HomeMy WebLinkAboutPermit Electrical 2007-8-6
Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
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
541-726-3769 Inspection Line
SITE ADDRESS: 4795 FRANKLIN BL VD SPACE 33 Eugene
ASSESSOR'S PARCEL NO.: 1803022002900
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: RepJace Service
Owner: MEDINA ORONIT A
Address: 4795 FRANKLIN BLVD SPACE 042
EUGENE OR 97403
I ~NTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
ARC ELECTRIC
License
115113
'...!.UlLDING INFORMATION'
Expiration 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 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:
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Al I t:l'ITlON: Oregon law requires you,t.o
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
tJnTIr.w:. _. ... I" t"lAR Q!;?-001-001 0 through OAR 952-001~
. - PERMIT SHALL EXPIRE: I 'F:: \~;;;Idt uw You may obtain copies 01 U11::11J.voIl1,
TAHU'TSHORIZED UNDER THIS PE ~h!.s.~Ml1Descri tio ling the center. (Note:.t.heNtel~fth::n
NDONFO 0 number for the Oregon UtIlity OIIC
. . COM~NCED OR IS A~A fPer Sq Ft Square Foot~nter is 1-800-332-2344).
DescnptlOn ANY 1 a~Pf)AY~'rn9!lon or multiplier or Bid Amount ~aliie Date Calculated
Notes:
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
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
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Manufactured Home Service
Amount Paid
Date Paid
Receipt Number
$5.50
$2.75
$4.40
$55.00
8/6/07
8/6/07
8/6/07
8/6/07
2200700000000001241
2200700000000001241
2200700000000001241
2200700000000001241
Total Amount Paid
$67.65
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 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
Pa2e 2 of 2
,
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:arcelecor@aol.com
Receipt # EC515018
8/6/2007 9:44:24 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
D New construction
[K] Addition/alteration/replacement
[i] 1 or 2 family dwelling
D Multi-family
D Commercial/Industrial
I Job no.: I Job address: 4795 FRANKLIN BLVD
I City/State/ZIP: EUGENE, OR 97403-2455
I Suite/bldg.lapt.no.: SPC 33
I Project name:
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/parcel no.: 1803022002900
Replace Service.
I Name: Alan (Park manager)
I Phone:
!Email:
I Lot no,:
IFax:
I EI, lie. no.: 20-403C
I Business Name: ARC ELECTRIC INC
I Contact: Virgil
!Address: PO BOX 1723
I City/State/ZIP: SPRINGFIELD OR 97477
I Phone: (541 )741 0494
I Email: arcelecor@aol.com
I Metro lie, no.:
I Supervising electrician's lie, no.: 4368S
l~~p'~rvising electrician's name: STEPHE~M SEBASTIAN
ICCBlie.no.: 115113
I Fax: (541 )7411685
I City lie. no.:
I Description
Qty.
Ea,
Total
11,000 sq. ft. or less
I Ea. addl 500 sq. ft. or portion
I-Limited energy, residential
(with above sq. ft.)
I-Limited energy, multifamily
residential.(with above s'1 ft.)
fSerVlces OR feCde~JffStallation. aJterlitliloi;AND/ORreI6hition .
,"-_,'_"-,"-''-'1'"j,; <""""'-'<"1,1",,'-',',;;''-;;,;'-;> '" __ __ '__""',',, ":"'_1~''f:;j_,,,"'':.-'v,,,,",,'.:,,,,;, :,,, -, -- __,- ":\ _', ,~".I, 1).:::,_,d,\0' ~<;;:,' :" ,__,
,,---- c_ .,. '-'_'z.-,:, 'i:?,:, :.,,'
200 amps or less
120 I amps to 400 amps
401 amps to 599 amps
I 200 amps or less
1201 amps to 400 amps
401 amps to 599 amps I I I
,ii;ll:ancb ci~uits ~N'tW,aIte"ration, ORerte"'lsion, per paief'
~"~"'; ,',,--,-u,':::::O-'n"'-' "'r'''\'*'',:;,i'"~'I>,-,';-O;;-'-'-,--_,,-- -_ -- _'___-,-',,'o7'(:i'::<',',;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 limited-
energy panel, alteration, or
extension.
I I . ., '; ::';::'""':";"'l=lJ;9TRICALPERMrr}~EES . " I
I I Subtotal $55.00
I I State Surcharge (8% of permit fee) $4.40
I City Of Springfield fees' $8.25
I I TOTAL PERMIT FEE $67.65
· City Of Springfield 10% Local Admin Fee; 5% Local Technology Fee
$55.00
I
$55.00 I
COM'~l\CY7 ~ 6..\' \'5'7--."'-
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RCPT #, -~~ 6--o~7 - I 2- y- (
DATE PROCESSED: t ---0 (:, - (:)',
PROCESSED ByrJrn~ Y'--
This Authorization To Begi n Work must be posted at the job site until rep lace~ by a ~~ nit
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.
225 Eifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01157
COM2007-01157
COM2007-01157
COM2007-01157
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
Manufactured Home Service
+ 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
2200700000000001241
Date: 08/06/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE
ARC Online
ELECT
Payment Total:
Page 1 of I
11:12:19AM
Amount Due
55.00
2.75
4.40
5.50
$67.65
Amount Paid
$67,65
$67.65
8/6/2007