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HomeMy WebLinkAboutPermit Electrical 2007-12-6 CitY of Springfield Electrical Authorization To Begin Work E-mailedTo:arcelecor@aol.com Receipt # EC521966 t2/5/2007 12:12:47 PM ~ a Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us . " FEE SCHEDULE I Description I Qty. 1;8~s!dC,ntial ,~~~~bF;PiQ,~,,:'~A~iH7J1hi1i1y ,a~tachcd garagef>:'f"~L;~~~:T~T:J':.:"'<, 11,000 sq. ft. or Jess I Ea. addl 500 sq. n. or portion I -Limited energy, residential I (wIth above SQ. rn I-Limited energy, multifamily I residential (with above Sq. n.) l~er:H~c,sORfeeders in~t~ll~t@i, alteration, AND/OR relocation ) 200 amps or less 1201 amps to 400 amps 401 amps to 599 amps TEMPOR4.RY$'crVic'es OR ;1~~/qI{?,eI9~~~tI~~ I 200 amps or less. I 20 I amps to 400 amps 140 I amps to 599 amps I,Bralich'cin:llitS?',~~,)i"'~i{c'ia:ti4~,,Q~,;~~'t~:#;ion;:p~r panel I A. Fee for branch circuits with above service or feeder fee, each branch cirCUIt. I B. Fee for branch circuits without service or feeder fee, tirstbranch circuit addl branch circuit \ 0 New construction [i] Addition/alteration/replacement """<<ATEGORY o 1 or 2 family dwelling o Multi-.ram!ly [K] Commercial/Industrial .iOEiSITE IN~O:RMATION AND LOCATION IJobno.: IJobaddress: 105 S 14THST I City/State/ZIP: SPRINGFIELD, OR 97477-5224 I Suite/bldg.lapt.no.: I Project name: Cross street/directions to job site: Corner of 14th & Main Street I Subdivision: /Tax map/parcel no.: !703363204401 I ILot no.: Hook up HVac unit $4800 $48.001 I I I Name: Joe Balaty I Phone: I Email: IF." CONTRAcTOR I EI. lie. no.: 20-403C I CCB lie. no.: 115 113 I Business Name: ARC ELECTRIC INC I Contact: Virgil [Address: PO BOX 1723 I City/StnteIZIP: SPRINGFIELD OR 97477 I Phon" (541 )741 0494 I F." (541 )7411685 I Email: arcelecor@aol.com I Metro lie. no.: I City lie. no.: I Supervising electrician's lie. no.: 43685 I Supervising electrician's name: STEPHEN M SEBASTIAN I Service reconnect only Each manufactured or modular dwelling, service and/or feeder Pump or irrigation circle I Sign or outline lighting Is ignal cin;uit(s) or Iimited- energy panel, alteration, or extension. I'ot offmd onl", et th!Sj",isd!Ct!o, I I I I I I . City Of Springfield I Subtotal I $4800 I Minimum fee used inslead of Subtotal $50,00 I State Surcharge (8% ofpermll fee) $4.00 I CiwOfSpringtield fees *1 $7.50 I TOTAL PERMIT FEE $6150 I 10% Local Admin Fee; 5% Local Technology Fee ELECTRICAL PERMIT FEES 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. ~~~ ~~~~D-\ ~ 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, This Authorization To Begin Work must be posted at the job site until replaced by a Permit. .. Status Issued CITY OF SPRIl'ilJJ:<lELD Building/Combination Permit PERMIT NO: COM2007-01784 ISSUED: 12/06/2007 APPLIED: 12/06/2007 EXPIRES: 06/0612008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 105 S 14TH ST ASSESSOR'S PARCEL NO.: 1703363204401 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPnON: Hook up HV AC nnit - electrical only Owner: DUNHAM ANN Address: 33328 HOWE LN CRESWELL OR 97426 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor ARC ELECTRIC License 115113 BUILDING INFORMA nON I Expiration Date 07/29/2008 Phone 541-741-0494 # of Units: Primary Ocenpancy Gronp: Secondary Occnpancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Strnctnre 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 Frontyard Setback: Side I 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: Downsponts/Drains: Special ~Y~FJi'l5N: Oregon law requires you to follow rules adopted by the Oregon Uility Notes: Notification Center. Those rules are set forth &... "^O D&::"JJ,,\f)"'_"ti1 (\ thr......lrth nl!.R t)J:;'J_f'lf'lL NnTII""I:. 0090. You may obtain copies 01 the Iu,,,, uy J HI~PERMIT SHALL EXPIRE calling the center. (Note:. the telel,h'il\~ation DescriD~ton."IORIZE IF THE WORK number for the Oregon Utility Notification ., ... 0 UNDER THIS PERMIT IS NOT D . r C8f%l,iarc~R~-M%~44). $ Per Sq Ft sq.ra'iMM.5i!a'fe':D OR IS A.lMlliDONED F{)l:fi c. I d esenp IOn. or mnltiplier or .l\I(I'{A~ID:AY PERIOD. e alen ate Pa!!e I 01'2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01784 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 Fee. Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid Receipt Number $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 2200700000000001781 2200700000000001781 2200700000000001781 2200700000000001781 2200700000000001781 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 Reuuired '"s"edi""s I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, 1 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 011 the site at all times during construction. Owner or Contractors Signature Date Paee 2 of 2 225 Fift~ Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01784 COM2007-01784 COM2007-01784 COM2007-01784 COM2007-01784 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 2200700000000001781 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: t:heck Number Authorization Received By Batch Number Number How Received Paid By ONLINE PERMIT CHGS DDK Page 1 of 1 ONLINE ARC Online ELECTRIC INC Payment Total: 10:04:47AM Amount Due 48.00 2.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 12/6/2007