HomeMy WebLinkAboutPermit Electrical 2008-3-7
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00319
ISSUED: 03/07/2008
AP,PLIED: 03/07/2008
EXPIRES: 09/07/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 741 CITY VIEW BLVD
ASSESSOR'S PARCEL NO.: 1703341404900
. Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: ' Alteration
Residential
PROJECT,DESCRIPTION: Install sub panel in garage.
Owner: BROTHERTON ROBERT S & KATHRYN PIELE
Address: 741 CITY VIEW BLVD
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
JOHNSEN ELECTRIC INC
License
38497
Expiration Date
01/1012010
Phone
541-461-0291
BUILDING INFORMATION I
# 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:
nla
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Setback:
Side 1 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'
Street Improvements:
Sidewalk Type:
Downspouts/Drains:
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
, Notification Center, Those rules are set forth
in OAR'952-001-001 0 through OAR 952-001-
;'u'fICi:. ' e::e. ','..;... ......1 ~t:~:,-, ::;:::: :fth3 L~:: E)"
THIS P S J. . 'ailing the center. (Note: the telephone
ERMIT HALL EXPIRE IF TI'" on Descri tlOn mber for the Oregon Utility Notification
AUTHORIZED UNDER THIS PERMll~~I S F t Center is 1-800-332-2344).
DescripQQMMEN(ti~@Rd&tAlaMl)4)NED It,ql~t quBa,rdeAoo agte Value Date Calculated
, ANY 180 DAY PERIOD., 0 Ip ler or I moun
Storm Sewer Available:
Speciallns.truction:
,:t;.':'
.:;,..-
Notes:
\
Pal!e 1 of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541~726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Total Amount Paid
, Amount Paid
$7.00
$8.40
$3.50
$70.00
$88.90
Total Value of Project
Fees Paid.
Date Paid
'I Plan Reviews I
3/7/08
3/7/08
3/7/08
3/7/08
CITY OF SPRINGFIELD
BOilding/combination Permit
PERMIT NO: cOM2008-00319
ISSUED: 03/07/2008
APPLIED: 03/07/2008
EXPIRES: 09/07/2008
VALUE:
Receipt Number
2200800000000000299
2200800000000000299
2200800000000000299
2200800000000000299
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.
1 Reouired Insoections I
Electric Service: Approval required prior to utility company energizing service.
By signature', I state and agree, that I have carefuUy examined the completed application and do hereby certify that aU
information hereon is true and correct, and I further certify that any and aU work performed shaU 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 aU 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 aU
times during construction.
Owner or Contractors Signature
Pal!e 2 of 2
Date
I'
City (}if Springfield
Electrical Authorization To Begin Work
E-mailedTo:KELlASEN@ATT.NET
Receipt # Ec526751
3/7/20088:27:55 AM
. Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@cLspringfield.or.us
[KJ I or 2 family dwelling
D Multi-family
D Commercial/Industrial
11,000 sq, ft. or less
I Ea. addl 500 sq, ft. or portion
I Job no,:
I City/State/ZIP: SPRINGFIELD, OR 97477~3859
I Suite/bldg./apt.no,:
I Project name:' RYAN GARRITY
.1 Cross street/di;ections to job site: EAST ON WEST "0" STREET TURN LEFT ON
RIVERVIEW BLVD. TURN RIGHT ON CITY VIEW BLVD,
Subdivision:
I Lot no,:
- Limited energy, residential
(with above SQ. ft.)
I-Limited energy, multifamily
residential (with above SQ. ft.)
I-Limited energy, commercial
(with above SQ. ft.)
I, - Stand-alone limited energy,
residential
1 - Stand-alone limited energy,
multi-familv
I - Stand-alone limited energy,
commercial
I
I
I.
Tax map/parcel no,: 1703341404900
$70.00
$70.00
INSTALL SUB-PANEL IN GARAGE.
I Name: ERIC EIDE
I Phone: (541) 968-4255
1 Email:
IFax:
I 200 amps or less
. I 20 I amps to 400 amps
140 I amps to 599 amps
A Fee for branch circuits with
service or feeder fee, each
branch circuit.
B. Fee for branch circuits
. without service or feeder fee,
first branch circuit;
add] branch circuit
lEI, lic, no,: 20-53C I CCB lie, no,: 38497
1 Business Name: JOHNSEN ELECTRICINC
I Contact: KARIN ELIAS EN
IAddress: 2585 ROOSEVELT BLVD,
1 City/State/ZIP: EUGENE OR 97402-2500
I Phone: (541)4610291 I Fax: (541)4612340
I Email: KELIASEN@ATTNET
1 Metro lie. no,: I City lie. no.:
1 Supervising electrician's li~. no,: 3485S .
1 Supervising electrician's name: GARY E JOHNSEN
Service reconnect only
Each manufactured or modular
dwelling, service and/or feeder
I Pump or irrigation ci;c1e
'I Sign or outline lighting
Signal circuit(s) or limited- not offered online at this jurisdiction
energy panel, alteration, or
extension,
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 jf it does not
meet applicable land use laws and local ordinances.
I
I
I
* City Of Springfield
Subtotal
State Surcharge (12% of penn it fee) $8.40
City Of Springfield fees * $10.50
TOTAL PERMIT FEE $88.90
10% Local Admin Fee; 5% Local Technology Fee
This Authorization To Begin Work must be po.sted at the job site until replaced by a Permit.
225'}fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00319
COM2008-00319
'. COM2008-00319
COM2008-00319
Payments:
Type of Payment
ONLINE CHGS
cReceinlJ
RECEIPT #:
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000299
Date: 03/07/2008
8:57:28AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
70.00
3.50
8.40
7.00
$88.90
Amount Paid
$88.90
.DDK
ONLINE JOHNSEN Online
ELECTRIC
Payment Total:
$88.90
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