HomeMy WebLinkAboutPermit Electrical 2007-7-18
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01068
ISSUED: 07/1812007
APPLIED: 07/18/2007
EXPIRES: 01/1812008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 538 CARDINAL WAY
ASSESSOR'S PARCEL NO.: 1703221203800
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: 1-200 amp service and feeder.
Owner: HORTON BRYAN K & LEANNE M
Address: 538 CARDINAL WAY
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
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
Front yard 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:
Sidewalk Type:
Storm Sewer Available:
Special Instruction: .
ATTENTION: Oregon law requires you to
Notes!ollow ruies adopted by the Oregon Utility
Notification Center. Those rules are set forth
:.. OAIl 8:: €S~ SV1~ t~~:y.:;~ ':'^O (11:'1) M1 _ .
0090. You may obtain copies of the r~~ DY. . ~CE:
calling the center. (Note: the telep dlfuatlOn Descnpt PERMIT SHAll EXPIRE IF THE WORK
number for the Oregon Utility Notifi~~n S F S AIJJtmffilJ:D UNDER THIS PERMIT IS NOT
Description CentefJJ6 df8OOra3aca3f\4). or ~:lti~Ii:r o~ tltaMM&MGED OR IS A'BMDONED ~ Calculated
ANY 180 DAY PERIOD.
Downspouts/Drains:
=----
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01068
ISSUED: 07/18/2007
APPLIED: 07/18/2007
EXPIRES: 01/18/2008
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 I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$14.00
$7.00
$11.20
$140.00
7/18/07
7/18/07
7/18/07
7/18/07
2200700000000001157
2200700000000001157
2200700000000001157
2200700000000001157
Total Amount Paid
$172.20
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.
I ReQuired Insoections 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
Pal!e 2 of 2
'City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:keIly@builderselectric.com
Receipt # EC514190
7/18/2007 11 :40:36 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
[K] Addition/alteration/replacement
I Description
.. .. 'FEESCI;/EDUlE '.
Qty.
Ea.
Total
[K] 1 or 2 family dwelling
o Multi-family
o Commercial/ Industrial
Job no.: 077058-s I Job address: 538 CARDINAL WAY
City/State/ZIP: SPRINGFIELD, OR 97477-7505
Suitelbldg.lapt.no.:
Project name: Keith Horton
Cross street/directions to job site:
Subdivision:
I Lot no.:
I 200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
I ,Branch, ci~Il!~ :'l~~laltefMioniOR ex~ellsiolll pei panel
A. Fee for branch circuits with I
above service or feeder fee,
each branch circuit.
B. Fee for branch circuits
without service or feeder fee,
first branch circuit;
I each add] branch circuit
Tax map/parcel no.: 1703221203800
1-200amp service and feeder
Name: Royle Johnson
I Phone: (541) 485-0922
I Email:
I Fax: (541) 485-0922
EI. lie. no.: 20-12C I CCB lie. no.: 4296
I Business Name: BUILDERS ELECTRIC INC
I Contact: Joe Rudie
IAddress:'
I City/State/ZIP: EUGENE OR 97402
I Phone: (541 )4850922 I Fax: None
I Email: kelly@builderselectric.com
I Metro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 5056S
1~Il~e_rvising electrician's name:_ ..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.
I
I
I
I
I
II
I :
i I" City Of Springfield
J
Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
extension.
I
Subtotal I $140.00 I
State Surcharge (8% of permit fee) 1 $11.20 I
City Of Springfield fees "I $21.00 I
TOTAL PERMIT FEE 1 $172.201
10% Local Admin Fee; 5% Local Technology Fee
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
Job/Journal Number
COM2007-0] 068
COM2007-0] 068
COM2007-0] 068
COM2007 -0] 068
Payments:
Type of Payment
ONLINE CHGS
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200700000000001157
Date: 07/18/2007
Description
Perm Serv/Fdr 200 amps or less
+ 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 Builders Online
Electric
Payment Total:
Page ] of]
12:23:55PM
Amount Due
140.00
7.00
] ] .20
]4.00
$172.20
Amount Paid
$] 72.20
$172.20
7/18/2007