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Home My WebLink AboutPermit Electrical 2010-3-3 "-,'hj'?"",0'''''''t<''Y'''""",,,,,,';,,, ' ,,' >', ,~" ",3:DERARTMENTUSE ONLY '"::', ".",;~""":/:,t"",,,"''';' ".y"'/:-" " COlM ZDf 0 -0 0 Z.,t- Pennit no.: 3 - :5 - , 0 Date: 225 Fifth Streett Springfield, OR 97477tPH(541)726-3753t FAX(541)726-3689 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. , ,'iF:LoCAlt GOVERNMENT ARRROVAL: Zoning approval verified? 0 Yes 0 No , :.::.CATEGORVEoF.icbNSTRUCTION o Residential 0 Government ~Commercl JOB SITE"IIIIFORIVIA TIONAND 'LOCATION Job site address: Intersection of 5th @ Q Street City: Springfield ZIP: 9747 Subdivision: W -,/tifF- 9.6- Lot no.: ,>.o""'i0;:';7DESC'RH?j-ION::':0Ff\I\IORK':,>': ;; '~;.'; Modify existing traffic signal ~~b"\\' Io4QS I :'.::r"':;~~:: :RRORERTY.~OWNER .' ',' .. : : . Name: Address: City: Phone: E-mail: This installation is being made on residential or fann propert owned by me or a member of my immediate family. This property is not intended for A'ff,Em1olil!,Oi\g~ 'MY ~ 479.540(1) and 479560(llfo1lOw rules adopted by the 0 Signature: Notification Center. Those rule ~CONtRACT t rou Business name: E C Co au may 0 a n COpieS ODOT 3S5"cA-f'1 roL 'So -r IiIE 5 A-Lt"l-V' ZIP: '17] . ~~'-r"-~-"-<<'~'''''''>' .-..~- Address: PO Box City: Albany Phone: 54:1.- 92 6 -4266 E-mail: davidom@e-c-co.com CCB license nO.:4 973 7 BCD license no.: 22 -15 Signing supervisor's license no.: 3257 S Print name of signing supervisor: Wi 11 iam Coburn Signature of signing .'. ;'.\ ....... ::FEESCHEDULE '/','1"': .. :'." ::~u~.~ei'of.j,ti~~~~ct,i~lls,per ite'~':('),(t',~'lqt~ .Il>- _;~~~t. '\;'J>''':,~~~~I',<; Residential, per unit, service included: al .....:..1 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 .$ thereof I 7 Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ ,,;;: dwelling service or feeder (2) Services or feeders: installation, alteration, relocation ,j 200 amps or less (2) $ 81.00 $ ,',I.. 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ 01 Over 1,000 amps or volts (2) $489.00 $ Reconnect only (2) $ 63.00 $ "''''''!';- Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) . $ $ Y 63.00 201 to 400 amps (2) $ 87.00 $ rel I VI UN. reg< ri ,~~\\.l.10 600 amps (2) $126.00 $ SarE s tfbrilfoo amps or 1,000 volts, see services or feeders section above l.I1\n95 BlQ1.rh circuits: new, alteration, extension per panel OTtnE ~; _~ret!: for branch circuits with purchase of a service or feeder fee: pr ( Not ic tiditch branch circuit $ 6.00 $ 4) b. Fee for branch circuits without purchase of a service or feeder fee: 8 ,First branch circuit (2) l $ 55.00 $55 .00 Each additional branch circuit $ 6.00 $ C Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline.lighting (2) $ 83.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (l) $58.00 .$ , 1';1 , . d;,,;,;;'."~RFlLlCANi;'lJSE;:. " ,I ..... (A) Enter subtotal of above fees ..' ~(~~,~~.~-:;:ger:mit Fee' $58_00) $ 58.00 "'''" , PIRE IF Itsurch~rge (.12 x [AD $ 6,96 IS PER WJ1S:iNe1b;J~e (5% of[A]) $ 2,90 NDON D"~f.~~{~~d surcharges (A through C): $ 67.86 .. " ..... ...... ,>' ~~~~r ~ THIS PERMIT SHALL EX AUTHORIZED UNDER TH I _~ COMMENCED OR IS ABA . ';J ~ ANY 180 DAY PERIOD. 440-2584-J(9/08/C~ ~~ / CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00272 ISSUED: 03/03/2010 APPLIED: 03/03/2010 EXPIRES: 09/03/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5th/Q St ASSESSOR'S PARCEL NO.: ROW-TRAFC-SIG TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Public PROJECT DESCRIPTION: Modify existing traffic signal Owner: ODOT Address: 355 CAPITOL ST NE SALEM OR 97301 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor... .... EC COMPANY '~''''''~~~''''''''''~N'' License 49737 I BUILDING INFORMATION ~. ATTENTION' 0 # of Units' fol/OWrul ' reg~~~..... . . ell acto u,res Primary Occupancy Group: Not/1icatlon Cent PfectR}titfu; ~il~to Secondary Occupancy Groul9. OAR 9520001':i !'!P;PlfIIl8l;Ififll set ~'11ty Primary Construction TypeOO9o. YOU may ob 0 t~9/iOAA 952'0orth Secondary Construction Typ',l?8Il/ng the cente~~ q(lJljfta it~ rulea Oby'. # of Bedrooms: nUll1ber for the Or~g(Nfllt!;db~PhQne Center.is 1-e:o~ l~tw.tddJM'\!imm DEVELOPMENT INFORMATION Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: __. I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: ....'~~ . NOTICE: :~""'~">' THIS PERMIT SHA . ."'~'}"'I:";l~/~";~l""i AUTHORIZED UND II EXPIR~ IF THE WORK ': ~R,~!'1ENCED OR ER THIS PERMIT IS NOT ,J' ER Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Pa2e 1 of2 . Phone Number: 503-726-2552 Expiration Date 01/1512012 Phone 541-926-4266 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Value Date Calculated ~~ ' -&II~Jt.~ t ~"~. ..' ..... ff CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM201O-00272 ISSUED: 03/03/2010 APPLIED: 03/03/2010 EXPIRES: 09/03/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ...., I Fees Paid ~ Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid Receipt Number $6.96 3/3/10 2201000000000000192 $2.90 3/3/10 2201000000000000192 $55.00 3/3/10 2201000000000000192 $3.00 3/3/10 2201000000000000192 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 7:00 a.m. will be made the following work day. I ReQuired Insoections ~ ,<,-,~~ ~....." Rough Electric: Prior to Cover ~::', '7}'l'..' 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 permissiou of the Community Services Division, Building Safety. 1 further certify that only contractors aud 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 isJocated 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 Paee 2 of2 245 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone a,~~~~~LO~., .. lM. y . --.." City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000192 Date: 03/03/2010 2:56:29PM Paid By EC COMPANY ALBANY Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 55.00 3.00 6.96 2.90 $67.86 Job/Journal Number COM2010-00272 COM20 I 0-00272 COM20 I 0-00272 COM2010-00272 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment Check Amount Paid djb 4091 In Person Payment Total: $67.86 $67.86 ", ,. ',. cRecciotl Page I of I 3/3/20 I 0