HomeMy WebLinkAboutPermit Electrical 2008-6-13
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-00862
ISSUED. 06/13/2008
APPLIED. 06/13/2008
EXPIRES: 12/13/2008
VALUE'
Status
Issued
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 6817 A ST
ASSESSOR'S PARCEL NO 1702344106607
Springfield TYPE OF WORK ElectrICal Work Only
TYPE OF USE AlteratIOn
PROJECT DESCRIPTION 200 Amp service upgrade and CirCUIt for water heater
Residential
Owner' RICHARDSON RICHARD & MARCIA
Address 6817 NORTH A ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor License
ANDREI DZIEDZIC & STEPHEN ERNST SC 154326
BUILDING INFORM~ TlON I
ExpiratIon Date
02111/2009
Phone
(541) 232-1212
# ofUmts
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
Sprmkled Buddmg
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT INFO~A TlON I
REQUIRED PARKING
Frontyard Setback
Side I Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Drive Rqd.
% of Lot Coverage
Total
Handicapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
Sidewalk Type
Storm Sewer Available
Specml In}..!.f~~fffrON Oregon law requires you to
follow rules adopted by the Oregon Utility NOTICE' WORK
Notes Notification Center Those rules are set forth 'Ji.ll EXPIRE IF THE
._ ".0 n~~n'l1onn1nthrnllnh QAR 952-001- THIS PERMIT SH -;1-\\1t' Dt:QMIT IS NOT
0090 You may obtain copies ofthr 'u,~~ ..," I-\U -HORILtu UI~UL.I . .OONEO FOR
calilng the center (Note the tel~~tlOn DescriDtImr'~MENCED OR IS Ji.BAN
number for the Oregon Utility No\rr,l!Cill~1I A!'\X,J ~O OJi.Y PERIOD.
DescrIPtIOn Effilte.\rf::Jn~AAi~W.ffi2344)S Pcr Sq Ft Squa t ge Value
or multlphcr or Bid Amount
DownspoutslDrams
Date Calculated
Paec 1 on
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-00862
ISSUED: 06/13/2008
APPLIED: 06/13/2008
EXPIRES' 12/13/2008
VALUE:
Issued
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lmc
Total Valuc of ProJect
Fees Palll I
Fce DcscrlptlOn
+ 10% Admmlstratlvc Fcc
+ 12% Statc Surcbargc
+ 5% Technology Fee
Add, Alter, Extend C1rc Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Rccclpt Numbcr
$740
$888
$370
$400
$70 00
6/13/08
6/13/08
6/13108
6113108
6113/08
2200800000000000903
2200800000000000903
2200800000000000903
2200800000000000903
2200800000000000903
Total Amount Paid
$93 98
I Plan Reviews I
To Request an mspectIon call the 24 hour recordmg at 726-3769. AllmspectIons requested before 7:00
a m. WIll be made the same working day, mspectIons requested after 7 00 a m Will be made the following
work day
I Reomrell I nsnectlO~s I
Rough ElectriC Prior to Covcr
ElectriC Scrvlce Approval rcqUlred prior to utlhty company cncrglZlng SCrvlCC
Fmal ElectriC When .111 electrical work IS complete
By signature, I statc and agrec, that I have carcfully cxammcd thc complctcd apphcatlon and do hcreby certify that all
mformatlOn hercon IS truc and corrcct, and I further ccrtlfy that any and all work pcrformed shall be donc m accordancc wIth
the Ordmances of the City of Sprlngficld and the Laws of thc St.te of Orcgon pertammg to the work desCribed hcrcm, and
that NO OCCUPANCY Will be made of any structure without permIssIOn of thc Commumty Services DIVISIOn, Bulldmg Safcty
I further certify that only contractors and cmployces who arc m comphance with ORS 701 005 Will be uscd on thIS proJcct
I further .gree to cnsure that all required mspcctlOns arc rcqucstcd at thc proper time, that cach address IS readable from thc
strcet, that the permit card IS located at thc front of thc property, and the approved sct of plans will remam on the site at all
times dUring constructIOn
Owner or Contractors Signature
Datc
Paec 2 of2
CIty of Sprmgfield
ElectrIcal AuthoflzatJon To Begm Work
E-malled To mfo@thmk-electrlc com
ReceIpt # EC532159
6/13/20082 28 15 PM
~
By Phone
Check on status of perm It
(541)726-3753 or Emall permltcenter@cl sprmgfield or us
,
-,. ~" I
I
1 0 New construction
I
JY.PE OF Vl'O~K
[iJ AdditIOn/alteratIOn/replacement
,
,
,
CATEGORY,OF C9NSmUCTION1:~
1 [XJ 1 or 2 family dwelling 0 Multl-falmly 0 Commercial/Industrial
I ' ~OB;SITE'IN,~qRMATIQN'AN15'LOCATioFi5i~~i!l~lIi~~~1
IJabRo IJob.lddress 6817 AST I
I C..)/S.alcrLIP SPRINGFIELD OR 97478,7390 I
I SUltc/bldg lapt no I
I Project name I
Cross street/directIOns to Job site
SubdiVISion
Ilax map/parcel no
I
I Lot no
I
I
'~-b'~:'1
_~j:"lo"~-
1702344106607
~,_OESCRIPTlON-OF WORK
~~w:<<:i;_..;e["S. 1-<.
