HomeMy WebLinkAboutPermit Electrical 2008-12-12
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3522 GAME FARM RD
ASSESSOR'S PARCEL NO.: 1703154003100
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CITY OF SPRINGFIELD'
Building/Combfnation Permit
PERMIT NO: COM2008-01770
ISSUED: 12/12/2008
APPLIED: 12/12/2008
EXPIRES: 06/12/2009,
VALUE:
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Change existing service to new 200 AMP
~!e;!~.
THIS PERMIT SHALL! ~li'mlitiii~~~on , '
AUTHORIZED UNDER I HI::> PERMIT IS NOT
TyJi,[W.&~~Wi.Qll IS Ra'AWiBiIlI:D FOR ISqua,re Footage
. ANY 180 DAY PERIOrJ.r mufl'ipli'er or BId Amount
Owner:
Address:
URBAN TRANSITIONS LLC
840 BEL TLINE RD STE 202
. SPRINGFIELD OR 97477
Contractor Type
Electrical
Contractor
. RITE ELECTRIC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary 'Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
.Description
I ,CONTRACTOR INFORMATION I
License
178518
BUILDING INFORMATION I
Expiration Date
, 09/24/2009
Phone
541-895-4466
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Flo~r:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
L DEVELOPMENT INFORMATION'
REQUIRED PARKING
Total: ,
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd: ,
Paved Drive Rqd:
% of Lot Coverage:
ATTENTION: Ore I .,
f,."'.....", _..._ . gon aw reoUln:~~ \If'II'''''''' .
I PUBLIC IMPROVEMENTsiiilicatl~;C~~;:""Th~~ me, Oregon Utility
JAR 91l?-00 1 I)' t e ru es are setforth
0090 Yo'[}i1ewlllkcwpe~rough OAR 952-001_
" , may obtam Copies 01 the r ,
callmg DownsPQI\(sfO~aln" u es by
number 1 (<.I:>,e, the telephone
Cor the Oregon Utility Notification
enter IS 1-800-332-2344).
~
.. .
Value
Date Calculated
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01770
ISSUED: 12112/2008
APPLIED: 12/12/2008
EXPIRES: 06/12/2009
VALUE:
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726,3676.Fax
541-726.-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee-Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$7.30
$8.76
$3.65
$73.00
12/12/08
12/12/08
12112/08
12/12/08
. 2200800000000001742
2200800000000001742
2200800000000001742
2200800000000001742
Total Amonnt 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.
I ~e,\~ir~d Insnect~on.s I
"
Electric Service: Approval. required prior to utility company energizing service.
By signature,] state and agree, that I have carefully examined tbe completed application anddo 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 wbo 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 th~ permit card is located at the front of the property, and the approved set of plans will remain on tbe site at all
times during construction.' .
Owner or Contractors Signatnre
Date.
Page 2 01'2
Electrical Authorization To Begin Work
E-mailedTo:hei~i@c-perkins.com
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
,Receipt # EC543537
12/11120081:14:39 PM
City of Springfield
IlliJ 1 or 2 family dwelling
o Multi-family
D Commercial/Industrial
I Description I Qty. Ea. I Total
~~!k.'al~!N~TQJ~~r9!fi'ill!!.tiifamiIY:~icmDgjllnitJtJoc.ib~~~.eS
iattachcdgaragc;- 'm'~~~2 . :.
! ._........".. .,- -"'~ .~.., ".' f!i:Y.JiJ/"" .......
1,000 sq, ft. or less
I Ea. add] 500 sq. ft. or portion
D New construction
[i] Addition/alteration/replacement
IJob 110.: IJob address: 3522 GAME.FARM RD
I City/State/ZIP: .sPRINGFIELD, OR 97477-100]
I Suite/bldg.lapt.no.:
I Project name:
Cross street/directions to job site:
I Subdivision:
ITax map/parcel,no.: 1703154003100
ILot no.:
I - Lirriited energy, residential
(with above Sq. fU
I-Limited energy, multifamily
residential (..vith above sq. fl.)
I - Limited energy, commercial
(with above SQ. fU
I - Stand-alone limited energy,
resldentml
I ~ Stand-alone limited energy,
multi-family
I "Stand-a]one limited energy,
commercial
l~gg:~RIr,~,~~t~-rtbift!fffitrti~![~~1J22lf?cJ~i[t~_
1200 amps or less J I $73.00' $73.90 I
120] amps to 400 amps I
1401 amps to'599 amps 1
1'.tEMP.Olli(RV;tSerYlces;Olilfc..edcrSiinstalllltim;ilte.-rati~.;n';~V~{~~.#i
~AND'iOR~ret6fiititn4t\"<~.IV\~-:~~~~~f;,yfi4:~~tt&;1~Jf'~~
.'''-'>'''-'''= ~"'~""''''"~'''"'''''''''''''';,;;;;g~~~ ~,_ ",. w" " ,.__l}._ ,:;\,r.l:;;:'..'f5i';i>~-e;" ~,~;; "',,, ~""""
1 200'mps or less I I 1
1201 amps to 400 amps 1
1401 amps to 599 arrips 1
change exisitng service to new 200A
I Name:heidi
'Phone: '
IEmail:
IF~x:
I A. Fce for branch circuits with
service or feeder fee, each
branch circuit.
I B. Fee for branch circuits
without service or feeder fee,
first branch circuit
each add! branch circuit
IEJ.lic.no.: C335 ICCBlic.no.: ]78518
1 Business Nan;e: RITE ELECTRIC INC
1 Contact: Heidi
IAdd"ss: PO 'BOX 842
I City/Statcf.llP: CRESWELL OR 97426
I Phono: (541)89544661 Fox: (541)8954366
I Email: heidi@c-perkins.com
1l\letro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 2970S
ISupervisi,ng eleetrici~n's name: CLYDE I PERKINS
Upon review'and approval by your local jurisdiction"your
permit will ba a-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
1 Service reconnect.on]y
I Each manufactured or modular
dwell ing. service and/or feeder
I Pump or irrigtltion circle
I Sign or outline lighting
I Signal circuit(s) or limited-
energy panel, alteration, or
extension.
NOTE; This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building dep~rtment may determine that an
Authorization To Begin Work is null and void if it does not
meet applica~le I~nd use laws and local ordinances.
Subtotal I $73.00 I
State Surcharge (12% of permit fee) I $8.76 I
City Of Springtleld fees * I $10,95 I
1 TOTALPE:Ri\HTFEE 1 $92,711
* City Of Springfield fees: 10% Administmtion Fee; 5% Technology Fce
-&::nr'2--uur - 01770
N(V\ ,;
ld!I;).!U-UO
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfield~ Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM200S-0] 770
COM200S-0 1770
COM200S-0 1770
COM200S-0 1770
Payments:
Type of Payment
ONLINE CHGS
cReceint I
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000001742
Date: 12/12/2008
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ ]2% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERM1T CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE
R]TE' ]n Person
Payment Total:
, Page I of]
2:10:27PM
Am,ount Due
73,00
3,65
S,76
7,30
$92.71
Amount Paid
$92,71
$92.71
]2112/2008