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Home My WebLink AboutPermit Electrical 2007-9-14 ~ 0"' ~~~~~ CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: .COM2007-01404 ISSUED: 09/1312007 APPLIED: 09/13/2007 EXPIRES: 04/13/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1264 W OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703273203700 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Replace 200 amp panel, (2) reserve circuits, Owner: LEQUlA JEFFREY R & CARA LYNN Address: 1264 W OLYMPIC ST SPRINGFIELD OR 97477 1 CONTRACTOR INFORMATION I Contractor Type Electrical Contractor C & SELECTRIC , License 3849 BUILDING INFORMATION I Expiration Date 09/0112008 Phone 541-741-2236 # 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. 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: 1 PUBLIC IMPROVEMENTS' Street Improvements: Sidewalk Type: Storm Sewer Available: Special Instruction: Downspouts/Drains: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth ll'\ OAR 952-001-0010 throu~~ OAR 952-001- NOTICE- ~. You may obtain copies or me rUles oy THIS PERMIT SHAll EXPIRE IF TH_tion Description IIing the center. (Note:,t,he tel~~ho~e ~OT number for the Oregon Utility Notification AUTHORIZED UNDER THIS PERMIT I er Sq Ft Square FootagSenter is 1-800-332-2344). DescreBWl'MENCEb''mff~WBJmEUWaED F ultiplier or Bid Amount Vafue Date c:alculated ANY 180 DAY PERIOD.' , Notes: Page 1 of2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01404 ISSUED: 09/13/2007 APPLIED: 09/1312007 EXPIRES: 04/1312008 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' Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $7.80 $3.90 $6.24 $8.00 $70.00 9/13/07 9/13/07 9/13/07 9/13/07 9/13/07 Receipt Number 2200700000000001444 2200700000000001444 2200700000000001444 2200700000000001444 2200700000000001444 Total Amount Paid $95.94 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 InsDections I Electric Service: Approval required prior to utility company energizing service. 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 Page 2 of2 {:ity of Springfield Electrical Authorization To Begin Work E-mailed To: cherrick@cselectric.org Receipt # EC516890 9/13/20078:51 :36 AM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us o New construction [X] Addition/alteration/replacement Qty. I2U 1 or 2 family dwelling o Multi-family o Commercial/Industrial Job no.: 6549 IJob address: 1264 W OLYMPIC ST I City/State/ZIP: SPRINGFIELD, OR 97477-2714 I Suite/bldg.lapt.no.: I Project name: Cross street/directions to job site: Subdivision: 1 Lot no.: Tax map/parcel no.: 1703273203700 200 AMP PANAL, (2) RESERVE ClCUITS I Name: PETE BOYSEN I Phone: IEmail: IFax: lEI. lic. no.: 20-l4C I CCB Iic. no.: 3849 I Business Name: C & S ELECTR]C lNC I Contact: David Gehrke IAddress: PO BOX 1482 /City/State/ZIP: SPRINGF]ELD OR 97477 I Phone: (541)7412236 IFax: (541)7412473 I Email: cherrick@cselectric.org 1 Metro Iic. no.: I City Iic. no.: I Supervising electrician's Iic. no.: 4894S I Supervising electrician's name: DAVID E GEHRKE 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 Ea. Total 11,000 sq. ft. or less 1 Ea. add I 500 sq. ft. or portion I-Limited energy, residential (with above sq. ft.) I-Limited energy, multifamily residential (with above Sq. ft.) , 1\~~r'.iciso~'f~M'Sins~~II~tion! aU~~a~i~n!..~~n;o~ rel~~tion 1200 amps or less 1 $70.00 $70.00 I 1201 amps to 400 amps I 1401 amps to 599 amps I 200 amps or less 120] amps to 400 amps I 401 amps to 599 amps A. Fee for branch circuits with above service or feeder fee, each branch circuit. S. Fee for branch circuits without service or feeder fee, first branch circuit; I each add1 branch circuit $4.00 $8.00 2 I 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 Iimited- energy panel, alteration, or extension. I I I II' ."P~:"/ ..;ELEC~RicAL'PERMiTFEES\ I : I I · City Of Springfield I Subtotal $78.00 I State Surcharge (8% of permit fee) $6.24 I City Of Springfield fees * $11.70 I TOTAL PERMIT FEE $95.94 I 10% Local Admin Fee; 5% Local Technology Fee This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 225 Fifth.Street Springfield, Oregon 97477 . 541-726-3759 Phone Job/Journal Number CO M2007 -01404 COM2007-01404 COM2007-01404 COM2007-01404 COM2007-01404 Payments: Type of Payment ONLINE CHGS . "".......-.... cReceintl RECEIPT #: Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001444 Date: 09/13/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received ddk ONLINE C & S Online Electric Payment Total: Page 1 of 1 9:36:40AM Amount Due 70.00 8.00 3.90 6.24 7.80 $95.94 Amount Paid $95.94 $95.94 9/13/2007