HomeMy WebLinkAboutPermit Electrical 2007-11-19 (2)
-i*~
Status
Issued
225 FIfth Slreet, Sprmgficld, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection LlIle
SITE ADDRESS 6557 E ST
ASSESSOR'S PARCEL NO 170234\300326
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-01699
ISSUED' 11/19/2007
APPLIED. 11119/2007
EXPIRES' 06/12/2008
VALUE'
Sp'lIlgfield TYPE OF WORK SlIlgle FamIly ResIdence
TYPE OF USE AlteratIOn
PROJECT DESCRIPTION 200amp servIce change and add 15 CIrcuits, plumbmg and mechamcdl
Owner KIRK VANDEHEY
Address 2555 MANGAN ST
EUGENE OR 97402
ResIdentIal
Phone Nnmber 541-688-1216
I. CONTRACTOR INFORMATION I
Contractor Type
Electncal
Mechamcal
Plumblllg
Contractor
EASTSlDE ELECTRIC INC
OWNER
OWNER
LIcense
117770
ExpiratIOn Date
10/04/2009
Phone
541-915-9828
r BUILDING INFORMATION I
# of Umts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary Construchon Type
Secondary Const. uctlOn Type
# of Bedrooms
R-3
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled BUlldIDg
VB
n/a
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Cdrport
Sq Ft Other
Occupant Load
I DEVELOPMENT INFORMATION I
I PUBLIC IMPROVEMENTS'
f~JJ~:~~fi~?~n law reqUires you to
Not/fl t . f"e by the Oregon Uti/lly
I OAm9 h&\fOODr1ilhs>e rules are set forth
n 52-001-0010 through OAR 952-001-
0090 You may obtam copies of the rules b
callmg the center (Note the telephone y
number for the Oregon Utility Notification
Center IS 1-800-332-2344)
Frontyard Setback
SIde I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbdcks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Street Improvements
Storm Sewer AvaII160TlCE:
SpeclallnstrnctlOnTHIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes
Page 1 of3
REQUIRED PARKING
Total
HandIcapped
Compact
-~a
Status
Issued
225 FIlth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOn LlIle
DescriptIOn
TYne of Consll uctlOn
Fee Description
+ 10% Admllllstrahve Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend ClrC Ea Add
Perm Serv/Fdr 200 amps or less
-Mechalllcallssuance Fee-
+ 10% Admllllsll ahve Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
Furnace - up to 100,000 btu
Mmlmum/Adjustment Mechalllcal
MlIllmum/Adjustment Plumblllg
+ 10% Admllllstrallve Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
Total Amount PaId
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-01699
ISSUED. 1l/1912007
APPLIED' I l/19/2007
EXPIRES 06/12/2008
VALUE.
I. ValuatlOl,l DescrlOtlOn I
$ Per Sq Ft
or mnlhpher
Square Footage
or BId Amount
Value
Date Calculated
Total Value of Project
~p,~~ P'llrl I
Amount PaId
Date PaId
ReceIpt Numbel
$13 00
$650
$1040
$60 00
$70 00
$20 00
$10 00
$500
$800
$3200
$1400
$36 00
$1800
$12 80
$640
$1024
$12800
11/19/07
11119/07
11/19/07
11/19/07
11/19/07
12/12/07
12/12/07
12/12/07
12/12/07
12/12/07
12/12/07
12/12/07
12/12/07
12/20/07
12/20/07
12/20/07
12/20/07
1200700000000001417
1200700000000001417
1200700000000001417
1200700000000001417
1200700000000001417
2200700000000001819
2200700000000001819
2200700000000001819
2200700000000001819
2200700000000001819
2200700000000001819
2200700000000001819
2200700000000001819
1200700000000001516
1200700000000001516
1200700000000001516
1200700000000001516
$460 34
I Plan ReVIews I
To Request an mspectlOn call the 24 hour recording at 726-3769. All mspectIons requested before 7 00
a.m WIll be made the same workmg day, mspectlOns requested after 7:00 a.m. WIll be made the followmg
work day
I Rpo~ln~,nprtJon~'J
Rough Electnc Pnor to Cover
Electnc ServIce Approval reqUIred pnor to utIlity company enel glZlIlg servIce
Fmal Electnc When all electncal work IS complete
Page 2 of 3
-iii.-.~
Status
Issued
225 FIfth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlIle
Rough Plumbmg Pnor to cover and mcludlllg requlI ed testmg
FlIlal Plumblllg When all plumbmg work IS complete
Rough Mechalllcal Pnor to Cover
