HomeMy WebLinkAboutPermit Electrical 2008-10-8 (2)
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CITY OF SPRINGFIELD
'j,
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-01514
ISSUED: 10/08/2008
. APPLIED: . 10/08/2608
EXPIRES: 05/03/2009
. VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspectioll Line
SITE ADDRESS: ,5808 MAIN ST
ASSESSOR'S PARCEL NO,: 1702334102301
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE:
Commercial
PROJECT DESCRIPTION: InstaUElectrical Suhpanel
Owner: MONK E M TR
Address: PO BOX 7fl
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
BUILDING INFORMATION I'~
# 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:
"No
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
, .~~:d'.
Front yard Setback:
Side I Sethack:
Side 2 Setback: ,
Rearyard Sethack:
Solar iHtmUE:
I Nib PERMIT SHAll EXPIRE IF TH~~IflP.f IMPROVEMENTS I
AUTHORIZED UNDER THIS PERMIT ,I" N'O'T "
Street'Improvements: b
"N1JVlCI~L,tu OR IS ABANDONED FOR .
Storm :Se'W~1('~v3jl;ibleER 100
Special Instruction: ' '
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Cove~age:
Total:
Handicapped:
Compact:
Notes:
~.
\\.~~~
. ATTENTION: Oregon law requires you to
1':":" P,.:I,)B eae~t9Ef g::U~9 Qr"':"'" II+~
Notification Center. Those rules are set forth
libO,AFl~~~001-001 0 through OAR 952-001.
ocrmf."W>'O M'ay'obtain copies of the rules by.
'iMililli>t.'iVM@f11ll1's:(Note: the telephone
,number for the Oregon Utility Notification
Center is 1-800-332-2344).
I Valuation Descriotion I .
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amoun~
Value
Date Calculated
Page I of2
Status
Issued
CIJ'Y OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01514
ISSUED: . 10/08/2008
APPLIED: 10/08/2008
EXPIRES: 05/03/2009
VALUE:
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541.726-3769 Inspection Line
Total Value of Project
Fees Pair! ,
Fee DescriJ?tion
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid "
Receipt Number
$7,30
$8.76
$3,65
$73.00
$7.50
$9.00
$3.75
$50,00
~25,OO
10/8/08
10/8/08
10/8/08
10/8/08
11/3/08
11/3/08
11/3/08 "
11/3/08
11/3/08
1200800000000001050
1200800000000001050
1200800000000001050
1200800000000001050
2200800000000001593
2200800000000001593
2200800000000001593
2200800000000001593
2200800000000001593
Total Amount Paid
$187,96
I 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 thesame working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Reouired lnsnections I
Electric Service: Approval required prior to utility company energizing s~rvice.
,
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 app',lication and do herehy certify that all
information hereon is true and correct, and.' further certify that any and all work performed shall he done in accordance with
the Ordinances of the Ciiy 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.
I further certify that only contractors and empioyees who are in compliance with,ORS 701.005 will be used on this pr6ject.
I further agree to ensure that all required inspections are requested at the proper, time, that each address is readahle 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. . II .
Owner or Contractors Signature
Dat~
Page 2 of 2
!;.ity of Springfield
Electrical Authorization To Begin Work
E-mailedTo:kazak717@yahoo.com
Receipt # EC541l18
11/3/20088:19:19 AM
Check on status of permit
By Phone: (541)726-3753 or. E~ail: permitcenter@ci.spring~eld,or,us
J 0 New construction
IKJ Additionl~lteratiol1/replacement
10 ] or 2 family dwelling
1,000 sq. [1. or less '
I Ea. add! 5'00 sq. ft. or portion
o Multi-family
IX] Commercial/ Indust;ial
I Job no.: I Job address: 5808 MAIN ST
I City/State/ZIP: SPRINGFIELD, OR 97478-6965
I Suite/bldg./apt.no.:
I Project name: Seven eleven
Cross slreetldirectionsto job site:
I Subdivision:
Tax map/parcel no.: 170233410230 I
ILot no.:
I-Limited. energy, residential
(with above SQ, [1.)
