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