The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2007-12-6 ~ Electrical Authorization To Begin Work E-mailedTo:arcelecor@aol.com Receipt # EC521970 12/5/2007 12:30:43 PM City of Springfield . Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.ns FEE SCHEDULE I Description Qty. Ea. Total Residcntil!t:;,:r~Q[.I".>OR multi-family d"'~lljllg unit. .1n'~J~~e~ attachc<I,giirage,";:'; 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 reSldentml (wIth above sQ.. ft.) I_Sen)ces OR' feeders iiis~_allati~D_, ~~teration: AND1~)gre_location I 200 amps or less I I 20 I amps to 400 amps 1401 amps to 599 amps I I 10 New construction [K] Addition/alteration/replacement . CATEGORY OF~CONSTRUCTION~::~' ~ I 0 I or 2 family dwelling o Multi-family lliJ Commercial/Industrial '~:fJOB SITE.INFORMATION AND LOCATION IJob no.: IJob address: ]07 S 14TH ST I City/StateIZIP: SPRINGFIELD, OR 97477-5224 J Suitelbldg./apt.no.: I Project name: Cross street/directions to job site: Comer of 14th & Main Street Subdivision: I Tax map/parcel no.: I Lot no.: 1200 amps or less 1201 amps to 400 amps 1401 amps to 599 amps [ Branch cirCuitk':;;iNEW!'~I,t~'t~tt~~!:QR extcnsio~,.pc'r'p~~:~lt};>::>: I A. Fee for branch circuits with above service or feeder fee, each branch circuit. lB. Fee for branch circuits without service or feeder fee. llrst branch Circuit I each addl branch circuit IMis~ell~.~~1?,~s: I Service reconnect only I Each manufactured or modular dwelling. service and/or feeder I Pump or irrigation circle I Sign or outline lighting I Signal cire uit(s) or limited. energy panel, alteratIOn, or extensIOn $48.00 $48001 I I 1703363204401 DESCRIPTION OF Hook up HVAC unit I I Name: Joe Balaty I Phone: IEmail: I SITE C'ONTACT ~ I Fax: CONTRACTOR IH lie. no.: 20-403C ICCBlic.no.: IlSI13 I Business Name: ARC ELECTRIC INC 1 Contact: Virgil IAddress: PO BOX 1723 1 City/StatcrLIP: SPRINGFIELD OR 97477 [Pbone: (541)7410494 Irax: (541)7411685 I Email: arcelecor@aol.com I Metro lie. no.: I City lie. no.: I Supervising electrician's lie. no.: 4368S I Supervising electrician's name: STEP~E_N M SEBASTIAN 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. not offered online at this jurisdiction ELECTRICAL PERMIT FEES I I I I I .. City Of Springfield Subtotal I $48.00 Minimum fee llsed instead of Subtotal $50.00 State Surcharge (8% of penn it fee) 1 $4.00 1 City Of Springfield fees "I $7.501 TOTALPI!:HMIT FEE 1 $61.501 ] 0% Local Admin Fee; 5% Local Technology Fee 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. ~ n'" \o/~ ~~ 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: COM2007-01783 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 SITE ADDRESS: 107 S 14TH ST ASSESSOR'S PARCEL NO.: 1703363204401 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Hook up HV AC unit - electric only. Owner: DUNHAM ANN Address: 33328 HOWE LN CRESWELL OR 97426 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor ARC ELECTRIC License 115113 BUILDING INFORMATION I Expiration Date 07/29/2008 Phone 541-741-0494 # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Constructiou 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 FronIyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: Special Instruction: Downspouts/Drains: ATTENTION: Oregon 11W reql:ires you fa follow rules adopted.by the Grego!'] L:lility Notes: NOTiCE" Notification Center. Those rules are set forth " In OAFt ~S2-nn~ -~n.1 Q thrrll Iph n~.p QS?-nn1_ THIS PERMIT SHALL EXPIRE IF TI1t_WUKK. 10090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERM TValuation Descriotion calling the center. (Note: .the telephone COMMENCED OR IS ABANDONED f~g. . . number for the. Oregon Utility Notification DescrioJ!iWY 180 lYlIlffl't~roo~ruction or mUI~i~I~:r ~~';;i~e :~~:~~ Center IH;l3eOO-332-21jj~~ Calculated Pa2e I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01783 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 Paicl I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid Receipt Numher $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 2200700000000001780 2200700000000001780 2200700000000001780 2200700000000001780 2200700000000001780 Total Amount Paid $61.50 I Plan Reviews , 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 ReollireclT"nsnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, 1 state and agree, that 1 have carefully examined the completed application and do herehy 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 Fifth Street Springfield, Oregon 97477 541~ 726-3759 Phone an~~;il' Wit. .' Job/Journal Number COM2007-0 1783 COM2007-01783 COM2007-0 1783 COM2007-0 1783 COM2007-0 1783 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 2200700000000001780 Description Add, Alter, Extend Circ Minimum! Adjustment Electrical + 5% Technology Fee . + 8% State Surcharge + 10% Administrative Fee City of Springfield Official Receipt Development Services Department Public Works Department Date: 12/06/2007 Item Total: l.:heck Number Authorization Received By Batch Number Number How Received Paid By ONLINE PERMIT CHGS ddk Page I of I ONLINE ARC Online ELECTRIC INC Payment Total: 9:53:0IAM Amount Due 48.00 2.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.5U 12!612007