HomeMy WebLinkAboutPermit Electrical 2008-11-21
_~~~~:~@,~!,El#~~,;
~ VI. ~_., .
225 Fifth Street, Springfield, OR
54t-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.j
CITY OF SPRIl'Rd'lELD
Building/Combination Permit
PERMIT NO: COM2008-01701
ISSUED: \11/21/2008
APPLIED: 11/21/2008
EXPIRES: OS/21/2009
VALUE:
Status
Issued
SITE ADDRESS, 1455 18TH ST
ASSESSOR'S PARCEL NO., 1703253401600
. Springfield TYPE OF WORK, Electrical Work Only
TYPE OF USE, Addition
PROJECT DESCRIPTION: Add addtionallighting and 3ne~ dedicated ckts.
Commercial
Owner, DOW INVESTMENTS LLC
Address, 1455 18TH ST
SPRINGFIELD OR 97477
Contractor Type
Electrical
Contractor
JB ELECTRIC
I ,CONTRACTOR INFORMATION I
License
104929
BUILDING INFORMATION I
Expiration Date
03/14/2010
Phone
541-687-5770'
# 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 I st Floor,
Sq Ft 2nd Floor:
Sq Ft Basement,
Sq Ft GaragelCarport
Sq Ft Other,
Occupant Load,
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback, Overlay Di!." Total,
Side 1 Setback, # Street Trees Rqd, Handicapped, .
Side 2 Setback: Paved Drive Rqd: Compact'
Rearyard se:,~~cTkl'GE % .of Lot Coverage, ATTENTION: Oregon law requires you to
Solar Setbacks~ : follow rules adopted by the Oregon Utility
~~1:;H ~ ~~~'~v~;~ ~ ~~ER ~~~~'~J ~~li,f i~~ROVEMENTS fno~~~a~~~_~~;_~~.l ~ ~~r~eu~~e~t~e 9~e~.~~~'~
Street Impr<iYjjw:e!\m~CED ~ANDONED FOR 0090Si'd~w.lro\fjlp"e~in copies of the rules by
^ ~N ; p.n nAY 12.. calling the center. .(Note: the telephone
Storm SewerwvadMlfl'l' . O"V nUnR"6'1'%I'~Il1!'~,r.l'~~i Utility Notification
Special Instruction: \\,I)..~ Center is 1-800.332"2344).
Notes, ~ \j:\
I Valuation Descrintion I
.. '.""'n.,l'
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
_ S;!!Il!~!,!glJ~".9i
'h
;; .
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01701
ISSUED: 11/21/2008
APPLIED:, 11/21/2008
EXPIRES: OS/21/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Valne of Project
Fees P~i,~ ,
Fee Description
+ 10% Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Clrc Ea Add
Amount Paid
Date Paid
$7.50
$9.00
$3.75
$50.00
$25.00
11/21/08
11/21/08
11121/08
11/21/08
11121/08
Receipt Number
3200800000000000762
3200800000000000762
3200800000000000762
3200800000000000762
3200800000000000762
Total Amount Paid
$95.25
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 the same working day, inspectIonsorequested after 7:00 a.m. will be made the following
work day.
Renuired TnsnectionsJ
Rough ElectriC, Prior to Cover
Final ElectriC, When all electrical work is complete.
By signatu're, 1 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 OCCUPANCY will be made of any structure 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 further agree to ensure tbat all required inspections are requested at tbe proper time, that each address is readable from the
street, thatlhe 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
Date
!I
.Paee 2 of 2
City of Springfield
Electrical Authorization To Begin Work
E..,mailed To: dana@jbelectricinc.com
Receipt # EC542501
ll/21/2008 t,40,OO PM
Check on status of permit
By Phone: (54t)726-3753 or Em.iI, permitcenter@ci.springfield.or.us
Il,OOOsq; ft. or Jess
I Ea. add! 500 sq. n. or portion
I 0 Ne~v construction
(X] Addltio,n/alteration/replacemelll
o 1 Of 2 family dwelling
o Multi-family
[KJ Commercia].ilndtlstrial
IJob no.: 10"0219 IJob address: 1455 18TH 5T
I City/StatelZlP: SPRINGFIELD, OR 97477-3425
ISuitelbldg.lapt.no.:
I Project name: Dr. Dow Dental
Cross street/directions to job site:
I Subdivision:
ITa:+: map/parcel no.: 1703253401600
ILot no.:
I ~ Limited energy, residential
(with above Sq. fl:.)
