HomeMy WebLinkAboutPermit Electrical 2008-1-18 (2)
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00082
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 Inspection 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: New service to outbuilding
Owner: SIMONSON BERTHA
Address: 1814 F ST
SPRINGFIELD OR 97477
Contractor Type
Electrical
Contractor
C & SELECTRIC
I. CONTRACTOR INFORMATION I
License .,,-- EXiiiriHoiillate
3849 09/01/2008
BUILDING INFORMATION I
Phone
541-741-2236
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction 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
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available: . Downspouts/Drains:
Special InsA'PTBNiI!ION: Oregon law requires you,t,o NOTICE'.
follow rules adopted by the Oregon Utility
Notes: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK
In OAR 952-001-001 0 through OAR95~:~O~: AUTHORIZED UNDER THIS PERMIT IS NOT
001:lU. 10U mtlYUULalll wt"~~ ~f (... ''<':~e-J ~~;:J~,;, ENGI:U UK I::; AljANUUI~tU run
calling the center. (Note.t,he t4laP~Puation Descri' 0 DAY PERIOD
number for the Oregon Utility Nboi1:i .
, . Center Is 1-800-332-2344$'Per Sq Ft Square Footage - _ .
DeSCriptIOn , Tvpe of ConstructIOn I' I' B'd A- - - Value Date Calculated
or mu tip ler or I mount
Pal!e I 0\"2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00082
ISSUED: 01118/2008
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 Inspection Line
Total Value of Project
Fees paidJ
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$10.20
$12.24
$5.10
$32.00
$70.00
1/18108
1/18108
1/18/08
1/18/08
1/18/08
2200800000000000076
2200800000000000076
2200800000000000076
2200800000000000076
2200800000000000076
Total Amount Paid
$129.54
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 Reouired Insnections ,
Electric Service: Approval required prior to utility company energizing service.
Rougb Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information bereon is true and correct, and I furth'er 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"
Page 2 of2
..City of Springfield'
Electrical Anthorization To Begin Work
E-mailed To: mgehrke@cselectric.org
Receipt # EC524134
111812008 I :13:53 PM
~.
~
a..c
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
[K] Addition/alteration/replacement
~I
/0] or2 family dwelling 0 Multi-family D Commercial/Industrial I
I:~~:no: ..}61~~:~~:~~~;~ti;;~@I.qCATI(fN~,~ ".;':".~:~':;:I
I City/State/ZIP: SPRINGFIELD, OR 97477-4224
I Suilelbldg.lapt.no.:
I Project name:
Cross street/directions to job site:
ISubdivision:
ITax map/parcel no.: 1703362115400
ILot no.:
new service to outbuilding
,..""~-
I Name: Dave Gehrke
IPhonc: (541) 741-2236
I Email:
IF,,:
I [I. lie. no.: 20-] 4C I CCD lie. no.:' 3849
I Business Name: C & SELECTRIC INC
I Contact: Dave Gehrke
IAddress: PO BOX 1482
I City/StatelZrp: SPRINGFIELD OR 97477
I Phone: (541 )7412236 I Fax: None
I Email: mgehrke@cselectric.org
I Metro lie. no.: ICitylic. no.:
I Supervising electrician's lie. no.: 4894S
!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.
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 Io.cal ordinances.
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Subtotal $102.00 I
State Surcharge (12% of pennit fee) $12.24 I
City OfSpringfleld fees'" $15.30.1
TOTALPERMITFn: $129.541
10% Loca] Admin Fee; 5% Local Technology Fee
Description I Qty. j Ea. I Total
I;~i~li!".t~.t. R..i~.'~.I.;...~..~~.~~~.i~~~Oj.,.~~,t~:fa'~~.lf...dh.}1J!!!.JU!~.ii.i~D~~I~des ."3
iMt~~h"~~:gal)lgeF~h: :'0.' J ~'i'::P '~f-,0,<jy~~^' "__ ..
I ] ,000 sq. ft, or less
~~:l;~,;;~~i:~' portion
I ~ Limited energy, residential
(with above sq. f't.)
I . Limited energy, multifamily
residential (with above sq. ft.)
I . Limited energy, commercia-I
(with above Sq. ft.)
I . Stand-alone limited energy,
residential
I - Stand-alone limited energy,
multi~fami]y
- Stand-alone limited energy,
commercial
7""sen.'ic.tiOR;te@er.~'installlltion: altttrarioiii:AND/OR'relO,jltion
+:0"+0+""".",,,""''''' ~'''r.~ ~"c.C==."".."-"- _." .. ".. ~'"..''' .._m.. ...... .'
~ i
200 amps or less $70.001
120] amps to 400 amps I
140] amps to 599 amps I
1:..,~~.~1~:Q~A.RY~S"c'ryifeY:Q~~f~'()~r~ tnstalhitioli,'-a.~i'er~ti():,i;!
~~~/()R"::r!l~clt~ion,.' ri?f~i~~~;c~" '/ . ,.<~?__ -..':, 1': "~'.'
1200 amps or less
I 20 I amps to 400 amps . I
140 I amps to 599 amps
:lfr,anch:ctr.c~!!s.:;~~5,i:Rj~~r~~~.n;,9~,s~Je~si?Ui. Jl~r:p~ncl'
I A. Fee for branch circuits with $4.00
service or feeder fcc, each
branch circuit.
lB. Fee for branch circuits
without service or feeder fee,
first branch circuit:
I each addl branch circuit
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 Signa] circuit(s) or limitcd-
energy panel, alteration, or
extension. ..
ELEC-j-RICAi:1Pe~RMIT~EES.
not offered online at this jurisdiction
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'" City Of Springfield
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
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$70001
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$32.001
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225 Fifth Street
SplJingfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00082
COM2008-00082
COM2008-00082
COM2008-00082
COM2008-00082
Payments:
Type of Payment
ONLINE CHGS
cReceinll
RECEIPT #:
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
2200800000000000076
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 01/18/2008
3:31 :45PM
Amount Due
70.00
32.00
5.10
12.24
10.20
$129.54
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
DDK
Page 1 of 1
Amount Paid
ONLINE C & S Online
ELECTRIC
Paymenl Total:
$129.54
$129.54
1118/2008