HomeMy WebLinkAboutPermit Electrical 2008-10-8
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 igfJl SOURCE U ~\ r
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LEGAL DESCRIPTION:
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JOB DESCRIPTION:
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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Phone 7fl9-/07/
Electrical Contractor
Address ,":)K")y
City C1l9~,
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Expiration Date ~/ 72Y'J J (J
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ownf1e JuOA.J iL
Address /J'{)/ ~ "/ II
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OWNER lNSTALLA nON
Supervisor License Number
Expiration Date
Constr. Contr. Number
The installation is heing made on property I own which
is not intended for sale, lease or rent
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W-!~""";'0h,,",,~~~\"'=~'$',""""rm_.'~~r&t%'"'''_''''",''''Y;f~'''\%:t .., -, .. gJ!._,' ill
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.
200 Amps or less
20 I Amps to 400 Amps
401 AmPs to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
RecounectOnly
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7?H
$ 73.00
$ 86.00
$143.00
$186.00
$426.00
$ 57.00
c.
InstallatiOli, Alteration or Relocation
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200 Amps or less $ 57.00
201 Amps to 400 Amps $ 79.00
401 Amps to 600 Amps $114.00
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Ea~h. AdditiQOOctetir'W\ ffi~mer. (Note: th~tlll~,phone
. ServIce or Feell&ll h 0 "l"'tyi'l'l'o't1ficatjQ~
number or t e r"\I'''' '" '''. '
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. Pump or irrigation $ 57.00
Sign/Outline Lighting $ 57.00
Limited EnergyIResidential $ 29.00
Limited Energy/Commercial $ 52.00
. Minimum Electric Permit Inspection Fee is $52.00 + Surcharges
O S. ~NOTlCE:' 7? rtl
wners 19na:(' ....,. ~ "
.I~ r:'~r.~M~~~ ~XP~REIFTHE State Surcharge CJ:? ,/0
AtffltOnlLcu ul~ucn .1 MI" t"cRMIT IS NOT 10% Administrati~e Fee 7'.3 0
COMMENCED OR IS ABANDONED FOR 5% Technology Fee "<' io J
ANY 180 DAY PERIOD. . , v
Inspection Request: 726-3769 . . TOTAL <:::' Q , 7 (
Shared Drive(T;)!Building Fqims/Electrical Pennit App1ication 7-Q8.doc
225 Fifth Street
Springfield, Oregon 97477
541~726"3759 Phone
City of Springfield Official Receipt
Development Services Department
,Public Works'Department
.Job/Journal Number
COM2008-01514
COM2008-01514
COM2008-01514
COM2008-0 J 514
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200800000000001050
Date: 10/08/2008
Description
Penn Serv/Fdr 2.00 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
JEM ELECTRIC
item TOt1,1:
Check Number Authorization
Received By Batch Number Number How Received
DLM
102600 In Person
Payment Total:
Page I of I
11:08:29AM
Amount Due
73.00
3,65
8,76
7.30
$92.71
Amount Paid
$92.71
$92.71
10/8/2008
CITY OF SPRINGFIELD
Building/Combination Permit
.
Status
Issued
PERMIT NO: COM2008-01514
ISSUED: 10/0812008
APPLIED: 10/0812008
EXPIRES: 04/08/2009
VALUE:
225 Fifth Street,Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5808 MAIN ST
ASSESSOR'S PARCEL NO.: 1702334102301
Springfield TYPE,OF WORK: Retail
TYPEOF USE:
Commercial
PROJECT DESCRIPTION: INSTALL ELECTRICAL SUBPANEL
Owner:
Address:
MONKE MTR
PO BOX 711
DALLAS. TX 75221
I, CONTRACTOR INFORMATION I
Contractor Type'
Electrical
Contractor
JEM ELECTRIC INC
License
161235
Expiration Date.
09/07/2010
Phone
541-729-1074
r BUILDING INFOR~ATlON I .,
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy 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 Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
'No
I ,D~VELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd: .
0/0 of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
,
,:DownspoutslDrains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amonnt
Value
Date'Calculated
Page I of 2
,
Status
Issued
CITY OF SPRINLTl'lJ!;LD
Building/Combination Permit
. PERMIT NO: COM2008-01514
ISSUED: 10/08/2008
APPLIED: loi08/2008
EXPIRES: 04/08/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
I Fees Paid 1
Fee Description
+ 10% Administrative Fee
+ 12% State Snrcharge
. + 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$7.30
$8.76
$3.65
$73.00
10/8/08
10/8/08
10/8/08
10/8/08
Receipt Number
1200800000000001050
1200800000000001050
1200800000000001050
1200800000000001050
Total Amount Paid
$92.71
Plan Reviews I
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.
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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 described herein, and
that NO OCCUP ANC~ilI be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that o~ contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ens~r that all required inspections are reqnested at the proper 'time, that each address is readable from the
street, that the permit I'd is located at the front of the property, and the approved set of plans will remain on the site at all
times during construcf:on. .
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