HomeMy WebLinkAboutPermit Electrical 2007-12-12
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01541
ISSUED: 10/12/2007
APPLIED: 10/1112007
EXPIRES: 06/12/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1243 Lorne Lp
ASSESSOR'S PARCEL NO.: 1703272207647
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Temporary power pole
Owner: PETRUSHKIN MICHAEL & TAMMIE
Address: 38558 PENGRA RD
FALL CREEK OR 97438
Phone Nnmber: 541-937-2302
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
SPRINTER ELECTRIC INC.
License
174458
Expiration Date
02/2012009
Phone
541-521-9058
BUILDING INFORMATION I
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Constrnction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Heigbt of Strnctnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
n/a
I DEVELOPMENT INFORMATION'
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:
Compacl:
I PUBLIC IMPROVEMEN. :f.~;'."J.
. ,." r/n.N: Or
fol. "'.' II : SI1f&?~(JJ8!N requIres yo .
N'H'li" 'I 0 " op erf 91 the 0 u .0
Storm Sewer Available: in \ . \. " ',DowltS'poill~IM!)'I'{J~' regon Utility
&pecialJn~trnction: o~ "",~ "~0010through~alesetforth
~ - . . - -' c ,..ljI OtJtain co ~ AR 952-001_
Not,es:lJcRrV/IT SHAL r ';, center. (Not~~et~ of the rules by
J Jr D L EXPIRE IF T "". ~~ tho Oreoo U'~ ~ e telephone
. . . ',.17/:" ''',~__ f./r= 1M""" ~ ~ ,~ . n t,llh'"'.....
), ,.':ENCED -\'U'-II 111I~ PERMIT IS N(tJ" I' >Y l-OUU-(j32-2344):~"~~"u"
~ ,iolY/SO DAY ~E~:6tBANDONED FOR 'f 1V aluation Descriotion
$ Per Sq Ft Sqnare Footage
or mnltiplier or Bid Amount
Street Improvements:
Description
Type of Coustruction
Valne
Da'e Calculated
Page I of 3
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Descrintion
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Temp Power 200 amps or less
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-0]54]
ISSUED: ]0/12/2007
APPLIED: ]0/1112007
EXPIRES: 0611212008
VALUE:
Total Valne of Project
l.F"'" P1i,ljJ
Amount Paid Date Paid Receipt Number
$5.50 10'12/07 1200700000000001300
$2.75 10'12/07 1200700000000001300
$4.40 10/12/07 1200700000000001300
$55.00 10/12/07 1200700000000001300
$16.60 12/12/07 3200700000000000803
$8.30 12/12107 3200700000000000803
$13.28 12/12/07 3200700000000000803
$28.00 12/12/07 3200700000000000803
$117.00 12/12/07 3200700000000000803
$21.00 12112107 3200700000000000803
$271.83
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.
~enuired Insnections I
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
~Low Voltage: Prior to cover.
Pa2e 2 of3
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CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2007-01S41
ISSUED: 10/12/2007
APPLIED: 10/11/2007
EXPIRES: 06/12/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, 1 state aud agree, that I 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 he done in accordance with
the Ordinances of the City of Spriugfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Bnilding Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensnre that all required inspections are reqnested 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
Pa2e3 of 3
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:Sprinter5c@yahoo.com
Receipt # EC522406
12/12/200711:52:40 AM
sP~
b
Check on status of permit
By Phone: (541)726-3753 or Emaii: permitcenter@ci.springficld.or.us
TYPE OF"WORK ~.
D Addition/alteration/replacement
I Description Qty. Ea. I Total
f\~~sW"~~tillIS[NGL~~"{j~'m'l1lti~fa~)i1td\~~lmr~:~~I~t:\'IIICl~~~,1:
r:~tt3,;chcd,garagc ',' , ',' ""," "'," ': ..j "
I],ooosq,n,o,]css ]1 $]]7001 $]]7~00
I Ea.addl 500 sq. ft. or portion I $21.00 $21.00
I-Limited energy, residential ] I $28,00 $28.00
(with above SQ, n.)
I-Limited energy, multifamily I
resIdential (with above sH. ft.)
1.'S,ei};icesOR fcederfi~stanation, ait~i~K!~[L!S'~p/R,R,:re;location
I 200 amps or less
I 201 amps to 400 amps
I 401 amps to 599 amps
I T~rvlrgRARY s~~~'ic,~sg.~
ANDIQRrelocatioli/\;':I", "
I 200 amps or less
I 201 amps to 400 amps
I 401 amps to 599 amps
l\~,ra~rt.c}.L~ircuits - NEW,.alt~t~(i~ilj',g~~'~J~~~!9#,:'per,^pltl,le,1
I A. Fce for branch circuits with
above service or feeder fee,
each branch circuit.
I B. Fce for branch circuits
'without service or feeder fcc,
first branch circuit;
I each addl branch circuit
I [K] New construction
I
I [K] I or 2 family dwelling
I
IJob no.: IJob address: 1243 LORNE LP
I Ci'y/StateIZIP: SPR]NGF]ELD. OR 97477-] 957
I Suitefbldg.!apt.no.:
I Project name:
o Multi-family
D Commercial/Industrial
Cross street/directions to job site:
I Subdivision:
ITax map/parcel no.:
I Lot no.:
1703272207647
DESi;'R.1[5;TI9tlOF
Wiring of residence after fire. This residence was completely gutted, All wiring to meet NEC
code requirements,
I Name: Jeremy Cooper
I Phone: (54]) 743~1213
I EmaiJ: Sprinter5c@yahoo.com
I EI. lie. no.: C256
I Business Name: SPRINTER ELECTRIC INC
I Contact: Jeremy Cooper
jAddress: 82924 FLORENCE AVE
I City/State/ZIP: CRESWELL OR 97426
IPhonc: (54])743]2]3
I Email: Sprinter5c@yahoo.colll
I Metro lie. no.: 541743-1213
I Supervising electrician's lie. no.: 1871S
I Supervising electrician's name: DAVID GADOMSKI
ICCB lie. no.: 174458
I Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
I Pump or irrigation circ~e
I Sign or outline lighting
I Signal.Circuit(S) or limited.
I energy panel, alteration, or
extenSIon,
II
II
I:
I ]. City Of Spdngfield
I
COM' r;( (70 7 ~ () / S 'if
RCPT#' 3.2 if" 7 ~ cfO.:!.
I
I
I
I
I
I
I
Subtotal I $]66.00 I
State Surcharge (8% of per mil fee) I $13.28 I
City Of Springfield fees'" I $24.90 I
TO'I,\L PERMIT FEE $204.]8 ]
10% Local Admin Fee; 5% Local Technology Fcc
not offered online at this jurisdiction
I Fax; (541) 895~2207
PERM]T FEES
I Fax: (54])8952207
I City lie. no,: Creswell
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.
Dr-e!'t<.
PR...OCESSED
ED/;2j1~7
'/J-1 d.J/
til' ed by a per~it.
This Authorization To Begin Work must be posted at the job site
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
TiFjIJ.'.".
IIL~.... ~
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0 1 541
COM2007-0 I 541
COM2007~0 I 541
COM2007~0 I 541
COM2007~0 I 541
COM2007 -01541
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200700000000000803
Date: 12/1212007
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Low Voltage - Residential
+ 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 SPRINTER Online
Payment Total:
Page 1 of 1
I:S6:38PM
Amount Due
117~00
21.00
28~00
8~30
13,28
16.60
$204.18
Amount Paid
$204.18
$204.18
12112/2007