HomeMy WebLinkAboutPermit Electrical 2007-12-4
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Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C0M2007-01761
ISSUED: 11/30/2007
APPLIED: 11/30/2007
EXPIRES: 05/30/2008
VALUE:
SITE ADDRESS: 2505 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703254400102
Springfield TYPE OF WORK: Electrical Work Only
PROJECT DESCRIPTION: install range, kitcben, freezer outlets.
Owner:
Address:
LITTLE MYRNA S
2505 CENTENNIAL BLVD
SPRINGFIELD OR 97477
TYPE OF USE: New
Residential
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
C & SELECTRIC
License
3849
BUILDING INFORMATION I
Expiration Date
09/01/2008
Phone
541-741-2236
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Heigbt of Structure
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled Building:
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
I DEVELOPMENT INFORMATION I
Total:
NOTICE. Handicapped:
THIS' Compact:
PERMIT SH
AUTHORIZED ALL EXPIRE
. r.n~/,,,[- . UNDi=D Till- IF TJ.1l: f1{J"),~
. ...., i'ovtU OR '" \) t'tRMI V'll"\
ATTENTION: ?Ie~:J,~~J{;-J~!t?~~ENTS ~NY 180 DAY IS ABANDONE TIS NOT
Streetlmprovements: f~I.',?w ~UI8S 2CX',;::' _'_'j' :,_' - ~:~ ,;'1';'( Sidewalk /YEffi!OD. D FOR
NO"C!T!C(:;..tlC,l S?:-i"2J T> -, ,- {'L1;:-. ' f- - .I
Storm Sewer AvailablP: C. ':';"_r~';c ~."" ."-- "l:l
. . 1TJ '~I"-''-~."IJ.-L,u,Ll..' "1
Special Instruction: 0 ",': ': 'y',. . . '. . . ~ -.. ~. - / ~,~ G -
u.....v. uur:l(~~YGc...l-',:IIC> .::j(~"" -, '!JSfjY
c&Jiinc tip C8''''f (,:".
.;:;J ...... .1..-". \,' ,"'..1.\....+ ,. _ _ ,:....:n3
nurnbsr_for the c- _ :-'~-:i _ ......1 . .
.. - _ = ."C&~:on
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Notes:
Vv"Lv' I>:> Ie . ,-, ~ '- '-!.'::. . ':).
Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Date Calculated
Tvpe of Construction
Pa2e 1 of2
REQUIRED PARKING
Downspouts/Drains:
Value
CITY OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: C0M2007-01761
ISSUED: 11/30/2007
APPLIED: 11/30/2007
EXPIRES: 05/30/2008
VALUE:
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Fee Descriotion
+ 10% Administrative Fee
+ 5% Tecbnology Fee
+ 8% State Surcbarge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid Date Paid Receipt Number
$6.40 11/30/07 2200700000000001761
$3.20 11/30/07 2200700000000001761
$5.12 11/30/07 2200700000000001761
$48.00 11/30/07 2200700000000001761
$16.00 11/30/07 2200700000000001761
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.
Rougb Electric: Prior to Cover
Final Electric: Wben all electrical work is complete.
By signature, I state and agree, tbat I bave carefully examined tbe completed application and do bereby certify tbat all
information bereon is true and correct, and I furtber certify that any and all work performed sball be done in accordance with
the Ordinances oftbe City of Springfield and the Laws oftbe State of Oregon pertaining to tbe work described herein, and
tbat NO OCCUPANCY will be made of any structure witbout permission of tbe Community Services Division, Building Safety.
I furtber certify tbat only contractors and employees who are in compliance witb ORS 701.005 will be used on tbis project.
I furtber agree to ensure tbat all required inspections are requested at tbe proper time, tbat eacb address is readable from tbe
street, tbat tbe permit card is located at tbe front oftbe property, and tbe approved set of plans will remain on tbe site at all
times during construction.
Owner or Contractors Signature
Date
Pa!!e 2 of 2
City of Springfield
Electrical Authorization To Begin Work
E-mailed To: Mgehrke@cselectric.org
Receipt #E:<;521673
11/30/20072:51 :56 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
,j FEE SCHED.ULE '
Qty.
o New construction
IX] Addition/alteration/replacement
[Xl I or 2 family dwelling
o Multi-family
o Commercial/Industrial
I Job address: 2505 CENTENNIAL BLVD
I City/State/ZIP: SPR1NGFIELD, OR 97477-4363
I Suite/bldg.!apt.no.:
I Project name: Little
Cross street/directions to job site:
I Subdivision:
I Tax map/parcel no.: 1703254400102
I Lot no.:
install reange, kitchen, freezer outlets
1 Name: Myrna Little
I Phone:
!Email:
IFax:
I El.lie. no.: 20-14C
I Business Name: C & SELECTRIC 1NC
I Contact: David Gehrke
IAddress: PO BOX 1482
I City/State/ZIP: SPRINGFIELD OR 97477
1 Phone: (541)7412236
I Email: Mgehrke@cselectric.org
I Metro lie. no.:
Supervising electrician's lie. no.: 4894S
Supervising electrician's name: DAVID E GEHRKE
I CCB Iic. no.: 3849
I Fax: None
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.
I Description
Ea.
Total
[1,000 sq. ft. or less
I Ea. addl 500 sq. ft. or portion
I-Limited energy, residential
(with above sq. ft.)
I-Limited energy, multifamily
residential (with above sq. ft.)
Ij~erVi~es QRife~~~rsi ins(1II1ati~n~aItenltioh'i~~D~6Rr~I~~,1I~ion . .
1200 amps or less I
I 20 I amps to 400 amps I
401 amps to 599 amps I
1200 amps or less
120 I amps to 400 amps
140 I amps to 599 amps
Branch circuits ~ NEW, alteration, OR extension, per panel ", "
'::":',,'.:,., '\ _''_'-,,' -- '.,: /,',+ -" ; - ," ',_::[::'" 0--'------_,----- _:'nn'n'-"..;,,':,<,-.-.--':::,._ _ 'en
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 MisceIianedus. i , .
"i-C- ,_ m-'-'''--" ,:K_,..',,"
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-
energy panel, alteration, or
extension.
$48.00
$48,00
$16001
I
1
I
1
1
4
$400
not offered online at this jurisdiction
I
Subtotal I $64.00 I
State Surcharge (8% of permit fee) $5.12 I
City Of Springfield fees * I $9.60 I
TOTAL PERMIT FEE I $78.72 I
10% Local Admin Fee; 5% Local Technology Fee
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. ELEpRIGAL PERMIT ,FEES
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DATE~~ROGESSE : I \---- 3D, ---- D'1
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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
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01761
COM2007-01761
COM2007-01761
COM2007-01761
COM2007-01761
Payments:
Type of Payment
ONLINE CHGS
cReceint I
RECEIPT #:
2200700000000001761
Date: 11/30/2007
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
C & S Online
ELECT
Payment Total:
Page 1 of 1
3:44:02PM
Amount Due
48.00
16.00
3.20
5.12
6.40
$78.72
Amount Paid
$78.72
$78.72
11130/2007