HomeMy WebLinkAboutPermit Electrical 2008-9-3
Sta tus
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01320
ISSUED: 09/03/2008
APPLIED: 09/03/2008 .
EXPIRES: 03/0312009
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 36417 BRAND S RD
ASSESSOR'S PARCEL NO,: 1802100000900
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPnON: 100/30 amp power PED, ground & power to DSLi,quip,
Commercial
Owner:
Address:
PERSON LEONA M
327 SPYGLASS DR
EUGENE OR 97401
1 CONTRACTOR INFORMATION I
Contractor Type
Electrical
-Contractor License
OREGON ELECTRIC CONSTRUCTION INC 203
BUILDING INF?RMAT~ON I'
Expiration Date
07/01/2010
Phone
503-234-9900, I
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occnpant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved. Drive Rqd: Compact:
% of Lot Coverage: . w requires Voulo
ATTEN1\ON~?~~~~ ~~ 1\18 o(ag~~;J,I;~;ih
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard,Se,thack:
",nc,rE'
Solar Setbacks:.' .
TU/C O"lr-/"'o.~._ _
- ---- -
,-,
AUTHo'FllzED U~D/-\ELRL I::TXPIRE IF IJ-RIJ8tWW:MPROVEME~:t~~~I\~~-c~nter, i\\\ose~~I~VO~R 952-001-
rnw '^ HIS PERM I "'1/ . v 5">001-00iO\:lro, I the rules by
Street Iml'r<lv~@en@ OR If; AB LlNDONE I I~ v(:}~ in OAR 9 Sfd~V,'I%t1JY.pef.)p\es 0 t lephOne
ANY 1 Rn n~v D ~ r D FOR 0090. '{au m 'y \, ~ote' lhe e , , 'on
Storm Sewer A'V'alfa"Ie, ERIOO, calling ItoiWI!lIl&jjt~'9uWi.!!~,:,i\'{ Notitl all (}.....
Speciallnstrnction: number jar t\180~ _800-332-~~ 5JU
center IS , J 0(
~~:' '
~
J
I Valuation Descrintion I
Description
Type of Construction
, $ Per Sq Ft
or mnltiplier
Sqnare Footage
or Bid Amount
Value
Date Calculated
Page I of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee DescriPtion
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Amonnt Paid
$12,30
$14,76
$6,15.
. $50,00 .
$73,00
TotaLAmonnt Paid
$156,21
Total Value of Project
~~~~ Paid ,I
Date Paid
9/3/08
9/3/08
9/3/08
9/3/08
9/3/08
I Plan Revie;vs .,1
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01320
ISSUED: 09/0312008
APPLIED: 09/0312008
EXPIRES: 03/03/2009
VALUE:
Receipt Nnmber
3200800000000000620
. 3200800000000000620
3200800000000000620
3200800000000000620
3200800000000000620
To Request an insp.ection call the 24 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.
1 Re,<<1"ir~~ Insr.edi~.~s I
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service,
Final Electric: When all electrical work is complete,
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and I fnrther 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 strncture 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 fnrther 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 of2
Date
, ,
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:J.A.DEVINE@ISG-GROUP.COM
Receipt # EC537230
9/3/200810:13:22 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I 0 ] or 2 family dwelling
I~.. .. 7J;:,,~.~UF!l!v~c'fJoB:Sln~1TNF.(fRMATI6N7ANi5{LocATi6N\~~~i'f.~",'.'l1;'t'QI
k',,-.... <l_",,,,,"",,,/~ ~~C""_~_'A'~,"''''.___-~.0.__,,__~._ _~', __"""'''''''_'''__'_'''~~'''~'' ,&r";,.~_.,,,,,dl~ ....... .~..~.~
I Job no.: 11679-300 I Job address: 36417 BRAND S RD I
ICily/State/ZIP: SPRINGFIELD, OR 97478-9502 I
/Stlite/bldg./apt.no.: I
IIJrojcct nlUne: SAI - EGIS JASPER I
!1,OOOsq. (1. or less
I Ell. addl 500 sq. ft. or portion
I Subdivision:
I Lot no.:
I-Limited energy, residential
(with above so. [l.)
