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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