HomeMy WebLinkAboutPermit Electrical 2007-2-28
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City of Springfield
_trical Authorization To Begin Work .
E-mailedTo:RoseCorp2000@aol.com
Receipt # RC50!l975
2/28/20077:32:29 AM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
" ;'II'DescriP;i~~' FEE S~HE~t~.LE J Eo, TOla11
Residential SINGLE. OR multi-family dwelling unll. Includes
8tt~chedga'rage' h ,',.' '", . ,
11.000 sq. ft. or less
I Ea. addl 500 sq, ft. or portion
I-Limited energy, residential
(with above Sq, ft.)
I-Limited energy', multifamily
residential (with above SQ. ft.)
I S<rylces OR fecden Installation, all'nlllon, AND/OR relocation I
1200 amps or less 2 $63.00 $126.00
I 201 amps to 400 amps
,1401 amps to 599 amps .
I' TEMPORARY ser:vices OR' feederS installation, alteration,
o AND/OR relocation "',
! 200 amps or less
1201 amps to 400 amps
,.,~',' 1401 amps to 599 amps
I Branch circuits - N"EW,alteratipn, OR extension, per panel'
I A. Fee for branch circuits with
above service or feeder fee.
each branch circuit.
lB. Fee for branch circuits
without service or feeder fee,
first branch circuit
I each addl branch circuit
I M.iscellaneous<
r:ervice reconnect only
Each manufactured or modular
dwelling. service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
I Signal circuit(s) or limited-
energy panel, alteration, or
extension.
I 0 New construction
TYPE OF WORK
[il Addition/alteration/replacement
CAT~GORY OF CONSTRUCTION"
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o 1 or 2 family dwelling
D Multi-family
[Xl Commercial I Industrial
JOB SITE I!lFORMATION AND, LOCATION
IJob no.: pfifer IJob address: 4223 MAIN S1
I City/StatefZtP: SPRINGFIELD. OR 97478.5954
I Suitelbldg./apt.no.:
I Project name: Unit B
Cross streetldirtdions 10 job site:
I Subdivision:
ITax map/parcel no.:
I Lot no.:
1702323201900
DESCRiPTiON OF WORK
Tenant Improvments. This is@4223 Main Street Unit B
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SITE CONTACT,'
I Name: Phil Rose
I Phone:
I Email:
IFa"
CONTRACTOR'
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lEI. lie. no.: 20-253C ICCBllc.no.: 54431
I Business Name: ROSE CORPORATION
I Conlact: Phil Rose
IAddress: 89976 DAY LN
I City/StatefZIP: EUGENE OR 97402
I Phone:. 5416860905 I Fax: 5416863050
I Email: RoseCorp2000@aol.com
I Metro lic no.: I City lie no.:
ISupenising electrician's I~c. no.: 15685
I Supenising electrician's name: PHIL S ROSE
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 pennlt Is not obtained. .
The local building department may detennlne that an
Authorization To Begin Work Is null and void tf It does not
meet applicable land use laws and local ordinances.
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IF: .
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. City Of Springfield
not otTered online allhisjurisdiction I
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Subtotal $126.00 I
Minimum Fee $45.00 I
State Surchame (8% of permit fee) $10.08 I
Ci!y OfS~rin~field fees. $18.90 I
TQTALPERMIT FEE $154.98 I
10% Local Admin Fee; 5% Local Technology Fee
ELECTRICAL PERMIT FEES
COM: ~ /) U 1 -- M '2,UO
RCPT#.Dl ~ fTl) I -7.lA Cj
DATE PROCESSED:_ ~ \7.91 7-(s'o 7
PROCESSED BY' 1\.1 M
This Authorization To Begin Work must be post ~d at the Job site until replacea ay a t"er r:"lit.
Status
Issued
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.CITY VI< ~rKH~GFIELD
Building/Combination Permit
PERMIT NO: COM2007-00300
ISSUED: 02/28/2007
APPLIED: 02/28/2007
EXPIRES: 08/28/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4223 Main St
ASSESSOR'S PARCEL NO.: 1702323201900
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Tenant Improvements. This is at 4223 Main Street Unit B
Commercial
Owner:
Address:
DONALD V PFEIFER TRUST
1600 VALLEY RIVER DR STE 160 ATTN COMMERCIAL INV PROP I~
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
ROSE CORPORATION
License
54431
Expiration Date
09/30/2008
Phone
541-686-0905
BUILDING INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories: Lot Size:
Height of Structure: Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Wat~r. Type: Sq Ft Basement:
Range Type: Sq Ft GaragelCarport
EnergJ: ~fth:r.!; . Sq Ft Other:
SprinI<j~i1 B~i1ding: nla Occup'ant Load:
,/:11::: ['~...'''T :U^" CVOIDC IcT(.i1:WnRK
I DEVELOPMEN'IUNIlORM~11lfi)NlI'HIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOl\EQl:1IRED PARKING
Overla,~lljljst,:80 DAY PERIOD, Total:
# Street 'frees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROYI'MJ:;l)l;f:llegon lOW HoJ:"llI'CS Iv
, ", .- ' 'cl +hr n.onon \)1 I-
follow rules adopteCoiilewal\{-:rype: \.
. C t Those rules are SP. to ~
Notification en er. Downspouts/Drains,,_ov
. OAR 952-001-0010 tnrou'J" v'" ) vv-
~090. YoU may obtain copies of the r~I~,s I
,. the center. (Note: the tele~ De
callng Ut'rty Notillc';dlll.JP
_",..korf~theOr.gon .11
I v611l'I i.:, 1-o0C-;j~j~-"-v""""
Valuation Descriotion
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e I of2
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.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00300
ISSUED: 02/28/2007
APPLIED: 02/28/2007
EXPIRES: 08/28/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Pail!.l
Fee Description
+ 100/0 Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
$12.60
$6.30
$10.08
$126.00
2/28/07
2/28/07
2/28/07
2/28/07
Receipt Number
2200700000000000269
2200700000000000269
2200700000000000269
2200700000000000269
Total Amount Paid
$154.98
I Plan Reviews ,
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.
I Reolliretllnsnedions'
Electric Service: Approval required prior to utility company energizing service.
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
225 Fifth Street
Spnngfieid, Oregon 97477
541-726-3759 Phone
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~f Springfield Official Receipt
_Iopment Services Department
Public Works Department
RECEIPT #:
2200700000000000269
Date: 02/28/2007
9:04:18AM
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
126,00
6.30
10,08
12.60
$154.98
Job/Journal Number
COM2007-00300
COM2007-00300
COM2007-00300
COM2007-00300
Description
Perm ServlFdr 200 amps or less
+ 5% Technology Fee
+ 8% Slale Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
njm
ONLINE
ROSE In Person
CORP
Payment Total:
$154,98
$154.98
cReceiotl
Pa~e I of I
2/28/2007