I-Limited en'ergy, multifamily
residenlia) (with ilbovc SQ. fI.)
I-Limited e~ergy, commercia-]
(with llboveso, ft.)
I - Stimd~alone limited energy,
resldentia]'
I. - St.,md-alon~ limited e-nergy,
multI-ramI Iv '
I - Stand-alone limited energy,
commercia]
Cross street/directions to job site:
THIS IS THE EXISTING CELL TOWER SITE
1200 ainps ,or less $73.00 $73,00 I
I 20] amps to 400 amps I
11&~~~";~RA~~-:~--S:;.jSCd0-'e.~S.4.0:.-R -tfec(i~rs.;;usialliiiion?"e,..,';,j:~:r".~'~~' ~.'..~.'. -~I'~.
;-',- - -- - ~."~..~.,,,,,r0\'E7T,,siiiv~t;;F'~' ."""''''f'':''''....,;:.". . ~.". "<1-"'," :.. '~"~" '.{.- "'~"I{; .;1
:!~CiQ{2,13-r~I~~Sll~~Jt't~J~f;;~i~h-i*-:4'':1~~~:';~ ,..- ,;it.~,i')ls;_. ':-J:
1200 amps or less
120] amps to 400 amps
140] arnps to 5?9 m-nps I
JL~i}(ii'C:~:C~rc~,!is~~~~fifi]!!![aJ~~,i~EjJX~f~s!'!lliJf~~pl~::1!rl':..-:,.7,o~~~bl
I A. Fec for, branch circuits with 10 $5.00 $50.00 I
service or fceder fee, each
branch circuit.
lB. Fee 1'01' branchcircuils I
withoutservice.or fecdc"r fcc,
first branch circuit
J each add] ,branch circuit I
IOO/30AMP POWER PED., GROUND & POWER TO DSL EQUIP.
I Nam~: CHENO HOLGU]N
) Phone: (503) 849-329]
I Email:
J Fax: (503) 247~0108
I EI. lie. no.: 26-95C '1 CCB!ic. no.: 203
I Business Name: OREGON ELECTRIC~ONSTRUCTION INC
I Contact: JENNIFER. DEVINE
IAddress: ]OlOSEllTHAVE
City/StlltcfLIP: PORTLAND OR 97214-2507
I Phone: (503)5466062. ...Irax: ,(503)2470108
I Email: JA.DEV]NE@ISG-GROUP.COM
I Metro lie. no.: I. CitJ' Jic. no.:
I Supervising elec~rician's lie. no.: 4549S
I Supen:ising electrician's name:' R1Cl-.JARD THOMAS Mc;ELLIOTT
I Service reconnect only
I Each manut1lctured or modular
dwelling, service andlor feeder
I Pump or irrigation circle
I Sign or ou./line lighting
I Signal cirC..Uit(S) or limited-
energy pa~el, alteration, or
extension!
Upon review and approval by your local jurisdiction; your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
Subtotal I $123.00
. State~urcharge(l2%ofpennitfee)' $14.76
City OfSpringfiefd fees'" $18.45
I TOTAL PERMIT FEE I $156.21 I
'" City Of Springlleld fees: 10% Administration Fee; 5% Techno]ogy Fee
The local building department may determine that an
Authorization To Begin Work is null and void if it does not CO ~.~ @-n\32,fZ1
meet applicable land use laws and local ordinances. W ^l J U
RCPT#.t32~ 'C" - (pC)-. 0
DATEPROCESSED~~o/03!cJ Y
. This Authorization To Begin Work must be pc sted at the ~h: ";,A..,W~ by a PE '-mil.
. . ,PROCESSEb1JyY'h I .
I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-0 1320
COM2008-0 1320
COM2008cO 1320
COM2008-0 1320
COM2008-0 1320
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
3200800000000000620
Date: 09/03/2008
Description
Add, Alter, Extend Clrc Ea Add
Perm ServlFdr 200 amps or less
+ 5% Technology Fee.
, ,+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number Hv'w Received
NJM
ONLINE 'OREGON Online
ELECT
Payment Total:
L.
Page I of I
II: II :02AM
Amount Due
50,00
73.00
6,15
14,76
12,30
$156,21
Amount Paid
$156.21
$156,21
9/3/2008