HomeMy WebLinkAboutPermit Electrical 2007-7-9
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01010
ISSUED: 07/09/2007
APPLIED: 07/09/2007
EXPIRES: 01109/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3360 GAME FARM RD
ASSESSOR'S PARCEL NO.: 1703221202000
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Hook up septic pump
Owner: KOREAN CENTRAL COVENANT CHURCH
Address: 28325 W 11 TH
EUGENE OR 97402
Phone Number: 541-741-9649
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
ROBS ELECTRIC INC
License
156678
Expiration Date
08/14/2007
Phone
541-686-5444
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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements: ATTENTIO~!rlQ}"e~~lft\W=requlres you to
Storm Sewer Available: follow i'ule~nynMi.Qregon Utility
Speciall,!struction: Notification Center. Those rules are set forth
: <tTCCE" in OAR 952-001-0010 through OAR 952.Q01.
Notes: ','Hi;~ PER"MIT 0090. You may obtain copies of the rules by
,'iH.I()RI:7[ SHAll EXPIRE IF THI= \MnDv calling the center. (Note: the tels~hol)8
',OMf~ ,1,'2:, 0 ~n , HI~ PERMIT " O' n_J.U":c 10/ LIlt::. UIt:l~UII uLttI"livU .-t;VlI ,."..
L ENeED OR IS ABANDONED ' ~~N.aIion Description , Center IS 1-800-332-2344).
, ANY 180 DAY PERIOD. *
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01010
ISSUED: 07/09/2007
APPLIED: 07/09/2007
EXPIRES: 01/09/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid
Date Paid
Receipt Number
$5.00
$2.50
$4.00
$48.00
$2.00
7/9/07
7/9/07
7/9/07
7/9/07
7/9/07
3200700000000000457
3200700000000000457
3200700000000000457
3200700000000000457
3200700000000000457
Total Amount Paid
$61.50
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.
Reouired InsDections ,
Rough Electric: Prior to Cover
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 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
Paee 2 of 2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:robselectric@hotmail.com
Receipt # EC513688
7/9/200711 :08:45 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
[X] Addition/alteration/replacement
COM: ;:)"(5-0-; - 0 10 J 0
RCPT#: S -2...0-0 7 -- 4~-7
),.. Q-2UVJ
DATE PROCESSED: -
PROCESSED By:,(\(tlJ/ / ^' fYG .
This Authorization To Begin Work must be posted at the job site until [ePI~d ~y a Permit
CATEGORY OF CONSTRUCTION
o I or 2 family dwelling
o Multi-family
[i] Commercial/ Industrial
JOB SITE INFORMATION AND LOCATION
Job no.: 4403 IJob address: 3360 GAME FARM RD
I City/StateIZIP: SPRINGFIELD, OR 97477-7521
I Suite/bldg.lapl.no.:
I Project name: Korean Church
Cross street/directions to job site: Beltline E - right on Game Farm Rd - on right just
after Nicholas Dr
I Subdivision:
ITax map/parcel no.: 1703221206800
DESCRIPTION OF WORK
I Lot no.:
Hook up septic pump
I Name: Pastor Jun
I Phone: (541) 510-5794
I Email:
I Fax:
CONTRACTOR
ICCBlic.no.: 156678
lEI. lic. no.: 20-462C
1 Business Name: ROBS ELECTRIC INC
I Contact: Gena Baker
IAddress:
1 City/State/ZIP: EUGENE OR 97402
I Phone: (54] )6865444
I Email: robselectric@hotmail.com
I Metro lic. no.:
I Supervising electrician's Iic. no.: 4744S
I.~perv.ising electrician'~ame: D~VID_~ LAW~_E~__.
I Fax: (541 )6865447
1 City Iic. no,:
Upon review and approval by your local jurisdiction, your
permit will be e-mailed 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 permit is not obtained.
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.
I ] ,000 sq, ft. or less
lEa, addl 500 sq. ft. or portIOn
I-Limited energy, residential
(with above sq, ft)
I-Limited energy, multifamily
residential (with above Sq, ft.)
I Services OR feeders instaliatioD, alteration, AND/OR relocation
1200 amps or less
[ 201 amps to 400 amps
1401 amps to 599 amps
1200 amps or less
120 I amps to 400 amps
140 I amps to 599 amps
Brantbc!fcuJts -NE\V,~lter.tlioD. OR exte/lsi()~; pel'l)anel \
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit.
B. Fee for branch circuits
without service or feeder fee,
first branch circuit;
I each addl branch circuit
IMisc~lIaneous
I Service reconnect only
I Each manufactured or modular
dwelling, servIce and/or feeder
1 Pump or irrigation circle
I Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
extension.
$48,00
$48,00
1
II
II
I :
II
I
, City Of Springfield
ELECTRICAL PERMIT FEES
Subtotal I $48,00
Minimum fee used instead of Subtotal $50,00
State Surcharge (8% of permit fee) I $4,00
City Of Springfield fees 'I $750 I
TOTAL PERMIT FEE I $61.501
10% Local Admin Fee; 5% Local Technology Fee
225 Fifth Street
.
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01010
COM2007-0 1 0 1 0
COM2007-01010
COM2007-01010
COM2007 -010 I 0
Payments:
Type of Payment
ONLINE CHGS
cReceint I
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3200700000000000457
Date: 07/09/2007
1 :25:49PM
Description
Add, Alter, Extend Circ
Minimum! Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due
48.00
2,00
2,50
4.00
5,00
$61.50
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
njm
ONLINE
Robs Online
Electric
Payment Total:
$61.50
$61.50
Page 1 of 1
7/9/2007