HomeMy WebLinkAboutPermit Electrical 2007-9-11
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CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01386
ISSUED: 09/11/2007
APPLIED: 09/11/2007
EXPIRES: 03/11/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2004 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703254307500
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential -
PROJECT DESCRIPTION: New 200 amp service
Owner: NELSON DOUGLAS S & KAREN T
Address: 27377 HWY 36
JUNCTION CITY OR 97448
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
EUGENE ELECTRIC SERVICE INC
License
90200
Expiration Date
03/17/2009
Phone
541-344-3561
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
1 DEVELOPMENT INFORMATION.
REQUIRED PARKING
Overlay Dist: Total:
# Street111rIl~lTd9N: Oregon law requIres yltO 'capped:
Paved DWJb"Wqal1es adopted by the Oregon II ct:
o/c f L ~~%~t~ Center. Those rules are se ~
o 0 in OAR ~b2-001-001 0 through OAR 952-001-
0090. You may obtain copies of the rules by
:'. . - '1-- """nter. (l'Iote: m~ It:lIl;l~IIUIII:1
I PUBLIC IMPRI~r!&~NTq Oregon Utility Notification
Center is 1 ~~~~).
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
tl!/fil"F"l'.A'%IIl""
~'ltW tf.!iVh..
THIS PERMIT SHALL EXPIRE .
AUTHO~IZED UNDER THIS PE~f\4lJ ~~MOT
Description COIVlI\1!~(;iMl?s4&.AWtNDONFltJlQ .
ANY 180 DAY PERIOD. ler
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01386
ISSUED: 09/11/2007
APPLIED: 09/11/2007
EXPIRES: 03/11/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
LFees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm Serv/Fdr 200 amps or less
Amount Paid Date Paid Receipt Number
$7.00 9/11/07 3200700000000000612
$3.50 9/11/07 3200700000000000612
$5.60 9/11/07 3200700000000000612
$70.00 9/11/07 3200700000000000612
Total Amount Paid
$86.10
I Plan Reviews'
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.
I Reouired InsDections 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 wiH 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
Page 2 of2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:andy.eugeneelectric@comcast.net
Receipt # EC516725
9/11/20079:08:10 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
COM:~bV7 - OI.3~&
RCPT#: S? (70 'f - Ce I :::L
DATE PROCESSED: q - (I rOI
PROCESSFD BY/ ~ f'I\
This Authorization To Begin Work must be posted at the job site until re~lac~ a Permit.
D New construction
[K] Addition/alteration/replacement
[i] I or 2 family dwelling
D Multi-family
D Commercial/Industrial
IJOb no.: 4150 IJob address: 2004 CENTENNIAL BLVD
I City/State/ZIP: SPR]NGF]ELD, OR 97477-4382
I Suite/bJdg.lapt.no.:
I Project name: Nelson
Cross street/directions to job site:
Subdivision:
ITax map/parcel no.: 1703254307500
I Lot no.:
I New 200Amp service
I Name: Andy Franklin
I Phone: (541) 344-3561
I Email: andyeugeneelectric@comcast.net
I Fax: (541) 343-7445
lEI. Iic. no.: 20-220C I CCB lie. no.: 90200
I Business Name: EUGENE ELECTR]C SERVICE ]NC
I Contact: Andy Franklin
Address: 120 MONROE ST
City/State/ZIP: EUGENE OR 97402
Phone: (541 )3343561
I Fax: None
Email: andy.eugeneelectric@comcast.net
I Metro Iic. no.: I City Iic. no.:
I Supen'ising electrician's lie. no.: 3735S
I Supen'ising electrician's name: JACK R PATRICK
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.
I Description
Qty.
Ea.
Total
11,000 sq. Ii. or less
I Ea. addl 500 sq. Ii. or portion
I-Limited energy, residential
(with above sq. ft)
I-Limited energy, multifamily
residential.(with above sq. Ii.)
I ;s~'n;it~'OR'feea~rs insiaJlaiioti;;dit~raii"6li;fANDI6R !-eli/cation'
,:, ';,-~,-,\,,i" 'i---,,:,:;_:_::::;'o;':t~,i,j:<"-",""%.::iMni"IVI:,i'i.;:?rJ;",~,~t';0iJ%:i0t i("'\"t(-'-'-',:'~::'_':i: /,t~" ,-,,",~ ,_':-- ::_,::,:,::::,' ,., " -" ,. _'._m _ ,-
200 amps or less $70.00 $70.00
201 amps to 400 amps
401 amps to 599 amps
I 200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
I Br~n~hci~",!.ts/~NEW? ~Iteriti~.i; p~exiension; per panel'.
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;
I each addl branch circuit
Service reconnect only
Each manufactured or modular
dwelling, service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
Signal circuit(s) or Iimited-
energy panel, alteration, or
extension.
I
I
I
I
* City Of Springfield
Subtotal $70.00
State Surcharge (8% of permit fee) $5.60
City Of Springfield fees * $10.50 I
TOTAL PERMIT FEE I $86.10 I
10% Local Admin Fee; 5% Local Technology Fee
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department'
Public Works Department
RECEIPT #:
3200700000000000612
Date: 09/11/2007
9:55:23AM
Job/Journal Number
COM2007-01386
COM2007-01386
COM2007 -01386
COM2007-01386
Description .
Penn Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
70.00
3.50
5.60
7.00
$86.10
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
NJM
ONLINE EOC516725 In Person
Payment Total:
$86.10
$86.10
cReceintl
Page 1 of 1
9/11/2007