HomeMy WebLinkAboutPermit Electrical 2008-3-28
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2008-00420
ISSUED: 03/28/2008
APPLIED: 03/28/2008
EXPIRES: 09/28/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 758 S 57TH ST
ASSESSOR'S PARCEL NO.: 1802041104800
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Install new service and sub panel. Rewire kitchen and install new lights in kitchen,
dining room, living room and entry.
Owner:
Address:
CHARLENE LOUISE CURRY REVOCABLE TRU
758 S 57TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
SCHULTZ ELECTRIC INC
License
179066
Expiration Date
10/3012009
Phone
541-505-8351
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:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 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:
Downspouts/Drains:
Notes:
Storm Sewer Available:
Special InstruAkTrENTION: Oregon law refJulres you to
follow rules adopted by the Ore9011 Uh!lty
Notification Center. Those rules are ::'8t forth
I." OAR 952-001-0010 through OAR 952-001-
uu;;iiu. IUU IlIay UUlc.\1i I GUfJi0:> iIi" 'fJ "' fl.-":' "Y
calling the center. (Note' thE tVaft'iWiion Descri
number for the Oregon Utility ..~.. v .
Center is 1-80~-332-23~'Fer Sq Ft
Tvpe of ConstructIOn I . I'
or mu tIp ler
'00183d AVO 08 LA;:'
HO;l 03NOON'tf8'tf SI 80 030N]l!VV\JO:
lrn 211W\JUJJ 31111 l:EiLiIIJ'-1 UjLltlUlill'~
)180M 3Hl:lI 3tJ/dX3 lTlfHS Il1N83d SIH.L
:3QUON
Date Calculated
Value
Description
Square Footage
or Bid Amount
Pa!!:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00420
ISSUED: 03128/2008
APPLIED: 03128/2008
EXPIRES: 09/28/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid'
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Low Voltage - Residential
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$22.80
$27.36
$11.40
$60.00
$28.00
$140.00
3/28/08
3/28/08
3/28/08
3/28/08
3/28/08
3/28/08
2200800000000000368
2200800000000000368
2200800000000000368
2200800000000000368
2200800000000000368
2200800000000000368
Total Amount Paid
$289.56
I Piau 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.
Reouired Insnections I
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
By signature, I 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 on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa!!:e 2 of 2
City of Springfield
~
Electrical Authorization To Begin Work
E-mailedTo:schultzelectnc@comcast.net
Receipt # Ec527863
3/28/2008 9:23:51 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permltcenter@ci.sprmgfield.or.us
'jllll,'
\1"
t ~'TYPEI"OFIWORK", < iI:
, "I I M
lliJ AdditIOn/alteration/replacement
11'1
~, .
II!;
1802041104800
'D!=S.CRIPTION OF WOR~.. r
Install new service and sub panel ReWire kItchen to code Install new lights m kitchen, din,
IIv, and entry
"i:
. .+FEE SCHEDULE' .
, >j<\
I DescnptlOn I Qty. I Ea. I Total
. ResidebtiaI SINGLE- OR multi-family dwelIingumt. Includes
'."t"t.';"h'.,r"d' .... . ... I . '.rr I. . ..,. . , .".
a, ,,"a~. e garage I r~ '. . .... .. r
1 ] ,000 sq ft or less
1 Ea addl 500 sq ft or portIOn
i.1 I Limited En'cfgy ." : r '.
M" 11' II;
I-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
I - Stand-alone limited energy,
multi-family
I - Stand-alone limited energy,
commercial
I Services q.~, feeders mstallation, alteration, AND/OR relocatIOn
1200 amps or less 2 $70 00 $140 00
1 20 I amps to 400 amps
1401 amps to 599 amps
TEMPORARY: ser.vlces OR feeders mstallation, alteratIOn,
t ",I J f , 1 ~ i~,,_", ~~ , ", "1, '>>, I' I
. AND/q.R reloc,a.~lon'l .. ':1' . ' .
1 200 amps or less
:.1 1201 amps to 400 amps
I 1401 amps to 599 amps
I I Branch ~ircuits ~!NEW,.al~~ratl.on, OR exte~sion, per panel
I A Fee for branch CirCUIts with 15 $4 00
I service or feeder fee, each
". branch CirCUit
B Fee for branch CirCUits
wIthout service or feeder fee,
first branch CIrCUIt,
1 each addl branch CIrCUIt
I Mlsc:;Ua\!eous/ .11...
"<<"I'I<,i
I Service reconnect only
I Each manufactured or modular
dwellmg, servIce and/or feeder
1 Pump or IrrIgatIOn Circle
1 SIgn or outline Itghtmg
SIgnal clrcUlt(s) or IImlted-
energy panel, alteration, or
extensIOn
I
I
I
I
I
* City Of Sprmgfield
$28 00
$28 DO
o New construction
. .: dATEGORY OFCONSTkuCTION. ,
I" >>' \-,' ,
[K] I or 2 family dwellmg
o Multi-family
o CommerCial / Industnal
. III , . JOB SITE INFORMATION AND LOCATION
1111"1 '* ">1''; I (,1'1-
I Job no.. I Job address: 758 S 57TH ST
l CIty/State/ZIP: SPRINGFIELD, OR 97478-691 I
I SUlte/bldg /apt.no.:
I Project name.
Cross street/directIOns to Job site:
',I "lll,!
I SubdiVISIOn'
I Tax map/parcel no..
I
I Lot no.:
1""
111<,
'1\',
I'
, SITE,CONTACT. r.r
I" '1'1
'" >1,
I Name: Steve Taylor
I Phone: (541) 746-0524
IEmall:
I
I Fax:
$60 DO
: EI. IIc. no.: C354
i BuslOess Name: SCHULTZ ELECTRIC INC
I
: Contact: Matt Schultz
. ... r~ CONTRACTOR' ,
",1i, "" < 1
I CCB IIc no.: 179066
"""I!
i,,-, ,r.1
I'" r
'I'd , ~
iAddress. 2171 B1RCHWOODAVE
City/State/ZIP' EUGENE OR 97401-7409
Phone: (541)3377463
Emall: schultzelectnc@comcast net
Metro he. no.:
SupervISIng electnclan's hc no: 5247S
SupervlslOg electnclan's name: MATTHEW L SCHULTZ
I ,!II '
"1,
IFax: (541)5058351
I City hc. no.:
not offered onlIne at thiS Junsdlctlon
Upon review and approval by your local JUrisdiction, your
permIt Will be e-malled or faxed Within one bUSiness day,
WIth instructions on how to schedule your inspection
ELECT~.ICAL PERMIT FEES ]
Subtotal I $228 00 I
State Surcharge (12% of permIt fee) $2736
City Of Sprmgfield fees * I $3420
TOTAL PERMIT FEE I $289 56
ID% Local Admm Fee, 5% Local Technology Fee
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 Fiftb Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00420
COM2008-00420
COM2008-00420
COM2008-00420
COM2008-00420
COM2008-00420
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000368
DescrrptlOn
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Ctrc Ea Add
Low Voltage - Residential
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/28/2008
Item Total:
Check Number AuthorrzatlOn
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of 1
ONLINE SCHULTZ Onlme
ELECTRIC
INC
Payment Total:
9:42:12AM
Amount Due
14000
6000
2800
11 40
27.36
2280
$289.56
Amount Paid
$289 56
$289.56
3/28/2008