I-Limited energy, multifamily
resIdential (with above SQ. ft.)
I - Limitedenergy, commercia-l
(wIth above sq. ft.)
I - Stand-alone limited energy,
residential
I - Stai1d~alone limited. energy,
multi-family .
I,-Starid-alorie lirriited energy,
commercial .
Store's face lift. All. 6 ckts. reconnect equipment, replace switch, and.plugs.
I 200 amps or less
20] amps to 400 amps
401 amps ~o 599 amps
1200 amps 9r less
120 J amps to 400 amps
140] amps to 599 amps
IName: Vitaliy
I Phone: (503)622-1305
!Emllil:
IFax: 622cl305
lu lie. no.: 3~517C ICCBlic.llo.: 147640
I Business Name: MT HOOD ELEC'TRIC INC
I Contact: Maurice Grcven
IAddress: PO BOX 1270
I City/StatelZIP: WELCHES OR 97067-1270
I Phone: (503)622 I 305 I F.x: (503)9253525
I Elitllil: kazak717@yahoo.com
I Metro lie. no.: 6860 ICit}, lie, no.: 657963
ISupervisillg electrician's lie. no.: 4828S
I Supervising electrician's nllllJe: MAURICEM GREVEN
I A. Fee for'.branCh -circuits with
service or feeder fee, each
branch circuit.
B. Fee for\branch circuits $50,00 $50,00 I
without service or Ceeder fee,
fi"tbr cijc&.~'l' 0;0;)( n law ra. n,lra'!..YO I to
:~_ch r!r~c~'d"u;t' " I hy thA51S[~~~~cvJtilitf25001
~l:'!~ ~"f.r.'~~ii;\ii"C1'..'i\f"'f)ii:iihbs'e:rufeslli(ej.~~tfortll';;';/1
Se"]If'('l'J!/I'\''!IJ921\,)01.001 (I through OAR 95<1-UU1- I
I E"~i>f"'l'(5~ 'lbbta n copies 01 me rur ,b L, I
, dwe;~,~~~bice r e~Y~r. ~N0tg: tt.o tolo!"h mR
I pnmp",. n lecl : ':'~, 3"n Iltililv Nntificl ,tion I
I S;gn 0' OU me 'Jlk1JMI'Ir ;~ 1 ~O-332- !344). I
I Signa] cir~,i.1it{s) orlimited- 'j
energy panel, alteration, or
extension.~i
Upon review and approval by your local jurisdiction,your
permit will be e-m'ailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 160
days if a permit is not obtained.
I Subtotal $75.00
I State Surcharge (12% of permit fee) $9.00
I CitY Of Springfield fees. $11,25
I TOTAL PERMIT fEE $95.25 I
" City OfSpririg0cld fees: ] 0% Administration Fee; 5% Techriology Fee
The local building department may determine that an
Authorization To Begin Work is null and void if it does not c:"ou.. MY( -, O( S14
meet applicable land use laws and local ordinances. 1'(,'
RCPT#J~ \'?:A"b
. DATE PROCESSE~: IIIB/.Q-J.
This Authorization To Begin Work must be posted at the } )~.'~i%~~~6~cep by A Permit.
.:' kI ';Pn 1'\r
225 Fifth Street.
Springfield, Oregon 97477
54P726-3759 Phone
Job/Journal Number
COM2008-01514
COM2008-01514
COM2008-01514
COM2008-01514
COM2008-01514
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200800000000001593
Description
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
. Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/03/2008
Item Total:
Lheck Number Authorization
Received By Batch Number ~ Number How Received
Paid By
ONLINE PERMIT CHGS
'1dL
Page 1 of 1
ONLINE Mr ~ In Person
~ELt-C-nUCl'ayment Total: .
\.
9:36:24AM
Amount Due
3.75
9.00
7.50
50.00
25.00
$95,25
Amount Paid
$95.25
. $95,25
11/3/2008