HomeMy WebLinkAboutPermit Electrical 2008-1-18
Status
Issued
CITY OF SPRIl'iLiI'lJi.,LU .
Building/Combination Permit
PERMIT NO: COM2008-00074
ISSUED: 01118/2008
APPLIED: 01118/2008
EXPIRES: 08/18/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5062 E ST
ASSESSOR'S PARCEL NO.: 1702332300303
Springfield TYPE OF WORK: Electrical Work Only
,
PROJECT DESCRIPTION: Service for Shop
TYPE OF USE: New
Residential
Owner:
Address:
BEYERLIN BRYAN K & TERRY L
5062 E ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
JOSEPH AARON BUNCH
License
145024
Expiration Date
1011212009
Phone
541-345-9808
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 Flnnr:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: /
Occupant Load:
n/a
.....\.......::....
I DEVELOPMENT INFORMATION I
....-.,
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
-.
Overlay Dist:. '.,
~
# Street Trees Rqd:
Paved Drive Rqd: \
% of Lot Coverage: Ar'.~
h.NT/ON: Oreg ,
f::\l!r:llV rHJ~~ .......___. o~ aw reQU;'e~ \,n,. "'_
I PUBLIC IMPROVEMEI'~irs'l~iion Cent~~."Th~~~~e/ Uregon Utility
952-001-0~J ~ u es are set forth
c'080. You ,Sidewa k. p,ugh OAR 952-001
.... "'"'1 Uu am 0 . .
cal1:og tr"bownsPOl({sd~~s ?f the rules by
OUmoer for the Ore 0 -','life telephone
Center is H?OOn3U3t2"lty Notification
- -2344).
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:.
- : Jt"t'
>,/(,. ,... .
"" ~ER
Notes: ',!,--' MITSHAL
1.[JIl:!DRI L E""
,,, ZFn II~'__ -"PIPe: '~~
,'V'VI/Vil:iVCE -'\uCf'f IHIS'\ D
ANy 180 DA~pOR IS ABAN/OER J~ 11fn DescriDtion I
ERIOD. NED OR
. , . $ Per Sq Ft Square Footage
DescnptlOn . Type of ConstructIon It' I' B'd A
. or mu Ip lef or J mount
Value
Date Calculated
Paee I of2
._SI'!~I."!!'lI!:'l!,!,bS...
..11
~I
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00074
ISSUED: 01/18/2008
APPLIED: 01/18/2008
EXPIRES: 08/18/2008
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 J
II .1
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
$8.20
$9.84
$4.10
$12.00
$70.00
1/18108
1/18/08
1/18108
1/18108
1/18108
Receipt Number
2200800000000000065
2200800000000000065
2200800000000000065
2200800000000000065
2200800000000000065
Tntal Amount Paid
$104.14
I Plan Reviews ,
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.
Rellllired lnsneetions I
Rough Electric: Prior to Cover
Electric Service: Apprnval required prior to utility company energizing service.
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 empluyees 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 al 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
Page 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
. City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200800000000000065
Date: 01118/2008
10:20:25AM
Job/Journal Number'
COM2008-00074
COM2008-00074
COM2008-00074
COM2008-00074
COM2008-00074
Description
Perm ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
Check
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
70.00
12.00
4.10
9.84
8.20.
$104.14
Amount Paid
BEYERLlN GUTTER SERVICE njm
1744
In Person
Payment Total:
$104.14
$104.14
cReceintl
Page I of I
111812008
'-' .)>r J;,. ,~ ~~-f"~>IL,> ,_ "'~~_ _ "c ~~,.J .~ p"". \' "
, ;; ,": ; Cn;:Y;;OF SPRifN<5FIELD,:OREGQN f-Z",:,:; .
