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HomeMy WebLinkAboutPermit Electrical 2007-5-3 ./ .. ttctrical Authorization To Begin Work e. E-mailedTo:joe@builderselectric.com Receipt # j:C510932 5/3f2007 8:55:46 AM , City of Springfield B ~. o I or 2 family dwelling D Multi-family IKl Commercial/Industrial ~o~ ~v--~tt'~ I I Description l Qty. J Ea. I Total I I. R~idential SINGLE- OR mulll-famUy dwelling unit. Includes I attached garage 11.000 sq. ft. or less , I I Ea. addl 500 sq. ft. or portion 11\' I . Limited energy, residential ..-Ji , [ (with above so, fU ~ I-Limited energy, multifamily ] lj~ residential (with above SQ. n.) /1/ j Stn:lces OR feeders installation. alteration. AND/OR rtlocation I 1200 amps or less 120 I amps to 400 amps 140 I amps to 599 amps I TEMPORARY services OR feeders Installali~n. alteration, AND/OR relocation I 200 amps or less I 201 amps to 400 amps 1401 amps to 599 amps I Brunch circuits - NEW, alteration. OR extension, per panel I A. fee for bmnch circuits with above service or feeder fee. each branch circuit. I B. Fee for branch circuits without service or feeder fee, first branch circuit: I each addl branch circuit I Miscellaneous I Service reconnect only I Each manufactured or modular dwelling. service and/or feeder I Pump or irrigation circle I Sign or outline lighting I Signal circuit(s) or Iimited- energy panel, alteration, or extension. FEE SCHEDULE Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springtield.or.us TYPE OF WORK I o New construction [KJ Addition/alteration/replacement CATEGORY OF CONSTRUCTION JOB SITE INFORMATION AND LOCATION IJobno.: 07-6327-5 IJobaddress: 4252 MAINST ICily/Sla.efLIP: SPRINGFIELD, OR 97478.5953 I Suilelbldg./apt.no.: I Projecl Dame: Arby's Cross slreet/directions to job site: ]Subdivision: ITax map/parcel no,: ILolao.: 1702323201802 DESCRIPTION OF WORK Install three circuits for cooking equipment. $43.00 $43.00 SITE CONTACT I Name: Joe Rudie I Phone: I Email: I 2 $3.00 $6.00 lEI. Ue. no.: 20-12C I Business Name: BUILDERS ELECTRIC INC I Conlacl: Joe Rudie IAddress: 195 MADISON ST Cily/S.al<lZIP: EUGENE OR 97402 I Phone: 5414850922 I Email: joe@builderselecuic.com I Metro lie no.: ISupen:ising electrician's lie. no.: 50565 I Supervising electrician's name: JOSEPH H RUDIE I CCB lie. no.: 4296 I I I I not olTered onlineat this jurisdiction I I Subtotal $49.00 I State Surchar~e {8% ofpcnnit fee} $3.92 I Ci!y Of Springfield fees. $7.35 I I TOTAL PERMIT FEE $60.27 I . City Of Springfield 10% Local Admin Fee; 5% lOCal Technology Fee ELECTRICAL PERMIT FEES I Fax: CONTRACTOR [Fa,: 5414854055 Icuy lic no.: Upon rovlew and approval by your local jurisdiction, your permit will be e-malled 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 pennlt Is not obtained. The local building department may detennlne that an Authorization To Begin Work Is null and void If It does not meet appllcablo land use laws and local ordinances. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. ;.; . . l.ll 1:' OF ~rKll'\jld<IJ!.,LU Status Issued Building/Combination Permit PERMIT NO: COM2007-00639 ISSUED: 05/03/2007 APPLIED: 05/03/2007 EXPIRES: 11/03/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Liue SITE ADDRESS: 4252 MAIN ST ASSESSOR'S PARCEL NO.: 1702323201802 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Install three circuits for cooking equipment Owner: AOY AMA HOLDINGS 1NC ' Address: 527 W CENTENNIAL BLVD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION. Contractor Type Electrical Contractor BUILDERS ELECTRIC 1NC License 4296 Expiration Date 12/10/2007 Phone 541-485-0922 BUILDING INFORMATION I # of Units: Primary Occupaucy 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 2ud Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Otber: Occupant Load: u/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Dowuspouts/Drains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 on ... ~ . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00639 ISSUED: 05/03/2007 APPLIED: 05/03/2007 EXPIRES: 11/03/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project ~ $4.90 $2.45 $3.92 $43.00 $6.00 5/3/07 5/3/07 5/3/07 5/3/07 5/3/07 Receipt Number 2200700000000000643 2200700000000000643 2200700000000000643 2200700000000000643 2200700000000000643 Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Total Amount Paid $60.27 I Plan Reviews I 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. ' Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. . By siguature, I state and agree, tbat I have carefully examined the completed application and do hereby certify tbat all information hereon is true and correct, and 1 furtber certify that any and all work performed sball be done in accordance with the Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to tbe work described herein, and that NO OCCUPANCY will be made of any structure witbout permission of the Commuuity Services Division, Building Safety. 1 further certify that only contractors and employees wbo are in compliance witb ORS 701.005 will be used on this project. I further agree to ensure tbat all required inspections are requested at the proper time, that each address is readable from the street, that tbe permit card is located at the front of the property, and the approved set of plaus will remain on the site at all times during construction. Owner or Coutractors Signature Date Paee 2 of2 .;.... ,. ~ ..... 22~ Fifth Street Sp~ingfield. Oregon 97477 541-726-3759 Phone . ~...'.. ~ ~, liiIl' of Springfield Official Receipt _elopment Services Department Public Works Department RECEIPT #: 2200700000000000643 Date: 05/03/2007 1I:14:13AM Paid By Item Total: (;heck Number Authorization Received By Batch Number Number How Received Amount Due 43.00 6.00 2.45 3.92 4.90 $60.27 Job/Journal Number COM2007-00639 COM2007-00639 COM2007-00639 COM2007-00639 COM2007-00639 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Payments: Type of Payment Amount Paid ONLINE CHGS ONLINE PERMIT CHGS ddk ONLINE Builders Online Electric Payment Total: $60.27 $60.27 cReceint I Page I of I 5/3/2007