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Home My WebLink AboutPermit Electrical 2008-4-28 , \)0' & t/y.f\-b ( rv'" ~?0Q CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00595 ISSUED: 04/28/2008 APPLIED: 04/28/2008 EXPIRES: 10128/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1145 21ST ST ASSESSOR'S PARCEL NO.: 1703254304300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace interior panel Owner: AUDREY B CHURCHILL FAMILY TRUST Address: 2055 BONNIE LN SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Tvpe Electrical Contractor C & SELECTRIC License 3849 BUILDING INFORMATION I Expiration Date 09/0112008 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 GaragelCarport Sq Ft Other: Occupant Load: nla 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: Street Improvements: .6TTr.:"'TIr.~I. ^__ _ - _'V:::l~" laww It::YUHtlS you to I PUBLIC IMPROVEMENrpSJ.'~1 rules adopted by the Oregon Utility :~vOA~~'~gi Ce~li'tf.,J'~~~e rules are set forth , <..-BL I !f:101t1fflrough OAR 952-001- 0090. YOUIJO'W1~amtJ).v~$ of the rules by calling the center. (Note: the telephone number for the. Oregon Utility Notification Center IS 1-800-332-2344). Storm Sewer Available: Special Instruction: N NOTICE: <1ft~ ~ERMIT SHALL EXPIRE IF THE wnRW AU I nUr1ILI:U UI~UtH THIS PERMIT IS COMMENCED OR IS f',RMJDONED FORIIJ~kluation Description I ANY 180 [lIlY ~F'"'I{ '.J . . . $ Per Sq Ft Square Footage DescnptIOn Type of Construction It' I' B'd A or mu Ip ler or I mount Value Date Calculated Paee 1 of 2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00595 ISSUED: 04/28/2008 APPLIED: 04/28/2008 EXPIRES: 10/28/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L Fees PaidJ Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number $7.00 4/28/08 1200800000000000405 $8.40 4/28/08 1200800000000000405 $3.50 4/28/08 1200800000000000405 $70.00 4/28/08 1200800000000000405 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 Reouired Insoections . Electric Service: Approval required prior to utility company energizing service. 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 ofthe 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 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00595 COM2008-00595 COM2008-00595 COM2008-00595 Payments: Type of Payment ONLINE CHGS cRecemll RECEIPT #: 1200800000000000405 Date: 04/28/2008 DescriptIOn Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received nJm ONLINE C&S Elect Onlme Payment Total: Page I of I 1:52:46PM Amount Due 7000 350 840 700 $88.90 Amount Paid $88 90 $88.90 4/28/2008 City of Springfield ElectricaJ Authorization To Begin Work E-mailed To: awood@cselectric.org Receipt # EC529440 4/28/20081:17:36 PM ~ Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us o New constructIOn TYPE OF WORK [i] AddItIon/alteratIon/replacement CATEGORY OF CONSTRUCTION [X] I or 2 famIly dwellmg o MultI-famIly o CommercIal / !ndustnal JOB SITE INFORMATION AND LOCATION I Job no. 6956 I Job address. 1145 21 ST ST I City/State/ZIP. SPRINGFIELD, OR 97477-4386 I Smte/b!dg /apt.no.' I Project name. ChurchIll Cross street/directIons to Job sIte: I SubdivIsion: ITax map/parcel no: I I Lot no.: 1703254304300 DESCRIPTION OF WORK replace mtenor panel SITE CONTACT I Name: Audrey ChurchIll I Phone' (541) 914-4982 I Emall. \ lEI lic no: 20-14C I Busmess Name: C & SELECTRIC !NC I Contact: Dave Gehrke IAddress: PO BOX 1482 I City/State/ZIP' SPRINGFIELD OR 97477 I Phone. (541)7412236 I Emad awood@cselectnc org I Metro lIe. no : I Supervlsmg electrICian's he. no.: 4894S I Supervismg electricIan's name: DAVID E GEHRKE I Fax. CONTRACTOR I CCB hc. no: 3849 IFax (541)7412473 I CIty hc. no.: Upon review and approval by your local JUrisdiction, your permit Will be e-mailed or faxed wlthm one busmess day, with mstructlons on how to schedule your mspectlon. NOTE: ThiS Authorization To Begin Work expires withm 180 days If a permit IS not obtamed The local bUlldmg department may determine that an Authorization To Begm Work is null and void If it does not meet applicable land use laws and local ordmances. FEE SCHEDULE I DesCrIption I Qty. Ea Total Residential SINGLE- OR multi-family dwelhng umt. Includes attached garage 11,000 sq ft or less I Ea addl 500 sq ft or portion I LImIted Energy I-LImIted energy, resIdentIal (wIth above sq ft) I - LUnIted energy, multlfaInIly 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-faInIlv I - Stand-alone lImIted energy, commercIal 1 ServIces OR feeders mstallatIon, alteratIon, AND/OR relocatIon I I 200 amps or less $70 00 $70 00 I 1201 amps to 400 amps I I 40 I amps to 599 amps I TEMPORARY servIces OR feeders installatIOn, alteratIon, AND/OR relocation 200 amps or less 20 I amps to 400 amps 40 I amps to 599 amps I Branch circuits - NEW, alteratIon, OR extension, per panel 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, I each addl branch CIrCUIt I MIscellaneous I Service reconnect only I Each manufactured or modular dwellmg, sefYlce and/or feeder I Pump or lITIgatIOn circle I SIgn or outlme IIghtmg Signal clrcult( s) or IImlted- energy panel, alteratIon, or extensIOn I I I I I * CIty OfSpnngfield not offered onlme at thiS JunsdlctIon ELECTRICAL PERMIT FEES j Subtotal I $70 00 J State Surcharge (12% of pen nIt fee) $840 I City Of Spnngfield fees * I $10 50 I TOTAL PERMIT FEE I $8890 I 10% Local Admm Fee, 5% Local Technology Fee COM:AliV\ - CD5f1C:) I d-. 0lJ g- - <-J 06 RCPT #. DATE PROCESS~ ~I\ / & . This Authorization To Begin Work mus: li'il.ljl6lifillUJlllrr. .. iQ<l+~rPrlty a Perm,t