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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