HomeMy WebLinkAboutPermit Electrical 2007-4-20
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
I
PERMIT NO: COM2007-00~72 A
ISSUED: 04/19/2007 '\ \
APPLIED: 04/19/2007 (\\)'0 < 'J
EXPIRES: 10/19/2007 =l( (~..
VALUE: \)C" _(;)1::>--<..
\ ~tJ.X.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2075 SCOTT RD
ASSESSOR'S PARCEL NO.: 1703254300800
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Change service and add heaters
Owner: KUZELA MILADA M
Address: 1026 5TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
ARC ELECTRIC
License
115113
BUILDING INFORMATION I
Expiration Date
07/29/2008
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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFOR~A T~ON I
, t I .-
Ji/ ' ff(:t
Overlay Dist: II '/S p[ ~..: Total:
# Street Trees Rqd:UrftO/? f?/lljlr Handicapped:
Paved Drive RQdYPI11/tfl:' '/<1:0 SIi-4t.L Compact:
% of Lot Cover~~e':' J 8. IVCEO UIvOEf? (.-rp;;
o 0-4y Dqf? IS ,1 !ltlS ~~ IF IL/~
.....rr/Q IU/l;1;, l..ii/i/J 'I...: J1;;
.~ TION:Oregon JW:Blll0-VIffiMENTS 'D. VO;1/, 'YII'IS OR,r
Street Improvementt'JJw ~ules adopted by the re t fort' Sidewalk Type: 'to FOp /vOl
Tv. .' t Those rules are se I '1
Storm Sewer Avaihl~flcat'on Cen er. through OAR 952-Q01
Special Instructio~il OAR 952-001-90~9 ,. 'es of the rules b
O Y u may obtatnCOP'
. 009 ' 0 (Note' the telephone
Notes: calling the center.. n Utility Notification
1"11 Imber for the ?re,~~.. -~-.~ 2~ 11).
I Valuation Description I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Downspouts/Drains:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal:!e 1 of2
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2007-00572
ISSUED: 04/19/2007
APPLIED: 04/19/2007
EXPIRES: 10/19/2007
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.
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$7.20
$3.60
$5.76
$9.00
$63.00
4/19/07
4/19/07
4/19/07
4/19/07
4/19/07
Receipt Number
2200700000000000552
2200700000000000552
2200700000000000552
2200700000000000552
2200700000000000552
Total Amount Paid
$88.56
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.
Reouired Insoections ,
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 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 Contr~ctors Signature
Date
Pal:!e 2 of2
City of Springfield
.c.lectrical Authorization To Begin Work
E-mailedTo:arcelecor@aoI.com
Receipt # EC510447
4/19/2007 8:44:48 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
D New construction
Ea.
Total
I [K] 1 or 2 family dwelling
D Multi-family
D Commercial/ Industrial
I 1,000 sq. ft. or less
1 Ea. addl 500 sq. ft. or portion
I-Limited energy, residential
(with above Sq. ft.)
I-Limited energy, multifamily
residential (with above sq. ft.). . .
~'serviCesi6R'ieMerS'jnstaiiati~~"'1ite1'ftiOh~A:ND/OR!relo~tiijii''''~flt'I,'1
_ _,. :':000__,-':'::.::,::::,:" :t:_ _':: ,<;:<,::;;;}:'!jjt<:'1:w:~Vt:,,"f#i,tUij'JlUW8WkfuPINI1,~_ii!Pttf:+t:;k_~~:').:: :"'.,:,:,~',,,:~L::,:::-;\i1;-,,?-8f'0t:$.&1iia.@il*I*;>i::i':';'~,;"_'00".
w,_
200 amps or less 1 $63.00 $63.00 I
1 20 I amps to 400 amps I
I 401 amps to 599 amps I
Job no.:
ICity/StateIZIP: SPRINGFIELD, OR 97477-7814
I Suite/bldg./apt.no.:
I Project name:
Cross street/directions to job site: 21 st Street to Scott Rd.
I Subdivision:
I Tax map/parcel no.: 1703254300800
I Lot no.:
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
Change service and add heaters
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;
I each addl branch circuit
3
$3.00
$9.00
Name: Lester Stoner
I Phone: (541) 747-7217
I Email:
I Fax:
I Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
1 Pump or irrigation circle
1 Sign or outline lighting
Signal circuit(s) or limited- not offered online at this jurisdiction
panel, alteration, or
I EI. lie. no.: 20-403C I CCB lie. no.: 115113
I Business Name: ARC ELECTRIC INC
I Contact: Virgil
IAddress: PO BOX 1723
I City/State/ZIP: SPRINGFIELD OR 97477
IPhone: 5417410494 IFax: 5417411685
1 Email: arcelecor@aol.com
I Metro lie no.: I City lie no.:
I Supervising electrician's lie. no.: 4368S
I Supervising electrician's name: STEPHEN M SEBASTIAN
I
I
I
I
· City Of Springfield
Subtotal $72.00 I
State Surcharge (8% of permit fee) $5.76 I
City Of Springfield fees' $10.80 I
TOTAL PERMIT FEE $88.56 I
10% Local Admin Fee; 5% Local Technology Fee
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.
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
c.a. of Springfield Official Receipt
"lopment Services Department
Public Works Department
Job/Journal Number
COM2007-00572
COM2007-00572
COM2007-00572
COM2007-00572
COM2007-00572
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
RECEIPT #:
2200700000000000552
Date: 04/19/2007
Description
Perm ServIFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
ONLINE Arc Electric Online
Payment Total:
Page I of I
9:15:l1AM
Amount Due
63.00
9.00
3.60
5.76
7.20
$88.56
Amount Paid
$88.56
$88.56
4/19/2007