HomeMy WebLinkAboutPermit Electrical 2007-9-4
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01339
ISSUED: 09/04/2007
APPLIED: 09/04/2007
EXPIRES: 03/04/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1484 S B ST
ASSESSOR'S PARCEL NO.: 1703363207202
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Hook up job shack.
Owner: J M DAVEY LLC
Address: 1484 S B ST
SPRINGFIELD OR 97477
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:
I PUBLIC IMPROVEMENTS I
ArreNTIdtiP.'errll~cMRlW requires you to
follow rul~aw~~JbfttQregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
Notes: NOTICE' 0090. You may obtain copies of the rules by
~r:~~m..sHAU EXPIRE If THE WO~~ . c~lIing t~e center.; (Not~:. ~he tel~phone
UNDER THIS PEKtv'lI ,~ 1'1'-" .l......l._. h.. i.L e. Vl:/I.o.. ettfttJ I Ll.f.......lI"'..
~g~S:~~E~D OR IS ABANDONE~.mlbation Description I Center is 1-800-332-2344).
. ANY 180 nAY PERIOD.. $ Per Sq Ft
Descnption tYpe of Construction I . I'
or mu tip ler
Street Improvements:
Storm Sewer Available:
Special Instruction:
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01339
ISSUED: 09/04/2007
APPLIED: 09/04/2007
EXPIRES: 03/0412008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paidj
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$7.00
$3.50
$5.60
$70.00
9/4/07
9/4/07
9/4/07
9/4/07
Receipt Number
2200700000000001384
2200700000000001384
2200700000000001384
2200700000000001384
Total Amount Paid
$86.10
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.
LReouired Insnections 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
Pae:e 2 of 2
.City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:KELIASEN@ATT.NET
Receipt # EC516322
9/4/20079:19:25 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I 0 New construction
[2U Addition/alteration/replacement
o I or 2 family dwelling
o Multi-family
IX] Commercial/Industrial
Job no.: IJob address: 1484 S B ST
I City/State/ZIP: SPRINGFIELD, OR 97477-5248
I Suitelbldg.lapt.no.:
I Project name: RIVER ROOFING
Cross street/directions to job site: 14TH & B STREETS
I Subdivision: I Lot no.:
Tax map/parcel no.: 1703363207202
HOOK UP JOB SHACK.
Name: BEN JOHNSEN
I Phone: (541) 556-2153
1 Email:
I Fax:
I EI. lie. no.: 20-53C I CCB lie. no.: 38497
I Business Name: JOHNSEN ELECTRIC INC
I Contact: KARIN ELlASEN
I Address: 2585 ROOSEVELT BLVD
1 City/State/ZIP: EUGENE OR 97402-2500
I Phone: (541)4610291 IFax: (541)4612340
I Email: KELlASEN@ATT.NET
I Metro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 3485S
I Supervising electrician's name: GARY E JOHNSEN
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.
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<l ft.)
1,~,~~ic€~'Y)R:f~~.~~ i?staU~~i~~L~I!~r~iion;'~i;~p/~~ ~elocation . ..
1200 amps or less $70.00 $70.00
1201 amps to 400 amps
1401 amps to 599 amps
I 200 amps or less
1201 amps to 400 amps
401 amps to 599 amps
;Br~*~~.~!reujtJlS.;NE\Yt\1:lIJeration. OR ~~ten~ion, per, ~~nel
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
Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
1 Pump or irrigation circle
I Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
extension.
I
Subtotal I $7000 I
State Surcharge (8% of permit fee) $5.60 I
City Of Springfield fees' i $10.50 I
TOTAL PERMIT FEE I $86.10 I
10% Local Admin Fee; 5% Local Technology Fee
I
I
I
I
· City Of Springfield
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
54f-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01339
COM2007-01339
COM2007-01339
COM2007-01339
Payments:
Type of Payment
ONLINE CHGS
cReceint I
RECEIPT #:
2200700000000001384
Date: 09/04/2007
Description
Perm ServlFdr 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
Johnsen Online
Electric
Payment Total:
Page I of 1
1l:09:16AM
Amount Due
70.00
3.50
5.60
7.00
$86.10
Amount Paid
$86.10
$86.10
9/4/2007