HomeMy WebLinkAboutPermit Electrical 2007-04-20Status 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: COM2007-00580ISSUED: 0412012007
APPLIEDz 0412012007EXPIRES: 1012012007
VALUE:
SITE ADDRESS: 177 l9TH ST
ASSESSOR'S PARCEL NO.: 1703364201100
PROJECT DESCRIPTION: 200 Amp service change.
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration Residential
Springfield
Owner:
Address:
Contractor Type
Electrical
ANDERSON DAVID W & KAREN A
177 N 19TH ST
SPRINGFIELD OR 97477
Contractor
C PERKINS ELECTRIC INC
License
159537
Expiration Date
04n5t2008
Phone
541-895-4466
]TOR INFORMATION
# 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:nla
,\Tl-ENTION:Oregon law requrres you tL
Frontyard setbatn*low rules adopted by the OrqgondJtlt$:
Side I Setba.p,rlotification Cenler. Those rulos*hfitrqlf{oms Rqd:
Side 2 Setbacktn OAR 952-001-0010 through OAf?SDrgg.Rqd:
Rearyard Setb0090" You may obtain copies ofthefrLg6$?verage:
Solar Setbacks: calling the center. (Note: the tslephone
Street Improvements: Nprf f S:
Storm SewerAvailabte: Tr,iiS pERillT SHALL EiiF;hE lF IHE W0tiKSpeciallnstruction: A,lritirgrzFlt ui!DER THis pERtiltits NorNotes: C0i.r ,:rrCrL 0H lS ABANI0IIED FOR
ri[,, ' 180 DAY F. RIOD.
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
Valuation Description
Description Tvpe of Construction
Page I of2
Value Date Calculated
LI
I, U ILI-'I1\ U T1\ T Ur(lYTryJ
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
CITY OF G
Building/Combination Permit
PERMIT NO: COM2007-00580ISSUED: 0412012007APPLIED: 04/20/2007EXPIRES: 1012012007
VALUE:
Fee Description
+ lUYo Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Amount Paid
$6.30
$3.15
$5.04
$63.00
s77.49
Total Value of Project
Date Paid
4t20t07
4t20t07
4/20t07
4t20t07
Receipt Number
2200700000000000562
2200700000000000562
2200700000000000562
2200700000000000562
rees Paid
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.
Electric Service: Approval required prior to utility company energizing service.
Reou
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 witl 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
City of Springfield
Upon review and approval by your local iurisdiction,
permit will be e-mailed or faxed within one business
r"rectrical Authorization To Begin Work
E-mailed To: stacic.perkins@hotmail.com
Check on status of permit
By Phone: (541)7 26-37 53 or Email : permitcenter@ci.sprin gfi eld.or.us
* City
Receipt # EC510490
412012007 7:44:03 AM
5o/o Local
your
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 depaftment may determine that an
Authorization To Begin Work is nult and void if it does not
meet applicable land use laws and local ordinances.
p t or z famrly dwelling l-l N,lulti-family l-l Commercial / Industrial
New construction
I X I Addition/alteratiorVreplacement
Job no.:Jobaddress: 177 I9THST
city/stare/zlP: SPRINGFIELD, OR 97477 -5002
Suite/bldg./apt.no.:FRANKLIN BLVD. TUM RIGHTONTO SAST/
I-um LBI',I-onto S 19IH S l^()R-126 BRrroJect name:
Cross street/directions to job site:
Subdivision Lot no.:
Name: david and karen anderson
20Oamp
Tax map/parcel no.: 1 70336420 1 1 00
Fax: 747-6861Phone: (541) 747-6861
Email:
CCB lic.no.: 159537El. lic. no.: 20-521C
Business Name: C PERKINS ELECTRIC INC
Contact: staci
Address: PO BOX ll93
City/State/ZlPi CRESWELL OR 97426
Fax:5418954366Phone: 541 8954466
Email: stacic.perkins@hotmail.com
City lic no.:Metro lic no.:
Supervising electrician's lic. no.: 29705
Supervising electrician's name: CLYDE I PERKINS
1,000 sq. ft. or less
Description
ffi
R€sidenrlsl SE{$-LE-. 0Il multi-
attarhed garrge
Qty.Ea.Total
Ea. addl 500 sq. ft. or portion
- Limited energy, residential
(with above sq. ft.)
alteratiiinril
I $63.00
stioil tlrltiliilr.i
- Limited energy, multifamily
200 amps or less
201 amps to 400 amps
401 amps to 599 amps
200 amps or less
:n.installaii,
,, . i
201 amps to 400 amps
t,
401 amps to 599 amps
ffi
'Branc[: iirtui{d;r; j-tlEW, atttratio
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit.
B. Fee for branch circurts
without service or feeder fee,
first branch circuit,
each addl branch circuit
Service reconnect only
Each manufactured or modular
dwelling. service and/or feeder
Pump or rrrigation circle
Sign or outline lighting
energy panel, alteration, or
extension.
not offered online at this jurisdiction
.00Subtotal
Signal or
$s.04State
$9.45fees *
s77.49PERMITFEf,
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
FEE SCHEOULE..
per
City Ol
'I'()'tAL
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Citu of Springfield Official Receipt
I .:lopment Services Department
Public Works Department
RECEIPT #: 2200700000000000562 Date: 0412012007 e:16:2eAM
Job/Journal Number
coM2007-00580
coM2007-00580
coM2007-00s80
coM2007-00580
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ lDYo Administrative Fee
Amount Due
63.00
3.15
5.04
6.30
Item Total:$77.49
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 C Perkins
Electric
Online
Payment Total:
s77.49
s77.49
cReceint I Page I of I 412012007
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