HomeMy WebLinkAboutPermit Electrical 2007-8-23
Status
Issued
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-01256
ISSUED: 08/23/2007
APPLIED: 08/23/2007
EXPIRES: 02/23/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3752 INTERNATIONAL CT
ASSESSOR'S PARCEL NO.: 1703153201100
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Replace photcell with timeclock
Owner: MOTEL 6 OPERATING L P #418
Address: PO BOX 117508
CARROL TON TX 75011
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
BERGELECTRIC CORP
License
110521
Expiration Date
12/20/2008
Phone
503-255-1818
BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure:
Secondary ~l@& Group: E IF THE~~( Heat:
Primary co.ya(S12,,~tSHALL EXPlR ~ifype:
Secondary CJl\ffi'tffl~'fiYB~DER THIS PERMIT lI,nge Type:
# of BedroorlW NGED OR IS ABANDONED F~nergy Path:
GOMME PERIOD Sprinkled Building:
!\ "1\1 1 QO nAY .
1\1\ .
I DEVELOPMENT INFORMATION I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupiiit Load:
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Overlay Dist: N Oreo"ln \::1W requires1{~I~o
l\~P1J\O' ." _. 111~lt'f
# Street TreeS1f<.,qtl: n ~ . donted by the OregOOan Icwped:
P d D . {~"1.l1 I'i.lue.. a I-' I ar"...oot 1 \t
ave rIVe-K.qu: " r. n'Dr Those ru es '"L"'tml at
% of Lot d'Jvt't~2~ei~~ 6~,-'oo', 0 through OAR 952,- bY.
in OAn Jo.:.- . co ies ot the ru es
0090. You may obtal~t I~t. thA telep'hone
I PUBLIC IMPROVE~1f.fi.1 ~;~Io~~~on Utility NotificatiDn
. . 'l_800-S32-2a44}.
Center i%mewalk Type:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
Status
Issu'ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01256
ISSUED: 08/23/2007
APPLIED: 08/23/2007
EXPIRES: 02/23/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~Fees paidr"
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 8/23/07 2200700000000001343
$2.50 8/23/07 2200700000000001343
$4.00 8/23/07 2200700000000001343
$48.00 8/23/07 2200700000000001343
$2.00 8/23/07 2200700000000001343
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 Insnections I
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
Pa2e 2 of2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-01256
ISSUED: 08/23/2007
APPLIED: 08/23/2007
EXPIRES: 02/23/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3752 INTERNATIONAL CT
ASSESSOR'S PARCEL NO.: 1703153201100
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Replace photceIl with timeclock
Owner:
Address:
MOTEL 6 OPERATING L P #418
PO BOX 117508
CARROLTON TX 75011
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BERGELECTRIC CORP
License
110521
Expiration Date
1212012008
Phone
503-255-1818
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:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e ] of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01256
ISSUED: 08/23/2007
APPLIED: 08/23/2007
EXPIRES: 02/23/2008
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
8/23/07
8/23/07
8/23/07
8/23/07
8/23/07
2200700000000001343
2200700000000001343
2200700000000001343
2200700000000001343
2200700000000001343
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 Insoections I
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
Pa2e 2 of2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:jbrunsvold@bergelectric.com
Receipt # EC515904
8/23/2007 ]:57:57 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I
I
.~CJO/} '-O\~SG
COM~ , .
. .:J.~ nO" r \.s. Lt3
RCPT#. _ . ' .
g r 23 -- 01
DATE PROCESSED: ()
PROCESS~CA ,~
~CUOI'~' - G
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
[KJ New construction
o Addition/alteration/replacement
o I or 2 family dwelling
o Multi-family
[KJ Commercial/Industrial
IJob no.: 10574.34 IJob address: 3752 INTERNATIONAL CT
City/State/ZIP: SPRINGFIELD, OR 97477.1025
Suite/bldg./apt.no.:
I Project name: Motel 6 Time Clock
Cross street/directions to job site:
I Subdivision:
Tax map/parcel no,: 1703153201100
I Lot no.:
Replace photocell with time clock
I Name: Dean Mayes
I Phone: (503) 750-7587
I Email:
I
I Fax: (503) 750-7587
CONTRACTOR, .'
ICCB lic. no.: 110521
lEI. lic. no.: 37-682C
I Business Name: BERG ELECTRIC CORP
I Contact:
!Address: 5650 W CENTINELA AVE
\ City/State/ZIP: LOS ANGELES CA 90045-150 I
I Phone: (619)7461003 I Fax: (503)2551919
I Email: jbrunsvold@bergelectric.com
I Metro lie. no.: 6214
I Supervising electrician's lie. no.: 5121 S
I Supervising electrician's name: JEREMY P RICHMOND
I City lie. 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.
Description
Qty.
Ea.
Total
11,000 sq. ft. or less
I Ea. add I 500 sq. It. or portion
I-Limited energy, residential
(with above SQ. ft.)
I-Limited energy, multifamily I
residential.(with above sq. ft.)
I"S' 44J"iJ'4"'110'R'.''''ti'C::.!~''MJ.;,j''t'''I'I'''''tJ.'' "'I'th.".t'...... "'A'ND'j'OR." '1'1 ""t';' I
. en:~.~s.::.?erS'ln~ a all!.~;a e'1l ~oo;.". ','re oca 10,0';'. .
1 200 amps or less ' . . I
1201 amps to 400 amps
1401 amps to 599 amps
I 200 amps or less
120] amps to 400 amps
40 I amps to 599 amps
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;
each addl branch circuit
$48.00
$48.00
Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
extension.
.1
I
I
I
I
I
· City Of Springfield
Subtotal $48.00
Minimum fee used instead of Subtotal $50.00 I
State Surcharge (8% of pennit fee) $4.00
City Of Springfield fees · $750 I
TOTAL PERMIT FEE $61.50 I
10% Local Admin Fee; 5% Local Technology Fee
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007 -01256
COM2007-01256
COM2007-01256
COM2007 -0 I 256
COM2007-01256
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200700000000001343
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/23/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
NJM
Page I of 1
ONLINE BERG Online
ELECTRIC
Payment Total:
2:14:2]PM
Amount Due
48.00
2.00
2.50
4.00
5.00
$61.50
Amount Paid
$6 1.50
$61.50
8/23/2007