HomeMy WebLinkAboutPermit Miscellaneous 2008-10-8
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CITY OF I'lrKll~GFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01307
ISSUED: 10/08/2008
APPLIED: 09/02/2008
EXPIRES: 04/08/2009
VALUE:
.
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 140 S 15TH ST
ASSESSOR'S PARCEL NO,: 1703363205700
Springfield TYPEOF WORK: Single Family Residence
TYPE OF USE: Repair
PROJECT DESCRIPTION: Complaint of Plumbing aud Electrical work done without permits
Residential
Owuer: ATKINSON PATRICIA L C
Address: 33328 HOWE LN
CRESWELL OR 97426
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
ARC ELECTRIC
License
115113
BUILDING INFORMATION'
Expiration Date
07/29/2010
Phone
541-741..0494
# 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION'
r,\
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
. Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:'
% of Lot Coverage:
REQUIRED PARKING
Tota':
Handicapped:
Compact:
Notes:
I PUBLIC IMPROV~l\'\E)Ill$",n \a~ requireS, Y~\;'~y
, fui\~;;;';I:II~S~doPted bd's~~t'\~~\f~pe;~rth
'j' tion Center. Th , n~R q?,Z-001'
Notllca -2001-0010 thrrDo}Vus\lOu!SfMr!!!'O)i
in Q.o.R 9::> . , in copies ot the ru "
'0090. You may obta Note: the telephone
, calling the center. ( n Utility Notification
j the Orego
number or ., -800, _33:2-:2344).
t""ontAf '5' .
. Street Improvements:
Storm Sewer A vailahle:
Special Instruction:
...--~ -
t't'U I Jlrt: .
;,~IStERMIT SHALL EXPIRE I Valuatio~ pescriotion ,I
;: r~,ORtZED UNDE,1 THIS k
D . t' l!!'tI'VT-"~r;mf?'rt stY 'M' PERtvIl<rrl~rflH Square Footage
escnp IOU . "," yp.e~os mVlv II< un'DO~IIH''''nltl' I' B'd A
,~,I'i.,; .".~) ~ Ii 111\1 'V1,;uOT'1.:f1f Iff or I mount
. . r i Ol; DAY PERIOD.
Value
Date Calculated
Pa2e 1 on
Status
Issued
225 Fifth Street, Springfield, OR
541..726-3753 Phone
541..726'3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fe.~s P~id I
Fee Description
+'10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$9.80
$11.76
$4,90
$25,00
$73,00
10/8/08
10/8/08
10/8/08
10/8/08
10/8/08
Total Amount Paid
$124.46
I Plan Reviews ,I
CITY OF SPRINGFIELD'
lJuilding/Combination Permit
PERMIT NO: COM2008-0I307
ISSUED: 10/08/2008
APPLIED: 09/02/2008
EXPIRES: 04/08/2009
VALUE:
Receipt Number
1200800000000001047
1200800000000001047
1200800000000001047
1100800000000001047
1200800000000001047
To Request an inspection call the 24 hour recording at726-3769. 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,
I Reql~i,re~ Insnectio~,s..1
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
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 thc 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 (,ermission of the Community Services Division, Bnilding 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 rCl)uested 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
Paee 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-7i6-3759 Phone
Job/Journal.Number
COM2008-01307
COM2008-0 1307
COM2008-0 1307
COM2008-0 1307
COM2008-0 1307
Payments:
Type of Payment
ONLINE CHGS
.
cReceintl
RECEIPT #:
Description
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield qfficial Receipt
Development Services Department
Public Works Department
1200800000000001047
Date: 10/08/2008
, '
item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE
ARC Online
Payment Total:
Page 1 of I
9:06:12AM
Amount Due
73,00
25.00
4.90
11.76
9,80,
$124.46
Amount Paid
$124.46
$124.46
10/8/2008
City of Springfield
Electrical Authorization To Begin Work
E-mailed To: arcelecor@aol.colfI
Receipt # EC539534
10/8120088:56:22 AM
Check on status of permit
By Phone: (541)726-3753 ,or Eniail: permitcenter@ci.springfield.or,us
o New construction
[K] 1 or 2 family dwelling
o Multi-family
D Commercial/Industrial
I Description l Qty. Ea..1 Total_
~~~~1iU~~tNGDE~~.~~~~ti:r~@i!~~_We-lu~run!t'Iiff~~~~_' _:~~II.-_ -~_~
;attached:~r~ti0~~~~~~~~):~] _,',
_~"",-"~"",__,~l?~~~~~l::'lZ~t;,., ,
11,OOOsq..n. or less I
I Ea. addl 500 sq. ft. or portion I
.IJobno,: IJobaddress: 140 S 15THST
I City/State/ZIP: SPRl~GFIELD, OR 97477-5227
I SuitelbldgJapt.ito.:,
I Project name:
I Subdivision:
I Tax map/parcel no.: ] 703363205700
I Lot no.:
I-Limited energy, residential
(with above SQ. ft.)
I-Limited energy, multifamily
residential (with above Sq. ft.)
I -. Limited energy, commercia-I
(with above Sq. ft.) .
I - Stand-alone limited energy,
residential
1 - Stand-~]one limited energy,
multi-family
I - Stand~a]one limited energy,
commercial
tr,:-So"ervjcesrbiffeedemns-tallaYioDTnIterati~A'i';i>/OR:rejocn1ion'~~~
~""''''''_41''''_~''_;~',_,,,,,,,_,,_,,,,,,,,,,,,,_ ,,~, _<"...,~--,=!,0'.!""-",,~,'_""'-'j;,,_,,,'hY~""Ew..\j~1
1200 amps or less II $73.001 $73.00 I
I 20] amps to 400 amps I I
1401 amps to 599 amps I I
Cross streeUdirections to job site:
Main Street to S 15th Street
Replace service, clean up misc. wiring
I Name: J~e Balaty
I Phone: 895-5073
IEmail:
200 amps or less
20 I amps to 400 amps
40 I amps to 599 amps
I Fax: 895-5073
I EI. lie. no.: 20-403C I CCB lie. no.: 115] 13
I BusinessName: ARC ELECTRIC INC
I Contact: Virgil
IAddress: PO BOX 1723
iCity/StaterzIP: SPRINGFIELD OR 97477
IPhone: (541)7410494 IFax: (541)7411685
I Email: arcelecor@aoJ.com
I Metro lie. no.: I City lic. no.:
I Supervising electrician's lie. no.: 43685
I Supervising electrician's name: STEPHEN M SEBASTIAN
I A. Fee fO,r branch circuits with
service or feeder fee, each
branch Clrcuit.
IS. Fee for branch circuits
without service or feeder fee,
first branch circuit:
each addl branch circuit
5
$5,00
$25,001
I
I
I Service reconriectonly
I Each manufactured or modular
dwelling. service and/or feeder
I Pump or i,ITigation circle
I Sign or outline lighting
Signal circuit(s) or limited-
energy pane], alteration, or
exte'nsion:',
Upon review and approval by yo'ur local jurisdiction; your
permit will be e.mailed or fa,xed 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.
j
I
I
I
.. City Of Springfield fees:
Subtotal $98.00 I
State Surcharge (]2% of permit fee) $] 1.76 I
City Of Springfield fees" $14.70 I
TOTAL PERMIT FEE $124.46 I
10% Administration Fee; 5% Technology Fee
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.
tom 2.0D l? - r{) {3 07
to --':o~,- us----
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.