I-Limited energy, multifamily
residential (with above Sq, f1.)
I-Limited energy, commercia-[
(with above SQ. f1.)
I - Stand-alone limited energy,
residential
I - Stand-alone limited energy,
multi-family
I - Stand-alone limited energy,
commercial
Add additional lighting and 3 new dedicated circuits
\200 amps or less
1201 amps to 400 amps
401 amps to 599 amps
I 200 amps or less
1201 amps to 400 amps
401 amps to 599 amps
Kelly Kersey
\ Phone: (54 \) 687-5770
I Email:
I Fax:
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
I A. Fee for b. ranch circuits wilh
service or feeder fcc, each
branch circuit.
lB. Fee for branch circuits 1_ 1 $50.00 $50.00
~;:;~~~~~?_M~ef_r:,~r~n ,.la~~r_E 9,~~;~!~ ~}~._
l,ea~~!:q~~~f~'f~i~SQi;:~~1~u{:,~i~1~tl~;b15.~~
~~OO:~:~~:~:"~~~:~:;~~;;;~~:;'J~~()~~ ..'j
E"h m'Oatili!\'!f<\i'fen~er. (Note: t 1e telephone I
dwelb ~J;a'l'!)ri~;Ee9fi -g:;~ CJt:~:.i Netilie[t;:;;
Pamp on",.gat'o'l-'"lfc'i . 1- eGG ~~2 '3' 1) r I
[ _on or IS _ . . I
Sign or outline lighting ,
I Sign:.!1 cirC.Uit(S)..or I.i.mited- I I I
energy ~ane1, .a]~er~t!on, or
extension. . ,
1,,~~~?'''i~l\"2EiTECTRICA~~~-fRMWlj:E'ES~\::~'ofci:s,;~~''~.I
'"-"'"~",,,...,., '. ,"'_*..~*"'..'~.." _ ~~,._.~~__._,'~... .., .,. ._.....'f'....,......_c.....- *.
I Subtotrifl' $75.00 i
I State Surcharge (12% of permit fee) 1 . $9.00 I
ICily OfSpringtield fees *1 $] 1.25 I
TOTAL PERMIT FEE I $95.25 I
.. City Of Springfield fees: ] 0% Administration Fee; 5% Technology Fee
I
1 EI. lie. no.: 37-587C I CeB lie. no.: 104929
I Business Name: 18 ELECTRIC ]NC
I Contact: Jolin Bl]I.in.E'lf_~ ".., r . _ _ ,
[Add",,, 46851s'Aill\I~Ctt'f":.".IT ~unll FXP\RE IF 1Ht. vvu~K
ICHyIStatdZIP, EVGliNEoYft.~T-'ff';;~*'fI'.9iI\"5fHIS PERM\ I 1" I~ul
I Phon" (541)6875Wd I nU.':':.';~n ";p, IdFI!-R,!ri1rn!l4itE!1J rUn
I r'\"""~lr"u':',) t. \ .-
Email: dana@jbeltc -Reine. ~ {.if rE~.~()n .
I Metro.lic. no.: ANY lOU tJ fCit}'lic.no.:
I Supervising t;lectrician's lie. no.: 3872S
I Supervising electrician's name: JOHN BRUMBACK
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.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinahces.
COM: ))('{))< - 01101
RCPT#' ,'~'?tXY-l- 110':1--
DATE PROCESSED: i111 \ \ O~
This Authorization To Begin Work must be posted at the je b site until replaced bQa perm. it
i PROCESSED BY: . \. n I
. ... K. ~ 0 'R.
225 Fifth Street
Springfield, Oregon 97477
541-7f6-3759 Phone
Job/Journal Number
COM2008-0 170 I
COM2008-0l70l
COM2008-0 170]
COM2008-0 170 1
COM2008-0 170 I
Payments,
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
Add, Alter, Extend Circ
Add, Alter, Ext,nd Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
3200800000000000762
City of Springfield Official Receipt
Development Services Department
Public Works I>epartment
Date: 11/21/2008
Item Total:
" Check Number Authorization
Received By Batch Number Number How Received
KR
Page lof I .
ONLINE JB Online
ELECTRIC
Payment Total,
l,50,31PM
Amount Due
50.00
25.00
3.75
9.00
7.50
$95.25
Amount Paid
$95.25
$95.25
11/21/2008