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Home My WebLink AboutPermit Electrical 2007-02-09^ (s['\]-\(J\,a-v )D r Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00187ISSUED: 0210912007 APPLIEDz 0210912007 EXPIRES: 08/0912007 VALUE: SITE ADDRESS: 200 S MILL ST Springfield TYPE OF WORK: Electrical Work Only ASSESSOR'SPARCELNO.: 1703353207801 TYPE OF USE: Alteration Commercial PROJECT DESCRJPTION: Remove circuits for remodel and add new circuits for officeflab. Owner: Address: Contractor Type Electrical WILLAMALANE PARK & 2OO S MILL ST SPRINGFIELD OR 97477 Contractor License ANDREI DZIEDZIC & STEPHEN ERNST SC 154326 Expiration Date 0211U2007 Phone (s4t) 232-1212 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Sidewalk Type: Downspouts/Drains REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Tvpe of Construction Page I of2 Value Date Calculated |,U lLIrrN (J rNIUKrvrA r r(,N_.] Valuation Description I trr.v r.t,(rrtYtt|\ I il\r(rK.lvtA I trJ.\ | Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00187ISSUED: 0210912007APPLIED: 0210912007 EXPIRES: 08/0912007 VALUE: Fee Description + l0Yo Administrative Fee + 5%o Technology Fee + 8olo State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Total Value of Project Date Paid 2t9t07 2t9t07 2t9t07 2t9t07 2t9t07 Receipt Number 3200700000000000098 3200700000000000098 3200700000000000098 3200700000000000098 3200700000000000098 $6.40 $3.20 $5.12 $43.00 $21.00 Total Amount Paid $78.72 To Request an inspection call the24 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Fees 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 Communify 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 Pase 2 of 2 Date : t(eourreo lnsDecuons I City of Springfield Upon rcview and approval by your local jurisdiction, your petmit will be e-mailed or faxed withan onc hrsiness dsy, with instructions on howto schedule your inspec,tion. NOTE: This Authorization To Begin Work expires within 180 days if a pcrmit 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 lavus and local ordinances. Electrical Authorization To Begin Wo.- E-mailed To : info@think-electric. com Check on status of permit By Pho ne : (541)7 2G37 53 or Em ail: perm itcenter@ci. springfield.o r. us 'Crty Of Receipt # EC5085m WDWT 9:41:18AM ffifr TYPE OFWORX n New constructisr fl eAaitArV"tter"tion/replacernent [] I or 2 famity dwelling I V"tti-fu.ity lIl Commercial / tndusrial JOB SITE Job no.:Job address: 200 S MILL ST City/StateZIP: SPRINGFIELD, OR W 477-7303 Suite/bldg./ept.no.: Project name: Cross street/directions to job site: Subdivision:Lot no.: Tex map/parcel no.: 1703353207801 Rernove circuits for rernodel, add new cricuits for offrce / lib. SITE CONTACT Name Steve Young Phone:Fax: Email: H. lic. no.: 2G500C CCB lic.no.: 154326 Business Name: ANDREI DZIEDZIC Coutrct: Stephen Schrniechen Address: POBOX844 CitylStateZlP: EUGENE OR 97!U0 Phooe: 5412321212 Far: 5413593065 EmaiL inlb@&ink-clectric.com Metro lic no.: Supervising electrician's lic. no.: rt6ElS Supervising electricim's name: JAMES D WILLIAMSON FEE Description 4ry.Ea Total 1,000 sq. ft. or lem Ea. addl 500 rq. fl orpodion - Limited energy, resid€ntial (with abwe sq. ft) - Limited energy, multifamily residenlial (with above sq. fl) Servics OR feeders installation, alteration, ANDIOR relocetion 200 amps or les 201 amps to 400 ampr 401 amps io 599 ampa 200 amps or lere 201 amps to rlt)0 amps 401 amps to 599 ampa rlterrtion, A Fre for branch circuits with above service or feeder fee, each kmch circuiL B. Fee for kanch cirsuitg withor{ service or feeder fee, first branch ctcui[, 1 s43.00 s43.00 each addl b,ranch circuit 7 s3.00 s21.00 Service reconnect only Each manufactlred or modular dwelling, service and/or feeder hrmp or irrigatiou circle Sign m outline lighting offered online at thirjurisdiction Minimrun Fee M5.00 State Surcharge (8o/o ofpermit fEe)$5. 12 City Of S s9.60 ThisAuthorization To Begin Work must be posted at the job site until replaced by a Permit. DESCRIPTION OF T'VORK lcity ti" ro., lirgnal clrcu(s) or lrmrted- energy panel, alteation, or extmrim TOTAL 225-Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ci{w of Springfield Official Receipt r elopment Services Department Public Works Department RECEIPT #: 3200700000000000098 Date: 0210912007 l1:52:13AM Job/Journal Number coM2007-00187 coM2007-00187 coM2007-00r87 coM2007-00187 coM2007-00187 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10Yo Administrative Fee Amount Due 43.00 21.00 3.20 s.12 6.40 s78.72Item Total: Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid ONLINE CHGS ONLINE PERMIT CHGS ddk ONLINE Andrei Online Dziedzic Payment Total 978.72 s78.72 cReceint I Page I of I 2t9t2007 ffirrtl