" .~.... ~,,~., ~"'", 1! - "-."""!!!. ,. i1'~. c _"'7.. 5-.-7,' ,.r- ..r.;,. .'3;;m:.~sw'. ...t:?iV r_-
ZON I ';;T)'/7.?----"
INITIALS Ai ""'-
DATE /-a';;>-oK"
SOURCE I!I 0) (,/%7./
, ,
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAYfERMIT APPliCATION
City Job Number ( J)/Yl un r - (J fJO 7 ~. Date
1. liWE@eAtr',[@NiOp)1NS1'}i'rTr"J1;1ilON,- 3,
<-;::j(j(;9d"~"'l!~S;?'-'----'_C'-_...... .
C q.~~~. ';'''~~!I'''''''r72' ..-.,~,::""...,..".
. ~~'J_ .""--. ". 'I!~SlyGlJ'tG'
NO;ll':; 'n -;; ani:fted by the Oregon Utility
Installation; ~terlif;on'M ltdooations are set forth
flTIfhi.- 1'''<:'UOl 0010 th
200 ,(fups oiy~S . - . rough OAR 9fS?5600
/<::""7"'-7/ ./ ~-'t'. "may obtain cop;", UI [he r"".. ..
Constr. Contr. Number ./ ~ ./r&>'/ 201 A.rRrs to~~O~~er. (Note: :-1:: :"':0..... ~~.\I"
401 AJl!jW1<l3600r~sJregon Ut[I;,y .,^""cl1q~8.00
Expiration Dale / c?' ~ _2v1i7'"'7 ' Centec is j,R.()()~~Q...?,"A ;,:" )'B.!ion
Over 600 Amps or WUU V O1rs--see'~'ilO1lJIle.
Signatur~Of ising E]ectrician //-/ D.
-:::-:? ., New Alteration or Extension Per Panel
'd.L" ~--H{t2:'~'/ One Circuit"., '." $ 48.00
Each Additional Circuit or with '? ' UV
Owners Name 812 ~ i'!,J=i:,t ~[ ': Service o~ Feeder Permit ") $ 4.00 /,;) .
'<0' fo --, J~ - if' 1iiL.'~1I!J0."-rr"""Jrll.'trw~.0:jX{!;!rdfllll~.'ImI.".Vi~E1'-tmr~tiill;;fi.tYfil
Address u'. ,;?) c. ~ I , IllIl&c-l'}-~i(lItU;~r:~~n;~~~~R~~+~.b~-_b~
Clty~. /~ Phone IQJr \M~~l1IIS ABANDONED FOR $ 55.00
CSi fill\li~~l f{lhD $ 55.00
OWNER STALLATION 11! i*~q,~ergy eSldentlal $ 28.00
The installation is being made on property I own which Limited Energy/Commercial $ 50.00
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
.rf'2 _ CO
'1..' I U
'1' 6'1
If.Lo
TOTAL /0 C:/. /y.'
Shared Drive(T:)/Building Fonns/Electrical Pennit Application I-DS.doc
LEGAL DESCRIPTION:
/ 7 0;:), 33 :::;23 cro 8 () ~
JOB DESCRIPTION:
,
. ~ ~!J.o ,tv 1d2.e. / &U? V, <':.L-
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
.IPFAAC7'-O~"'dN-'TAL~~O.;;;.QMJ~t.'
2. """. __'b._".".,,&J.'''''N'~''_''__<0': ". '
Electrical Contract~1 /J,L. ~~i
Address ,~~ ?V/~A- A I--
City e P"'-qu?-f'z.L
/
Phone C( I S - ~(d3
Supervisor License Number
SL :7Jf/-s
Expiration Date / t::/' "-' ..:2er<?)?
. Owners Signature:
Inspection Request: 726-3769
) --- /J<-' 06
A.I:~~,!!r~~J~~!it\li~~!!Y~~IDJg~].
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$117.00
$21.00
$55.00
B.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIV olts
Reconnect Only
I
10. tr'
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
4.
12% State Surcharge
]0% Administrative Fee
5% Technology Fee