HomeMy WebLinkAboutPermit Electrical 2009-2-17
Status
Issued
CITY UJ:< ~PRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00223'
ISSUED: ' 02/17/2009
APPLIED: 02/17/2009
EXPIRES: 08/1712009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
5~1-726-3676 Fax
541-726-3769 Inspection Line.
SITE ADDRESS: 105 Q ST
ASSESSOR'S PARCEL NO.: 1703263200101
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT,DESCRIPTION: Replace damaged panel
Owner: RUCKMAN TOM J & KATHLEEN R
Address: 1595 REGENCY DR '
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
C & SELECTRIC
License
3849
BUILDING INFORMATION I
Expiration Date
'09/01/2010
Phone
541-741-2236
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
ATr/!7l11i Occupant Load:
,~" 'O~,. "'\
I DEVELOPMENT INFORMA'fI{J:N"i~/es a.d;~t~~~'a.w reqUlre~
'r u';M 9 n Center. T; 'Rlti\!mwEu,l\Q.!RtmNG
, 0090 52-001_00' hOse rUles 9 n- Uti/it'.
Overlay Dist: cal/in You may obf 1 ~ thr~l\lb are Set lor~
# Street Trees Rqd: nUmb 9 the center. am cO/H@yw:1 ~-001.
Paved Drive Rqd: er fOr the Or' (Notlf:q1!lPf,~!" rUfes by
% of Lot Coverage: Center is 1 ~goon Utility N e't ~Phone
0-332-2344).lllcation
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NO"'] . I rUDLlC IMPROVEMENTS'
I.Cr. '
THIS P 1;.
AUTH ERMIT SH
COMMORIZED UNtLL EXPIRE I '
IlNY 18~NCED OR I%R THIS PEf,JHE WORK
DAYPERIOD~BANDONEDIJ;~ NOT
Sidewalk Type:
Downspouts/Drains:
.,~~.
Notes:
1 Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I ofl
\
Status
Iss u ed
CITY OF SPRINliJ<lELD
. Building/Combination Permit
PERMIT NO: COM2009-00223
ISSUED: 02/17/2009
APPLIED: 02/1712009
EXPIRES: 08/1712009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid 1
~Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Amount Paid
$10-44
$4.35
$6.00
$81.00
Date Paid
2117/09
2117/09
2117/09
2117/09
Receipt Number
1200900000000000114
1200900000000000114
1200900000000000114
1200900000000000114
Total Amount Paid
$IOL79
I Plan Reviews 1
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.
I, ,R~9uired Insnections ,
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 Signatnre
Date
Paee 2 01'2
Electrical Authorization To Begin Work
E-maile~ To: awood@cselectric.org
Receipt # EC5461161
2/17/20099:26:02 AM
Check on status of permit
By,Phone: (541)726-3753 orEmail: permitcenter@ci.springfield.or.us
I 0 New construction
[K] AdditionJalteratioTtJrepJucement
I [~] 1 or 2 family dwelling
D Multi-family
D Commercial/Industrial
IJobno.: 7303 IJobaddress: 105 WQST
I City/State/LIP: SPRINGFIELD, OR 91477~2188
I Suite/bldg./apt.no.:
I Project name: Ruckman
Cross street/directions to job site:
I Subdivision:
ITax map/parcel no.: 1703263200101
ILot no.:
damaged panel
I Name: Tom Ruckman
IPhone: (541) 747-6240
I Email:
I Fa"
IEI.lic. no.: 20-14C , ICEHlic. n~.: 3849
I Business Name-: C & SELECTRIC INe ~,'~ .."'..........
I Contact: Dave Gehrke NOt,,,..
