HomeMy WebLinkAboutPermit Electrical 2007-11-29
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-01744
ISSUED: 11/28/2007
APPLIED: 11/28/2007
EXPIRES: OS/28/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1390 31ST ST
ASSESSOR'S PARCEL NO,: 1702303402000
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace burnt meter and panel.
Owner: HA WES CHARLENE DORE
Address: 16089 BUENA VISTA DR
LA PINE OR 97739
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
MAG ELECTRIC INC
License
149834
Expiration Date
12/13/2009
Phone
541-461-0387
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
Front yard 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 Available: Downspouts/Drains:
Special Instruction: All t:NTlON: Oregon law requires you,t,o
NOTICE: follow rules adopted by the Oregon Utility
Notes:THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth
. ,\'JTunQm:n IIMnFR THIS PERMIT IS NOT in OAR 952-o01~010thro~gh ?AR_95~~0~
'COMMENCED OR IS ABANDONED: Uti. . . I UU~~illo~n':~~l;I'(N~;;."th:{t:e;;one
ANY 180 DAY PERIOD. V aluatIOn DeSCriptIOn n~m~~r fO~ the Or~gon Utility Notification
. . . $ Per Sq Ft Square Footage Center is 1-800-332-2344).
DescnptlOn Type of ConstructIOn It' I' B'd A Value Date Calculated
or mu Ip Ier or I mount
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01744
ISSUED: 11/28/2007
APPLIED: 11/28/2007
EXPIRES: OS/28/2008
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
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$7.00
$3.50
$5.60
$70.00
11/28/07
11/28/07
11/28/07
11/28/07
2200700000000001748
2200700000000001748
2200700000000001748
2200700000000001748
Total Amount Paid
$86,10
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 Reauired InsDections 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
Paee 2 of 2
City of Springfield
Electrical Authorization To Begin Work
E-mailed To:
CROWVALLEYELECTRIC@COMCAST.NET
Receipt # Ec521501
11/28/20071:12:24 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
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DATBPRoCESSED:ll/? (/01
PROCESSED BY: f\ QfYI c4 ~
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
D New construction
IX] Addition/alteration/replacement
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il';!'IIICATEGORy'OFCONSTRUCTION
_____ - _m___ ..-; --'"""/".f -.. '.
[Xl 1 or 2 family dwelling
D Multi-family
D Commercial/Industrial
I,J(:>B SITE INF;ORMATIONAND LOCATION
IJobno.: IJobaddress: 1390 31STST
I City/State/ZIP: SPRINGFIELD, OR 97478-5513
I Suite/bldg./apt.no.:
I Project name:
Cross street/directions to job site:
I Subdivision:
1 Tax map/parcel no.: 1702303402000
I , DESCRIPTION OF WORK '
REPLACE BURNT METER AND PANEL
I Lot no.:
, SITE CONTACT
Name: MATT NELSON
I Phone: (541) 225-8935 I Fax:
I Email: CROWVALLEYELECTRIC@COMCAST.NET
lEI. Iic. no.: 20-317C
I Business Name: MAG ELECTRIC INC
I Contact: MATT NELSON
IAddress: 2952 ALLANE LN STE C
I City/State/ZIP: EUGENE OR 97402-2077
I Phone: (541)4610387 I Fax: (541)4614062
I Email: CROWVALLEYELECTRIC@COMCAST.NET
I Metro lie. no.: I City lic. no.:
I CCB lic. no.: 149834
Supervising electrician's lie. no.: 4742S
Supervising electrician's name: MARTIN ALAN GRAY
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.
II
FEE SCHEDULE
Qty. J
elling
I Description
Residential S
attac
11,000 sq. ft. or less
I Ea. addl 500 sq. ft.. or portion
I-Limited energy, residential
(with above SQ. ft.)
- Limited energy, multifamily
residential (with above sq. ft..)
Services OR feeders installation, alteration, AND/OR relocation
1200 amps or less $70.00
1201 amps to 400 amps
1401 amps to 599 amps
TEMPORARY services OR
AND/OR relocation
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
1 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;
each addl branch circuit
Ea.
Total
I
I
I
I
I
$70.00 I
I
I
Miscellaneous
I Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
I Pump or irrigation circle
1 Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
extension.
not offered online at this jurisdiction
I
I
I :
I i
* City Of Springfield
I
.1
I
Subtotal $70.00 I
State Surcharge (8% of permit fee) $5.60 I
City Of Springfield fees * $10.50 I
TOTAL PERMIT FEE I $86.10 I
10% Local Admin Fee; 5% Local Technology Fee
ELECTRICAL PERMIT FEES
225 Fifth .Street
Sprin'gfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01744
COM2007-01744
COM2007-01744
COM2007-01744
Payments:
Type of Payment
ONLINE CHGS
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200700000000001748
Date: 11/28/2007
2:25:17PM
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due
70.00
3.50
5.60
7.00
$86.10
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
$86.10
ONLINE
MAG Online
ELECT
Payment Total:
$86.10
NJM
Page 1 of I
11/28/2007