HomeMy WebLinkAboutPermit Electrical 2007-06-15F
Building/Combination Permit
PERMIT NO: COM2007-00879ISSUED: 0611512007APPLIED: 06/1512007EXPIRES: 1211512007
VALUE:
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -726-37 69 Inspection Line
tu
N
to
,\
$>
SITE ADDRESS: 246019TH ST
ASSESSOR'SPARCELNO.: 1703243400900
PROJECT DESCRIPTION: Electrical for Furnace, heat
Springfield TYPE OF WORK: Electrical Work Only
Alteration Residential
HOOVEN BARBARA M
2460 N 19TH
SPRINGFIELD OR 97477
heat pump.
ENCED OR IS AB ANDONED FOH80 DAY PERIODANY 1
Owner:
Address:
Contractor Type
Electrical
Contractor
SPRINTER ELECTRIC INC.
License
174458
Expiration Date
02/20t2009
Phone
541-521-9058
CONTRACTOR INFORMATI(
# 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:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Ceverage:
il;';";1x;'Yi",
REQUIRED PARKING
Total:
Handicapped:
Compact:
ca
nu
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Valuation Description
Description Type of Construction
Page I of 2
Value Date Calculated
UIH
t' u lLl-rtt\ (, ll\ r t r(lYll\ r rt .t\ |
nC
e
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 -00879ISSUED: 0611512007APPLIED: 06/1512007
EXPIRESz 1211512007
VALUE:
Fee Description
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Amount Paid
$4.90
$2.45
$3.92
$43.00
$6.00
$60.27
Total Value of Project
Date Paid
6n5/07
6n5t07
6fi5t07
6ns/07
6n5t07
Receipt Number
2200700000000000964
2200700000000000964
2200700000000000964
2200700000000000964
2200700000000000964
Fees Pa
Plan Reviews
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.
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
Pase 2 of 2
Date
Required lnspecttons I
KT
City of Springfield
Supervising electrician's name: JOE KARL GOSCHIE
olectrical Authorization To Begin Work
E-mailed To: SprinterSc@yahoo.com
Check on status of permit
By Phone : (541)7 26-37 53 or Email : perm itcenter@ci.springfi eld.or. us
ljYo Local
Receipt # 8C512640
61141200710:50:33 PM
Fee;
Upon review and approval by your local Jurisdiction, your
permit will be e-mailed or faxed within one businesE 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 buitding 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.
I t or z family dwelling J-l ]',tutti-family l-l Commercial / Industrial
lil Addition/alteratior/replacementNew construction
JOI
-T
Job no.:
I
Jobaddress: 2460 I9THST
City/State/ZIP: SPRINGFIELD, OR 97477-1603
Suile/bldg./apt.no.
Project name:
Cross street/directions to job site:
Subdivision Lot no.:
Tax map/parcel no.: 1703243400900
Add new furnace, heat pump,at pump.
ACTSITE CO
Nrme: Jeremy Cooper
Fax: (541) 895-2207Phone: (541 ) 743-1213
Email: Sprinter5c@yahoo.com
CONTT
El. Iic. no.: C256 CCB lic. no,: 174458
Business Name: SPRINTER ELECTRIC INC
Contact: Jeremy Cooper
Address: 82924 FLORENCE AVE
CitylState/ZlP: CRESWELL OR 97426
Phone: (541)8955256 Fa* (541)8952207
Email: Sprinter5c@yahoo.com
City lic. no.: CreswellMetro lic. no.: 541 895-2207
Supervising electrician's lic. no,: 46645
Description Qty.Ea.'[otal
1,000 sq. ft. or less
Ea. addl 500 sq. ft. or portion
- Limited energy, residential
(with above so. ft.)
- Limited energy, multifamily
residential (with above sq. ft.)
{D/OR relo :ation
200 amps or less
201 amps to 400 amps
401 amps to 599 amps
200 amps or less
201 amps to 400 amps
401 amps to 599 amps
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit.
$43 00 $43.00B. Fee for branch circuits
without service or feeder fee,
first branch circuit,
2 $3.00 $6.00each addl branch circuit
Service reconnect only
Each manufactured or modular
dwelline. service and/or feeder
Pump or irrigation circle
Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
extension.
not oflered online at this jurisdiction
ELECTRICT
$49.00Subtotal
$3.92State Surcharge (8% ofpermit fee)
s7.35City Of Springfield fees I
27TOTAL
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
WPE OF WORK
CATEGORY OF CONSTRUCTION
DESCRIPTION OF WORK
FEE SCHEDULE
Residential SINGLf,- OR multi-family dwelling unit. Includes
attached garage
TEMPORARY sen'ices OR feeders installation, slterltion,
AND/OR relocation
Branch cirtuits - NEW alteration, OR extension, per panel
I
Miscellaneous
225 Fiftn Street
Springfield, Oregon 97 477
541-726-3759 Phone
Crtv of Springfield Official Receipt
^ elopment Services Department
Public Works Department
RECEIPT #: 2200700000000000964 Date: 0611512007 l0:00:01AM
Job/Journal Number
coM2007-00879
coM2007-00879
coM2007-00879
coM2007-00879
coM2007-00879
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ l0%o Administrative Fee
Amount Due
43.00
6.00
2.45
3.92
4.90
Item Total:$60.27
Payments:
Type of Payment Paid By
CheckNumber Authorizatton
Received By Batch Number Number How Received Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS ddk ONLINE Comfort Online
Flow
Payment Total:
$60.27
$60.27
cReceint I Page I of I 6t1st2007