HomeMy WebLinkAboutPermit Electrical 2007-5-8
.
City of Springfield
__~ctrical Authorization To Begin Work
E-mailedTo:joe@builderselectric.com
Receipt # EC511101
5/8/200710:14:16 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
D New construction
!KJ Addition/alteration/replacement
lliJ I or 2 family dwelling
D Multi-family
D Commercial/Industrial
11,000 sq, ft, or less
lEa, addl 500 sq, ft, or portion
- Limited energy, residential
(with above SQ, ft,)
- Limited energy, multifamily
residential ,(with above sSl, ft,) , ,
~S,e~ice~f,?~{~~~,g~I,!~!~~~~'~!~i~!~r~(Q~;&12~!Iti~p~J{i*~
200 amps or less
201 amps to 400 amps
401 amps to 599 amps
Job no.: 07-6363-S I Job address: 1927 J ST
City/State/ZIP: SPRINGFIELD, OR 97477-4285
Suite/bldg.lapt.no.:
Project name: Jennifer Pacheco
Cross street/directions to job site:
I Subdivision:
I Tax map/parcel no.: 170336 I 202000
I Lot no.:
I
I
1401 amps to 599 amps I. I
l~ijFai1c/J"tirCi.its;I~EW;t~!tetatio'n;OR ,ejt'j;nsio'nrp~ii1ianei~J:*R~~l~J~~'1
-,,'if'... /th', :"'",,1- '"~, ;' :~'i"!'1"',,,,',11li. ",I''fX-$''1: :,'~/<"""~,,;;, ~'~_--':_ -,;; '_,~; ,'~- '::1:' "-:~ ~ i: _>>_:-:\~ "~y~ ,~,^-,- '-. ~h \';'^'''', "-;i'~"".-:}VL"tti'
Jfi<~fl ;~L
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 add I branch circuit
I 200 amps or less
1201 amps to 400 amps
Verify electrical system is safe,
$43,00
$43,00
Name: Joe Rudie
Phone:
IEmail:
I Fax:
I El.lic. no.: 20-12C
I Business Name: BUILDERS ELECTRIC INC
I Contact: Joe Rudie
IAddress: 195 MADISON ST
I City/State/ZIP: EUGENE OR 97402
I Phone: (541)4850922
I Email: joe@builderselectriccom
I Metro lie. no.:
I Supervising electrician's lie. no.: 5056S
I Supervising electrician's name: JOSEPH H RUDIE
- - - . .--.
I CCB lie. no.: 4296
I Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
I Pump or irrigation circle
Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
extension,
not offered online at this jurisdiction
I Fax: None
I
I
I
I
I
, City Of Springfield
Subtotal $43,00
Minimum fee used instead of Subtotal $45,00 I
State Surcharge (8% of pennit fee) $3,60 I
City Of Springfield fees 'I $6,75 I
TOTAL PERMIT FEE I $55,35 I
10% Local Admin Fee; 5% Local Technology Fee
I City lie. no.:
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
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COM,'d mrl'" OU\(.) '::> .
~'J i......-n( .- 0 'd5il
RCPT #, ~ '--'-' '-'
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.
DATE PROCESSED:
PROCESSED BY' ~(}(Y\()~\ f\J..- -
\ /
,~.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
S-K - '"2Q\..,lf
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00659
ISSUED: 05/08/2007
APPLIED: 05/08/2007
EXPIRES: 11/08/2007
VALUE:
/\t~ c)I
'{\ (( J
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1927 J ST
ASSESSOR'S PARCEL NO.: 1703361202000
Springfield
TYPE OF WORK: Electrical Work Only
PROJECT DESCRIPTION: Electrical verification for safety
TYPE OF USE: New
Residential
Owner: PACHECO JENNIFER
Address: 1927 J ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BUILDERS ELECTRIC INC
License
4296
I BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure: t
Secondary Occupancy Group: 1'~r~~~U\res you, .~
Primary Construction Type EN1\ON:OreWjler ~(y<Dregon Uti" Y
Secondary Construction Type: A\, w ru\e$ adoptft\hi. ~ y~J\es are set tor
# of Bedrooms: to\.? rOn centerEh 5 :MNoAR 952-00
"ot~tlca I 5Z-001-0CSW-i ~~~~YJ4iMe ru\es .. n/a
\_ nAR. 9 tlr~in (":oOle . , ho....A
0090. 'Iou ~"'''.P- ~- IllWr>>.~N I
C~~~I;~~1 ~~;-~",A\
nU Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Expiration Date
12/1012007
Phone
541-485-0922
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
N. 0 'I i PtrBLlC IMfJlO(J~~~1LS1H E W 0 R K
T r,ll S [" [ r\ I~ II I ~ I i, \ '-- L
,~~THOR\ZED UNDER THIS PERMIT 1S;~alk Type:
COMMENCED OR IS ABANDONED FOli1lownspouts/Drains:
A.NY 180 DAY PERIOD,
Notes:
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pal!e 1 of 2
Value
Date Calculated
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00659
ISSUED: 05/08/2007
APPLIED: 05/08/2007
EXPIRES: 11/08/2007
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 I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid
Date Paid
$4.50
$2.25
$3.60
$43.00
$2.00
5/8/07
5/8/07
5/8/07
5/8/07
5/8/07
Receipt Number
3200700000000000259
3200700000000000259
3200700000000000259
3200700000000000259
3200700000000000259
Total Amount Paid
$55.35
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 InsDec~
Rough Electric: Prior to Cover
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 Contractors Signature
Date
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
C:' ()f Springfield Official Receipt
L ..:topment Services Department
Public Works Department
Job/Journal Number
COM2007 -00659
COM2007 -00659
COM2007-00659
COM2007 -00659
COM2007-00659
Payments:
Type of Payment
ONLINE CHGS
cReceint]
RECEIPT #:
3200700000000000259
Date: 05/08/2007
Description
Add, Alter, Extend Circ
Minimum! Adjustment Electrical
+ 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
nJm
ONLINE
builders In Person
Payment Total:
Page I of 1
IO:29:49AM
Amount Due
43.00
2.00
2.25
3.60
4,50
$55.35
Amount Paid
$55.35
$55.35
5/8/2007