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Home My WebLink AboutPermit Electrical 2009-2-24 225 Fifth Street+Springfield, OR 97477+PH(541)726-3753+ FAX(541)726-3689. ICg~lt""""""?l"~'-"".'.""'~~'~'':'\~!1 '\~~, ~P!'.R~BT"!'1!=N[~Q~!=;Ot:!~~,,,15]~ "...._ffi,'".>-""',TI-,~c~">,.;.d.t:.,yL,,.~"'.Il'.."".,..."'~;&f,d~g~'I'.. I 7. I/~ )----+ Permit no,: t-.1' ' () ~ L-:::> I I Date: ;;L/.;.2"f107 I Ele~trical Permit Application This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days, I I I Limited energy (2) $ 32,00 $ I Each manufactured home or modular I dwelling service or feeder (2) $ 63,00 $ I Services or feeders: installation, alteration: relocation ,I I 200 amps or less (2) $ 81.00 $ I I 20 I to 400 amps (2) $ 95.00 $ I Name: SSr. 'i\- 1'\ I 401 to 600 amps (2) . $158,00 $ I I Address: I Y<;o- ,j, <(1.~ I 601 to 1,000 amps (2) $205,00 $ I City: Sft.I^"',h(-..f\ I State: (j-C I ZIP: T7~'17 I Overl,OOO amps or volts (2) $469.00 $ 'I Phone: ~I -?N- (; ~75 I Fax:~<i( -7 y'if (. 37'-1 I Reconnect only (2) $ 63.00 $ I I E-mail: ! Temporar'y services or feeders: installation, alteration, relocation I This installation is being made on residential or farm property I 200 amps or Jess (2) I I $ 63.00 I $ I owned by me or a member of my immediate-family This I 201 to 400 amps (2) I I $ 87,00 $ I property is not intended for sale, excliange, lease, or rent. OAR I 479,540(1) an~47 .560(1), I 401 to 600 amps (2) I I $126,00 $ Sign~, tl. ~ . I Over 600 amps or 1,000 volts, see services or, feeders section abov e I i~~':e' ;S;~~:~smiX~l!AffiI0N~~*~~}1~i I :r;::~o:i::::S~ :i::~~:':i~~::r:~:s:s::~:~::e~r feeder fee: I I Address: II Each branch circuit I ( I $ 6,00 I $ C ~ I I City: State: I ZIP: jib. Fee for branch circuits without purchase ofa service or feeder fee: I I Phone: I Fax: I I Firstbranch circuit (2) $ 55,00' $ I J g..mail: I~ I Each additional branch circuit $ 6.00 $ I I CCB license no.: I BCD license no.: I Miscellaneous fees: service or feeder not included ) I Signing supervisor's license no,: / ()73 P 5' I Each pump or irrigation circle (2) $ 63.00 $ I I Print name of signing supervisor: "\6h,'; <::;.q t 4 (L NI ) I Each sign or outline lighting (2) $ 63,00 $ I I Signature of signmg sup'ervisor: j J _ _' A _ I Signal. circuit or a li~ited-energy panel, I $ 63.00 $ I u __ _ alteratlon, or extensIOn (2) O~- 1~;,~~:~::=c,~~n~(I!"".,J._"."~~::;:1k~~''-~11 . l':!lil,"~~___Jl\~p.l!leANiT'!lIi\!J.S.E:I~~~:!,,"jiltr!'!,"''jf>; ~ rlJ.. (A) Enter subtotal of above fees . ? (~ ~J \ (Minimum Permit Fee $58.00) $ 5!t. J,'.o ~S (7 / I (8) Enter 12% surcharge (.12 x [AD $ :;2 -", ;/0 c.{)",Y I (C) Technology Fee (5% of[AD $ <!'"I 0 ~ ~ I TOTAL fees and surcharges (A through C): $ 0' 7,. r\1~ 1iJir'~~tr0.Cft.;L~G0'lERNMENjli'.a:R[RQY~~~~~I, I Zoning app;oval verified? 0 Yes 0 No I, , 1~=~~mEGi~~~~~~:~mRUJr:~~~~;~'l I~J013!1$Ij1fElllINF.0.RMAmll3,N!lANDII.!QG~iT1l('lN!llif.'[~\11!1 I Job site address: 33 S -"... &~ S1: I I City: SPf";..1,\:+:"'1O I State: 6f.- I ZIP: <r1'i6tf I Subdivision: j Lot no,: 1il5~_DEsCRIp.ml.<:>f.lJ:0F'J\W0BK~J:"~~~~~1l)l I ADA 0 I M"'H,,^^ :.".., I I Residential, per unit, service included: 11,000sq, ft, or less (4) Each additional 500 sq. ft. or portion thereof $134,00 $ . $ 25.00 $ 440-2584.1 (9/08/COM) Status Iss u ed CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01605 ISSUED: 12/04/2008 APPLIED: 10/31/2008 EXPIRES: 07/2012009 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 333 58TH ST ASSESSOR'S, PARCEL NO.: 1702343200100 Springfield TYPE OF WORK: School TYPE OF USE: Alteration PROJECT DESCRIPTION: Accessible wheelchair platform for school "auditorium Public Owner: SPRINGFIELD SCHOOL DISTRICT 19 Address: 525 MILL ST SPRINGFIELD OR 97477 Phone Number: 541-744-6375 I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor OWNER OWNER License Expiration Date Phone BUILDING INFORMA TlO~ I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: E # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Bnilding: Lot Size: Sq Ft 1st Floor:' Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: VB n/a I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyar<\ Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: ^T"rCI\ITIf"\l\I. ("\~............