HomeMy WebLinkAboutPermit Electrical 2007-7-31
Status
Finaled
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00675
ISSUED: 05/11/2007
APPLIED: 05/11/2007
EXPIRES: 01/31/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1955 16TH ST
ASSESSOR'S PARCEL NO.: 1703252402200
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: New electrical & sub feed to shop
Owner: MOORE NEAL & SHERI E
Address: 1955 16TH ST
SPRINGFIELD OR 97477
Phone Number: 541-741-2508
I CONTRACTOR INFORMATION.
Contractor Type
Electrical
Contractor License
OREGON ELECTRIC CONSTRUCTION INC 203
BUILDING INFORMATION I
Expiration Date
07/01/2008
Phone
503-535-2652
# 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
Frontyard 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.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
'Ol"'lll'''..l I.\.n . . ~ '
UIC~ J
Downspouts/Drains:
f ~rrENTION: Oregon faw requfres you to
N~ti~~a~~~~:~~tte~h by the Ore~on Utility
In OAR 952-001~o~:'n those rules ar~~s..et ~orth
· \' ~j~ You ..< b . rgblg~ (:).\r1 ~\J~'-",v ,.
~- may 0 tarn Copies of the rules b
tJ(mtl g the center. (Note: the telephone Y
er for the Oregon Utility Notification
Squa.re Fo~ter is 1-80~~~2344) Date Calculated
or Bid Amount .
Notes:
Description
HO~ 03NOON'v'S'v' 51 'dO O::il~ation Descri
10N 51 11ll\1'd3d 51Hl 'd30Nr.~'JJ^7;''',-, ('\'.'1
I.N'J 'l'v'HS)1ll'ler~S'-'Ftll I
}luOn,iHN dJoilat'ftettod --"~<.!-J' a"';,!
g !'VI or mlUDIb~~"" d
Pal!:e 1 of2
Status
Finaled
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-00675
ISSUED: 05/11/2007
APPLIED: 05/11/2007
EXPIRES: 01131/2008
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.
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm Serv/Fdr 200 amps or less
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$18.90
$9.45
$15.12
$189.00
$6.80
$3.40
$5.44
$48.00
$20.00
5/11/07
5/11/07
5/11/07
5/11/07
7/31/07
7/31/07
7/31/07
7/31/07
7/31/07
2200700000000000726
2200700000000000726
2200700000000000726
2200700000000000726
3200700000000000517
3200700000000000517
3200700000000000517
3200700000000000517
3200700000000000517
Total Amount Paid
$316.11
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 Reouired InsDections ,
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
Date
Pal!:e 2 of2
Electrical Authorization To Begin Work
E-mailedTo:s.brown@oregon-electric.com
Receipt # EC514736
7/30/20074:32:42 PM
City of Springfield
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
D New construction
[K] Addition/alterationlreplacement
Description
Qty.
Ea.
Total
. '.' '::!-.JOB!-SITE INFORIIlIATIONANOt:OCA'T10N
""_"<"'""'\',::<""":,';'::;<,,,'._^-,,-,, ".Om"'--'-:__--_-__-",-------,--_,__'", .,i """""""'<"1"'<'" -,-,,-
I Job no.: 45449 I Job address: 1955 16TH ST
I City/State/ZIP: SPRINGFIELD. OR 97477-2510
I Suite/bldg.lapt.no.:
I Project name: Moore
Cross street/directions to job site:
] ,000 sq. ft. or less
I Ea. add! 500 sq. ft. or portion
I-Limited energy, residential
(with above sq. ft.)
I-Limited energy, multifamily
residential (with above sq. ft.)
I'S~ryi~eS.OR feeders:.in;talb~.t~~~;:.ali~~Mi~n; ~NDI9R 'relo6.tion
1200 amps or less
I 20 I amps to 400 amps
1401 amps to 599 amps
[X] I or 2 family dwelling
D Multi-family
D Commercial/Industrial
Subdivision:
I Tax map/parcel no.: 1703252402200
1 Lot no.:
200 amps or less
I 20 I amps to 400 amps
401 amps to 599 amps
Wire new addition
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;
each add! branch circuit
$48.00
$48.00
Name: Mike McCall
I Phone: (541) 747-0811
I Email: m.g.mccall@oregon-e!ectric.com
5
$4001
$20 00 I
IFax: (541) 741-1585
EI. lie. no.: 26-95C I CCB lie. no.: 203
I Business Name: OREGON ELECTRIC CONSTRUCTION INC
I Contact: LAUREL SEMPREVIVO GONZALEZ
I Address: 1010 SE 11TH AVE
I City/State/ZIP: PORTLAND OR 97214-2507
I Phone: (503)2349900
I Email: s.brown@oregon-electric.com
I Metro lie. no.: 1995
I Supervising electrician's lie. no.: 3006S
I Supervising electrician's name: GARY LEE PEOPL~~_ ._.___
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 Iimited-
panel, alteration, or
I Fax: (541 )7411585
I
I
I
I
· City Of Springfield
Subtotal $68.00
State Surcharge (8% of permit fee) $5.44 I
City Of Springfield fees. $10.20 I
TOTAL PERMIT FEE $83.64 I
10% Local Admin Fee; 5% Local Technology Fee
1 City lie. no.:
,
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
noo7- rJO?7S
COM: C>(
2..-2 KTl 7 - 5 /'7
RCPT#" ,/ U'"" .
7-A.-Q)tJD7
DATE PROCESSED' .
PROCESSED BY:~'" Jft
This Authorization To Begin Work must be posted at the job site until~Pla'-b~ a Permit.
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.
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.
225 FiftJl Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00675
COM2007-00675
COM2007-00675
COM2007-00675
COM2007-00675
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200700000000000517
Date: 07/31/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM ONLINE oregon Online
electic const.
Payment Total:
Page I of]
7:24:59AM
Amount Due
48.00
20.00 .
3.40
5.44
6.80
$83.64
Amount Paid
$83.64
$83.64
7/31/2007