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
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.
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
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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
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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