HomeMy WebLinkAboutPermit Electrical 2008-9-24
Status. Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726~3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-0I460
ISSUED: 09/24/2008
APPLIED: 09/23/2008
EXPIRES: 03/24/2009
V AL'UE:
SITE ADDRESS: 1565 MOHAWK BLVD
ASSESSOR'S PARCEL NO.: 1.703253106800
Springfield TYPE OF WORK: Electrical Work Only
TYPE'"OF USE: Addition
PROJECT DESCRIPTION: ELECTRICAL FOR NEW BEVERAGE AREA - TI
Commercial
Owner:
Add ress:
MCDONALDS CORP 036-0023
1565 MOHAWK BLVD
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
RITE ELECTRIC
License
178518
I, BUILDING INFORMATION I.
Expiration Date
09/2412009
Phone
541-895-4466
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
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 Garage/Carport
Sq Ft Other:
Occupant Load: '
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
NOTICE: Total:,
THIS. PERMIT SHAll Handicapped:
~~~~E~~~~ ~NDER r::~~J~~f~~:
i\~JV i ~r ~':.' f;:~:~ ABANDONED fOR
I PUBLIC IMPROV~MENTSI . U,
Sidewalk Type: .'..'
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
. Special Instruction:
Notes:
~~~
, DownspoutslDrains:
Description
Type q,f Construction
'. ATTENTION: Oregon law requires you to
. follow rules adopted by the Oregon UtIlity
Notification CarIN. Tt>O!lll n"All "'r....... f~
I . I In OAR 952.o01-D010through OAR 952-001-
Valuation Descriotion 0090, You may obtain copies of the rules by
. . . , calling the center. (Note: the telephone
$ Per Sq Ft . Square Footage IIUm!Jer fQf !h!l Oregon 1,I.\lIilY~lIlIIi!tfltJpll
or multiplier . or Bid Amount ., Ceht&'l1a 1-ao~~234'4);'
Page I of 2
.. ',~
Status
Issued
225 Fifth Street, Springfield, OR
541-726"3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,
Total Value of Project
Fees Paid 1
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$9.80
$11.76
$4.90
$25.00
$73.00
9/24/08
9/24/08
9/24/08
9/24/08
9/24/08
Total Amount Paid
$124.46
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-0I460
ISSUED: 09/24/2008
APPLIED: 09/2312008
EXPIRES: .03124/2009
VALUE:
Receipt Number
1200800000000000997
1200800000000000997
1200800000000000997
1200800000000000997
1200800000000000997
To Reque~t an inspection call the 24 hour recording at 726-3769. All iospections 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 R~cjlJiJ'erl Tnsn~ctions I
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 City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY ";;11 be made of any structure withoufpermission ofthe 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 Contra~tors Signature
,'Page 2 of 2
Date
City of Springfield
Electrical Auihorization To Begin Work
[-mailed To: heidi@c-perkins.com
Receipt # EC538582
9/23/20084:23:44 PM
'Check-on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci;springfield.or.us
-.;;:;'
"
I D New construction
[XJ Addition/alteration/replacement
I De.scription
I D I or 2 family dwelling
D MuJti~family
lliJ Commercial/Industrial
1,000 sq. ft. or less
I Ea. addl 500 sq. ft. or portion
IJobno.: IJobllddrcss: ]565 MOHAWK BLVD
I City/State/ZIP: SPRINGFIELD, OR 97477-3355
I Suite/bldg./apt.no.:
Project nllme:
Cross street/directions to job site:
I Subdivision:
)Tll.'i: map/parcel no;: 1703253106800
!Lot no,:
I-Limited energy, residential
(with above sa. ft.)
I' -Limited energy, mUllifarnily
residential (with above so. f1.)
I - Limit~d energy, commercia-I
(with above sa. ft.)
.1 - Stand-,?Jone limited energy,
residential
I - Stand-alone limited energy,
multi-family
I _- Stand-alone limited energy,
commercial
electriCal for m:w beverage area TI
1 200 amps or less
120 I ampSlo 400 amps
140'1 amps,to 599 ~mps
$73.00
$73.001
I
I
IName: heidi
IPhone:
IEmaiJ:
200 amps or less
201 amps to 400 amps
401amps to 599 amps
I Fax:
lEI. lic. no.: C335 !CCBlic.no.: ]78518
I Business Name: RITE ELECTRIC'INC
IConhu~l: Heidi
IAddress: PO BOX 842
I CityIStatt:IZIP: CRESWELL OR 97426.
I Phon" (541 )8954466 I Fax: (541)8954366
I Email: heidi@c-perkins,colll
IMetro lie.'no.: 1 City_lie. no.:
I Supervising e1ectl"ician's lie. no.: 29705
I Supervising eleetridan's name: q.YDE I PERKINS
I A Fee for branch circuits with
service or feeder fec, each
branch circuit. "
lB. Fee for branch circuits
without service or Feeder Fee,
first branch circuit
each addl branch circuit
51
I
I
$500
$25,001
I
Servi~e r~coi1nect orily
. Each manufactured or modular
dwe]ling,.service and/or feeder
I Pump or irrigation circle
1 Sign or outline lighting'
Signal circuit(s) or limited-
eilergy panel,alteration, or
Upon review and approval by your local jurisdiction, your
perm'it will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
"" ~;:'f",
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained. -'
Subtot<ll I $98,00
State Surch<lrge (12% of perin it fee) $11.76
City Of Springfield Fees" $14,70
I TOTALPERl\lITFEEI $]24.46
.. City orSpringlield fees: ] 0% Administration Fee; 5% Technology Fee
The local building department may determine that an
Authorization To Begin Work is nun and void if it does not \'..f"'\' n lllv "-
meet applicable land use laws and local ordinances. COM'/~\ ft../K.~ ~ I . -, ( j
RCPU io0:::2- qql
. DATEPROCESSED:.{I!.:::llt!..c8
This Authorization To Begin Work must pe posted at the jgt site until replaced by a Permit.
. PROCESSED BY' .."\
. -1<. VOn,++t
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 1460
COM2008-0 1460
COM2008-0 1460
COM2008-0 1460
COM2008-01460.
Payments:
Type of Payment
ONLINE CHGS
cReceil1tl
RECEIPT #:
Date: 09/24/2008
1200800000000000997
Description
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE RITE Online
ELECTRIC
Payment Total:
. Page 1 of I
8:19:02AM
Amount Due
73.00
25.00
4.90
11.76
9.80
$124.46
Amount Paid
$124.46
$124.46
,
9/24/2008