City of Sprmgfield
Electrical Authorization To Begm Work
E-malled To awood@cselectnc org
ReceIpt # EC536503
8/20/20083 16 16 PM
~
By Phone
Check on status of permit
(541)726-3753 or Emall permltcenter@clsprmgfieldorus
TYPE OF WORK
10 New constructIon
[K] AdditIOn/alteratIOn/replacement
CATEGORY OF CONSTRUCTION
I D 1 or2 ramll) dwellmg 0 Multl.famlly [K] Commcrclal/lndustnal
I JOB SITE INFORMATION AND LOCATION
I Job no 7095 IJob address 875 7TH ST
Ic.ty/S,aterLlP SPRINGFIEI D OR 97477-4064
I SUlte/bldg lapl no
I Project name
CrO!l:t !ltreet/du-ectron!l to Job !llle
I SubdlVl.'llOn
ITn m'tp/p.ucd no
II ot no
170335]202600
DESCRIPTION OF WORK
provide] 2DV connectlOn lor new gdte opener
SITE CONTACT
I Name Dane
IPhonc (541)9521100
l[mml
l}<ax 952-] 100
CONTRACTOR
ICCBloe
I [I he no 20.14C
I BU!>lncs!l Nllrne C & S [LEe I RIC INC
I Contact Dave Gehrke
IAddr~s PO BOX 1482
I C1n.JStaterLIP SPRINGFIELD OR 97477
IPhone (541)7412236
I Emdll a....ood@cselectTlcorg
I Metro he no
jSupenlsmg electriCian's he no 48945
I Supt.rvlslng t.lt.ctncl tn's namt. DAVID E GI::.HRl\.E
no 3849
Ihx (541)7412473
1 City he no
Upon review and approval by your local JUrisdiction, your
permit will be e mailed or faxed wlthm one bUSiness day,
with instructions on how to schedule your inspection
NOTE This Authorization To Begm Work expires within 180
days If a permit IS not obtained
The local bulldmg department may determine that an
Authorization To Begm Work IS null and vOid If It does not
meet applicable land use laws and local ordmances
I I FEE SCHEDULE
11 De'iCrlpllon Qty Ea lotal
I Reo.l(lentlal SINGU ~ OR mlllh.famdy d",ellmg Ulllt Includes
1 attached gdl1lge ~
I I 1000sq t\orless [ 1 I
1 Ea addl 500 sq ft or portion
I 1 Limited Energy
I I limited energy resldt.ntml
I (with above SQ ft)
I . Limited energy, multIfamily
1 residential (wIth above sa n)
I I . LimIted energy commercla'l
(wIth above SQ ft)
I Sldnd.alonc llmlkd energy
residential
I . Stand alone \tmlted energy
mu1tl~famlly
I . Stand alone limited energy
commercial
I SU"vlce~ OR feeden mstllllahon~ alteratlon.~AND/OR relocation
I 200 amps or less
1201 dmps to 400 amp::.
140 I amps to 599 amps
I TEMPORARY ~cnlCCS OR ft.'Cdcrs m::.tallatlOn, alteratIOn,
AND/OR relocatIOn
1200 amps or Jess I
20 I amps to 400 amps I
1401 amps to 599 amps I
I Bruncb circuitS. Nl W, alteration, OR utenslOn, per panel
I A ree for branch CirCUIts with
servIce or feeder fee each
branch circulI
1 B Fee for branch ClrCUl1s
\\lthout servIce or feeder fee,
fir::.t branch Circuit
I each addl branch ClrCUiI
I Miscellaneous
1 Service reconnect only
I Each manufactured or moduhr
d\\ellmg servIce and/or feedLr
I Pump or ungatlon CIrcle
I Sign or outline IIghtmg
1 Signal clrcult(s) or limited
energy panel alteration or
extensIOn
I ELECTRICAL PERMIT FEES I
r Subtotal $50 00
I ~tate Surcharge (12% of~rTnlt fee) $600 I
I City Of Sprlnafield fees. $7 50
I TO rAL PERMIT FE~ $6350 I
.. City Of Sprmgfield fees 10% AdminIstratIOn ree 5% Technology he
$5000
$5000
COM.JhOK - 0\ VJ10
RCPT# S;:)(J7J K - \59d
DATE PROCESSED 6- rJ./ /0 Y
ThiS AuthOrization To Begin Work must be )osted at (he JOb~~ j:1laced by a
PROCESShu in /)
i
I v
'ermlt
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1260
COM2008-0 1260
COM2008-0 1260
COM2008-0 1260
Payments
fype of Payment
ONLINE CHGS
cReCClOll
RECEIPT #
DescnptlOn
Add, Altcr, Extcnd Clrc
+ 5% Technology Fec
+ 12% State Surcharge
+ 10% AdmmlstratlYc Fec
PaId By
ONLINE PERMIT CHGS
"P"'~~FIIlU> ~
,. A. 'Tl
IlL. -
City of Sprmgfield OffiCial ReceIpt
Development ServIces Department
Pubhc Works Department
3200800000000000593
Date' 08/21/2008
Item Total
Check Number AuthonzatlOn
Received By Batch Number Number How Received
NJM
ONLINE SCOFIELD Onlme
Paymellt Total
Page I of I
7 45 33AM
Amount Due
5000
250
600
500
$63 50
Amount Paid
$63 50
$63 50
8/21/2008