HomeMy WebLinkAboutPermit Electrical 2007-12-18 (2)
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&:ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01857
ISSUED: 12/18/2007
APPLIED: 12/17/2007
EXPIRES: 06117/2008
VALUE:
Status
Issued
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SCANNE[]
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1243 RAINBOW DR
ASSESSOR'S PARCEL NO.: 1703273402603
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Dari MartlReplace 2 lights and wire in conduit.
Commercial
Owner: ROSCOE DIVINE LLC
Address: 555 LINCOLN ST
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
MAG ELECTRIC INC
License
149834
Expiration Date
12/13/2009
Phone
541-461-0387
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 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
A'TTE~lTInM. 1"\.____ .
":'J .....
I PUBLIC IMPROVEME~J1$il'i rt~Ies adOPledbyii,~o6~~reg~ YOUUI"',O
. t.a Ion Cenler. .rhos n I ty
!{~~l[M'Ptovements: In OAR 9S;S!i!e,w,,~~ (\ yp'f'e rules are sel forth
s'tlttllh sf.w~[.iITh~ EXPIRE IF THE WORK 0090" You DC*Gs'/to'\i't;'m~~~~ OAR 952-001_
speClhUHi'JilJii'JtIJA\DER THIS PERMIT IS NOT n~~lOg the center, (Nole: th~ft~~: r~'es by
COMMENCED OR IS ABANDONED FOR ' be~~~t'he.or€t;0r Utility Notd~ca~~en
~'lW:180 DAY PERIOD. er 10 I-bOO-3322344),
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of2
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8cITY OF SPRIl'Iit.J< H-LD
Building/Combination Permit
PERMIT NO: COM2007-01857
ISSUED: 12/18/2007
APPLIED: 12/17/2007
EXPIRES: 06/17/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L.Fp.p.~ Psid ,
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$5,20
$2,60
$4,16
$48,00
$4,00
12117/07
12117/07
12117/07
12/17/07
12/17/07
Receipt Numher
3200700000000000811
3200700000000000811
3200700000000000811
3200700000000000811
3200700000000000811
Total Amount Paid
$63,96
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.
'Rp.nu~
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 he made of any structure without permission of the Community Services Division, Building Safety,
1 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
arical Authorization To Begin Work
E-m:r.:; To: MAGELECTRICINC@COMCAST,.
Receipt # EC522617
12/17/20078:07:51 AM
'~
I ~"
Check on status of perm it
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o I or 2 family dwelling
o Multi-family
.[K] Commercial/Industrial
I I FEE SCHEDULE
II Descriplion I Qty, I Eo, Tolal
I Residential SINGLE- OR mulll.family dwelling unH. Includes
I attached garage
111,000 sq, ft, or less
lEa, addl 500 sq, ft, or portion
I I . Limited energy, residential
I (with above sa. ft.)
I-Limited energy, multifamily
I residential (with above sa. I'Ll
11 Services OR feeders installation, alteration,ANIl/OR relocalion
I I 200 amps or less
1 201 amps to 400 amps
I 401 amps to 599 amps
I TEMPORARY services OR feeders installation, alteration.
AND/OR relocation
I 200 amps or less
I 20 I amps to 400 amps
I 40 I amps to 599 amps
I Branch circuils - NEW, alteration, OR el.tension, per panel
I A. Fee for branch circuits with
above service or fceder fee,
each branch circuit.
lB. Fee for branch circuits
without service or feeder fee.
first branch circuit:
I each addl branch circuit
Miscellaneous
I Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
I Signal circuit(s) or limited-
energy panel, alteration, or
extension.
S48,OOI
$4,001
I
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nol offered online al !his jurisdiction I
S48,OO
TYPE OF WORK
I D New construction
lliJ Additionllllterationlreplacement
CATEGORY OF CONSTRUCTION
I JOB SITE INFORMATION AND LOCATION
IJob no,: IJob address: 1243 RAINBOW DR
!cilylStateIZIP: SPRINGFIELD, OR 97477-2876
I Suilelbldg.lapt.no,:
I Project name: DAIRY MART
Cross street/directions 10 job sile: CENTENIAL AND RAINBOW
I Subdivision: Ilot no.:
ITa, map/paree! no,: 1703273402603
I DESCRIPTION OF WORK
REPLACE 2 LIGHTS, REPLACE WIRE IN CONDUIT
SITE CONTACT
I Name: NATE BUSHNELL
IPhone: (541)501-6845 I Fox:
I Email: MAGELECfRICINC@COMCAST.NET
I CONTRACTOR
I [I. lie. no.: 20-317C I CCB lie. no.: 149834
I Business Name: MAG ELECTRIC INC
I Conlaet: NATE BUSHNELL
IAddre,s: 2952 ALLANE LN STE C
I CitylStatelZlP: EUGENE OR 97402-2077
I Phone: (541)4610387 I Fox: None
I Email: MAGELECfRICINC@COMCAST.NET
Metro lie. no.: I City lie. no.:
Supervising electrician's lie. no.: 4742S
I Supervising electrician's name: MARTIN ALAN ORA Y
$4,00
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. City Of Springfield
ELECTRICAL PERMIT FEES
Subtotal 552.00
Slate Surcharge (8% ofl?ennit fee). $4.16
Cit~ OfSprin~field fees. $7.80
TOTAL PERMIT ~'EE , $63,96
10% Local Admin Fee; 5% Local Technology Fee
Upon review and approval by your local jurisdiction, your
permit will be e-malled or faxed within one business day,
with instructions on how to schedule your inspection.
COM.~rn>7- OIt'S7
RCPTII:-32C:s1J7 - og I (
NOTE: This Authorization To Begin Work expires within 180
days if a pennlt Is not obtained,
The local building department may detennlne that an ~
Authorization To Begin Work Is null and void If it does not DATI!
meet applicable land use laws and local ordinances, PROC SSBD
This Authorization To Begin Work must be posted at the job site until r pi ced J y -~. ~=,
225 Fifth Street
Springfield, Oregon 97477
'541-726-3759 Phone
.~
Wic.
c_r Springfield Official Receipt
'-opment Services Department
Public Works Department
RECEIPT #:
3200700000000000811
Date: 12117/2007
8:28:IOAM
Job/Journal Number
COM2007-01857
COM2007-01857
COM2007-0 1857
COM2007-01857
COM2007-01857
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 10% Administrative Fee
+ 8% State Surcharge
Payments:
Type of Payment
Paid By
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
Amount Due
48,00
4,00
2,60
5,20
4,16
$63,96
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
NJM
ONLINE
MAG Online
ELECT
Payment Total:
$63,96
$63,96
cReceintl
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