HomeMy WebLinkAboutPermit Electrical 2007-9-6
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01355
ISSUED: 09/0612007
APPLIED: 09/06/2007
EXPIRES: 04/06/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1200 SHELLEY ST
ASSESSOR'S PARCEL NO.: 1703270000900
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Replace main breaker
Owner: MCKA Y INVESTMENT CO
Address: 2350 OAKMONT WAY STE 204
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
SCOFIELD ELECTRIC
License
38702
Expiration Date
12/21/2007
Phone
541-686-8612
BUILDING INFORMATION'
# 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:
nla
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:
Sidewalk Type:
Downspouts/Drains:
Storm seW~~,)Jli}.abJe:
Special In fitl'Y1! ION: Oregon law requIres you to
o ow rules adopted by the Oregon Utility
Notes: ~otification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952.001-
I)Ogg ~w FR-r=/.: t-.J-. ....' ./.ll ~ L
~ -1" ,.;;('..1 ....."",.,......""'. I .g I UIC., .
calling the center. (Note: the t I : .
number for the Oregon Utility N .'. IOn Descn
Center is 1-aOO-332-23441. S 'F
. '$ Per q t
Type of ConstructIon It' I'
or mu Ip ler
NOTICE:
TIlle r[fii/(" JHAli. CAt'It\t II" I HI: WUHK
tiJilJ HORIZED UNDER THIS PERMIT IS NOT
MENCED OR IS ABANDONED FOR
Squ~N'otBtJ1)AY PERIGalue Date Calculated
or BId Amount
Description
Pal!e 1 of 2
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2007-01355
ISSUED: 09/06/2007
APPLIED: 09/06/2007
EXPIRES: 04/06/2008
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
~Fees Paid--t
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Service Reconnect
Amount Paid Date Paid Receipt Number
$5.50 9/6/07 3200700000000000602
$2.75 9/6/07 3200700000000000602
$4.40 9/6/07 3200700000000000602
$55.00 9/6/07 3200700000000000602
Total Amount Paid
$67.65
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
L-Reouired Insoections I
Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I
further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa\?:e 2 of 2
City of'Springfield
Electrical Authorization To Begin Work
E-mailedTo:KAREN@SCOFIELD.NET
Receipt # ,EC516466
9/6/20079:03:01 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
lliJ Addition/alteration/replacement
o I or 2 family dwelling
11,000 sq, ft. or less
lEa, addl 500 sq. ft, or portion
I-Limited energy, residential
(with above Sq, ft,)
I-Limited energy, multifamily
residential (with above s9 ft)
l,seriji~'0i,l~~d,ers .i~sfail!ifi111I1~II~ter@tion~ANjj/OR .J;~lodtion
""'-\1,!<~:"" ,: -,^", -',;C-';""'--- co_-,',,'S,,:, ,,,"'~, _,_<<'U,lilliH$m","'"k,~i,;' n'::,>,," _ ,_'oJ _' /", ;-<_~1""~_'!'%<,-0,,,, -!)lb-.-~',-,^_ ,__'- - .-_'.- "-,'Yo '_-~_~_\h'""'",.-,:,,
l~,,'.-
1200 amps or ~ I
1 20 I amps to 400 amps 1
140 I amps to 599 amps I
1
I
I
I
I
o Multi-family
IJOb no.: 0907.027 IJOb address: ]200 SHELLEY ST
1 City/State/ZIP: SPRINGFIELD, OR 97477-None
1 Suite/bldg.lapt.no.:
I Project name: VERIZON CLOVER CELL SITE
Cross street/directions to job site:
1 Subdivision:
map/parcel no.: 1703270000900
I Lot no.:
1 200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
REPLACE MAIN BREAKER
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
Name: SCOFIELD ELECTRIC
1 Phone: (541) 686.8612
I Email:
I Fax: (541) 686-8696
$55 00 I
I
1
I
II
Service reconnect only
I Each manufactured or modular
dwell ing, service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
Signal circuit(s) or limited.
energy panel, alteration, or
extension.
$55,00
1 EI. lie. no.: 20-1 C I CCB lie. no.: 38702
1 Business Name: SCOFIELD ELECTRIC CO
1 Contact: ERIC SCOFIELD
jAddress: PO BOX 2765
I City/State/ZIP: EUGENE OR 97402
I Phone: (541)6868612 IFax: (541)6868696
.Email: KAREN@SCOFlELD.NET
I Metro lie. no.: I City lie. no.:
1 Supervising electrician's lie. no.: 4218S
1 Supervising electrician's name: ERIC SCOFIELD
i
Subtotal $55,00 I
State Surcharge (8% of permit fee) $4.40 I
City Of Springfield fees · $8.25 I
TOTAL PERMIT FEE $67,65 I
10% Local Admin Fee; 5% Local Technology Fee
I
I
I
· City Of Springfield
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.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541-126-3759 Phone
Job/Journal Number
COM2007-01355
COM2007-01355
COM2007-01355
COM2007-0 1355
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
RECEIPT #:
Description
Service Reconnect
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
3200700000000000602
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/06/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
Page 1 of 1
ONLINE Scofield Online
Electric Co.
Payment Total:
lO:1l:23AM
Amount Due
55.00
2.75
4.40
5.50
$67.65
Amount Paid
$67.65
$67.65
9/6/2007