"~""1?=~?,:..t
200 Amp Service upgrade and CircUit for water heater
SIIE CONTACT~",l ,
I Name Dick Richardson
I Phone (541 )746,3048 I Fax
jEmal!
I 'I"~ " Cq~TRACioR
II he n~ 20,500C I CCB he no 154326
I Bu,..ess Name ANDREI DllEDZIC & STEPHEN ERNST SCIIMIECHEN
I (.ootact Stephen Schmlcchen
IAddress PO BOX 844
I C1ty/StateIZIP EUGeNE OR 97440
IPho"e (541)2321212 IFax (541)3593065
I Froall mfo@thmk-electnc com
I Metro he no I City he no
ISupenlsmg electriCian's hc no 46815
I Supervlsmg electriCian's name JAMES D WIl LlAMSON
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 applicable land use laws and local ordinances
,
\\-':'q'-J:E^"ES~H!2DULE ~\ t'
I DeSCriptIOn Qty
1'~~~t~~I,N~LE:~R,~~ItI:f!,_mIIY ~~~hng
ja!!!t~~ed_g~~~g~~~,,- 1~5' -~~<~ t:~~~,
11,000sq ft or less I I
1 Ea addl 500 sq ft or portion
r~~I~d!ne;g~;~:-;- ;~
I-Limited energy reSidential
(With above sa ft)
I-Limited energy, multJfalml>
reSIdential (wilh above sa ft)
I-Limited energy commercial
(" Ith above sa ft)
I-Stand alone limited energy
reSidential
I - Stand-alone limited cnergy,
multl-famllv
I - Stand-alone limited energy
commercial
L!~b~l~~~~:~cc~en mstalla~tlOn, al!tiat!on.AND/pR relocatIOn 1
1200 amps or less I $70001 $7000 I
1201 amps to 400 amps 1
I 40 I amps to 599 amps I I
I TEl\JPORA.RY servlces~OR feeders ms(allahon,~ alteratIOn, I.
~ND/OR*r~locatu};""Y7~::Z;:~' '1' 1J~:-*o>."'1:':z:..: !,.eK R~
_J00 U_=h",_~ .... 'l - _
I 200 amps or less I
I 20 I amps to 400 amps I
I 401 ampsto 599 amps I
18~!ish1!f,~~~~E,~,~ali!~!~on;"~~l}.IC!!SlOlIl P!J;,l~~ltl~ 1
I A Fee for branch CIrCUits WIth $4 00 $4 00 I
service or feeder fee each
branch CIrCUIt
I 8 Fee for branch CirCUIts I
v. lthout service or feeder fee
first branch CirCUIt.
1 each addl branch Circuit I
1'~!lscellaJ~2~~~: 0<-;-- Ii-"'~~-- _ -':, I, ~ - I
I Service reconnect only 1
I Each manufactured or modular I
dwclllng servIce and/or feedcr
1 Pump or lITIgation CIrcle I
1 Sign or outlme IIghtmg 1
I Signal clrcult(s) or Iimlted- not offered online at thiS JunsdlctlOn I
energy panel alteratIOn or
extenSIOn
I u': ~E[ECTRICALPERMITFE_ES",;c-_~ _,,'", I
I Subtotal I $74 00 I
I Stale Surcharge (12% of perm II fee) $888 I
CltyOfS~nngficldfees"', $11101
l TOTAL PFRMII FEE I $9398 I
... Clly OfSpnngfield 10% Local Admm Fee 5% Local Technology Fee
Fa
Total
"
~
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
225 FIfth Street
.
Sprmgfield, Oregon 97477
54~-726-3759 Phone
~
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-00862
COM2008-00862
COM2008-00862
COM2008-00862
COM2008-00862
Payments
Type of Payment
ONLINE CHGS
cRecelOtl
RECEIPT #.
2200800000000000903
Date: 06/13/2008
Description
Perm ServlFdr 200 amps or Jess
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
ONLINE PERMIT CHGS
Item Total
<"':heck 1\fumber AuthorizatIOn
Received By Batch Number Number How Received
DDK ONLINE ANDREI Onlme
DZIEDZIC
Payment Total
Page I of I
3 03 34PM
Amount Due
7000
400
370
888
740
$93 98
Amount Paid
$93 98
$93 98
6/1 3/2008