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HomeMy WebLinkAboutPermit Electrical 2007-7-9 (2) . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SCANNED . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01010 ISSUED: 07/09/2007 APPLIED: 07/09/2007 EXPIRES: 01/09/2008 VALUE: Status Issued 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 Buildiug: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Froutyard 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~!'\5fEl'~MfliW'requlres you to Storm Sewer Available: follow ruleeL,,';"'I-'~b:/IlIw.Qregon Utility Special Iustruction: Notification Center. Those rules are eetfarth ..; :JTfCE: in OAR 952-001-0010 through OAR 952.001- Notes: "'! /i~ PERMIT S 0090. You may obtain copies of the rules by 'r,-,I'\n',,~ .~~ll EXPIRE IF TH~ 'A/nDV calling the center. (Note: thetele~ ~uMM . ,,-,,_8 t;"LJcn I HIli PERMI, . 0 ~~~['el IVI UI.. VI"\jU" VU"'I .....un .......... AN ENCED OR IS ABANDONEDl~~fi.afion Descriotion J Center Is 1-800-332-2344). . Y 180 DAY PERIOD. '. $ Per Sq Ft Square Footage or multiplier or Bid Amount Description Tvpe of Construction Value Date Calculated Paee 1 of2 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-01010 ISSUED: 07/09/2007 APPLIED: 07/09/2007 EXPIRES: 0110912008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P.\lid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ MinimumlAdjustment Electrical Amount Paid Date Paid $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 Receipt Number 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. Rel1l1~ectinnsJ 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 ofthe 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 of2 . . . City of Springfield . Electrical Authorization To Begin Work E-mailedTo:robselectric@hotmail.com Receipt # EC5136!l!l 7/912007 Il :08:45 AM ~ Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us 1 0 New construction TYPE OF WORK {X] Addition/alteration/replacement CATEGORY OF CONSTRUCTiON D 1 or 2 family dwelling D Multi-family IK] Commercial/Industrial JOB SITE INFORMATION AND LOCATiON IJob no.: 4403 IJob .dd.....: 3360 GAME FARM RD I CityfS'alelZIP: SPRINGFIELD. OR 97477-7521 I SuittfbldgJaplono.: I Project name: Korean Church Cross street/directions to job site: Beltline E . right on Game Fann Rd - on right just lfief Nicholas Dr ISubdivision: ITax map/partel no.: ILot no.: 1703221206800 DESCRIPTiON OF WORK Hook up septic pump SITE CONTACT I Name: Pastor Jun I Pho,,: (541) 510-5794 I Email: IF,,: CONTRACTOR j [I. lie. no.: 20-462C I ceo lie. no.: 156678 I Business Name: ROBS ELECTRIC INC I Contact: Gena Baker IAddress: I CilyfS'atelZIP: EUGENE OR 97402 I Phone: (541 )6865444 I Fa],: (541 }6865447 I Email: robselectric@hotmail.com I Metro lie. no.: I CUy lie. no.: I Supervising electrician's lie. no.: 4744$ I Supervising electrician's name: DAVID R LAWLER 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. I I FEE SCHEDULE . II Description I Qty. I E.. I Total I Residential SINGLE. OR muUI-fal!'i1y dwelling unit. In~ludes I attached gara~e " "',.- ',' ' ,I 111.000 sq. ft. or less I Ea. addl '500 sq. ft. or portion I I . Limited energy, residential I (with above SQ. ft) I . Limited energy. multifamily I residential (with above so. ft,) I I Services C?R feeden installation, altera!ioD, AND/OR rel~tloD I I 200 amps or less 1201 amps to 400 amps 140lo.mps to 599 amps I I TEMPORARYser:vlccs OR feeden Installation; alteration, AND/OR relocatio~. . ," '. . 1200 amps or less 120 I amps to 400 amps 140 I amps to 599 amps I Branch circuits - NEW, alteration, OR extension, per"pane! 1 A. Fee for branch circuits with above service or feeder fee. each branch circuit. lB. Fee for branch circuits without service or feeder fee. first branch circuit I each addl branch circuit I Miscellaneous $48.001 I I I I I I . ELECTRICAL PERMIT FEES I Subtotal I $48.00 I Minimum fee used instead of Subtotal j $50.00 j Slate Surcharge (8% ofoermit fee) I $4.-00 I CiD' Of S~rinJdjeld fees 'I $7.50 I TOTAL PERMIT FEE I $6 L50 I 10% Local Admin Fee; 5% Local Technology Fee $48.00 Service reconnect only , Each manufactured or modular dwellimt service and/or feeder I Pump or irrigation circle I Sign or outline lighting Signal,circuit(s) or limited- energy panel, alteration, or extension. I I I I , . City Of Springfield COM' ;:)1JD/ - 010 10 S LO-O 7 - .q.f,;-7 RCPT #. . I ~ q - 2..o-v-j The local building department may determine that an DATE PROCESSFn.- Authorization To Begin Work Is null and void if it does not / meet applicable land use laws and local ordinances. . ... PROCESSED BY:~~ '\ rYG. , ThiS AuthOrization To Begin Work must be posted at the Job site until rePI~ by a Permit. NOTE: This Authorization To Begin Work expires within 180 days If a permit is not obtained. 225 Fifth Street Springfi~ld, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2007-01010 COM2007-01010 COM2007-01010 COM2007-01010 COM2007-01010 Payments: Type of Payment ONLINE CHGS cReceintl I RECEIPT #: irii Wit. . .. of Springfield Official Receipt "II'velopment Services Department Public Works Department 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 Paid By ONLINE PERMIT CHGS Amount Due 48.00 2.00 2.50 4.00 5.00 $61.50 Item Total: Check Number Authorization Received By Batch Number Number How Received njm ONLINE Robs Online Electric Payment Total: Amount Paid $61.50 $61.50 Paee I of I 7/9/2007