HomeMy WebLinkAboutPermit Electrical 2007-6-26 (2)
.
e- CITY OF ~rKlr\it.I'lJ'.LU
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SCANNED
Building/Combination Permit
PERMIT NO: COM2007-00948
ISSUED: 06/26/2007
APPLIED: 06/26/2007
EXPIRES: 12/26/2007
VALUE:
Status
Issued
SITE ADDRESS: 287 DEADMOND FERRY RD
ASSESSOR'S PARCEL NO.: 1703154001800
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Extend mast height due to removal of pole.
Owner: SMITH LELAND H & HEIDEMARIE
Address: 31222 CROSSROADS LN
EUGENE OR 97408
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
WEILAND ELECTRIC INC
License
58600
Expiration Date
01/23/2009
Phone
541-485-3639
BUILDING 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Sidewalk Type:
Storm Sewer Available: DownspoutslDrains:
Special!!.nstruction: ATTE
I~U! 11It: NT/ON' 0,
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK N~~:floW/ules a'dop~~~~:iJ;~~e"'iJlres you 10
AIITf.lnQm:n 11~lm:Q TWIe: P~Q~!IT Ie: MnT ,. ..: .'CELlon Cel1f~r ,...y c CrCr;:::1 Ut,f;t"
COMMENCED OR IS ABANDONEDIF\JP\ t' D nn;'~'t:'~:-I' ~01-0G10 t;r~~" ~h~ ~'R'e ~et forth
ANY 180 DA a ua IOn escrIp, IOn, "W obtain C"~ . 9,,2-001_
Y PERIOD. -4"'''!J me ce t Op ,s of Ihe rul b
. . ,$ Per Sq Ft nuS<iuare.Foota'1ir. (Note: ti)" ''''" , .es -y
DeSCriptIOn Tvpe of Construe lion It' I' B:d'~A' "'t:. 'regon Ut"/.Value-p.Jone Date Calculated
or mu Ip ler or I ,. mount Illy NOll'f" .
~v"'t:1 IS 1 800 332 Icatlon
. 2344),
Paee I on
.
. CITY OF SPRIrliuI'lJ'.LD
Building/Combination Permit
PERMIT NO: COM2007-00948
ISSUED: 06/26/2007
APPLIED: 06/26/2007
EXPIRES: 12/26/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee~
Fee Description
+ 100/0 Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
$6.30
$3.15
$5.04
$63.00
6/26/07
6/26/07
6/26/07
6/26/07
Receipt Number
2200700000000001025
2200700000000001025
2200700000000001025
2200700000000001025
Total Amount Paid
$77.49
I Plan Reviews ,
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 Re<wiretl 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 of 2
~lectriCal Authorization To Begin wor'
E-mailedTo:weilandbo@msn.com
'.
-.
City of Springfield
~
Receipt # EC513148
6/26/2007 9: I 0:29 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
10 New construction
TYPE OF WORK
[K] Addition/alteration/replacement
CATEGORY OF CONSTRUCTION
I@ I or 2 family dwelling
o Multi-family
o Commercial/Industrial
I JOB SITE INFORMATION AND LOCATION
IJob no.: 07-0105 IJob .dd.....: 287 DEADMOND FERRY RD
I CUy/SI.telZIP: SPRINGFIELD, OR 97477-9402
I Sultclbldg./apl.no.:
I Project name: Omllpeacehealth residence
Cross street/directions to job site: Acero!s the street from oml building on the south
iide
I Snbdlvblon:
ITax map/partel no.:
IIAI no.:
170315400/800
DESCRiPTION OF WORK
Extend mast height due to removal of pole
I
I Name: Bo Hart
I Phone: (541) 517-1429
I Em.l/:
I
SITE CONTACT
IF.x:
CONTRACTOR
I [I. lie. no.: C277 I ceo lie. no.: 175373
I Business Name: WEILAND ELECTRIC DIVISION LLC
I Contael: Bo Hart
IAddress: 175 W B ST BLD H
I Clty/St.lelZIP: SPRINGFiELD OR 97477
I Phone: (541)7477701 IF.x: (541)7477701
I Email: weilandbo@msn.com
I Metro lie. no.: I City lie. no.:
ISupervlsing electrician's lie. no.: 2560S
ISupervislng electrician's name: JACK L WEILAND
Upon review 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 applicable land use laws and local ordinances.
FEE SCHEDULE
Description I Qty. I Ea. Total
Residential SINGLE- OR multi-family dwelling unit. Includes
attacbed garage
1,000 sq. ft. or less
Ea. addl 500 sq. ft. or portion
- Limited energy, residential
(with above sa. ft)
- Limited energy. multifamily
residential (with above sa. ft.)
Sen'ices OR feeders installation, alteration, AND/OR relocation I
200 amps or less I $63.00 $63.00
20 I amps to 400 amps I
40 I amps to 599 amps
TEMPORARY services OR feeders installation, alteration,
AND/OR relocation
200 amps or less
201 amps to 400 amps
401 amps to 599 amps
Branch circuits - NEW, alteration, OR extension, per panel
A. Fee for branch circuits with
above service or feeder fce.
each branch circuit.
lB. Fee for branch circuits
without service or feeder fee,
first branch circuit
I each addl branch circuit
I.Miscellaneous
I Service reconnect only
Each manufactured or modular
dwelling, service andlor feeder
Pump or irrigation circle
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II. .
I . City Of Spnngfield
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Sign or outline lighting
Signal circuit(s) or limited.
energy panel, alteration, or
extension.
not offered online at this jurisdiction
ELECTRICAL PERMIT FEES
Subtotal $63.00
State $urchl1llle (8%ofpennit fee) $5.04
Ci~ OfS~rin~field fees. $9.45
TOTAL PERMIT FEE $77.49
10010 Local Admin Fee; 5% Local Technology Fee
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
.)
225 Fifth; Street
Springfield, Oregon 97477
541-726-3759 Phone
.
~
WiL.
., of Springfield Official Receipt
~elopment Services Department
Public Works Department
RECEIPT #:
2200700000000001025
Date: 06/26/2007
9:53:58AM
Job/Journal Number
COM2007-00948
COM2007-00948
COM2007-00948
COM2007-00948
Description
Perm ServlFdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
63.00
3.15
5.04
6.30
$77.49
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
ddk
ONLINE
Weiland Online
Electric
Division
Payment Total:
$77.49
$77.49
cReceiPlI
Page I of I
6/26/2007