HomeMy WebLinkAboutPermit Electrical 2007-06-05Status 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: COM2007-00810ISSUED: 0610512007APPLIED: 06/0512007EXPIRES: t2/0512007
VALUE:
SITE ADDRESS: 540 2lST ST
ASSESSOR'S PARCEL NO.: 1703361307600
PROJECT DESCRIPTION: New Service
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New Residential
Owner:
Address:
TROCHEZJULIO F
17 LAWRENCE ST UNIT I
EUGENE OR 97401
Contractor Type
Electrical
Contractor
EASTSIDE ELECTRIC INC
License
117770
Expiration Date
10t01t2007
Phone
541-915-9828
)RMATION
# 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 lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
ENCED OR I
R,ZED UND E
S
BO DAY PER,
REOUIRED PARKING
[!fr1nr I rHF woRK
ffiffi.grlrsr'rol
ERII4'T SHA
AUTHO L
c0[4lvt
ANY 1 0
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
rcation Sidewalk Type:
Downspouts/Drains:
$ Per Sq Ft
or multiplier
Square Footage
or Bid AmountDescriDtion Type of Construction
Pase I of2
Value Date Calculated
h I
4,T.^b'ilt
l, u ILUIN u lN I uruvr,q, r lll_1\ll
nla
ATTEI'!TION: Ot
.ll:y I:':::1:
on
II
(
callir,S the center
nirmbcr for the.Ut
Centet ts t
egon Utilr
800-332
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: COM2007-00810ISSUED: 0610512007
APPLIED: 06/0512007EXPIRES: 1210512007
VALUE:
Fee Description
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Perm Serv/Fdr 200 amPs or less
Total Amount Paid
Amount Paid
$6.30
$3.1s
$5.04
$63.00
s77.49
Total Value of Project
Date Paid
6t5t07
6t5t07
6t5107
6t5t07
Receipt Number
3200700000000000363
3200700000000000363
3200700000000000363
3200700000000000363
aid
Plan
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.
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 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
Pase2 of 2
Date
[3
t(eourreo lnsDecuons I
ffin
City of Springfield
Supervising electrician's name: ROGER D KING
Upon review and approval by your local lurisdiction, your
permit will be e-mailed or faxed within ono business day,
with instructions on how to schedule your inspoction.
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.
hectrical Authorization To Begin Work
E-mailed To: RKKEASTSIDE@YAHOO.COM
Check on status of permit
By Phone : (541)7 26-37 53 or Email : permitcenter@ci.springfi eld.or.us
Receipt # ECSlzll2
61412007 3:31:13 PM
Admin Fee; 5YoLocal ogy Fee
lx I Rddition/alteration/replacementNew construction
I t or Z lamily dwelling ! Uulti-family fl Commercial / Industrial
Job no,:Jobaddress: 540 2ISTST
City lst^te/ZlPt SPRINGFIELD, OR 97 477 -4401
Suite/bldg./apt.no.:
Project name:
Cross streevdirections to job site:
Lot no.Subdivision:
Tax map/parcel no.: 1703361307600
Name: Bob Wilson
Fax: (541) 968-8054Phone: (541) 968-8054
Email: rkkeastside@yahoo.com
CCB lic. no.: 117770El. lic. no.: 20-405C
Business Name: EASTSIDE ELECTRIC INC
Contact: Roger King
Addrrss: 38253 BOSCAGE LN
City/State/ZIP: SPRINGFIELD OR 97478
Fax: (541)7364960Phone: (541)7411499
Email: zu(KEASTSTDE@YAHOO.COM
Metro lic. no.:City lic. no.:
Supervising electrician's lic, no.: 4727S
co*'f cro-7 - cof ( o
32151;] - 3G
PROCESSED BYI Wqrl, W
DATEPROCBSSED:Q -,a- Qtrurz
RCPT
Description Qty.Ea,Total
1,000 sq. ft. or less
Ea. addl 500 sq. ft. or portion
- Limited energy, residential
(with above sq. ft.)
- Limited energy, multifamily
residential (with above sq. ft.)
200 amps or less I $63 00 $63 00
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 servrce or feeder fee,
each branch circuit.
B. Fee for branch circuits
without service or feeder fee,
first branch circuitt
each addl branch circuit
Service reconnect only
Each manufactured or modular
dwelling, service and./or leeder
Pump or inigation circle
Sign or outline hghting
not effered online at this jurisdiction
energy panel, alteration, or
or
$63.00Subtotal
$5 04State Surcharge (8% ofpermit fee)
$9 45City Of Springfield fees +
TOTAL PERMIT FEE $77.49
i
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
TYPE OFWORK
CATEGORY OF CONSTRUCTION
JOB SITE INFORMATION AND LOCATION
DESCRIPT]ON OF WORK
replace old electrical service only
SITE CONTACT
CONTRACTOR
FEE SCHEDULE
Resideutial SINGLU,- OR multi-family dwelling unit. Includes
attached garage
Scrvices OR feeders installalion, alteration, AND/OR relocation
Bmnch circuits - NEW, alteration, OR extension' per panel
Miscellaneous
extension.
ELECTRICAL PERIIIIT FEES
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cir-, of Springfield Official Receipt
L ;lopment Services Department
Public Works Department
RECEIPT #: 3200700000000000363 Date: 0610512007 7z32z4tA]|d
Job/Journal Number
coM2007-00810
coM2007-00810
coM2007-00810
coM2007-008 r 0
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ l0o/o Administrative Fee
Amount Due
63.00
3.15
5.04
6.30
Item Total:s77.49
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS njm ONLINE Eastside Online
Electric
Payment Total:
s77.49
s77.49
cReceintl Page I of I 6t512007
ar[ail*oil3,.D