HomeMy WebLinkAboutPermit Electrical 2008-10-10
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3. I COMJ.>LETEFEE SCHEDULE BELOW
· CITY OF SPRINGFIELD, OREGON
~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH,(541)726-3753 . FAX, (541)726-3689
ELECTRIC~ PERMIT APPUC4JJOY
City J~bNumberCf}-Y)}.m)X ..- no 0'1)<,
I. I LOCATIONOFINSTALLATION:
ill) m 8E.I5.E.+ S+RP Ft-
LEGAL DESCRJPTION:
JOB DESCRIPTION:
L~\{-tl\l\)r-.
Permits are non,.transfe:rable and expire if work is
not started within 180 days of issu8nceor if work is
Suspended for 180 days.
lViA.\ KI UJA. Q
. -- '"
2. '" CONTRACI'OR INSTALLATION ONLY I
Electrical Contractor g /-(;V) Dee. t;:; ~
Address Pel Z 52 q
F~uvt7_
/
City
Phone f:'~/-L5?{.-tJCftJ.s
Supervisor License Number I ;it::!?' ~
Expiration Date /0/61/:GLJ/ 0
, ,
Constr. Contr. Number C t'f'j f3 - /flt(O(]5
Expiration Date ~/ ~ / /
Signature of Supervising Electrician
lJ /~R~
Owners Name ~~ '37Ni/5
Address\3?ic::; mV./ 6f
,
City.5r nri rilL Pbone
OWNER rSTALLATlO~
The installation is being made on property I own which
is not intended for,sale, lease or rent.
O~ners Signature:
luspection Request: 726,-3769
A. I New Residential-Single or Multi-Family per dwelling uuit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
,Feeder
$121.00,
$ 22.00
$57.00
B. I Senrices or Feeders......; Installation, Alterations or Relocation:
200 Amps or less
20 I Amps to 400 Amps
401 Amps 10 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsIV oIls
Reconnect Only ,
$ 73.00
$ 86.00
$143.00
$186.00
$426.00
$ 57.00
,--
c. I Temporary:Servi~es'or Feeders
iWI/t:E:
InstallaTi<iiG ll&f/SIf'f' ~~rlcation
200 AniltJ~H~IZED UN EXPIRE IF flsf.dIJ'ORK
201 MJ:@~1if1~ DER Tl1,;) I"tKI\;/f9/6JJNnT
401 A~'/b-hllA ,;\rnPJi OR IS Abf\NUUNE!DI/f/9.W
roo UfIT PERIOD.
Over 600 Amps or 1000 Volts see "B" above.
D. I Branch !=ircuits
New Alteration or Extension Per Panel
One Circuit / $ 50.00 ,5:"ff QQ.
Each Additional Circuit or with
Service or Feeder Pennit / $ 5.00 z;- ,,<5_
F;J;;jAnENIION:-OregOn-la'N-ff''1t!;rGS'''',,:n,,;. ," " "
E. ~!~~df!(Seoop1/,f~~I!~rl~,~tj!."<;!~~~~~f!j:.~~h Installation j
Notification Center r=ose f'JIE'- a" .. -' fo .:'
. IlL . " II.:; ....J~t 'In
PumfllJ;l/lofilgQilan001-0010 thrOUGh n!,J:; s~~70\l,~-
Sign~&'li\1).vei'i\M obtain cDpies of the r$J5J;P.Qy
LimitrfLq,WQ9.,l d;~Q~Il&1 (Note: the telerlil29:00
.. Ifill5!if-": r me 'Or.egon UlIIllY NOTIfication.
