HomeMy WebLinkAboutPermit Electrical 2008-12-18
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01790
ISSUED: 12/1812008
APPLIED: 12/1812008
EXPIRES: 06/1812009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 202 S 18TH ST
ASSESSOR'S PARCEL NO.: 1703360000500
Springtield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Install Bosch System
Owner: CITY OF SPRINGFIELD
Address: 202 S 18TH ST ATTN SPRINGFIELD UTILITY BRD
SPRINGFIELD OR 97477
I CONTRACTOR INF?RMATION ,
Contractor Type
Electrical
Contractor
SELECTRON INC
License
. 64341
BUILDING INFORMATION I
Expiration Date
02/16/2010
Phone
503-245-9988
# 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:
Energf Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
~ ,~r!J
~~~
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
. Compact:
. . I PUBLIC IMPROVEMENTS' ATTENTION: Oregon law requires you. t?
NOTJCE" . ." follow rules adopted by the Oregon Utili!.
Street Improt'R'lS''PERM1T SHALL EXPIRE IF THE WORK . Notit'M\!f1tj~llserm<t: Those rules ~re set fori
Storm Sewer "",y,,;hmmzED UNDER THIS PERMIT IS NOT. In O~~~?n\lQlgll\U.Q,!t1ro~gh Ofl't\R 9521-OCt.
S ecial Instr F\U,T~ OR 0090. Youmay'olilii(n copies 0 ne ru es )'
p 'tmJIMENCED OR IS ABANDONED F . calling the center. (Note:,~he telep'hone
ANY 180 DAY PERIOD. number for the Oregon Utility NO(lTIcallon
Center is 1-800-332.234 ';).
Notes:
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amonnt
Value
Date Calculated
Paee 1 of2
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01790
ISSUED: 12/18/2008
APPLIED: 12/18/2008
EXPIRES: 06/18/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726_3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
)
Fees Paicl I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
Amount Paid
Date Paid
Receipt Number
$5,20
$6,24
$2,60
$52,00
12118/08
12/18/08
12/18/08
12/18/08
2200800000000001757
2200800000000001757
2200800000000001757
2200800000000001757
Total Amount Paid
$66,04
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.
. Re?u,jreclln,~\?edio~s ~
Low Voltage: Prior to cover.
Final Electric: When all electrical work is' complete,
By signature, I state and agree, that I ha;ve carefully examiued 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 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
Date
Page 2 01'2
City of Springfield
Electrical AnthorizationTo Begin Work
, E-mail~dTo:erin.butrico@selectron.com
Rcceipt # EC543860
12/18/20081:32:58 PM
Check on status of perInit _
By Phone: (541)726-3753 or Email: permitcente.r@ci.springlield.or.us
I D New construction
[X] AdditjOn/alterat~on/rep]accmcnt
I 1,000 sq. ft. or less
I Ea. add] 500 sq. ft. or portion
I D ] or 2 family dwelling
o Multi-family
[KJ Commercial / I~dustrial
IJobno.: EUG-3090 !Jobaddress: 202 S 18THST
I City/State/ZIP: SPRINGFIELD, OR 97477-5240
I Suite/bldg./apt.no.:
I Project name: SPRINGFIELD UTILITY BOARD
ILot no.:
I-Limited energy, residential
(with above Sq. ft.)
I - .Limi.ted e~ergy, m~ltifamily
resldentlal (wIth above Sq. ft.)
I. - Limited energy, commercia"[
'(with above Sq. ft.)
I. - Stand-alone limited energy,
residential
I - Stand-alone limited energy,
mtllti~familv
I - Stand-alone limited energy,
commercial
1
Cross stNetJdirections to job site:
I Subdivision:
ITax map/parcel no.: ]703360000500
$52.00
$52.00
INSTALL BOSCH
I Fax: 744-375]
I 200 amps or less
I 20] amps to 400 amps
140] amps to 599 amps'
l~r~AU)~<)~_~~~~!~~e;S'ii!st,~lIat~o~;r-lillenui&n;
~Ar;:Q/2!!~~~~!!!2,'!S:~~~~~tYJRt'1(;1~~
I 200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
. I
'Name: GREG MILLER
I Phone: C54])744~3751
I Email:
A. Fee for branch circuits with J J J
service or feeder fee, each
branc~<IIlNT10N; Orell n law re _ulres yo to
I s, FQll..W~rMFi!!!f.i!IrloPte~bY the ~regon ulllny I
wit~~b!'!. cU'r'feell<'i'Jefe ose rul s are set lorth
ficsllllQ! ~ lien r.
II ,",Gi:l<0A1i!,~Qlll-oU1Y UIIUUIl" ~it G!.i~ a<:1-
Ili"rAllllll\lmjD\Jllfl"y,u"...i'!L""!";".~~.c!;Iy,.,,~
~, 1~"J~'**i$5'fhY'C,;:;...1i~"i-.i0f-17 ':f0' '~,~'" ,,' , ,A~"h::;
I 'servic~A Alh' ~'r, . , . ., tion
I Each 0 War 0-332 . :344)
dwelling, ser\/ic e1ir 1 -..
I I Pump or irrigation circle
I I Sign or outline lighting
I I'Sig. rial Ci.rc.'uitCS) or ]imited-
I energy. panel, alteration, or
extenslOn
lEI. lie. no.: 26-I\1J1J11'11r:s:. ICCD lie. no.: 6434]
IBu'ine"N"miM~~~~l1Il ~PIRI= 11= TI4J: WOBK
ICon'ac', ROB~=~ 1.!~I':l!:1l TJ1IS..EJ:Rhm I~ tillT
IAdd..,,, 7225 ~QR 12 ABANDOtJFn FOR
I CilY/Stale/zIP',{plV'~rmrPERI("In.
I Phone: (503)6399988 I Fa>, (503)6844357
I Email: erin.butrico@selectron.com
I Metro lie. no.: I City lie. no.:
I Supervising electl"ician's lie. no.: 974LEA
I Supervising electrician's name: JAMES R LEPPER
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.
NOTE: This Authorization To Begin Work expires within 180
days if a permit Is not obtained.
Subtotal I $52.00 I
State Surchar,ge (J 2% of permit fee) $6.24 I
City Of Springfield fees'" $7.80 I
I TOTAL PERMIT FEE I $66.04 I
II< City OrSpringfield fees: ] 0% Administration Fcc; 5% Techno]ogy Fee
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 ordinances;'
'\1\1 )V-nnq()
COM: NLV 0
RCPT #:. (\/ii ',fl'A - n 51
DATE PROCESSED: \?l\ 1~ n<t<
This Authorization To Begin Work must be posted at the jotsit~ until rePlace~b r' . .r-
. PROCESSED BY:
. .
'\
-
225 Fifth Street
Springfield,. Oregon 97477
541'-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-0 1790
COM2008-0 1790
COM2008'0 1790
COM2008-0 1790
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
2200800000000001757
Date: 12/18/2008
Description
Low Voltage - Commercial Indus
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
raid By
ONLINE PERMIT CHGS
Item Total:-
<":heck N umber Authorization
Received By Batch Number Number How Received
KR
ONLINE SELECTRO In Person
N
Payment Total:
)
Page 1 of I
2:39:20PM
Amount Due
52.00
2.60
6.24
5.20
$66.04
Amount Paid
$66.04
$66.04
12/18/2008