HomeMy WebLinkAboutPermit Electrical 2010-7-29
225 FifthStree.t+Springfield, OR 97477+PH(5~1)726-3753+FAX(541)726-3689'
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COwl~Olc).O 101 sr
Permit no.: . - ...
Electrical Permit Application
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Date:
This permit is issued under OAR'918-309.;.0000. Permits are nontransferable. Permits expire'ifwork is not started within 180
days-of issuance or if work is suspended for 180 days.
~'i.: 0';jf,;'~I!()CAL:~'GOVERN MEN:r,:'APPR:OVAI..'; .:(/\ .'
Zoning approval verified? D Ves D No
,CA1EGORV.:OF."'C,ONS:rRUCTION,:): '
Residential, per unit, service included:
Total
cost
$134.00 $
$ 25.00 $
$ 32.00 $
$ 63.00 $
I ,000 sq. ft. or less (4)
Each additional 500 sq. ft. or portion
thereof
Limited energy (2)
Each manufactured home or modular
dwelling service or feeder (2)
Scn-ices or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
201 to 400 amps (2) $ 95.00 $
40 I to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 .$
.. $. 63.00 ~$
'.$ 8ioo $
Each branch circuit
$
b. Fee for branch circuits without purchase of a service or fceder fee:
t'irsl braw..:h ein':lIit (Z)
$ 55.00
$ 6.00
:tS
$"-
~
E-mail:
CCB license no.:
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
Each additional branch circuit
.~~
W~ ,.
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2)
Each sign or outline lighting (2)
Signal circuit or a limited-energy panel,
alteration, or extension (2)
Each additional inspection: (I)
$ 63.00 $
$ 63.00 $
$ 63.00 $
440-2584-) (9/08/COM)
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Enter subtotal of-above fees
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mit Fee'$58.00)
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arge~(A through C):
$
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-01018
ISSUED: 07/29/2010
APPLIED: 07/29/2010
EXPIRES: 01/29/2011
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1807 PIONEER PARKWA Y EAST Springfield TYPE OF WORK: Electrical Work Only
ASSESSOR'S PARCEL NO.: 1703262302402 . "..~',.
PROJECT DESCRIPTION: Electrical for pie case ,{model:,
TYPE OF USE: Addition
Commercial
Owner: KRC PIONEER PLAZA LLC
Address: 3333 NEW HYDE PARK RD
NEW HYDE PARK NY 11042
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor License
ATLAS ELECTRICAL CONTRACTORS INC 1532
. ~ . , ' ... ~
BUILDING INFORMATION I
Expiration Date
09/09/2011
Phone
503-659-2212
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure
Secondary Occupancy Group: Typ~ om:to
Primary Construction Type n laVl lWilW~er ~\i\iW
Secondary Construction T~~\'.rTlO\'t Ole~~d bY Il'RaQ ~a ell@\\Oll\"l
# of Bedrooms: (>;\I VI rules adOP l\"1osellt\'f1 ~~-OO'.
\0 I~icalion cen:oe~, 0 I\"IIo'Sji9i fl/l ~OOil1~: n/a
o _, S 0._ ,..
'on090' '/ou may ~ E":,' III MATION
\' glnece 9 , 4
cal In 'I l\"Ie Ole '332.-2.34.
mbel ,0 . ,_BOO-
Frontyard Setback: \,\U centel IS Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS ~ .,:.".,,.-. ~'f.'.
Sidewalk I.~'\l'lC) "of..
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.>"VI ,r \l.
Notes:
Description
Tvpe of Construction
, $ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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Page I of 2
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01018
ISSUED: 07/29/2010.
APPLIED: 07/29/2010
EXPIRES: 01129/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
,..
'Total Value of Project
Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Exteud Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$7.32 ....,.
;:z';_.'.
$3.0~.,:;,.
$55.00: "Pf
$6.01r.:!;'
,."
7/29/10
7/29/10
7/29110
7/29/10
1201000000000000847
1201000000000000847
1201000000000000847
1201000000000000847
...<t.
Total Amouut Paid
$71.37
I Plan 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:req!lested after 7:00 a.m. will be made the following
.,.. . "1,,...
work day. .
L...-Reouired Insoections ~
Rougb Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, 1 state and agree, that I have carefully.ex,imined the compl,eted application and do hereby certify that all
information hereon is true and correct, and I furthe6:ertify tft.at any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the La'~s or the,.State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any struct,')r~'';'iihout:permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are iu 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
I .' ;, \~~..'
Page 2 01'2
225 Fifth S.treet
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000847
Date: 07/29/2010
1:47:4IPM
Job/Journal Number
COM2010-0]018
COM20l0-01018
COM201O-01018
COM2010-0l0]8
Description
Add, Alter, Extend Circ
Add, Alter, Extend Clro Ea Add
+ ] 2% State Surcharge
+ 5% Technology Fee ..."" ., .",
.;.'" '. ."...
Item Total:
Amount Due
55.00
6,00
7.32
3.05
$71.37
Payments:
Type of Payment
Check
Paid By
ATLAS ELECTRlCAL
Check Number Authorization
Re~eived By Batch Number Number How Received
djb 47712 ]n Person
Payment Total:
Amount Paid
$71.37
$71.37
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Page 1 of I
7/29/2010