~ r~... ..:__..:~__ .._._~_ follow rules adopie~ bll P.UBl11C1IMPR0VEMENTS I NotIfication Center. I hO~b t UIC:~ ate ~t:l .Ullll Street Improveme~H\)AR 952-001-0010 throuoh OAR 952-001- ~ Storm Sewer Availkbl~9- You may obtain copies of the rules by Special Instruction: calling the center. (Note: the telephone number for the Oregon Utility Notification Notes: , ' Center is 1-800-332-2344), Sidewalk Type: DownspoutslDrains: II' l\1t 'NORK NOi\CE: "'( S\1l\ll F~I'IRt tRMII IS NOl 1\1\S I't~~~D \JNDtR 1\1~~60NtD I'OR 1\\)1\10" 0 OR IS I\\)" ,COMMtNCtl\'{ I'tRIOD, " I\N'{ '\800 Pa2e I of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description Plan Review CommlIndlPublic + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Building Permit Plan Review Fire & Life Safely + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Total Amount Paid Initial Review 11/03/2008 Structural Review 11/0312008 Fire Department Review 1lI03/2008 CITY OF ~rKll~\.JJ<IELD Building/Combination Permit PERMIT NO: COM2008-01605 ISSUED: 12/04/2008 APPLIED: 10/31/2008 EXPIRES: 07/20/2009 VALUE: $ 5,000.00 I Valtiation Descriution I $ Per Sq Ft or multiplier $1.00 Sqnare Footage or Bid Amount 5,000.00 10/31/2008 Valne Date Calcnlated Total Valne of Project , $5,000,00 $5,000.00 Fp~~ P~W Amount Paid Date Paid Receipt Number $51.08 $7,86- $9.43 $3,93 $78,58 $31.43 $6,96 $2,90 $50.00 $8,00 10/31/08 12/4/08 12/;1/08 1214/08 12/4/08 12/4/08 2/24/09 2/24/09 2/24/09 2/24/09 2200800000000001587 1200800000000001197 1200800000000001197 1200800000000001197 1200800000000001197 1200800000000001197, 1200900000000000122 1200900000000000122 1200900000000000122 1200900000000000122 $250,17 Plan Reviews I 11/03/2008 APP "LLH 11/06/2008 APP CJC Need revision to accommodate 1 more wheelchair 11/06/08. Approved revision recieved 11/10/08. 12102/2008 APPGRG Plans Review: Accessible wheelchair platform and ADA compliant door assemblies for Thurston High School , audiiorium. Job #COM2008-01605, Plans appear to meet code requirements. 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 workday, Pa2e 2 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01605 ISSUED: 12/0412008 APPLIED: 10/31/2008 EXPIRES: . 0712012009 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726~3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reouired Insnections II 1.1111 '" Slab: To be made after all ins lab building service equipment, conduit piping and other equipment items are in place but prior to concrete, Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete, 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 application and do hereby certify that all information hereon is true and correct, and I further certify that any and alfwork 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 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM200S-01605 COM200S-0 1605 COM200S-0 1605 COM200S-0 1605 Payments: Type of Payment Cash Change Job/Journal Number COM200S-0 1605 COM200S-0 1605 C0M2008-01605 C0M200S-01605 Payments: Type of Payment Cash Change cReceintl RECEIPT #: ~r;;~..'.~.'.'jj...... ..::...... *..! :;. ..~. '" ~, .."-~"'^.. -... .;. -- - City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000122 Date: 02124/2009 Description Minimum/Adjustment Electrical Add, Alter, Extend Circ + 5% Technology Fee + 12% State Surcharge Paid By JOHN SARACENO JOHN SARACENO Item Total: Check Number Authorization Received By Batch Number Number How Received NJM NJM In Person In Person Payment Total: Description Minimum/Adjustment Electrical Add, Alter, Extend Circ + 5% Technology Fee + 12% State Surcharge Paid By JOHN SARACENO JOHN SARACENO Item Totat: Check Number Authorization . Received By Batch Number Number How Received NJM NJM In Person In Person Payment Total: Page 1 of 1 9:23:49AM Amount Due S,OO 50,00 2,90 6,96 $67.86 Amount Paid $70,00 ($2,14) $67.86 Amount Du.c S,OO 50,00 2,90 6,96 $67,86 Amount Paid $70,00 ($2,14) $67,86 2/2412009