Limited Ener~lW'l15r9'1ll00'32-2 ~ ~t. ~ ~:L:UO
Minimum Electric Permit Inspection Fee is $5~.OO + Surcharges
4.ISUHTOTALOFABOVE I .5'560
12% State Surcharge . ~ \. _~ D
10% Administrative Fee ~'50
5% Technology Fee :J ..,e;,
TOTAL
lJ-~.~C;
Shared Drive(T)/Building Fonns/Electrical Permit Application 7-08.doc
225 Fifth Street
Springfield, Oregon 97477
54~-726-3759 Phone
Job/Journal. Number
COM2008-00898
COM2008-00898
COM2008-00898
COM2008-00898
COM2008-00898
Payments:
Type of Payment
Check
cRcceintl
RECEIPT #:
Description
Add, Alter, Extend Circ
Add, Alter, Extend Cire Ea Add
+.5% Technology Fee
+ ] 2% State Surcharge
+ 10% Administrative Fee
Paid By
BHM ELECTRIC
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000001494
. Date: 10/10/2008
12:53:48PM
Item Total:
Check Number Authorization
Received By Batch Number Numb.cr How Received
nJm 1182 In Person
Payment Total:
Amount Due
50,00
5,00
2,75
6,60
5,50
$69.85
Amount Paid
$69.85
$69.85
Page I of I '
10/ I 0/2008
Sta tus
Issued
CITY OF~rKlNGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00898
ISSUED: 07/07/2008
APPLIED: 06/1812008
EXPIRES: 04/1012009
VALUE: $ 30,000.00
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541- 726-3676 Fax'
541-726-3769 Inspection Line
SITE ADDRESS: 134] Market St
ASSESSOR'S PARCEL NO.: 1703253310004
Springfield TYPEOF WORK: Commercial Miscellaneous
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Enclose soffits, sidewalls on roof
Owner: SEB INVESTMENTS
Address: 1385 OAK STREET
.SPR]NGFIELD OR 97401
Phone Nnmber: 503-577-4115
I CONTRACTOR INF<,>R,MATION I
Contractor Type
General
Electrical
Contractor
REES BROTHERS LLC
BUM ELECTRIC
License
]57704
15685
Expiration Date
11/13/2009
07/01/2011
Phone
541-5]0-0707
54]-686-0905
BUILDING ]NFORMA TION I
# of Units:
Primary Occnpancy Gronp:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft,lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
n/a
I DEVELOPMENT INFORMA!ION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
ATTENTION' Or I I PUBLIC IMPROVEMENTS I ".,
fOllmw rule 'd egon aw k..,u"", you t
Street ]mprovel'J!)t>;, . s a opted by the Oreg IJ . 0 Sidewalk Type:
II II"allon Center. Tliooe . I . on t,i1ty NOT.
Storm Sewer Aln.lI!A/l'eS52-001-001O t ,~ IU e~ aI.e sel forth . I~nspouts/Drains:
Special ]nstruc~g\W.. You may obtain ~;~,';~?:.1 C;~~i 952,001_ THIS PERMIT SHAll EXP .
calling the center. (N',.' k.~~ O,.',:e rlJles by AUTHORIZED UNO IRE IF THE WORK
Notes: number for the Orego,;';\:,::" ,')"':.'r..:.,? ('(lfo/)r,'JENCED 0 ER THIS PERMIT IS NOT
Center is 1-800. "'F.' ,..II" q, ..1 .. ; "I -no 0 R IS ABANDONED FOR
W"--"'Jl:~): ,.... 10' AY PERIOD
Paee I 01'3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00898
ISSUED: 07/07/2008
APPLIED: 06/18/2008 .
EXPIRES: 04/1012009
VALUE: $ 30,000.00
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
54]-726-3769 Inspection Line
I, Valuatinn Descriotion I
Estimate
Tvpe of Construction
Estimate,
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
30,000.00
,
Value
Date Calculated
Descriotion
Total Value of Project
$30,000.00
$30,000.00
06/]8/2008
~pp", P'lirl ~
Fee Description
Plan Review CommlInd/Public
+ ]0% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Plan Review Fire & Life Safety
+ ] 0% Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Circ.
Add, Alter, Extend Circ Ea Add
Amonnt Paid
Date Paid
Receipt Number
. $181.70
$27.95
$33.54
$13.98
$279.54
$111.82
$5.50
$6.60
$2.75
$50.00
$5.00
6/18/08
7/7/08
7/7/08
7/7/08
7/7/08
7/7/08
10/1 0/08
] 0/1 0/08
]0/]0/08
]0/]0/08
]0/10/08
1200800000000000669
32~0800000000000467
3200800000000000467
3200800000000000467
3200800000000000467
3200800000000000467
2200800000000001494
2200800000000001494
2200800000000001494
2200800000000001494
220080000000000]494
Total Amount Paid
$7] 8.38
I Plan Reviews I
Initial Review
06/] 9/2008
06/] 9/2008
APP LLH
Forwarded to Robert Castile for
review as Doted by David Bowlsby
Structural Review
06/19/2008
06/26/2008
APP RWC
Forwarded to Robert Castile for
review as noted by David Bowlsby.
To Request an inspection 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.
RpnvirprI In",np~tin"i.l
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping. .
Final Building: After all required inspections bave been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical workis complete.
Paee 2 of3'
Status
Issued
225 Fifth Street, Springfield, OR .
541-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building!Combination Permit
PERMIT NO: COM2008-00898
ISSUED: 07/07/2008
. APPLIED: 06/1812008
EXPIRES: 04/10/2009
VALUE: $ 30,000.00
By signature, I state and agree, that] have carefully examined,the completed application and do hereby certify that all
. information hereon is true and correct, and] 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.
] further certify that only contractors and employees who are in compliance with ORS 701.005 will he used on this project.
] 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 3 of 3
Date