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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