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