HomeMy WebLinkAboutPermit Electrical 2007-12-6
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:kelly@builderseJectric.com
Receipt # ]<:C522057
12/6/200710:40:26 AM
~
Check on status of permit
By Phone: (541)726-3753 or EmaiI: permitcenter@cLspringfield.or.us
I 0 New constnlction
[X] Addition/alteration/replacement
'~'fi2.tt CATEGORY:Q~;<::6NSTRucI@ti;::C
I D ] or 2 family dwelling D Multi-family ~ Commercial/Industrial
JO~BSfT~INFO~MATION AND LOCATION,
IJob no.: 07-9410-5 IJob address: 2525 OLYMPIC ST
I City/State/ZIP: SPRINGFIELD, OR 97477.3467
I Suite/bldg.!apt.no.:
I Project name: Jerry's
Cross street/directions to job site:
I Subdivision: I Lot no.:
I Tax map/parcel no.: 1703254308000
I ~D~l?CRIPTION_OF~WORK
Extend circuit in chainsaw area
I
SITE~c6NTACT.~ ~
IName: jeffbrowll
I Phone:
I Email:
I Fax:
lEI. lic. no.: 20-12C ICCBlic.no.: 4296
I Business Name: BUILDERS ELECTRIC INC
Contact: Kelly O'Brien
/Address: 195 MADISON ST
I City/State/1,IP: EUGENE OR 97402
1 Phone: (541 )4850922 I Fax: (541 )4854055
1 Email: kelly@builderselectric.com
I Metro lie. no.: I City lie. no.:
'Supen:ising electrician's lie. no.: 5275S
l~~~_e_,:ising c1cctric.i~_~~s nam~_:__ RUSSELL R ROBBINS
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
II Description
I
I
I
I
SCHEDUL~
Qty.
Ea.
'Ibtal
11,000 sq. ft. or less
lEa, addl 500 sq, ft. or portion
I ~Limiled energy, residential
(WIth above Sq, fn
I . Limited energy, multifamily
rcsldentlal (WIth above sq, fn
1--Servi.~~s.9~f~~~?~.i~,~,ianntioll,'altera'tion:AN[};bR-relocation
1200 amps or less I I
120 I amps to 400 amps
1401 omp"o 599 amps I I
I TEI\'1PO%I~X'~.e~'iCes OR
AND/OR r~l(Jcf\ti()ll-
1200 amps or less
120 I amps to 400 amps
140 I amps to 599 amps .
B,t~~I~.~-:4i~u_its" NEW, alterfl'Uon, OR extension, per panel
A. Fee for branch circuits with
above service or feeder fcc,
each branch circuit.
I R Fee for bra.nCh. circuits
WIthout service or feeder fee,
first branch CIrcuIt;
1 each addJ branch circuit
$4800
$48001
I
I
I
1 Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
1 Pump or irrigation circle
1 Sign or outline lighting
I Signal.circuit(S) or limited-
energy panel, alteratIon, or
extensIOn.
I
I
I
I
II
II
I:
II
I
I * City Of Springfield
I
not offered online at this jurisdiction
Subtotal I $48.00 I
Minimum fee llsed instead of Subtotal $50,00
State Surcharge (8% of permit fee) $4,00 I
Citv Of Springfield fees *'1 $7,50 I
TOTAL PERMIT FEE $6150 I
10% Local Admin Fee; 5% Local Technology Fee
.~\V cf\
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01789
ISSUED: 12/06/2007
APPLIED: ]2/06/2007
EXPIRES: 06/06/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2525 Olympic St
ASSESSOR'S PARCEL NO.: 1703254308000
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Extend circuit in chain,aw area.
Owner: PACIFIC COAST OPTIONS LLC
Address: PO BOX 2611
EUGENE OR 97402
I, CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
BUILDERS ELECTRIC INC
License
4296
Expiration Date
12/1012007
Phone
541-485-0922
BUILDING INFORMA TlO~ 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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
, DEVELOPMENT INFORMA TlON ,
Frontyard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rq d:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm S~~~jl,1~lI.ble:
Spedall r ltd, \IN: Oregon 18W r:"'ir,'s YOlllo
o ow ru es adoptiOd !-y 'he Gr oO'Jil IJlility
N t Notification Center. P'.:se r J12, me sc! forth
o e,: ~n~~Rv:~~2l~:~0~.~?_"~r_o:::~~,'.8u9_5~:O~1- NnrH~!=~
calling the center. C~oie: ~11Q 'BI;"~-_Il-e-' . . .I HI;:aPERMIT SHALL EXPIRE ;r -I,'~',,: -K
number for the Ore;:1or Uil'i:\, i,ut,IYa oahon DescnotlOlh-1.0RIZED UI~DER THIS I)ERr':l r is ,JOT
Center is 1-6U0-33..;-2344). (,(u4JIn~~rrED OR IS ABANDONED FOR
. $ Per Sq Ft Sqllaloe1f\'Jotage
Type of Construction or multiplier or ~Y\MWrl]AY PERIO!y'alue Date Calculated
Downspout,lOrains:
Description
Page I of 2
~iii~
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01789
ISSUED: 12/06/2007
APPLIED: 12/06/2007
EXPIRES: 06/06/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paitll
$5.00
$2.50
$4.00
$48.00
$2.00
12/6/07
12/6/07
12/6/07
12/6/07
12/6/07
Receipt Number
1200700000000001468
1200700000000001468
1200700000000001468
1200700000000001468
1200700000000001468
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid
Date Paid
Total Amount Paid
$61.50
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 Reolliretllnsnections I
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
Paee 2 of 2
225 Fif~h Street
Springfield,Oregon97477
541-726-3759 Phone
Job/Journal Number
COM2007-0 1789
COM2007~0 1789
COM2007-0 1789
COM2007-01789
COM2007-01789
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
?":'lfJELO."..-.'tJi. ..... '''' ...1..
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- . .';
..'...*M.'............ ~', ........ . ....
1200700000000001468
City of Springfield Official Receipt
Development Services Department
Public Works DepartmeDt
Date: 12/06/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
DDK
Page I of I
ONLINE BUILDER'S Online
ELECTRIC
Payment Total:
11:40: 17 AM
Amount Due
48.00
2.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
12/6/2007