HomeMy WebLinkAboutPermit Electrical 2007-8-6 (3)
Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SCANNED
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01157
ISSUED: 08/06/2007
APPLIED: 08/06/2007
EXPIRES: 08/06/2008
VALUE:
SITE ADDRESS: 4795 FRANKLIN BLVD SPACE 33 Eugene
ASSESSOR'S PARCEL NO.: 1803022002900
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace Service
Owner: MEDINA ORONITA
Address: 4795 FRANKLIN BLVD SPACE 042
EUGENE OR 97403
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
ARC ELECTRIC
License
115113
BUILDING INFORMATION I
ExpiratiDn Date
07/29/2008
Phone
541-741-0494
# 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 I 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:
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Downspoutsmrains:
ATTENTlON: Oregon law requires you.to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
"lnTIr.~' ,. 'V'-J. ._ nAg Ot;?_001-0010 through OAR 95~"()~1~
.' I PERMIT SHAll EXPIHl: 1\ : r:!; ".,. OM uw You may obtalO cople~ VI UI" ""w_,
TAHUiHORIZED UNDER THIS PEPN8Io'3~i'.m'Descriotion.ling the center. (Note:.t.he ~el~=:n
BANDONFD fUK number for the Oregon Utility 0
. . COM~NCED OR IS A. Her Sq Ft Square Foot~nter Is 1.AA0.332-2344).
DescnPt,onANy 1 Jo:O""" of,C""""tnmtlOn It' I' B'd A -Viilue- Date Calculated
uAll1:nlVlJ. or mu .p ler or I mount '
Notes:
Pa~e I on
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01157
ISSUED: 08/06/2007
APPLIED: 08/06/2007
EXPIRES: 08/06/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
Total Value of Project
F..... tlWU
Fee Description
+ 100/0 Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Manufactured Home Service
Amount Paid
Date Paid
$5.50
$2.75
$4.40
$55.00
8/6/07
8/6/07
8/6/07
8/6/07
Receipt Number
2200700000000001241
2200700000000001241
2200700000000001241
2200700000000001241
Total Amount Paid
$67.65
I Plan Reviews I
TD 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
wDrk day.
Electric Service: Approval required prior to utility company energizing service.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, aud 1 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 pertainiug 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 Coutractors Signature
Date
Paee 2 of2
~Iectrical Authorization To Begin wor'
E-mailedTo:arcelecor@aol.com
.
~-City of Springfield
~
Receipt # RC5150111
8/6/2007 9:44:24 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
COM'.;:>"'c\o7 ~ 0 \ 157
RCPTfIo'd-d.cSO'7 - 12-<+ (
DATE PROCESSED: 6 -010 - Q-,
PROCESSED BY:YbrntiY'--
I i
This Authorization To Begin Work must be posted at the job site until rePlace~ by a er it.
TYPE OF WORK
I D New construction
IX] Addition/alteration/replacement
CATEGORY OF CONSTRUCTION
I [X] 1 or 2 family dwelling
o Multi-family
o Commercial/Industrial
JOB SITE INFORMATION AND LOCATION
IJob no.: IJob address: 4795 FRANKLIN BLVD
!City/StDtclZIP: EUGENE, OR 97403-2455
I Suilelbldg.lapt.no.: SPC 33
I Projecl Dame:
Cross street/directions to job site: West on Main street (Springfield), turn left after
:rossing bridge on Franklin Blvd. Riverside Park is on the left.
I Subdivision:
ITax map/partel no.:
I Lot no.:
1803022002900
DESCRIPTION OF WORK
-Replace Service.
SITE CONTACT
I Name: Alan (Park manager)
I Phone:
[Email:
I FBI:
CONTRACTOR
I CCO lie. no.:
I EI. lie. no.: 20A03C
I Business Name: ARC ELECTRIC INC
I Contact: Virgil
IAddress: PO BOX 1723
IOty/SIDtclZIP: SPRlNGFIELD OR 97477
I Phone: (541)7410494
1 Email: arcelecor@aol.com
1 Metro lie. no.:
I Supervising electrician's lie. no.: 4368S
1 Supervising electrician's name: STEPHEN M SEBASTIAN
1IS\J3
IFu: (541)7411685
!City lie. no.:
Upon review and approval by your local Jurisdiction, your
permit will be e-malled 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.
FEE SCHEDULE
Description 1 Qty. ,I Ea. Total
Residential SINGLE- OR multi-family dwelling unit Includes
attached garage
11.000 sq. fi. or less
I Ea. addl 500 sq. fi. or portion
1 . Limited energy, residential
(with above SQ. f1.)
I-Limited energy. multifamily
residential (with above SQ. ft.)
I Services OR feeders installation, alteration, AND/OR relocation
I 200 amps or less
I 20 I amps to 400 amps
140 I amps to 599 amps
I TEMPORARY sen.ices OR feeders Installation, alteration,
AND/OR relocation
1200 amps or less
120 I amps to 400 amps
140 I amps to 599 amps
1 Branch cil"('ults - NEW, alteration, OR extension, per panel
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
each add! branch circuit
I Miscellaneous
I Service reconnect only
lEach manufactured or modular
dwellinJ!:. service and/or feeder
I Pump or irrigation circle
Sign or outline lighting
I Signal circuit(s) or Iimited-
energy panel, alteration, or
extension.
I
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II
Ii
I . City Of Sprmgfield
I
$55.001
I
I
I
I
Subtotal $55.00 I
State Surcharge (8% of permit fee) $4.40 I
City OfS~rin_~field fees. $8.25 I
TOTAL PERMIT FEE $67.65 I
10% Local Admin Fee; 5% Local Technology Fee
$55.00
ELECTRICAL PERMIT FEES
. I
225 E'ifth'Street
SP5ingfleld, Oregon 97477
541-726-3759 Phone
.
iE~
., of Springfield Official Receipt
W'velopment Services Department
Public WDrks Department
RECEIPT #:
2200700000000001241
Date: 08/06/2007
1I:12:19AM
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM ONLINE ARC Online
ELECT
Payment Total:
Amount Due
55.00
2.75
4.40
5.50
$67.65
Job/Journal Number
COM2007-01157
COM2007-01157
COM2007-0 1157
COM2007-0 1157
Description
Manufactured Home Service
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
$67.65
$67.65
cReceintl
Page I of 1
8/6/2007