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Home My WebLink AboutPermit Electrical 2007-6-25 .& \'" v ~\ u ~ lQd \--l ~..,o'l/ r{\'1-'l CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-00937 ISSUED: 06/25/2007 APPLIED: 06/25/2007 EXPIRES: 12/25/2007 VALUE: Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-376,9 Inspection Line SITE ADDRESS: 212 S 38TH ST ASSESSOR'S PARCEL NO.: 1702314207200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Replace electrical panel. Owner: LOWER UMPQUA AND SIUSLA W INDIANS Address: PO BOX 569 SILETZ OR 97380 Owner: UNITED STATES OF AMERICA IN TRUST F Address: PO BOX 569 SILETZ OR 97380 Owner: THE CONFEDERATED TRIBES OF COOS Address: PO BOX 569 SILETZ OR 97380 I CONTRACTOR INFORMATION' Contractor Type Electrical Contractor BUILDERS ELECTRIC INC License 4296 Expiration Date 12/10/2007 Phone 541-485-0922 BUILDING INFORMATION I # 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 Garage/Carport Sq Ft Other: Occupant Load: n/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: Downspouts/Drains: Notes: Pa2:e 1 of 2 Status Issued CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: cOM2007-00937 ISSUED: 06/25/2007 APPLIED: 06/25/2007 EXPIRES: 12/25/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Service Reconnect Amount Paid Date Paid Receipt Number $5.00 $2.50 $4.00 $50.00 6/25/07 6/25/07 6/25/07 6/25/07 2200700000000001019 2200700000000001019 2200700000000001019 2200700000000001019 Total Amount Paid $61.50 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. , Reouired TnSDections I 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 Date Pa2:e 2 of 2 ."City of Springfield Electrical Authorization To Begin Work E-mailedTo:joe@builderselectric.com Receipt # EC513069 6/25/2007 10:27: 12 AM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us D New construction lliJ Addition/alteration/replacement Total .. .... .:. . ": if'). f::: .:.:CATEGORY OF:CONSlRUCTION ".' [i] I or 2 family dwelling D Multi-family D Commercial/Industrial I.. .... ."..:.... .'::':JOB SITE INFORMAtioN AND t.:OCATION.: . I: ''''''''':<<'::::'''''' 1-- - .,- ,-_co' -0-'. _n-' -: '.,''''''. ','" ",:,-" :,,-, :'.'" " ,-, _. -n._: '''', ' . IJobno.: 07-6864-S IJobaddress: 212 S 38TH ST 1 City/State/ZIP: SPRINGFIELD, OR 97478-6405 1 Suitelbldg.!apt.no.: 1 Project name: Coos Umpqua Tribe Cross street/directions to job site: Subdivision: ITax map/parcel no.: 1702314207200 1 Lot no.: Replace electrical panel. I Name: Joe Rudie I Phone: IEmail: [Fax: 1 EI. lic. no.: 20-12C 1 CCB lie. no.: 4296 1 Business Name: BUILDERS ELECTRIC INC 1 Contact: Joe Rudie IAddress: 195 MADISON ST [City/State/ZIP: EUGENE OR 97402 [Phone: (541 )4850922 [Fax: None I Email: joe@builderselectric.com I Metro lie. no.: 1 City lie. no.: [Supervising electrician's lie. no.: 5056S 1 Supervising electrician'~ _~~TI1e: JOSEPH H RUDIE Upon review and approval by your local jurisdiction, your permit will be e-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. I Description Qty. Ea. [1,000 sq. ft. or less [ Ea. add! 500 sq. ft. or ponion I-Limited energy, residential (with above sq ft.) I-Limited energy, multifamily residential (with above sq ft.) r ~ervicesOJ{ feedersin~tal~at!?f~~lteiation;:AND/OR r~Iocation . 200 amps or less 201 amps to 400 amps 40 I amps to 599 amps [200 amps or Jess [20 I amps to 400 amps [40 I amps to 599 amps [Br~nc~ci~~jts~NEW,altcration;OR eX!ensi~n~ per panel. A. Fee for branch circuits with above service or feeder fee, each branch circuit. B. Fee for branch circuits without service or feeder fee, first branch circuit; [ each addl branch circuit [ Service reconnect only I Each manufactured or modular dwelling, service and/or feeder [ Pump or irrigation circle [ Sign or outline lighting Signal circuit(s) or limited- energy panel, alteration, or extension. $5000 $50.00 not offered online at this jurisdiction I Subtotal $50.00 I State Surcharge (8% of penn it fee) $4.00 I City Of Springfield fees' $7.50 I TOTAL PERMIT FEE $61.50 I 10% Local Admin Fee; 5% Local Technology Fee ELECTRICAL PERMIT F,EES . . .. ., ""..' '" ",' ,,,' ''',' ,'. -.' ~ -, - - . I I I I * City Of Springfield This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 225 FiftIl Street Springfield, Oregon 97477 54 r~ 726-3759 Phone Job/Journal Number COM2007-00937 COM2007-00937 COM2007-00937 COM2007 -00937 Payments: Type of Payment ONLINE CHGS cReceint 1 RECEIPT #: Description Service Reconnect + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001019 Date: 06/25/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received ddk ONLINE builder's Online electric Payment Total: Page 1 of I 11:10:30AM Amount Due 50.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 6/25/2007