FlIlal Mechdlllcal When all mechalllcal work IS complete
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' cOM2007-01699
ISSUED: 11/19/2007
APPLIED: 1II19/2007
EXPIRES' 06/12/2008
VALUE'
By sIgnature, I state dnd agree, that I have carefully examllled the completed applicatIOn and do hereby certIfy that all
IIlfOrmdtlOn hereon IS true and correct, and I fUl ther certify that any and all WOI k perlormed shall be done m accordance wIth
the Ordlllances of the CIty of Spnnglield and the Laws of the State 01 Oregon pertammg to the work descnbed herelll, and
that NO OCCUPANCY will be made of any structnre wlthont permISSIOn of the Commulllty Sel vIces DIVISIOn, Bulldlllg Safety
I further certIfy that only contractors and employees who are m comphance WIth ORS 701 005 WIll be used on thIS project
I further dgree to ensure that all reqUIred mspecl10ns are requested at the proper time, that each address IS leadable from the
street, that the permIt card IS located at the front of the pI operty, and the approved set of plans wIll remam on the sIte at all
""i~'~'IZ:{l Q,1,
Owner or Contl3ctors Signature
Page 3 of 3
/ ?-. - 2. 0 - 2..0 CJ 7
Date
Anstruction Contractors Board
700 Sununer St NE SUIte 300
_po Box 14140
Salem OR 97309-5052
Phone 503-378-4621
Web Address: www ccb state or.us.
Penrul #
COt/VI Z..:>oi -.0/69 '7
G'S5-/ f: S1-
Address
Issued by
pfc
Date
,
1 z_ / / 1 / II 7
I
Statement: Information Notice to Property Owners
About Construction Responsibilities
,
Note Oregon Law, ORS 701 055(4) requires resldentzal constructIOn permit applzcants who are not
lzcensed with the ConstructIOn Contractors Board to sign the following statement before a bUilding
permit can be Issued This statement IS reqUired for resldentzal budding, electrzcal, mechanzcal and
plumbzng permits Licensed architect and engzneer applzcants, exempt from lzcensmg under
ORS 701 010(7), need not submit thiS statement This statement will befiled with the permit
FIll m the appropnate blanks and ImtIal boxes 1 and 2, and eIther box 3A or 3B
/EJ~ - -1 I own, reSIde Ill, or wIll reSIde m the completed structure
,,/
&121 2 I understand that I must become hcensed as a constructIOn contractor If the structure IS sold or
offered for sale before or on completIOn
o 3A My general contractor IS
(Name)
(CCB #)
I wIll IllStruct my general contractor that all subcontractors who work on the structure must be
hcensed wIth the ConstructIOn Contractors Board
OR
/
/0 3B I wIll be my own general contractor
r
If! hue subcontractors, I WIll lure only subcontractors hcensed with the ConstructIOn Contractors
Board If! change my mmd and lure a general contractor, I wIll contract wIth a contractor who IS
hcensed wIth the cCB and wIll unmedlately notIfY the office IssUIng thiS bUlldmg permit of the
name of the contractor
I hereby certIfy that the above mformatIon IS correct and that I have read and do understand the InformatIOn
NotIce to Property Owners abont ConstructIon Responslblhtles on the reverse sIde of thIS form.
,
; ,
, ~ // I / J
j\,: I J
f / r 1/ i ,
I I l I - I. - 7--' /
J ). / G.............~..... \.i;::/ - I
?'
/ /;'
, ,
/ 'I
10;.1 - VI
, -~. ~p
/i~ /_ ~:-~
"?'---I~ '-
r7
(Signature of permit apphcant) (Date)
(WhIte copy to iSSUing agency permit file, pznk copy to applzcant)
n_~_o""'" ^"rnPT 11(\(' Otl-Ol-04
225 FIfth Street
,
Spnngfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007.0 1699
COM2007-01699
COM2007-01699
COM2007-01699
Payments
Type of Payment
CredllCard
cRecemll
RECEIPT #.
DescriptIOn
Fixture
+ 5% Technology Fee
+ 8% Slale Surcharge
+ 10% Admllllslratlve Fee
PaId By
KIRK VANDEHEY
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
1200700000000001516
Date 12/20/2007
Item Total
Check Number AuthonzatlOn
Received By Batch Number Number How Received
IIh
103316 In Person
Payment Total
Page I of 1
2 33 36PM
Amount Due
12800
640
1024
1280
$15744
Amount Paid
$15744
$15744
12/20/2007