HomeMy WebLinkAboutPermit Electrical 2008-1-18
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00080
ISSUED: 01/18/2008
APPLIED: 01/18/2008
EXPIRES: 07/18/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 hispection Line
SITE ADDRESS: 1814 F ST
ASSESSOR'S PARCEL NO.: 1703362115400
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Replace service only on home.
Owner: SIMONSON BERTHA
Address: 1814 F ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
C & SELECTRIC
License
3849
BUILDING INFORMATION I
Expiration Date
09101/2008
Phone
541-741-2236
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stnries:
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 GaragelCarport
Sq Ft Other:
Occupant Load:
nfa
, DEVELOPMENT INFORMATION I
Front yard 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:
Special Instruction:
DownspoutslDrains:
ATTENTION: Oregon law requIres you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
ra&ils". l'1. P'AR 952-001-QQ1 Q Ihroljoh Q~2-0q1.
.~. All EXPIRE IF Thil: yivn!\ Jf30. You may obtain copies ofthe rules by
THIS PERMIT SH ER THIS PERMF\(,alIMlflon DescriDtion falling the center. (Note: the telephone
AUTHORIZED UND. number for the Oregon Utility Notification
D . ,...mnMEW"~~ Q~~'BAN.t DONED f~g. Sq Ft Square FootagtCenter is 1-RnO.332-2344\ C I I d
escnp'tumV1 'f'v e struc IOn . . . value Date a cu ate
. ANY 180 DA PE I. or multIplIer or BId Amount .
Notes:
Paee I 0\'2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00080
ISSUED: 01/18/2008
APPLIED: 01/18/2008
EXPIRES: 07/18/2008
VALUE:
225 Fifth Street, Springfield, 0 R
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipl Number
$7.00
$8.40
$3.50
$70.00
1/18/08
1/18108
1/18108
1/ 18108
2200800000000000075
2200800000000000075
2200800000000000075
2200800000000000075
Total Amount Paid
$88.90
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, Re/luired (usoections ,
Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, that I have carefully examined Ihe 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
.
OitY of Springfield
Electrical Authorization To Begin Work
E-mailed To: mgehrke@cselectric.org
Receipt # EC52413~
1/181200812:55:58 PM
j}q~
--~
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I 0 New construction [X] Addition/alteration/replacement
'{" ;..;s..'"t:~~~'i';~;~AT~G"[~X~\ij8~..Q~;r~Q~1!9~ '-:~
I [X] ] or 2 family dwelling 0 Multi-family D Commercial J Industrial'
I De~cription Qty.
1"7.iR. r~i.1ential',~I.r~G_L~;;O._.Rjfu~ti:;~.miH_~~II~n'g
taltac~e..llgarag~ . .."-_~~\>:~-".~-~-i:':,-:.~,."
I ],000 sq. ft, or less I
I Ea. add! 500 sq. ft. or portion
I Job no.: I.Job address: 1814 F ST
I City/State/ZIP: SPRINGFIELD, OR 97477-4224
I Suitelbldg.lapt.no.:
I Project name:
Cross street/directions to job site:
I . Limited energy, residential I
(with above sq. fU
I-Limited energy, multifamily I
residential (with above Sq. it.) .
I-Limited energy, commerci(ll I
(with above sq. ft.)
I - Stand-alone limited energy, I
residential
I - Stand-alone limited energy, I
multi-familv
I - Stand-alone limited energy, I
commercial
1']~:~:l~es,2J~;f~eii.e:rs:}iistaii#!jQn;',aher~~lon~~'~NPL(),R)-l~~~~~~:~~:_ ~~1
1200 amps 0' less II $70.00 $7000 I
I 20 I amps to 400 amps I
i 40 I amps to 599 amps I
I Subdivision:
!Tax map/parcel no.: 1703362115400
ILot no.:
replace service only on home
I
/20 I amps to 400 amps 'l
401 amps to 599 amps
1!~r~~5h:_~,~C'rcu~ts_ ~,~,~'\y,)i,t'e)~ii~~P':,'OR'extensiiJnN#c,~;p~~"eL:'
I A. ree for branch circuits with I
service or feeder fcc, each
branch circuit.
lB. Fee for branch circuits
without service or feeder fee,
first branch circuit:
I each add I branch circuit
IName: DaveGehrke
I Phone: (541) 74 J -2236
I [mail:
IF.x:
I
I
I
I
I
I
I
;1
I
I
I
I
I
I
Subtotal I $70.00 I
State Surcharge (12% of permit fee) $8.40 I
CIty OfSpringficld fees'" $10.50 I
TOTAL PERl\lIT FEE I $88.90
] 0% Local Admin Fee; 5% Local Technology Fee
200 amps or less
<,;!"
I EI. lie. no.: 20-14C ICCB lie. no.: 3849
I Business Name: C & SELECTRIC lNC
I Contact: Dave Gehrke
IAddress: PO BOX 1482
I City/State/ZIP: SPRINGFIELD OR 97477
I Phone: (541)7412236 IFax: None
I Email: awood@cselectric.org
I Metro lie. no.: I City lie. no.:
I Supervising electrician's ,lie. no.: 4894S
I Supervising electrician's name: DAVID E GEHRKE
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.
,
I S~rvice reconnect only
I Each manufactured or modular
dwelling. servlc~ and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
I Signal circ. uit(s) or lirnited-
energy panel, alteration, or
extension
not offered online at this jurisdiction
I
I
I
l
'" City Of Springfield
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.
225 Fifth fftreet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00080
COM2008-00080
COM2008-00080
COM2008-00080
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
RECEIPT #:
2200800000000000075
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
. ddk
Page 1 of 1
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 01/18/2008
3:24:IOPM
Amount Due
70.00
3.50
8.40
7.00
$88.9U '
Amount Paid
ONLINE C & S Online
ELECTRIC'
Payment Total:
$88.90
$88.90
1/18/2008