JAddress: PO BOX 1482 THI.'< ~':..t;;;
I Cily/StatelZlP: SPRINGFlELD,Q!y?lj!l;I1MIT .'<,'#,' , ' I
IPhon" (541)7412236 CO~~,~f";'/~ffl..IMM.r+26XPIRf-tj! , I
IEma;l: awood@cse1ectrieDCgAIVY; n~" f( TH"~_Pf? 'HE IA'G-Rt(
I Metco lie. ao.: vv UA~1!tRi'jj-l8AfI1De, ':W/IT I.CI-NfJi-
I Supervising electrician's lie. no.: 4894S llU. I\CU FOf.l .
!Supervising electrician's name: DAVID E GEHRKE I
Upon review and approval by your local jurisdiction, your
permit will be a-mailed or faxed 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.
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.
11;000 sq. fl. or less [4]
I Ea. addl 500 sq. ft. or portion
I-Limited energy, residential
(with above sa. f1..)
I-Limited energy, multifamily I
residential (with above SQ. ft.)
I-Limited energy, commercial not offered online at this jurisdiction I'
(with'above Sq. [1..) ,
I - Stand-alone limited energy, I
residentIal
I -Stand-alone limited energy, I
multi-family
~- Standca]one limited energy,
commercial ,
~~[~q~lf~~i~jJ~)~t~!&~~~~Qig,1J.~at2:~H~1t{!lA~
1200 amps or less [2] $81.00 $81.00
120] amps to 400 amps (2]
140] amps to 599 amps [2]
1#~tE'^-' ""'\:RYj's.crviC'cYOR:fl'eae'rs-'ilisiaiiaiion;VaJte'r.if{o'ri;~~'t ~':f~ 'l
t'~" '," ", iM~r'f':~f,~~''';'!.o.&,;~~![:~~~~,''~,,;~~~~~,, ~
.~^ _ 'J._,~,~'"",~'t'r"m""'g'!iI_".'l~",,,,_~,,",~i2itj..."')(~.~_.,,}-"~,._ ...i!,
~W~orUlelil]adn";-t~ V~" 'aW requ;rs!': 1"'" , I
"v~b'.\lli f'~' Y illS Ur "'" J I
if9rt~~9--~'Pl1I!llr,Ts- , 90nlJtiJjr
I~;~;::i~t~j~~&j~~~~~r~+~i;ij
IflUfrnJ"tr,!'I"1>Ch~Ii'/.llli"'i'VNf,: Ih '1''''' rUltlBJ~y $6,001
scrvICe DC [eIid{,lt!ee€l\tegO " e Ie ephon
bmneh ci.GontBJ:-i&--< _ _ n t'''tv /lie ~" .. e
1 B: Fee for br,anch circ,ui~ "VVv-" 32~2344'" .''CI.4,UVll 1
without servIce or feeder fee, J .
first branch circuit r21
I each addl branch circuit "_ _1_ I
I Service reconnect only [2]
I Each manufactured or modular
dwelling, service and/or feeder
121
1 Pump or irrigation circle [2]
1 Sign or outline lighting [2]
I Signal circuit(s)"or limited-
panel, alteration, or
I Subtotal
I StateSurcharge'(l2% ofpemiit fee)
I City OfSpringficld fees"
I TOTAL PERMIT FEE
.. City OrSpringfie]d fees: 5% Technology Fee
CC\n~mtfL3'ion'OIl~
$87,00
$10.44
$4,35
$101.79
2\ \\ \Oq
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
5411726-3759 Phone
City of Springfield Official Receipt
Development Services Departm~nt
Public Works Department
RECEIPT #:
1200900000000000114
Date: 02117/2009
9:54:17AM
Job/Journal Number
COM2009-00223
COM2009~00223
COM2009-00223
COM2009-00223
Paid By
ONLINE PERMIT CHGS,
Item Total:
Check -Number Authorization
Rec~ived By Batch Number Number How Received
Amount Due
81.00
6,00
4,35
10.44
$101.79
Description
Perm ServlFdr 200 amps or'less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
KR
ONLINE
C & S Online
Electric
Payment Total:
$101.79
$101.79
cReceintJ
Page I of I
2117/2009