HomeMy WebLinkAboutPermit Electrical 2007-7-26
Status
Issued
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01099
ISSUED: 07/26/2007
APPLIED: 07/25/2007
EXPIRES: 01126/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 387 S 58TH ST A
ASSESSOR'S PARCEL NO.: 1702334401612
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Service for driveway lighting
Owner: BORESEK WILLIAM J
Address: 27948 GREEN OAKS DR
EUGENE OR 97402
Phone Number: 541-517-0925
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor License
LANTZ ELECTRIC 84679
I BUILDING INFORMA nON I
Expiration Date
07/14/2010
Phone
541- 726-0659
# 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
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dis~: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage: t
. 'awrequ~eSYoU. 0
. =;::.tl"i"II'\N~ Oregon "\ _ n..."nn Utl\\tY
I PUBLIC IMPROVEMENf~ci~ r~\~8lid~~~eThds~ ~~Ies are se2t~~
",btmGatlO\''. Cen e >\0. through OAR 95
\f\ bAR 9~l~aOO. '1fJ'Ccopies of the ru'es bY
OQ@Q '(~lf>fm\1~ obtal~al;the te'ephone
~\\\I'\g The 6~R~~gon Utility Notificat\OR
~\U"bEif tof the. r1 800.s32-2344).
Oentef \& -
Street Improvements:
Storm Sewer Available:
Special Instruction: oaOlH3d AVa 09 ~ ANV
Notes: HO~ a3NOQNV8V SI HO a3~N3\fIJV\lO~
ION SIllV\ltl3d SIHl tl30Nn Q3ZItlOHlnV
}I\:JOM 3Hl :II :H:1ldA:l IIV n~ llVH I-:J Cllll
:i1MLGNn Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
Status
Issued
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 Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$7.40
$3.70
$5.92
$4.00
$70.00
7/26/07
7/26/07
7/26/07
7/26/07
7/26/07
Total Amount Paid
$91.02
I Plan Reviews,
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01099
ISSUED: 07/26/2007
APPLIED: 07/25/2007
EXPIRES: 01/26/2008
VALUE:
Receipt Number
3200700000000000504
3200700000000000504
3200700000000000504
3200700000000000504
3200700000000000504
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 Reouired Insoections I
Electric Service: Approval required prior to utility company energizing service.
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
Pal!e 2 of 2
Date
City of Springfield
o New construction
Electrical Authorization To Begin Work
E-mailedTo:tiffany@lantzelectric.com
Receipt # EC514534
7/25/20073:29:37 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springtield.or.us
I Description
!Xl Addition/alteration/replacement
Ea.
Total
Qty.
o I or 2 family dwelling
IKJ Multi-family
o Commercial/Industrial
11,000 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.)
, ,>. _n - n_ ,,_co',c'._:'--,'---"--' <1</;!"'Wi~iP"T: k' -"r'-:~::-~" ,: ._m -,~. -"--\'_~'_""''',';i'H:)I<''':!I:!')t:i'> c. .:::'.0: :::-w: - ;<": - en':'.""'" "1\tilliiT' ;, ~ I
iServiceJtlq~J~~f! jristallat!~~::i~!t~ration;i~~{g~rehi~ti9~...,'...
200 amps or less I $70,001 $70.00 I
1201 amps to 400 amps 1 I I
1401 amps to 599 amps I, 1 I
no.: I Job address: 387 S 58TH ST
I City/State/ZIP: SPRINGFIELD, OR 97478-4903
I Suite/bJdg.lapt.no.: A
I Project name:
Cross street/directions to job site: Main street south on S 58th street
f;) ()lJ {" 0 / () 99
COM'
~~oD7 ~ :::ioq
'RCPT#:. .-7
'7-;J..& --- 0 f
DATE PROCESSED: l/.l /\A /'") /\
PROCESSED BY! "() }"}t
This Authorization To Begin Work must be posted at the job site until replaced by a
I Subdivision:
I Tax map/parcel no.: 1702334401612
Add service for driveway lighting
Name: Bill
Phone: (541) 517-0925
Email:
I EI. lie. no.: 20-323C
I Business Name: LANTZ ELECTRIC INC
I Contact: Chris Edwards
IAddress: 34531 HWY 58
1 CityfState/ZIP: EUGENE OR 97405
1 Phone: (541 )7260659
1 Email: tiffany@lantzelectric.com
I Metro lie. no.:
I Supervising electrician's lie. no.: 34925
1 Supervising electrician's name: TIM LANTZ
I Lot no.:
/200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
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;
1 each addl branch circuit
$4.00
$4.00
I Fax: 517-0925
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-
energy panel, alteration, or
extension.
I CCB lie. no.: 84679
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· City Of Springfield
I Fax: (541 )7413447
Subtotal $74.00
State Surcharge (8% of permit fee) $5.92
City Of Springfield fees · $11.10
TOTAL PERMIT FEE $9102
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.
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.
/
Permit.
225 Fift4 Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007 -01099
CO M2007 -0 I 099
COM2007 -01099
COM2007 -01099
COM2007 -01099
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
RECEIPT #:
3200700000000000504
Description
Penn ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/26/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
nJm
Page 1 of 1
ONLINE LANTZ In Person
ELECTRIC
Payment Total:
6:59:50AM
Amount Due
70.00
4.00
3.70
5.92
7.40
$91.02
Amount Paid
$91.02
$91.02
7/26/2007