HomeMy WebLinkAboutPermit Electrical 2007-8-30
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01310
ISSUED: 08/30/2007
APPLIED: 08/30/2007
EXPIRES: 03/01/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 322 D ST
ASSESSOR'S PARCEL NO.: 1703352406500
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECt DESCRIPTION: Replace upstairs 20A circuit under new siding
Owner: LAMARCHE DANIEL ALBERT
Address: 7000 SW VERMONT CRT APT 301
PORTLAND OR 97223
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
JOHNSEN ELECTRIC INC
License
38497
Expiration Date
01/10/2008
Phone
541-461-0291
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 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:
Street Improvements: .
,\TIEt\-:-!S'fI. S':'i.;j8R hl'A' r9?111-':'~"-"....
I PUBLIC IMPROVEt'tlIENIT~eS adopted by the Oregon Utility
NotlTlCa Ion Ce~\~~ T1;t.9~ ru~es are set forth
in OAR 952-00'f-OtYftjllf'rb~ OAR 952-001-
0090. You ma~aiq>GOOYtjHi~lV3e rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Storm Sewer Available:
Speci~PJ!)~ffe~n :
Notes:TH1S PERMIT SHALL EXPIRE IF THE WORK
~UTHORIZED UNDER THIS PERMIT IS NOT
vUIVlIVltl\JutU UK I::> ABANDONED f0n
ANY 180 DAY PERIOD. Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
Status
Issued
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
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid
Date Paid
$5.00
$2.50
$4.00
$48.00
$2.00
8/30/07
8/30/07
8/30/07
8/30/07
8/30/07
Total Amount Paid
$61.50
I Plan Reviews ~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01310
ISSUED: 08/30/2007
APPLIED: 08/30/2007
EXPIRES: 03/0112008
VALUE:
Receipt Number
3200700000000000588
3200700000000000588
3200700000000000588
3200700000000000588
3200700000000000588
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.
Reouired InsDections I
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
Pa2e 2 of2
Date
City of Springfield
Electrical Authorization To Begin Work
E-mai/edTo:KELIASEN@ATT.NET
Receipt # ~C516209
8/30/200711:20:56 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
D New const~ction
!Xl Addition/alteration/replacement
Description
Qty,
Ea,
Total
[Xl 1 or 2 family dwelling
D Multi-family
D Commercial/Industrial
11,000 sq. ft or less
I Ea. addl 500 sq. ft or portion
I-Limited energy, residential
(with above sq. ft.)
- Limited energy, multifamily
}esidential,iwith above sq. ft.) .
}SerVicesjORfeedersJnstallation;. alteration, AND/OR ~jo'lati(jn V,+ ..' .
:,JM,"-;,i1:0thllldldn~l8nWlI!ill~ttdmW*.;~l1lliilM<<d_m%iij\t:f'Bi.:V!ll;l81111,j)iIIH:Jlmm",iriii'%'~~illlll$b;NIMM:i:I%'iS'i:_~<:_).'l'"""~"""";,,t'-,,,,---,_,,- -- '::-:" , -<,-~
I 200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
I
I Job no.: I Job address: 322 D ST
I City/State/ZIP: SPRINGFIELD, OR 97477-4632
I Suitelbldg./apt.no.:
I Project name: LARRY PHILLIPS
Cross street/directions to job site: E PIONEER PARKWAY & D STREET
1 Subdivision: I Lot no.:
I Tax map/parcel no,: 1703352406500
1 200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
REPLACE UPSTAIRS 20A CIRCUIT UNDER NEW SIDING,
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;
1 each addl branch circuit
$48,00
$48.00
I Name: BEN JOHNSEN
I Phone: (541) 556-2153
I Email:
IFax:
EI. lie. no.: 20-53C
Business Name: JOHNSEN ELECTRIC INC
I Contact: KARIN ELIAS EN
I Address: 2585 ROOSEVELT BLVD
1 City/State/ZIP: EUGENE OR 97402-2500
!Phone: (541)4610291 I Fax: (541)4612340
I Email: KELIASEN@ATTNET
I Metro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 3485S
I Supervising electrician's name: GARY E JOHNSEN
I CCB lie. no.: 38497
1 Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
1 Pump or irrigation circle
1 Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
extension.
I
I
I
I
* City Of Springfield
Subtotal I $48.00
Minimum fee used instead of Subtotal $50.00
State Surcharge (8% of penn it fee) I $4.00
City Of Springfield fees *1 $7.50
TOTAL PERMIT FEE I $61.50
10% Local Admin Fee; 5% Local Technology Fee
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.
COM:~()Q7 ~ 01310
RCPT #: ~ 2....(:50 7 - S g 1(
DATE PROCESS~ '8' - 50... 0;
PROCESSED BY.! 10Inc<11
I /,'\
This Authorization To Begin Work must be posted at the job site ~til repl3CE,ld by a Per~it.
V
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 Fifth Street
Springfield; Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0131O
COM2007-0131O
COM2007-013 10
COM2007-01310
COM2007-01310
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
RECEIPT #:
3200700000000000588
Date: 08/30/2007
Description
Add, Alter, Extend Circ
Minimum! Adjustment Electrical
+ 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
nJm
ONLINE
johnsn Online
Payment Total:
Page 1 of 1
2:09:22PM
Amount Due
48.00
2.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
8/30/2007