The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2007-1-16 , City oi'Springfield _Aectrical Authorization To Begin Wor E-mailedTo:Keliasen@att.net Receipt # j!:C507824 1/16/20071:26:22 PM Check on status of permit: Co ntact: http://www.ci.springfield.or.us/dsd/Buildjng/index.htm TYPE OF WORK D New construction Ii] Addition/alteration/replacement CATEGORY OF CONSTRUCTION D I or 2 family dwelling D Multi-family [2J Commercial/Industrial JOB SITE INFORMATION AND LOCATION Job no.: IJob address: 36400 BRAND S RD City/State/ZIP: SPRINGFIELD, OR 97478-9502 Suitelbldg.lapt.no.: Project name: Cross street/dircctions to job site: Hwy 126 to 42nd Av, Turn right on 42nd St. Go to Jasper Road & turn left on jJasper Road, Turn left on Brand S Road, I Subdivision: I Lot no.: I Tax map/parcel no.: 1802100001300 DESCRIPTION OF WORK Replace 200A Service, SITE CONTACT Name: Larry Dillon Phone: (541) 954-7707 Email: I Fax: CONTRACTOR lEI. lic. no.: 20-53C I CCB lic.no.: 38497 Business Name: JOHNSEN ELECTRIC INC Contact: Karin Eliasen IAddress: 2585 ROOSEVELT BLVD I City/State/ZIP: EUGENE OR 97402-2500 I Phone: 5414610291 I Email: Beaconelectric@att.net I Metro lie no.: Supervising clectrician's lie. no.: 3485S Supervising elcctrieian's name: GARY E JOHNSEN IFax: 5414612340 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. FEE SCHEDULE Description Qty. Ea. Total Residential SINGLE-ORmulti-familyd\V~lIing unit. Includes attach cd garage 11,000 sq, ft, or less lEa, addl 500 sq, ft. or portion - Limited energy. residential (with above SQ, ft,) - Limited energy, multifillnily residential (with above SQ. ft,) Services ORfecdcrsinstallation,alteration, AND/OR relocation I 200 amps or less $63,00 $63,00 I 20 I amps to 400 amps 1 1401 amps to 599 amps TEM PORARY servicesOR feeders installation, alteration, AND/OR relocation 200 amps or less 20 I amps to 400 amps 1401 amps to 599 amps I Btajich circtits - NEW,alteratilln, OR extelision, p~rpanel A, Fee lor branch circuits with 2 $3,00 above service or feeder fee, each branch circuit. B, Fee lor branch circuits without service or feeder fee, first branch circuit; each add 1 branch circuit $6,00 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 limited- energy panel, alteration, or extension. I Subtotal $69,00 I Minimum Fee $45,00 I State Surcharge (8% of penn it fee) $5.52 I City Of Springfield fees * $10.35 I TOTAL PERMIT FEE $84.87 I 10% Local Admin Fee; 5% Local Technology Fee I I I I I I * City Of Springfield ELECTRICAL PERMIT FEES :~'1l..(JC " - 0 l,'C 7 i I -I G - !.~(JC/f r~ *. eJr){)1 -GO This Authorization To Begin Work must be posted at the job site until replaced by a Permit. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00074 ISSUED: 01116/2007 /:, '\4 APPLIED: 0111612007 lV\.v'" O_~I~ EXPIRES: 07/16/2007 \" \rI:.,{)~ VALUE: ~~~\ 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 36400 BRAND S RD ASSESSOR'S PARCEL NO.: 1802100001300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace 200 AMP Service Owner: CORNELIUS ELSIE ANNA TE Address: 36400 BRAND S RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor JOHNSEN ELECTRIC INC License 38497 Expiration Date 01110/2008 Phone 541-461-0291 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: Sidewalk Type: Storm Sewer ~~ila~le~ .' ,""C, ._'''I...;L'~''- jvv. L'-' Downspouts/Drains: Special Instr,uctidn\\: j h""'d~ ' 't~d bIt the Oregon Utility follow ~ules a ,)P '"'Th )se rules are setfmt' NOl\G1E: 1HE WORK Notes: ~og~~~~~_~g~~g;1? t~r_o~~~ ~~~a9~~~~O~, 1HIS PERMI~ ?~,~;~ E!~~;~~M\1 \5 NOT 0090 YOll may ULhall' "'''-1'''.'-- - .. r\UTHUKILtU UIW'-" ., FOR cailingthecenter. (Not~:.~~e~ftP~?~:.Descri tion COMMENCED OR IS ABANDONED numbedorthe,O~e,?~~ ,l,'~~'\''';'l!i' 1\\\1y' 180 DAY PERIOD. Descrl'ptl'on T r'F,'\"'f"C...." ''-'t' "t' $ Per Sq Ft Square Footage V I D t C I I d ype 0 ons ruc IOn It' I' B'd A a ue a e a cu ate or mu Ip ler or I mount Paj:!e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00074 ISSUED: 01/16/2007 APPLIED: 01/16/2007 EXPIRES: 07/16/2007 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 Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $6.90 $3.45 $5.52 $6.00 $63.00 1/16/07 1/16/07 1/16/07 1/16/07 1/16/07 2200700000000000060 2200700000000000060 2200700000000000060 2200700000000000060 2200700000000000060 Total Amount Paid $84.87 I Plan Reviews, To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover 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 ofany 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 Pal!:e 2 of2 225 Fifth Street Springfield', Oregon 97477 541-726-3759 Phone Cj1-- qf Springfield Official Receipt D iopment Services Department Public Works Department Job/Journal Number COM2007 -0007 4 COM2007-00074 COM2007-00074 COM2007-00074 COM2007-00074 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 2200700000000000060 Date: 01116/2007 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 Item Total: Check Number Authorization Received By Batch Number Number How Received nJm ONLINE johnsen Online electric Payment Total: Page I of I 2:25:30PM Amount Due 63.00 6.00 3.45 5.52 6.90 $84.87 Amount Paid $84.87 $84.87 I/16/2007