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HomeMy WebLinkAboutPermit Electrical 2007-4-9 . Status Issued * .CITY OF SPRINGFIELD .Building/Combination Permit PERMIT NO: COM2007-00520 ISSUED: 04/09/2007 APPLIED: 04/09/2007 EXPIRES: 10/09/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1900 MARCOLA RD ASSESSOR'S PARCEL NO.: 1703251300400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Wire appliances for Green Burrito Owner: TRI-W GROUP L TD PARTNERSHIP Address: 100 SE CRYSTAL LAKE DR CORVALLIS OR 97333 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor C & SELECTRIC License 3849 BUILDING INFORMATION I Expiration Date 09/01/2008 Phone 541-741-2236 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: . -- . , . .. _I. """'.... # of Stones:'~ ,.' ,." ,...)' Lot Size: H. h fS'- .-~,~.it. 'u"l,,8\ ret"S" elg t.o . tructure:.' - <> !I Ft 1st Floor: . ~ t T\o,O~" rlll~s ;1[" ~"1 J' \:r:ype~~f'Heat:...3~ Of. . t' 0)..... Co ~(ff~)2,~~1 Floor: Water-jType:-CO: -Ol1" 0 lhrcugh OAfScrFt'Basement: R;r';g~'TYP;:nav 0tlid:n copies 01 ttsqiFi!G'ifage/Carport j ...;..... --'.'" . . I . . En.~[~,p'at~:~ ~ ",tN. (i'!ot.~: tlw ;€:,Sq)Ff~tber: Sprinkled Building:) ':'\' 'i~ :n/a'it.} tk0C'cup'aritLoad: ,!':it!.);p' .," , .', \0,. ..." .......-, _ -:.",,'f" ~;' I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of LOlJl()onV'e~: THI~ PFflMIT ~HAII FXPIRF IF THE WORK I PUBLIC IMPRO}tEM~N:llS tiNDER THIS PERMIT IS NOT COMMENCl:lJ OR l~i~~~kl~~lf.,9 FOR ANY 180 DAY PERIIt,QwnspoutslDrains: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value, Date Calculated Paee 1 of2 .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00520 ISSUED: 04/09/2007 APPLIED: 04/09/2007 EXPIRES: 10/09/2007 VALUE: . _.!!II'f!1~,I!l~,~, I '- Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project frrp.~ tiW.I Fee Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid 4/9/07 4/9/07 4/9/07 4/9/07 4/9/07 $5.80 $2.90 $4.64 $43.00 $15.00 Tolal Amount Paid $71.34 I Plan Reviews I Receipt Number 2200700000000000513 2200700000000000513 2200700000000000513 2200700000000000513 2200700000000000513 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. [..Rp./Jllirp.d ~ 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 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. 1 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 of2 City of Springfield " ttctrica, Authorization To Begin Work. E-mailedTo:cherrick@cseIectric.com Receipt # EC510162 4/9120072:56:31 PM ~ ~-- Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I 0 1 or 2 family dwell ing o Multi-family IX] Commercial I Industrial FEE .SCHEDULE I Description l Qty. J Ea. Total ResidentiaJ SINGLE- OR multi.family dwelling unlL Includ~ attached garage 1,000 sq. ft. or less Ea. add! 500 sq. ft. or portion - Limited energy, residential (with above sa. ft.) - Limited energy, multifamily residential (with above sa. ft,) Services OR ftfllers installation, alteration, AND/OR relocation 200 amps or less 20 I amps 10 400 amps 40 I amps to 599 amps TEMPORARY services OR feeders installation, alteration. AND/OR relocatioD TYPE OF WORK J D New construction (iJ Addition/alteration/replacement CATEGORY OF CONSTRUCTION JOB SITE INFORMATION AND LOCATION IJobno.: 6266 IJobaddress: 1900 MARCOLARD ICily/SlatelZIP: SPRINGFIELD. OR 97477.2560 I SuUelbldg.laplno.: I Project name: Carls Jr eroS!! streetldlrtt:tlons to job site: !Subdivlsion: ITax map/parcel no.: I Lot no,: 200 amps or less 20 I amps to 400 amps 40 I amps to 599 amps Brancb circuits - NEW,alteration, OR eiteDsioD, per panel A. Fee ror brnneh circuits with above service or reeder ree. each branch circuit. B. Fee lor branch circuits without service or feeder ree, first branch circuit.: I each addl branch Circuit 5 $3,00 1703251300400 DESCRIPTION OF WORK Wire Green Burriot appliances. !Name: Jim Murphy I Phone: (541) 935-0185 IEman: I Fax: I I I Miscellaneous I I I I I I II II I: : I, City or Springfield I Service reconnect only Each manuractured or modular dwel1 ing. service and/or feeder Pump or irrigation circle $43.001 $15,001 I I I I I not offered online at this jurisdietion I I Subtotal' $58.00 I State Surch~e (8% of~rmit fee) $4.64 I Ci~ Of Springfield fees' $8.70 1 TOTAL PERMIT FEE $71.341 10010 Local Admin Fee; 5% Local Technology Fee $43,00 SITE CONTACT CONTRACTOR I EI.lic. no.: 20-14C ICCD Iie.no.: 3849 I Buslntsll Name: C & SELECTRIC INC I Contact: David Gehrke IAddress: PO BOX 1482 I City/SlatefLIP: SPRINGFIELD OR 97477 I Phone: 5417412236 IFa" 5417412473 I EmaiJ: eherrick@cseleeuie.eom I Metro lie no.: I City lie no.: !Supervising electrician's lie. no.: 48945 !Supervislng electrician's name: DAVID E GEHRKE Sign or outline lighting Signal circuit(s) or limited- energy panel. alteration, or extension. ELECTRICAL PERMIT FEES Upon review and approval by your local jurisdiction, your permit will be e-malled 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. 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. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 225 Fifth Street Springfield, Oregon 97477 541-716-3759 Phone eiii_ Ca,of Springfield Official Receipt ~opment Services Department Public Works Department RECEIPT #: 2200700000000000513 Date: 04/09/2007 3:1I:57PM Job/Journal Number COM2007-00520 COM2007-00520 COM2007-00520 COM2007-00520 COM2007-00520 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Item Total: L'heck Number Authorization Received By Batch Number Number How Received Amount Due 43.00 15,00 2.90 4.64 5.80 $71.34 Amount Paid ONLINE CHGS ONLINE PERMIT CHGS ddk ONLINE C & S Online Electridc Payment Total: $71.34 $71.34 cReceintl Page 1 of 1 4/9/2007