HomeMy WebLinkAboutPermit Electrical 2010-3-29
225 Fifth Streett Springfield, OR 97477tPH(541)726-3753t FAX(541)726-3689
: [IEPARTMENT USE ONt. 'I, ..
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Permit no.: U/iJ- J'I :)
Date:
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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,
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Zoning approval verified? D Yes DNo . _ _ .. .. .. ... ; , _ -.OJ.' " .. "'.' .. ,:,'''_ '- ~ ,;.. ;-,' -,' ,;,'.'l~ 'Cost. . Total
t~{u~~e(~.Lin_spef,!i_o'~s.!p~~,~itf.~,:(') ,,;~;~:, Q~y.
.~~\f:i:ir:;{.:i'lC.6.TEGORY,AoF;::CONSTRl:JCT:ION~:Y::?';;i, ....', ',. '",-,,'L;,' ;,.,? ',,;,"""",~C"'. (, ,.f ,!-, ,- _\.,,:._.,.~ '.." ," f~':.5<~a;~t,.1: Y,c!>sL .',
Residential, per unit, service included:
o Residential I 0 Government I SCommercial
1,000 sq. ft. or less (4)
i1!'~'frl';i~.OBi$(:"E~.INI;QRM~mIONii~N[jML!'Q:C'A''lijQNif~~~I!j $134.00 $
Job site address: '<<'1. \ '--^. . ,^-- (' "- Each additional 500 sq. ft. or portion $ 25.00 $
thereof
City:Sfi'!...or'" )(1;.l.J. State: ~ T ZIP: Limited energy (2) $ 32.00 $
Reference: \,rr:z.. \ ,:>",~ I Taxlot.:O\~ Each manufactured home or modular $ 63.00 $
.}..,....- .~,' "' . .l" : DESCRIRTION 'OF',WoRK"ij'::"!";'""wr:;,,:,1';; dwelling service or feeder (2)
'.
1'h^~j1 '?/Z-\'U SIC ,J Services or feeders: installation, alteration, relocation
200 amps or less (2) I. $ 81.00 $
'PROPERTY QWNER , ... 201 to 400 amps (2) $ 95.00 $
....
Name: ~p CVLlA 401 to 600 amps (2) $158.00 $
-
Address: { 'r)" .... ';)('" tb 601 to 1,000 amps (2) $205.00 $
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City\1\. ,U..L.. ~,"Ic... State:~A I ZIP: qao-t..... Over 1,000 amps or Yolts (2) $469.00 $
Phone: - - I Fax: - - Reconnect only (2) $ 63.00 $
E-mail: remporary services or feeders: installation, alteration, relocation
This installation is being made on residential or farm property 200 amps or less (2) $ 63.00 $
owned by me or a member of my immediate family. This 201 to 400 amps (2) $ 87.00 $
property is not intended for sale, exchange, lease, or rent. OAR 401 to 600 amps (2)
479.540(1) and 479.560(1). $126.00 $
Signature: Over 600 amps or 1,000 volts.. see services or feeders section above
"CONTRACTOR' INSTALLATION' Branch circuits: new, alteration, extension per panel
Business name: ~",I f~ l5:~cl ,,' ...l '"1...sc... a. Fee for branch circuits with purchase of a se'rvice or feeder fee:
Address: Po 64+! I~')...'\ Each branch circuit $ 6.00 $
City: ~n . tv, State: nr-A--. I ZIP: '1?dcJ f b. Fee for branch circuits 'without purchase of a service or feeder fee;
PhoneS{1,_I.lr?- ::}6~i'- I Fax: .c~ ~ 'L qoy K- First branch.circuit (2) I $ 55.00 ~r
E-mail: gl-1eLf''' {-J {)~ '2tY IJ<- 1 Each additional branch circuit $ 6.00 $
CCB license no.: n100 0- I BCD license no.: 3-4(,,$~ Miscellaneous fees: service or feeder ~ot included
Signing supervisor's license no.: '3 '-/0 V <: Each pump or irrigation circle (2) $ 63.00 $
Print name of signing supervisor: 'T~..... };. ~d....l ~; Each sign or outline lighting (2) $ 63.00 $
Signature of signing 'supervisor: /' f) cv2/ Signal circuit 6r a limited-energy panel, $ 63.00 $
alteration, or extension (2)
. 0 tV Each additional inspection: (1) $58.00 $
~v.oP ~W'"g;~3\~I)f;~fl~~~A~~.ilJGAN:f'WUSE~';<;;tI!'&'J~1ii$I!.I;;;:'..;i
~~ (A) Enter subtotal of above fees $~~-
A..a.: \ \ (Minimum Permit Fee $58.00)
~.?JJ'\\) (B) Enter 12% surcharge (. 12 x [A]) $ & 7<4
lRr;.z.-. (C) Technology Fee (5% of [A]) $ ;t.. "e>
tJ.-:\ TOTAL fees and surcharges (A thrnugh C): $(o? &'6
~
440-2584-) (9/08/COM)
