HomeMy WebLinkAboutPermit Electrical 2007-3-15 (4)
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City of Springfield
4IP.ectrical Authorization To Begin wor_
E-mailedTo:arcelecor@aol.com
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Receipt# EC5fl9428 3-15 -07
3/15120078:27:48 AM m S,
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springlield.or.us
TYPE OF WORK
'"'/-
I D New construction
[X] Addition/alteration/replacement
CATEGORY OF CONSTRUCTION' ' '",
I [K] I or 2 family dwelling D Multi-family 0 Commercial/Industrial
I . .JOBSITE INFORr.t6.TION AND LOCATION ..
]Job DO.: IJob address: 4795 FRANKLIN BLVD
I City/Stater!.IP: EUGENE, OR 97403-2455
I Suitelbldg./apt.no.: SPC 26
I Projed name:
Cross street/directions to job site: Franklin Blvd to Riverside MIH park.
I Subdivision:
I Tax map/parcel no.:
I
ILnI no.:
1803022002900
DESCRIPTION OF WORK
Replace M/H service & pole
I
SITE CONTACT;
I Name: Alan
I PhODe:
I Email:
I
I Fax:
CONTRACTOR
I EI. lie. no.: 20-403C IceD lie.no.: 115113
I Business Name: ARC ELECTRIC INC
I Contact: Virgil
IAddress: PO BOX 1723
I City/StatelZlP: SPRINGFIELD OR 97477
IPhone: 5417410494 IFax: 5417411685
1 Email: arceJecor@aol.com
I Metro lie no.: 1 City lie no.:
Isupervising electrician's lie. no.: 43685
Supervising eledrician's name: STEPHEN M SEBASTIAN
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.
,
I FEE SCHEDULE
~...riPtion . ,. I Qty, I Ea, Total
Resident~~ISINGLE- OR multi~ramily dwelling'unlt. Includes
aUa'ehed garage . . ., .
1,000 sq. ft. or less
1 Ea. addl 500 sq. ft. or portion
I-Limited energy, residential
(with above sa. ft.)
- Limited energy, multifamily
residential (with above s_a. fU
Servie~ OR feeders insb,lllation, alteration. ~ND/OR relocation
1200 amps or less
I 20 I amps to 400 amps
140 I amps to 599 amps
I TEMPORARY serviceS OR. feeders installatlon,_alteration,
ANIl/ORrelocation . . ".
1 200 amps or less
1 20 I amps to 400 amps
140 I amps to 599 amps
I Brancb circ~its - N~W, alterati~D,,oR eXlension, per pan"el
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 addl branch circuit
I Miscellaneous
[ Service reconnect only
I Each manufactured or modular
dwelling" service and/or feeder
1 Pump or irrigation circle
Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
extension.
I.
I
I
I
I
I
I
I
II
II
II
I . City Of Springfield
I
$50.00
$50.00
not offered online at this jurisdiction
ELECTRICAL PERMIT FlOES
Subtotal $50.00
State Surcharge (8% of permit fee) $4.00
Ci.tv OfSpringfleld fees. $7.50
TOTAL PERMIT FEE $61.50
10% Local Admin Fee; 5% Local Technology Fee
COM' c!;JtJ?77 - 00.33D
RCPTI" /-2 (JD 7 - ~7S
DATE PROCESSEf),!"',,l,J....;:l5 -CJ7
PROCESSED By:_)J(}rfI% If(
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
p5 F~th ~treet
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2007-00380
COM2007-00380
COM2007-00380
COM2007-00380
Payments:
Type of Pnyment
ONLINE CHGS
cReceintl
RECEIPT #:
. of Springfield Official Receipt
elopment Services Department
Public Works Department
1200700000000000275
Date: 03/15/2007
Description
Manufactured Home Service
+ 5% Technology Fee
+ 10% Administrative Fee
+ 8% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
njm ONLINE In Person
Payment Total:
Pa~e I of I
II :04:06AM
Amount Due
50.00
2.50
5.00
4.00
$61.50
Amount Paid
$61.50
$61.50
3/15/2007
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00380
ISSUED: 03/15/2007
APPLIED: 03/15/2007
EXPIRES: 09/15/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
SITE ADDRESS: 4795 FRANKLIN BLVD SPACE 26 Eugene
ASSESSOR'S PARCEL NO.: 1803022002900
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace M/H service & pole
Owner:
Address:
RIVERSIDE MOBILE HOME COURT LLC
2100 STONE CREST DR
EUGENE OR 97401
Contractor Type
Electrical
I CONTRACTOR INFORMA"[)O~'10\\V.
~OI\\it. I\LL E.'f.I'\\'\[.. "!I1" \S ~Oi
Contractor S I'E.Rt<\ll SI-I R l1-11S rEl1:\JnseOR Expiration Date
ARC ELECTRI()\-II_. .nol7l'O \)\"-lDE. I'" ...\t'X1mfi r 07/29/2008
I\l.i : BUUbIVNdlNtillJiMA TION ,
C~ 01\'; ~UI.~
1\\'\'( "\ ~Oof Stories: Lot Size:
Height of Structure: Sq Ft I st Floor:
Type of Heat: Sq Ft 2nd Floor:
l'q
Water Type: ..,~" jSq .Ft.~asement:
Range Type: 0).' ,,,,.,, '''O'''renopSq'it'Garage/carport
JldU ~"e' ':J . ~G'
E_'!re[~ r~!h:,. ~n\ed b~' .,' sateScjlFt"Wher:
iSprlnkl~M!uilding: 1nOSe {n~.flO"R g~a.pant Load:
. "",\N n; _ __"'of. .....h 1"\ l....~ \
I DEvii:eP-MENl: 'I;;FORMATioiN'\~IS 0' \{I" ';~{le
n O"'f"\ ,,- {t\a~ QU,vP11'!0te'. tne te\~~iCati(REQU1RED PARKING
,,,n '10\.1 {Iter. \ qiW ttO I.
"~verlaYJ?j't':.Q C8 "001"1 \j,I. ?3tA). Total:
# St-MII/'T' R~d' 01.... "'3'"'' H d'
ree r,el'l',', q: ,"r.r,- ,. .. an Icapped:
1j!'la' ,"-' .' 5 '~'" . ~
Paved Drive.Rqd:\f \ Compact:
\..'~.'
% of Lot Coverage:
PhDne
541-741-0494
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secoudary Constructiou Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DOWDspoutsfflrains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
.
. CITY OF SPRINl.J<lJ!.LIJ
Building/Combination Permit
PERMIT NO: COM2007-00380
ISSUED: 03/15/2007
APPLIED: 03/15/2007
EXPIRES: 09/15/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
Total Value of Project
Fees P,Ilid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Mauufactured Home Service
Amount Paid
Date Paid
$5.00
$2.50
$4.00
$50.00
3/15/07
3/15/07
3/15/07
3/15/07
Receipt Number
1200700000000000275
1200700000000000275
1200700000000000275
1200700000000000275
Total Amount Paid
$61.50
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.
, Relluired I~
MH Service: Approval required prior to utility company energizing service.
By siguature, 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 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 Contractors Signature
Date
Paee 2 of2