HomeMy WebLinkAboutPermit Electrical 2007-10-31
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01622
ISSUED: 10/31/2007
APPLIED: 10/31/2007
EXPIRES: 04/30/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2009 MAIN ST
ASSESSOR'S PARCEL NO.: 1703364204300
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Five (5) circuits for lighting and equipment
Commercial
Owner: FITZGERALD KRISTY L
Address: 2711 AUTUMN LAKE DR
KA TY TX 77450
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BUILDERS ELECTRIC INC
License
4296
Expiration Date
12/1012007
Phone
541-485-0922
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:
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:
NU I ,l;t: PUBLIC IMPROVEMENTS
THIS PERMIT SHAll
Street Improveme~UTHORIZED UNDER THIS PERMIT IS NOT
Stor~ Sewer A~ail~MMENCED OR IS ABANDONED fOR
SpeclallnstructlonANY 180 DAY PERIOD.
Notes:
AI I c.~lDrqpa few requires you to
follow rules adopte!t by the Oregon Utility
Notiflcat~"~S~ules are set forth
In OAR 952-001.0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center, (Note: the telephone
number for the Oreaon Utility Notification
I I Center is 1-800-332-2344).
Valuation Description
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e 1 of 2
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: C0M2007-01622
ISSUED: 10/31/2007
APPLIED: 10/31/2007
EXPIRES: 04/30/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid Date Paid Receipt Number
$6.40 10/31/07 3200700000000000717
$3,20 10/31/07 3200700000000000717
$5,12 10/31/07 3200700000000000717
$48.00 10/31/07 3200700000000000717
$16.00 10/31/07 3200700000000000717
Total Amount Paid
$78.72
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project,
, I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction,
Owner or Contractors Signature
Date
Pal!e 2 of2
City of Springfield
E~p,,~ical Authorization To Begin Work
l-mailed To: kelIy@builderselectric.com
Receipt # EC519638
10/30/20073:55:02 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
I2U Addition/alteration/replacement
I Description
Qty.
Ea.
Total
~~I
I
I
I
11,000 sq, ft. or less
lEa, addl 500 sq, ft, or portion
I-Limited energy, residential
(with above sq. ft,)
I-Limited energy, multifamily
residential fwith above s9, ft.)
I~..'-~ "';:;f.'~'B;;'-:-iKFW{:~~!.";,'4%"'"f''''~-%f$tW:{'~0;'*ilMIH0i'"W~.L>.':y:;;,:,:_,8\~;:,;_:- -::",-: '::'-::.' c:- ~\:'_,;7:'n,_"-"~ .-"-'"WX\Wf"",";l''''I';iJfW!!!li' -ji':~;:-,:A'--~'
<i~~g~~~~0~!jt~~~,~~;~).1~\~I!,~~.oni~~lter:at~0'!f,~~~m~.,~~I?~~ti,9n 'j'
1200 amps or less
120 I amps to 400 amps
140 I amps to 599 amps
I
I 1200 amps or less
1201 amps to 400 amps
140 I amps to 599 amps
o I or 2 family dwelling
o Multi-family
[K] Commercial/Industrial
IJob no.: 07-9143-s IJob address: ~AIN ST
I City/State/ZIP: SPRINGFIELD, OR 97477-5159
I Suite/bldg.lapt.no.:
I Project name: sptld radiator
Cross street/directions to job site:
I Subdivision:
I Tax map/parcel no.:
I
I Lot no.:
1703364101200
5 Circuits for lighting and equipment
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
Name: jeffbrown
Phone:
I Email:
I,
I EI.lie. no.: 20-12C I CCB lie. no.: 4296
I Business Name: BUILDERS ELECTRIC INC
I Contact: Kelly O'Brien
I Address: 195 MADISON ST
I City/State/ZIP: EUGENE OR 97402
I Phone: (541)4850922 I Fax: (541)4854055
I Email: kelly@builderselectric.com
I Metro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 5275S
I Supervising electrician's name: RUSSELL R ROBBINS
IFax:
$48,00 $48,00
41 $4,00 $16,001
I
I
I
I
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 limited- not offered online at this jurisdiction
energy panel, alteration, or
extension,
I
I
I
I
* City Of Springfield
Subtotal $64,00
State Surcharge (8% of permit fee) $5,12 I
City Of Springfield fees * $9,60 I
TOTAL PERMIT FEE . $78,72 I
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.
COM' ~ (]V, .-- (:J \ (o.~ ~
RCPT#.~~0l?7 -- "/11
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.
DATE PROCESSED: I n ~ 3\ - (t/1
PR~(A~
This Authorization To Begin Work must be posted at the job site until )ePlaced by a Permit
Cit
De.
f Springfield Official Receipt
_ .opment Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01622
COM2007-01622
COM2007 -01622
COM2007-01622
COM2007 -01622
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200700000000000717
Date: 10/31/2007
Description
Add, Alter, Extend Circ
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 BUILDERS Online
Payment Total:
Page 1 of 1
8:14:35AM
Amount Due
48.00
16.00
3.20
5,12
6.40
$78.72
Amount Paid
$78.72
$78.72
10/31/2007