HomeMy WebLinkAboutPermit Electrical 2008-6-10
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CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00833
ISSUED: 06/10/2008
APPLIED: 06110/2008
EXPIRES: 12/1012008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 450 S 43RD ST
ASSESSOR'S PARCEL NO.: 1702323402900
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install meter panel combination
Owner: CHAPPELL KEVIN J ETAL
Address: 450 S 43RD ST
SPRINGFIELD OR 97478
Phone Number: 541-746-6362
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
C & SELECTRIC
License
3849
BUILDING INFORMATION I
Expiration Date
09/01/2008
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
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 .1
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Notes: NOTICE:
TIIID r[nMIT €H..\t!.. ~oelt1I.II: WORK
.-
AUTHORIZED UNDER THIS PER~H~,t~.~U.l D . t' I
COMMENCED OR IS ABANDONE~atlOn escnp IOn ,
D . tlll\lY 18l'LnAV PfJ=RlO~ t' $ Per Sq Ft Square Footage
escnp fiJff ",",lJ~ df'Consuuc Ion . . .
o or multiplier or Bid Amount
AI~e.m0tO:tif!MJgim:faw requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
camng me cemer. (Note: me Ie..,:,.,. ione
number for the Oregon Utility Notification
Center 181-800-332-2344).
Value
Date Calculated
Pae:e 1 of2
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-00833
ISSUED: 06/1012008
APPLIED: 06/10/2008
EXPIRES: 12/10/2008
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 I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$11.00
$13.20
$5.50
$40.00
$70.00
6/10/08
6/10/08
6/10/08
6/10/08
6/10/08
3200800000000000392
3200800000000000392
3200800000000000392
3200800000000000392
3200800000000000392
Total Amount Paid
$139.70
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Reouired Insoections ,
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa2e 2 of2
City of Springfield
Electrical Authorization To Begin Work
E-mailed To: awood@cselectric.org
Receipt # EC531754
6/10/20089:23:33 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New constructIOn
~ Addition/alteratIOn/replacement
Description
:;:":IlIZ'~:FEE"SCHEi5ULE
<<1<1<<HII!I'~w-" ~ "101>1>1#', ~
J Qty I
Total
!XlI or 2 family dwellmg
o Multi-family
o Commercial/ Industnal
~~-18Ijl1tJ,a~~SITEII~~q~17lq!L!NDWiq~-11rONtill;\:'$Iq::S~Ii_
[Job no' 7001 IJOb address 450 S 43RD ST
I CIty/State/ZIP' SPRINGFIELD, OR 97478-5920
I SUlte/bldg /apt.no .
I Project name Chappell
Cross street/directIOns to Job site.
1 SubdivIsion. I Lot no
Tax map/parcel no. 1702323402900
"ti>ftw. '''~W'W",,"Jo.~ '< ~~~,,~<W -m ~ "'qmi>,%-f \.
, 8Iiyllll:illi!fb"~ DES~~I!'~4TIONq~b~OR~f(ll"
Install meter panel combmalion
1 Name. Kevm Chappell
I Phone' (541)746-6362
lEma"
I:
IFax
~!f*'!lcoNfR]:CTOR'1
.tt )1>>> f<*",,,<<h ~ '11\lj1~#W"'>>"
I CCB hc no.: 3849
lEI hc. no 20-14C
I Business Name C & SELECTRIC INC
1 Contact Dave Gehrke
[Address: PO BOX 1482
I Clty/StatelZIP SPRINGFIELD OR 97477
1 Phone. (541)7412236
lEma" awood@cselectnc org
1 Metro hc no..
1 Supervising electriCian's hc. no. 4894S
[Supervising electriCian's name DAVID E GEHRKE
I Fax. (541)7412473
I CIty hc. no.'
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
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 apphcable land use laws and local ordinances
Ea
Sf
rag
I ] ,000 sq ft or less
1 Ea add I 500 sq ft or portIOn
1$ - + '''''''l\9'j.f'-<A: ~
I~W~ Ene~IIsi:4W'
- Limited energy, resldenlial
(With above sq ft)
I-LImited energy, multifamily
resldenttal (With above sq ft)
I-LImIted energy, commercIal
(With above sq ft)
I - Stand-alone hmlted energy,
reSidential
I - Stand-alone limIted energy,
multi-family
I - Stand-alone limited energy, I
commerc\31
ilS'rrVices O:R"f~dm instliiation, ali:,tlhlOn, ANDJORre)(;t'lition: '.
M<<IMWj%~~ $\'~~fl, t #lYfV~n1" "><:,",*II",-.4W", " 'f'~"'"' Ir~~~~ ~"' !f!i#^0t jt..~~
200 amps or less $7000 $70 00 I
1201 amps to 400 amps
1401 amps to 599 amps
~Il\fi'(f
"~~,,2JpR"
I 200 amps or less
1201 amps to 400 amps
401 amps to 599 amps
!Briliichlcf;Crn~~E~anrn.tlOn:"OK~i'tensiolf;*Per panei~W4"'1i4: ,,:'11
k"'1;." " ;<-jthN<~XM , J Jf}j!ibu~ ,. ,"N'N4i11bi '" 'q@ffij@, ~ n'-t+dPWM 03 ."I<~J
A Fee for branch CIrCUIts WIth 10 $4 00 $4000
servIce or feeder fee, each
branch CIrCUIt
B Fee for branch CIrCUIts
Without service or feeder fee,
first branch CIrCUit,
each addl branch CirCUIt
1 Service reconnect only
I Each manufactured or modular
dwellmg, servIce and/or feeder
I Pump or lITIgatIOn Circle
1 SIgn or outlme lighting
Signal clrcUlt(s) or limited- not offered onlme at thiS JunsdlCtlon
energy panel, alteratIOn, or
"")'"~1~'$,!lWEl!ECTRiCA ~RERM1TFEES~:','" I
, "\W:4<l\n~r, '" ~J )J1k&l:tWx~ ~"- w ;%l; <%4'<Jl ~
Subtotal $110 00 I
State Surcharge (12% ofpenmt fee) $13 20 I
City Of Sprmgfield fees · $1650 I
TOTAL PERMIT FEE $139 70 I
10% Local Admm Fee, 5% Local Technology Fee
I
I
· CIty Of Spnngfield
'--'
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00833
COM2008-00833
COM2008-00833
COM2008-00833
COM2008-00833
Payments:
Type of Payment
ONLINE CHGS
cRecelOt 1
RECEIPT #:
Date: 06110/2008
3200800000000000392
Description
Add, Alter, Extend Cuc Ea Add
Penn ServIFdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmIstratIve Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthOrization
Received By Batch Number Number How Received
NJM
ONLINE
C & S Onlme
Payment Total:
Page 1 of 1
9:35:51AM
Amount Due
4000
7000
550
1320
1100
$139.70
Amount Paid
$13970
$139.70
6/1 0/2008