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00375
ISSUED: 03/29/2010
APPLIED: 03/29/2010
EXPIRES: 09/29/2010
VALUE:
. ,~~,..t
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 3521 GATEWAY ST
ASSESSOR'S PARCEL NO,: 1703153301300
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Relocate price sign
Owner:
Address:
Contractor Type
Electrical
BP WEST COAST PRODUCTS LLC
PO BOX SOlS
BUENA PARK CA 90622 ATTENTION: Oregon law requires you,t,o
les adopledby Ihe Oregon UlllIty
BP WEST COAST PRODU~S!:t'l:: Cenler' Those rules are set forth
PO BOX SOlS ' Nollflca lOlL"... "~'\flrciugh OAR 952-001-
BUENA PARK CA 90622 in OAR 952-~01,0bOI1a~n copies of Ihe rules by
noon You may 0 I ~ .
nc:t?1l~~~~~"
Genml'T'l"'''';vu .;'v~,......
Contractor License
BOYLES ELECTRIC INC 137002
BUILDING INFORMATION I
Expiration Date
04/09/2011
Phone
503-668.7440
Owner:
Address:
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
.
.
AU1\'\O
GOMM ;-{ pE.RIOD.
ANY 180 Dill Overlay Dist:
.# Street Trees Rqd:
. Payed Driye Rqd:
% of LotCoverage:
:',.'.;.....,. . ""'.
# of Stories:
Height of Structure
Type of He~t:, " "
, Water Type: .
, Range Type:
Energy Pal\!,: Jf 1\'\E. \NaRK
Ii S1S.~~m t\'lWtli IS NOh/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
ATlON
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
, Compact:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
, ,
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Paee I of2
1 t: .,. ,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00375
ISSUED: 03/29/2010
APPLIED: 03/29/2010
EXPIRES: 09/29/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. .,
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I Valuation Description ~
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees Paid--'
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend C;rc
Minimum/Adjustment Electfical
Amount Paid
Date Paid
Receipt Number
$6.96
$2.90
$55.00
$3.00
3/29/1 0
3/29/10
3/29/10
3/29/10
1201000000000000268
1201000000000000268
1201000000000000268
1201000000000000268
Total Amount Paid
$67.86;~-::~~, ,,"j ~ ,~;', '
I Phm 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.
LReauired InsDections ,
Rough Electric: Prior to Cover
,'f ,
Final Electric: When all electrical work is complete.
By signature, 1 state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is trne and correct, and I fnrther certify that any and all work performed shall be done in .ccordance with
the Ordinances of the City of Springfield .nd the Laws of the State of Oregon pertaining to the work described herein, and
that NO occur ANCY will be made of any structnre withont permission of the Commnnity Services Division, Building Safety,
I fnrther certify that only contractors and employee1.\yho ~re in coinpliance with ORS 701.005 will be nsed on this project.
I fnrther agree to ensure that all required inspections are requested at the proper time, that each address is re.dable from the
street, that the permit card is located at the front oUhe property, and the approved set of plans will remain on the site at all
times dur' g construction. I',: .'
J-;))~ Jo
Date
Page 2 01'2
225 Fifth-Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000268
Date: 03/29/2010
11:13:5IAM
Paid By
JOHN BOYLES
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
COM20 I 0-00375
COM20 I 0-00375
COM20 I 0~00375
COM2010~00375
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
Cred itCard
Amount Paid
cjc
029854 In Person
Payment Total:
$67.86
$67.86
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cReceintl
Pa~e lof: 1. .
fl.
3/29/2010