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Home My WebLink AboutPermit Electrical 2007-3-7 City o~ Springfield .llectrical Authorization To Begin Wo, E-mailedTo:dcststem@callatg.com H ~ Receipt # EC509189 3/7/2007 9:03:04 A~ 500r/ ,,0 0fXo, ~ Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us TYPE OF WORK o New construction [K] Addition/alteration/replacement CATEGORY OF CO"!STRUCTION IX] I or 2 family dwelling o Multi-family o Commercial/Industrial I JOB SITE INFORMATION AND LOCATION IJob no.: 6204 IJob address: 947 CENTENNIAL BLVD I City/State/ZIP: SPRINGFIELD, OR 97477-3175 I Suite/bldg.lapt.no.: I Project name: Cross street/directions to job site: Subdivision: I Lot no.: Tax map/parcel no.: 1703264314300 DESCRIPTION OF WORK Combine 2 services into 1 service with 200 amp panel. SITE CONTACT I Name: Tammy Berg I Phone: (541) 988-9781 I Email: I IFax: CONTRACTOR 1 CCB lie. no.: 3849 I EI. lie. no.: 20-14C I Business Name: C & SELECTRIC INC I Contact: David Gehrke Address: PO BOX 1482 City/State/ZIP: SPRINGFIELD OR 97477 I Phone: 5417412236 I Fax: None I Email: dcststem@callatg.com I Metro lie no.: 1 City lie no.: 1 Supervising electrician's lie. no.: 4894S [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 I FEE SCHEDULE I Description Qty. Ea. Total Residential SINGLE- OR multi-family dwelling unit. Includes attached garage 11,000 sq, ft, or less 1 Ea, addl 500 sq, ft, or portion I-Limited energy, residential (with above 50, ft.) I-Limited energy, multifamily residential (with above Sq, ft,) , I Services OR feeders installation, alteration, AND/OR relocation I 1200 amps orless 1 $63,00 $63,00 I 1201 amps to 400 amps I 1401 amps to 599 amps I TEMPORARY services OR feeders installation, alteration, AND/OR relocation 1 200 amps or less 1201 amps to 400 amps 1401 amps to 599 amps I Branch circuits - NEW, alteration, OR extension, 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 I Miscellaneous 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 I * City Of Springfield ELECTRICAL PERMIT FEES Subtotal $63,00 State Surcharge (8% of penn it fee) $5.04 City Of Springfield fees * $9.45 TOTAL PERMIT FEE $77.49 10% Local Admin Fee; 5% Local Technology Fee COM: ~ \'\ \)J - on:-=s'3 I RCPT#-:Q ~--' -G ~~'C. ~" DATE PROCESSED' 3 -7- 'Of Nf'A- PROCESSED BY' This Authorization To Begin Work must be posted at the job site until replaced by a Permit. CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00331 ISSUED: 03/07/2007 APPLIED: 03/07/2007 EXPIRES: 09/07/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 947 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703264314300 Springfield TYPE OF WORK: Eledrical Work Only TYPE OF USE: Alteration PROJECT DESCRIPTION: Combine two services into one service with 200 amp panel. . I PUBLIC IMPROVEMEN'IS J On Uf\~W .: "" .., "heU\ g ~J~~lk T e' \ \ \-\'~ : ,'. adO?\60 '0'1 e tu\eS afe ~2.-0C yp. /""-\\0\1\1 ~\.\\eS "'tet .1nOS unn O~R ~ow\mpoutS/Drains: \0 . n cep 0 tntO::1 tne tU eo ,,\ot\\\ca'o~2._00'\-OO'\ 'n cO?\es 0\ e\e?'oone n OJ).R :ou {"{\a'; obt~\ ~~ote', ~~e ~ot\t\ca.t\Of' '090.' , cante. \j1\\\W " ,'A.\':,~~ 1~~.",,", 0""'1o~ ,!:J}'1.~_A\. , {\U\ To' , " :-/,1."."... t' t~~ tiwtG)eltri' tion Owner: GARRETSON DAVID M & M J Address: PO BOX 1008 LEABURG OR 97489 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor C & SELECTRIC License 3849 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 Buildin5: \NO\\\\ n/a ~01\\I\:' AU~Mf:~'- \\ 1: ~ 'i&~ ,\-\\5 ?tR u~mt ~tO ~O ~U,\-\O\\\ltOo O~"&I~~b~~O COWlMtNCt ?it~\~'fj.Trees Rqd: ~W{ '\ '00 D r:..'{ Paved Drive Rqd: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pa~e 1 of2 Residential Expiration Date 09/01/2008 Phone 541-741-2236 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculated Status Iss u ed CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00331 ISSUED: 03/07/2007 APPLIED: 03/07/2007 EXPIRES: 09/07/2007 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 Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $6.30 $3.15 $5.04 $63.00 3/7/07 3/7/07 3/7/07 3/7/07 2200700000000000303 2200700000000000303 2200700000000000303 2200700000000000303 Total Amount Paid $77.49 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. I Reouired Insoections 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 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 Pa2e 2 of2