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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