HomeMy WebLinkAboutPermit Electrical 2007-10-12
Status
Issued
CITY pF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01541
ISSUED: 10/12/2007
APPLIED: 10/11/2007
EXPIRES: 04/12/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1243 Lome Lp
ASSESSOR'S PARCEL NO.: 1703272207647
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Temporary power pole
Owner: PETRUSHKlN MICHAEL & TAMMIE
Address: 38558 PENGRA RD
FALL CREEK OR 97438
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
SPRINTER ELECTRIC INC.
License
174458
Expiration Date
02/20/2009
Phone
541-521-9058
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'
Street Improvements:
Sidewalk Type:
Storm Sewer A ~1iIar:nON: Oregon law requires you to Downspouts/Drains:
Special InstruclRJlQw rules adopted by the Oregon Utility NnT'~f:'..
Notification Center. Those rules are set forth U .'-'Il:
Notes: In OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHAll EXPIRE IF THE WORK
0090. You may obtain copies of the rules by AUTHORIZE
"d:l;IIl:j L1,,,, ,",,,,,.l,,,1o ~iL~". ~;,v :V:~'J:'V"V .. D IJNnr:Q TWI~ P:P.MIT fD f~c;7
number for the Oregon Utili :y,~atifiQ!i',tio!1n. .. u MMENCED OR IS ABANDONED FOR
Center is 1-800-332-,.",-.3 uallOn uescn tlO Y 180 DAY PERIOD.
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Description
Type of Construction
Value
Date Calculated
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01541
ISSUED: 10/12/2007
APPLIED: 10/11/2007
EXPIRES: 04/12/2008
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
Temp Power 200 amps or less
Amount Paid
Date Paid
Receipt Number
$5.50
$2.75
$4.40
$55.00
10/12/07
10/12/07
10/12/07
10/12/07
1200700000000001300
1200700000000001300
1200700000000001300
1200700000000001300
Total Amount Paid
$67.65
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 ReQuired Insoections I
Temporary Electric: Approval required prior to Utility Company energizing pole.
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
Pal!e 2 of 2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:Sprinter5c@yahoo.com
Receipt # EC518536
10/11/20074:33:08 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
IKJ Addition/alteration/replacement
[i] lor 2 family dwelling
o Multi-family
o Commercial/Industrial
1,000 sq, ft, or less
Ea. addl 500 sq. ft, or portion
I-Limited energy, residential
(with above sq. ft.)
I . Limited multifamily
residential
[JOb no.: IJobaddress: 1243 LORNELP
I City/State/ZIP: SPRINGFIELD, OR 97477-1957
I Suite/bldg./apt.no.:
I Project name:
Cross street/directions to job site:
200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
1 Subdivision:
Tax map/parcel no.: 1703272207647
I Lot no.:
200 amps or less
201 amps to 400 amps
401 amps to 599 amps
$55.00
$55.00
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
Name: Jeremy Cooper
IPhone: (541) 743-1213 I Fax: (541) 895-2207
Email: Sprinter5c@yahoo.com
Service reconnect only
I Each manufactured or modular
dwell ing, service and/or feeder
I I Pump or irrigation circle
1 Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
extension.
I EI. lie. no.: C256 I CCB lie. no.: ] 74458
1 Business Name: SPRINTER ELECTRIC INC
I Contact: Jeremy Cooper
Address: 82924 FLORENCE AVE
! City/State/ZIP: CRESWELL OR 97426
IPhone: (541)7431213 IFax: (541)8952207
I Email: Sprinter5c@yahoo.com
I Metro lie. no.: 541743-1213 I City lie. no.: Creswell
Supervising electrician's lie. no.: 1871 S
Supervising electrician's name: DAVID GADOMSKI
I
I
I
I
;,. City Of Springfield
Subtotal $55.00 I
State Surcharge (8% of permit fee) $4.40 I
City Of Springfield fees · $8.251
TOTAL PERMIT FEE $67.65
10% Local Admin Fee; 5% Local Technology Fee
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
541-726-3759 Phone
Job/Journal Number
COM2007-01541
COM2007-01541
COM2007-01541
COM2007-01541
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
Temp Power 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
1200700000000001300
I
City of Springfield Official Receipt
Development Services Department
PubJic Works Department
,
Date: 10/12/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
DDK
Page 1 of 1
ONLINE SPRINTER Online
ELECTRIC
INC
Payment Total:
8:28:47 AM
Amount Due
55.00
2.75
4.40
5.50
$67.65
Amount Paid
$67.65
$67.65
10/12/2007