HomeMy WebLinkAboutPermit Electrical 2006-11-17
.
Status
*
,.
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.~€ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01483
ISSUED: 11/17/2006
APPLIED: 11/17/2006
EXPIRES: 05/17/2007
VALUE:
SITE ADDRESS: 5851 MAIN ST
ASSESSOR'S PARCEL NO.: 1702343300101
Springfield TYPE OF WORK: Electrical Work Only
PROJECT DESCRIPTION: 4 Branch circuits.
Owner: ARNOLD JAMES W & KATHLEEN A 1/3
Address: 8022 SE 162ND AVE
PORTLAND OR 97236
Owner: ALLEN WARNER E & BONNIE B 2/3
Address: 8022 SE 162ND AVE
PORTLAND OR 97236
TYPE OF USE: Alteration
Commercial
, CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
FIVE STAR ELECTRIC INC
License
158231
Expiration Date
0110912008
Phone
(503) 324-0948
BUILDING INFORMATION I
# 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:
Energy Path:
Sprinkled Building:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DE, J',LVr ldENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
. I PUBLIC IMPROVEMENTS'
StreetImprovemeDisf:NTION:LiiL~;-o.... .,. . .-. -
fO!'(I'" rules adopted bylil,; U';:J(I" l ,.,. j
Stor'." Sewer ~,';:'r'MgM'I:,on Center. Thosa ruler me ::c!fo,.
SpeclaIInstruf~'ITAR 952-001-0010 through OP.:-: [\:;~-OO,
Notes: 0090. You may obtain copies of the rules b.
calling the center. (Note; tho tel3p~ons
number for the Oregon Utility Notification
Center is 1-800-:;t'32-2344).
Pa~e I of2
REQUIRED PARKING
Total:
Handicapped:
Compact:
S~tffIH~pe: .
Dmrn'P'E'R'~~a~A:ALL EXPIRE IF THE WOF K
AUTHORIZED UNDER THIS PERMIT IS NC T
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
en - )'
'1:./ .\'
. /) . ,-
.If'" Jeh-O,yl
I" ,," >\
II r (,.o~~-R .
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01483
ISSUED: 11/17/2006
APPLIED: 11/17/2006
EXPIRES: 05/17/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
F""s tlWU
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$5.20
$2.60
$4.16
$43.00
$9.00
11/17/06
11/17/06
1lI17106
11/17/06
III I 7/06
2200600000000001603
2200600000000001603
2200600000000001603
2200600000000001603
2200600000000001603
Total Amount Paid
$63.96
Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
R"n~
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.
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
Pa~e 2 of2
;I
City of Springfield
~ectrical Authorization To Begin wor'-
E-mailed To: lac~e@fives'arelectric.org
Receipt # .EC506384
1lI1712006 9:18:57 AM
~
Check on status of permit:
Contact: hllp:/Iwww.ci.springfield.or.us/dsd/Buildinglindex.htm
I 0 New construction
. TYPE OFWORK ' '. ;.:
[X] Addition/a]teration/rep]acement
. . ~,
I"
I D 1 ~r 2 family dwelling
.CATEGORY OFCONSTRUCTIl?N~ .
....,'
o Multi-family
[Xl Commercial/ Industrial
I . JOil SITE IN.FORMA110N AND L()CAT',9.N'
[Job no.: FS648 [Job address: 585] MAINST
I C;tylSla'eIZ'P: SPRINGFIELD. OR 97478-6961
I Suitelbldg.lapl.no.:
[Project name: Springfield Burger King
Cross streetldir<<Uon, 10 job site:
ISubdlvbloa:
[Tax map/partel no.:
I Lot ao.:
1702343300101
DESCRtP~'ON OF_WORK
. -'
.y~,-,
tentant improvement
I
[Name: Matt Bland
I Phoae: (971) 246.1697
I Email:
I
;1,1"
"
'i:l,r:;'{
"SITECONTA<;,. ';' .:
I Fax: (503) 324-0973
CClNTR.!'CTOR '.-
[ceu lie. no.:
.'~f
'........
" .
. .. . ~ '
'..i
[E1. lie. no.: 34-665C
I Business Name: FIVE STAR ELECTRIC INC
I Contact: Royal Steams
IAdd..,,: PO BOX 555
ICilylS,atelZlP: BANKS OR 97106
I Phone: 5033240948
I Ema!l: ]acie@fivestarelectric.org
I Metro lie no.: 7889
I Supenrising electrician', lie. no.: 4622S
ISupenrlslng electrician', name: ROYAL STEARNS
158231
IFax, 5033240973
jCity lie no.:
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 deparbnent 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-'.' \. F'EE S.CHEDULE . '.' .' ' .
II Description J Qty. J Ea. I Total
I.R'esidentil!' SINGL~: O~ multi~family dl\-'elling unit"ln~hides
~I attachedga~ge _ -', .'. . -,- : '.
ill,ooo sq. ft. or less
. I Ea. addl 500 sq. ft. or portion
''';;11 . Limited energy, residential
[ (with above SQ. fU
I-Limited energy, multifamily
I residential (with above SQ. ft..)
I I Servlc~ ~* f~el'S'_i~~tallati~o.~lter'a~i~n"~N~[OR.-rel~uli~,",
I I 200 amps or less
I 201 amps to 400 amps
1401 amps to S99 amps
TEMPORARY se"..viCes OR'feeders'installati~n~ 'altenition.~ " . ~
I 'ANDi6R..eI0C8ti~~. -..; :;). .',~y,',,:,":. ,-- l'i'.:' " ,;,:,~.::"
I
'I
"-.
...!:
200 amps or less
20 I amps to 400 amps
40 I amps to 599 amps
Brunch cl.n:ults - NEW, IllterutioD~ o.R exII!D.sion, per panel.
I A. Fce for branch circuits with
above service or feeder fee.
each branch circuit.
I B. Fee for branch circuits
without service or feeder fee,
first brnnch circuit:
. I each addl branch circuit
IM~s;cella-~eous. :
I Service reconnect only
I Each manufactured or modular
dwellinR. service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
I Signa] circuit(s) or Iimited-
energy panel, alteration, or
extension.
- ,,_, ,')~~ECTRICA~ PERMI!FEES' >/.
--:.;
$43.001
$9.001
:1
I
I
I
I
I
1
Subtotal $52.00 I
Minimum Fec $45.00 I
State Surchar~e (8% ofI?Crmit fee) $4.16 I
Ci~ OfS1?rin~field fees. $7.80 I
TOTAL PERMIT FEE. $63.96 I
10% Loca] Admin Fee; 5% Local Technology Fee
$43.00
3
$3.00
,
: . ~ "\--.
,;. '.-
.....
I,
I
I
I
I
I
. City or Springfield
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
::1
I
I
I
;"1
..
I
I
I
',I
I
,
225.Fifth Street
, .
Springfield, Oregon 97477
541-726-3759 Phone
.
if-
<t.Ml of Springfield Official Receipt
.Iopment Services Department
Public Works Department
RECEIPT #:
2200600000000001603
Date: 11/17/2006
3:25:5IPM
Job/Journal Number
COM2006-0 1483
COM2006-0 1483
COM2006-0 1483
COM2006-0 1483
COM2006-01483
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
Item Total:
L'heck Number Authorization
Received By Batch Number Number How Received
Amount Due
43.00
9.00
2.60
4.16
5.20
$63.96
Payments:
Type of Payment
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
ddk
ONLINE Five Star Online
Electric
Payment Total:
$63.96
$63.96
cReceinll
Page I of I
11/17/2006