HomeMy WebLinkAboutPermit Electrical 2007-1-11
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
O~0770!5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00051
ISSUED: 01/11/2007
APPLIED: 01/11/2007
EXPIRES: 07/11/2007
VALUE:
..'
SITE ADDRESS: 5693 Mt Vernon Rd
ASSESSOR'S PARCEL NO.: 1802041401200
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Installing 2" conduit and wiring from Dew EPUD junction box to new meter enclosure
on house. Service is currently overhead, it will be underground.
Owner: CLOUSE JOHN W & LYNNE M
Address: 718 S 68TH PL
SPRINGFIELD OR 97478
I CONTRACTOR INFORMA nON 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:
nla
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:
;~~T!GL
1~';;~v~~\~i~~ ~d~Pl~d'b;';ti~Gd~PJ~~l~~~~:ROVEMEllJiI~-ipERMIT SHALL EXPIRE IF THE WORK
Street lm~~g'iftfbm~~n Center. Those rules are set fort' AUTHORI~~te~~J~i!'MPfllIS PERMIT IS NOT
Storm Se'Ym:~\y.~tl!IlJ!:.001-0010 through OAR 952-00'1 COM MENlD9!Vr6il.oR.tslPJ"Ai"~ONED FOR
Special InUC'!fY?I1'bli may obtain copies of the rules ~. ANY 180 DAY PERIOD.
calling the center. (Note: the telephone
Notes: number for the Oregon Utility Notification
I"'~"'."'\' it" 13i.()r._~~':l?_?~.1A.\
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of2
.
CITY OF SPRINGFIELD'
Status:
Issued
Building/Combination Permit
PERMIT NO: COM2007-00051
ISSUED: 01/11/2007
APPLIED: 01/11/2007
EXPIRES: 07/11/2007
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 t
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$6.30
$3.15
$5.04
$63.00
1/11/07
1/11/07
1/11/07
1/11/07
2200700000000000042
2200700000000000042
2200700000000000042
2200700000000000042
Total Amount Paid
$77.49
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 Insnections 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
Pa2e 2 of2
City of Springfield
.c.:lectrical Authorization To Begin WOl,
E-mailedTo:joe@builderselectric.com
Receipt # EC507708
1/11/200710:33:50 AM
Check on status of permit:
Contact: http://www.cLspringfield.or.us/dsd/Buildinglindex.htm
D New construction
[i] Addition/alteration/replacement
Description
Qty.
Ea.
Total
[K] I or 2 family dwelling
D Commercial/Industrial
I
I
I
I
1,~erVi~~JgliJfeed~r:s 'nsbiUa~on;alti;ation; AND/ORreiocattoil ~: ,,:S I
1200 amps or less $63.00 $63.00 I
I 20 I amps to 400 amps I
401 amps to 599 amps I
D Multi-family
1,000 sq. ft. or less
Ea. addl 500 sq. ft. or portion
I-Limited energy, residential
(with above SQ. ft.)
I-Limited energy, multifamily
residential (with above sq. ft.)
Job no.: 07-5124-S IJobaddress: 5693 MTVERNONRD
City/State/ZIP: SPRINGFIELD, OR 97478-9524
SuiteJbldg.lapt,no,:
Project name: Joe Klause
Cross street/directions to job site:
Subdivision:
I Lot no.:
I
I
I
';dJI'l (;1
Install 2" conduit and wiring from new EPUD junction box to new meter enclosure on
house. Service is currently overhead, it will be under ground.
200 amps or less
I 20 I amps to 400 amps
1401 amps to 599 amps
I,Brandi circui~s ~ NEW;~!~e':8-tio~tOR exte~sion;per'panei >"
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit.
B. Fee for branch circuits
without service or feeder fee,
frrst branch circuit;
I each addl branch circuit
Tax map/parcel no,: 1802041401200
Name: Joe Rudie
I Phone:
I Email:
1 Fax:
I 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.
El.lic, no,: 20-12C 1 CCB Iic.no,: 4296
I Business Name: BUILDERS ELECTRIC INC
I Contact: Joe Rudie
IAddress: 195 MADISON ST
I City/State/ZIP: EUGENE OR 97402
I Phone: 5414850922 1 Fax: 5414854055
1 Email: joe@builderselectric.com
1 Metro lie no.: 1 City lie no.:
1 Supervising electrician's lie. no.: 5056S
I Supervising electrician's name: JOSEPH H RUDIE
Subtotal $63.00 I
Minimum Fee $45,00 I
State Surcharge (8% of penn it fee) $5.04 I
City OfSeringfield fees * $9.45 I
I TOTAL PERMIT FEE $77.49 I
* City Of Springfield 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.
U:'JYY\ Lc-v7 .-' iJCfJ 5 I
I -- I \ " '2.. ()D7
(-:X~ G --] - '-t ~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
t Springfield, Oregon 97477
541-726-3759 Phone
r of Springfield Official Receipt
b~ielopme~t Services Department
Public Works Department
Job/Journal Number
COM2007-0005I
COM2007-00051
COM2007 -00051
COM2007-00051
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
RECEIPT #:
2200700000000000042
Date: 01111/2007
Description
Perm ServlFdr 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
ONLINE
builders Online
electric
Payment Total:
nJm
Page I of I
11 :22:40AM
Amount Due
63.00
3.15
5.04
6.30
$77.49
Amount Paid
$77.49
$77.49
III 1/2007