HomeMy WebLinkAboutPermit Electrical 2006-12-26
Status
Issued
~~y;~~~
~
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01651
ISSUED: 12/26/2006
APPLIED: 12/26/2006
EXPIRES: 06/26/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5876 G ST
ASSESSOR'S PARCEL NO.: 1702342200412
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: 200 Amp Service Change
Owner:
Address:
SCHWAB LADELL Y & RICK R
5876 G ST
SPRINGFIELD OR 97478
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 Ist 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 I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage '
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-01651
ISSUED: 12/26/2006
APPLIED: 12/26/2006
EXPIRES: 06/26/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~ees 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
$6.30 12/26/06 2200600000000001746
$3.15 12/26/06 2200600000000001746
$5.04 12/26/06 2200600000000001746
$63.00 12/26/06 2200600000000001746
Total Amount Paid
$77.49
I Plan Reviews ~
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 Reouired 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
Page 2 of2
City of Springfield
b.<ctrical Authorization To Begin Work
E-mailedTo:chuck@builderselectric.com
Receipt # EC507294
12/26/2006 9:54:21 AM
Check on status of permit:
Contact: http://www.ci.springfield.or.us/dsd/Building/index.htm
D New construction
IX] Addition/alteration/replacement
Total
[K] I or 2 family dwelling
D Multi-family
D Commercial/Industrial
. :X:',' ",,1,1, ' <",,:: :, JOB SitE INF'ORMATION AND LOCATI6'N ;,I~U "'< ,..
, ., '_,' 'e" ,,;' ','," ^" ':, -- -' -- - "'___:'_,\., +':~-,~' ._.,.u..,,,.,; _'i',1il:,1 il~!:\'"_:',,o ,,' i:)', ':>'.",,,,,,' , _" n'. - " i ,,_,n'.<' ~ !.ri:,d:,,>II,h"!"-,,")'T"
Job no.: 06-4384-S I Job address: 5876 G ST
1 City/State/ZIP: SPRINGFIELD, OR 97478-6831
I Suite/bldg./apt.no.:
Project name: Rick Swab
Cross streeUdirections to job site: Take Thurston Road eastbound to 58th Street. Right
In 58th Street and left on G Street to address.
I Subdivision: I Lot no.:
!Tax map/parcel no.: 17023422004]2
1
200 Amp service change.
Name: Russ Robbins
I Phone: (541) 50.-0883 I Fax: (541) 485-0922
I Email: chuck@builderselectric.com
I EI. lie. no.: 20-12C I CCB lie. no.: 4296
I Business Name: BUILDERS ELECTRIC INC
I Contact: Russ Robbins
Address: 195 MADISON ST
City/State/ZIP: EUGENE OR 97402
Phone: 5414850922
I Fax: 5414854055
Email: chuck@builderselectric.com
Metro lie no.:
I City lie no.:
I Supervising electrician's lie. no.: 5056S
jSupervising 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.
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.
I Description
Qty.
Ea.
11.000 sq. ft. or less
1 Ea. add I 500 sq. ft. or portion
I-Limited energy, residential
(with above sq. ft.)
I-Limited energy, multifamily
residential.(with above sq. ft.) .
IS.ervice~()li;'f~di~liiistalllltio,r;alterati?n, ANIi/6Rn;I.6c~ji9n ."
200 amps or less I $63. 00 $63.00
201 amps to 400 amps
I 40 I amps to 599 amps
1 200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
IBranch::~irc~j'tS'Y;~~~l~lterlli!on, OR extensi;;J;::pe;p~n~~I.' ;',
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 addl branch circuit
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 Iimited-
energy panel, alteration, or
extension.
. El.ECTRICA :'PERMIT FEES\'
I
I
I
I
I
I
· City Of Springfield
Subtotal $63.00
Minimum Fee $45.00
State Surcharge (8% of permit fee) $5.04
City Of Springfield fees · $9.45
TOTAL PERMIT FEE I $77.49
10% Local Admin Fee; 5% Local Technology Fee
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
5'41-726-3759 Phone
0.... of Springfield Official Receipt
L lopment Services Department
Public Works Department
Job/Journal Number
COM2006-01651
COM2006-0 1651
COM2006-01651
COM2006-0165 1
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200600000000001746
Date: 12/26/2006
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 1 of 1
]] :04:21AM
Amount Due
63.00
3.15
5.04
6.30
$77.49
Amount Paid
$77.49
$77.49
12/26/2 006