HomeMy WebLinkAboutPermit Electrical 2010-4-12
SPRINGfiELD
~it;+'&J ;
~~"'.<{:. -"'- Ol{iGOH
City Of Springfield
225 Fifth St.
Springfield, -OR 97477
Phone: 541-726-3753
~mail: permilcenler@ci.springfield.or.us
C-IO- 3d-,
Commercial Electrical Authorization To Begin Work
69600-BEL-10-00166
Approval Code: 222725 4/12/2010 5:29 pm
E-mailedTo:sprinter5c@yahoo.com
Branch circuits each additional
circuit without service
~i~'cfrR:~IlR!JrmlfF~es',~:-:r;;:::;LJ0Z'~26.,.~1:~*\~;~:;'~::'}
Subtotal
Stale surcharge (12% of permit
total
Technology fee (5% of permit total)
~vC)~~
k.~~
Y-w-
(omlo l{) ___(]~df
4-/3 _10
nm
D New Construction IKJ Addition/alteration/replacement
h'~~~~~~~~~iyt~~f:l,1~r~Af~GPRW9f:~G.QN'~T.RLf9:j10r:~mT~f~0,;17:S1~~,}-.:t::;(;~%;V1~.
o 1 or 2 family dwelling D Multi-family [Z] Commercial 0 Accessory
~tK&~~~Ei:,[~f.~~~J6~el~II~WN~,oRMAifl'0N7A,JJo'n!ocA3iW6:t~i'~$~1l~;,~~;J~~Z?~};
Job Address: 333 58TH ST
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less ~o ground exceeds
14,000 Amps for all other
CItyfStatelZIP: SPRINGFIELD, OR 97478
o Fire pumps
D Emergency systems
D Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
o Health care facilities
Suitelbldg./apt.no.:
Project Name:
Cross Street/directions to job site:
Name: Jeremy Cooper
Phone: 541-743-1213
Fax: 541-895-2207
Emall:
Elec IIc. no.: C256
174458
TOTAL PERMIT FEE
CCB lic. no.;
Business Name: SPRINTER ELECTRIC INC
Contact:
Mdress: 82924 FLORENCE AVE
City/State/ZIP; CRESWELL, OR 97426
~hone: 5418955256
Fax: 5418952207
::mail:
./:
~\Y i\i rp~
lIIetro lic. no.:
City lic. no.:
iupervlslng Electrician's lie. no.:
54075
)upervislng Electrician's Name:
JEREMY J COOPER
~umber of inspections Included in paid services:
~esidential Service: 4
~econnect Only: 1
\11 Other Services: 2
Ion review and approval by your local jurisdiction, your permit will 'b~:-:~-maji~d .~6;' faxed
thin one business day, with Instructions on how to schedule your inspection.
)TE; This Authorization To Begin Wori< expires within 180 days if a permit is nol o,btained.
,e local building department may determine that an Authorization To Begin Work Is null and
id if It does not meet applicable land use laws and local ordinances.
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three stor
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
O "A" "E"- or "1-2" or "1-3"
, ,
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volls nominal
$55.00
$6.00
$6.00
~.. < .....
$61.00
$7.32
$3.05
$71.37
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00327
ISSUED: 03116/2010
APPLIED: 03/1612010
EXPIRES: 10/13/2010
VALUE: $ 400.00
SITE ADDRESS: 333 58TH ST
ASSESSOR'S PARCEL NO.: 1702343200100
Springlield TYPE OF WORK: Commercial Miscellaneous
PROJECT DESCRIPTION: Convert 240 s.f. Storage Room Into Office
Owner: SPRINGFIELD SCHOOL DISTRICT 19
Address: 525 MILL ST
SPRINGFIELD OR 97477
TYPE OF USE: Alteration
Public
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor
OWNER
SPRINTER ELECTRIC INC:
,"':,..;.1 'I
License
Expiration Date
Phone
174458
541-743-1213
02/20/2011
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:
E
No
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
240
3
I DEVELOPMENTlNFORMATlON I
I PUBLIC IMPROVEMENTS I " 0' "1 1'1'\' rc'~' iir8s 'yOU \0
TTENTlON: . lepa .: v G'1~ ..
A -S'd Ik',['" r,,:he Oregon Utility
, 110 I eWa ' ype... U 1 . f th
o v, CO"" .. , T' S8 rules axe set or
N "f' - 0"1( n cen'bffi- 1110 ' 1
01.\ hDo\',lnspou! ra/'n<o' ugh OAR 952-00 ..
. OAR 9o<.-()V 1- IV i1T b
In obtain copies of the rules y
0090, You may (N t . the telephone
calling tfhe tCheen~:~gO~ ~iility Notificalion
number or 2344)
Center is 1-800-332- .
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
,..,:C'{.'" ..,"
Storm Sewer Available:
SpeciaIInstr~aflt:E: 'oj"
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
.,,; Pagelof3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00327
ISSUED: 03/16/2010
APPLIED: 03/16/2010
EXPIRES: 10/13/2010
VALUE: $ 400.00
225 Fifth Street. Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -726-3769 Inspection Line
I Valuation Description ,
Estimate
Estimate
$ Per Sq Ft
or mnltiplier
$1.00
Square Footage
or Bid Amount
400.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$400.00
$400.00
03/16/20 I 0
~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Plan Review CommlInd/Public
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Clrc Ea Add
Amount Paid
Date Paid
Receipt Number
$6.96
$2.90
$58.00
$37.70
$7.32 .
"o.."..l
$3.05
$55.00 ~~.
$6.00' ';
3116/10
3/16/10
3/16/10
3/]6/10
4/13/]0
4/13/]0
4/13/10
4/13/]0
120]000000000000235
1201000000000000235
1201000000000000235
1201000000000000235
3201000000000000]44
3201000000000000]44
320]000000000000]44
320]000000000000144
Total Amount Paid
$176.93
I Plan Reviews ~
Structural Review
03/] 6120] 0
Structural Review
03/16/20 I 0
03/1612010
APP KLK
To Request an inspection call the 24 hour recording at 126-3769. 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.
l...JleouiredJnsnec.tions I
Framing Inspection: Prior to cover and after all rough in illspections have been approved.
Final Bllilding: After all required inspection~ hav~ b~en requested alld approved and the building is complete.
.,.......... . ""
Rough Electric: Prior to Cover
Final Electric: When all electrical work is ~9mplete. ....
Pa2e 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2010-00327
ISSUED: 03/16/2010
APPLIED: 03/16/2010
EXPIRES: 10/13/2010
VALUE: $ 400.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that [ have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and] further ce'rtify that any and all work performed shall be done in accordance with
the Ordinances of tbe City of Spriugfield and the Laws of the State of Oregon pertaining to the work described berein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
[ further certify that only contractors and employe~"~';l>ho are 'in compliance with ORS 701.005 will be nsed 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
,'.
:. ~"
, IV;; .'! .; ~ : ;':,:~'
,( ;.'
i1'
" ,
','
'....
,,:\
. l~
';1,(1' ...'.;"
" lage 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000144
Date: 04/13/2010
7:23:34AM
Job/Journal Number
COM20 I 0-00327
COM20 I 0-00327
COM20 I 0-00327
COM20 I 0-00327
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Re'c~'ived By'';''.:: Batch Number Number How Received
." .. ,
. njm ONLINE sprinter elec Online
Payment Total:
Amount Due
55.00
6.00
7.32
3.05
$71.37
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
$71.37
$71.37
, <>." ~
~i .'
:-.}i:, ~.: . ,"
,-' ;
. J~'t .....~
cReceintl
Page I of I
4/13/20 I 0