HomeMy WebLinkAboutPermit Electrical 2010-1-14
City Of Springfield
225 Fifth Sf
Springfield, OR 97477
Phone: 541-726~3753
Emai!: permilcenter@ci.springfield.or.us
o New Construction
rRJ Addition/alteration/replacement
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o 1 or 2 family dwelling D Multi-family 1KI Commercial 0 Accessory
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Job Address: .295 S 18TH ST
CityfState/ZIP: SPRINGFIELD, OR 97477
Suitefbldg./apt.no. :
Project Name:
Cross Street/directions to job site:
Tax map/parcel no.: 1703360000504
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install 1- circuit for Qut-building
Name: Rocky Thornton
Phone: 541-953-0027
Fax: 541-686-4151
Email:
Elec lie. no.: 20-206C
. eee lie. no.:
116329
Business Name: RIVERVIEW ELECTRIC
Contact:
Address: PO BOX 5044
CityfState/ZIP: EUGENE, OR 97405
Phone: 5416861628
Fax:
Email:
Metro lie. no.:
City lie. no.:
Supervising Electrician's lie. no.:
30175
Supervising Electrician's Name:
ROCKLIN R THORNTON
Number of inspections included in paid services:
Residential Service 4
Reconnect Only: 1
All Other Services 2
Upon review ilnd ilpprovill by your locill jurisdiction, your permit wlll be e-mililed or filxed
within one business dilY, with instructions on how 10 schedule your inspettlon.
NOTE: This Authorizillion To Begin Work expires within 180 dilYs if il permit is not obtilined.
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.
. c./O.,p
Commercial Electrical Authorizatioh To Begin Work
69600-BEL-10-00023
Approval Code: 804112 1/14/2010 6:21 am
E-mailedTo:rocky.thornton@gmail.com
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M0:11iJ;'~_i!!i}k\i?!~j!~l!Al\liREVIEW""_7'>'~4!il"~...~'l
Please check all that apply:
o A service or feeder beginning
at 40? Amps where the
avallable fault current exceeds
10,000 Amps at 150 yolts or
less to ground exceeds
14,000 Amps fOf all other
o Hazardous locations
D A service or feeder rated at
600 amps or more
o Buildings more than three stor
D Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
D lnstallationofa 150 KVAor
larger seperately derived sys
D "A", "E", or "1-2" or "1_3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
I Branch circui:s without servi~e or I I $55.00 I
feeder .
I'M''':--'-'''I'I''';';'$?h''iO''''''''-''''~-r1V~;;;'';;'Wr.{~'f.';'!!,;<Q':,1T;'t<'-'tT'm:~'t-i::t'-i!'->i"":":"f;<.1:l&.t~~'1lf!~J!it!J:'::ti-41
._.I~"C:~.,l:I,I).~9.LJ.SiKi1i~i.Ki'.Ft:du:.~;~.;~~~Jli;1~;'~;;4'..,vi;';it$;:;.~~~1&;:-1~r1*:f.~
I Balance of permit fees I J J $3.00 I
IEI.ctr;cal'f!.rmit1F..s'~jjf"'lil'i%"~~lli\!;i~"I.i"lY''''''S!it'''''~~-''''''''''1
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1 Subtotal $58,00 I
I State surcharge (12% of permit $6.961
total)
I Technology fee (5% of permit total) $2.90 I
./ TOTAL PERMIT FEE $67.86 I
$5500
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Inspections Phone: 541.726-3769
This Authorization To Begin Work must be posted at the job site until replaced by: a Permit
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I' .
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2010-00053
ISSUED: 01114/2010
APPLIED: 01/14/2010
EXPIRES: 07/14/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 295 S 18TH ST
ASSESSOR'S PARCEL NO,: 1703360000504
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Public
PROJECT DESCRIPTION: Install one circuit for out-building.
Owner: CITY OF SPRINGFIELD
Address: 225 5TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
RIVERVIEW ELECTRIC
License
116329
Expiration Date Phone
541.686- I 628
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 Patb:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION.
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
, Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Covera~ '
ATll:NTION: Oregon law requires YDU to
follow rules adDPted bv the OreQon Utility
I PUBLIC IMPROVE;~~n CentE!f. I hose rUles are sellolln
, ,"'..,'. "12-001-0010 through OAR 952-001.-
0090. You maymlminlC'l's;iM of the rules by
calling the c~nter.jNote: th~ telephone
number for ttM~mw8I1t~I?rl'}'\%tification
Center is 1.800-332-2344).
Street Improvements:
Storm Sewer Available:
SpeciallnstructiKlbTlCE:
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORI71=n 11~lni=R TI-lle: DCD~n1T Ie: "')T
';OMMENCED OR IS ABA~lrl(JI\!En fOR I
.. ,~:Y 180 DAY PERIOD, "V'illu'llturrI'Descriotion
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amouut
Value
Date Calculated
:..1:
:-,-r.'~! .J "".
Page I of 2
.
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I
I
Status
Issued
CITY OF SPRINGFIELD
'Building/Combination Permit
PERMIT NO: COM201O-00053
ISSUED: 0111412010
APPLIED: 01/14/2010
EXPIRES: 07/1412010
VALUE:,
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fe~~ Paid'
Fee Description
+ 12% State Surcharge'
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid
Date Paid
Receipt Number
, $6.96
$2.90".'-" ',; ','
$55.00
$3.00
1114/10
1114/10
1/14/10
1/14/10
3201000000000000010
3201000000000000010
3201000000000000010
3201000000000000010
Total Amount Paid
$67.86
I Plan Reviews I
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 7:00a.m. will be made the following
work day. '
I Reouil'ed Insoections I
1111.1111111111
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I furthe'r'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 tbe work described herein, and
that NO OCCUP ANCY 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.
'J 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 sefof plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 of 2
225 Fifth Street
,
Springfield, Oregon 97477
54f~ 726-3759 Phone
CitY of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2O I 0-00053
COM2O I 0-00053
COM2O I 0.00053
COM20 I 0-00053
Payments:
Type of Payment
ONLINE CHGS
cReceint I
RECEIPT #:
3201000000000000010
Date: 01114/2010
Description
Add, Alter, Extend Circ
Minimum! Adjustment Electrical
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm ONLINE riverview Online
elect
Payment Total:
Page I ofl
8:01:28AM
Amount Due
55.00
3,00
6,96
2.90
$67.86
Amount Paid
$67,86
$67.86
1114/20 I 0