HomeMy WebLinkAboutPermit Building 2008-1-22
Status
Issued
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CITY OF SPRING!' II'.,LD '
Building/Combination Permit
PERMIT NO: COM2008-000S0
ISSUED: 01/22/2008
APPLIED: 01/14/2008
EXPIRES: 07/22/2008
VALVE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1072 56TH ST
ASSESSOR'S PARCEL NO,: 1702331100168
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Fire Damage
Owner: 'GOLBEK CHERYL A
Address: 1072 N 56TH ST
SPRINGFIELD OR 97478
, CONTRACTOR INFORMA TION ,
Contractor Type
Electrical
Contractor
MAG ELECTRIC INC
License
149834
Expiration Date
12/13/2009
Phone
541-461-0387
. 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 Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
, DEVELOPMENT INFORMATION ,
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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS 11<",: I t:N I iLJN; Oregon law requires you to
1'0 .ow rU.<:$ adopted by the Oregon Ut"'ty
NOI'fl""i\' ~ - 'Ik ~ ,. II
, ",I ewa ""yp,e:, hose rules are set f th
in OAR 952-00 I Olllin \h or
0090 Do.w~snQu-ts i:a it~,?~gh OAR 952-001-
'. Iv" ""y 0 am copies of the rules b
callmg the center. (Note: the telephone Y
number for the. Oregon Utility Notification
Center IS 1-800-332-2344).
Notes:
NOTICE:
THIS PERNII' ~HALL t!\/"'IHt If I nt vvun:\
AUTHORIZED UNDER THIS PERMIT IS NOfValuation Descriotion ,
COMMENCED OR IS ABANDONED FOR '
AD' , '~-t'. ~y PER"'''.!:\- f C t t' $ Per Sq Ft Square Footage
. e;,CI;I;P 100 HIJl~ 0 OUS rue Ion . . .
,.' ,~o ". or multIplIer or BId Amount
Value
Date Calculated
Paee 1 of 2
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00050
ISSUED: 01/22/2008
APPLIED: 01/14/2008
EXPIRES: 07/22/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
,541-726-3676 Fax
541-726-3769 Inspection Line
Total Valuc of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Scrvice Reconnect
Amount Paid
Date Paid
Receipt Number
$10.30
$12.36
$5,15
$48.00
$55.00
1122/08
1122108
1122/08
1122108
1122/08
3200800000000000048
3200800000000000048
3200800000000000048
3200800000000000048
3200800000000000048
Total Amount Paid
$130,81
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.
I Reouir~d Tns,1ections I
Rough Electric: Prior to Covcr
Final Electric: When all electrical work is complete,
Electric Service: Approval required prior to utility company energizing service.
By signature, 1 state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he 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 bc 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
Page 2 of2
City of Springfield
Electrical Authorization To Begin Work
E-m.iled To: MAGELECTRICINC@COMCAST.NET
Receipt # EC524252
1/22/200810:50:49 AM
lr'''ai
~, "
Check on status of permit
By Phone: (541)726-3753 or Em.iI: permitcenter@ci,springfield.or.us
';:fEE S,SqEDULE
I 0 New construction
[K] Addition/alteration/replacement
Description
.'
11,000 sq, ft. or less
I Ea. addl 500 sq. ft. or portion
If~}i!lite'd:J::'lj'~~f~ .~G
I-Limited energy, residential
(with above SQ. 0:, l
I . Limited energy, multifamily
residential (with above Sq, It.)
I-Limited energy, commercilll
(w]th above sq, ft,)
I - Stand-alone limited energy,
residential
I - Stand~afone limited energy,
lllulti-family
. Stand-alone limited energy,
commercial
~S,gvj~,~~"bI9s~[elf':i~~~#11~lt~;'ill,!~citiqn: ..\.ND(Q_~relocatiol~: <
1200 amps or less
1201 amps to 400 amps
1401 amps 10 599 amps
I'TE~Jr.Q~'\R:i~~r};,i~~~",Q,~:f~~e~r~'~IS@J~l,io~:aiterlttiyn:
't~Np!.OR 'relo.s~~~19}l"'*:'T:/:L~'::M: ""!7:tii';,:;: ":.....'~'::'+-J- .
1200 amps or less
1201 amps to 400 amps
140] amps to 599 amps
Wnra,~~_~~r~ui~: ~lf'~'~!~r,~i[tln';'9R'extCj1~i~~, pl~rl~allsl":i
I A. Fee [or branch circuits with I
service or feeder fee, elleh
branch circuir. .
B, Fee for branch circuits II
without service or feeder fee,
first branch circuit:
1
1
'1
I
I
I
I
I
I
~I
1
I
I
[XIl or 2 family dwelling
o Multi-family
o Commercia] I Industrial
',' j9B'Slt~,~~f()RMA!!2Ij'A'NQ1~9CATio"~";' , ".;:';;;~~;~J'.1?k0;;;;1
IJob no.: lJob address: 1072 56TH 5T I
I Gty/StatelZIP: SPR]NGFIELD, OR 97478-6819 I
I Suitc/bldgJapl.no,: I
I Project name: I
Cross strect/directions to job site:
HIGHBANKS TO 56TH ST
ISubdivision:
1 Tax map/parcel no,: 1702331I00168
.. '~~~~:'r''':'\_:DEs'qBiJioNr9,E~y;i9R~f~:h!
UN HOOK ALL BRANCH CIRCUTS TO I'IOUSE AND PROVIED THIS HOUSE WITH
TEMP POWER OUT OF ORIGANAL SERVICE
ILot no.:
- ';'$;~I,T~:9.0NTA{f:':,t3k1.:~ '" - "'~~ '
~,'
~. ,'"'-:h..._
1
I
I'
-I
I
NATE BUSHNELL
I Phonc: (54]) 50] -6845 I Fax:
I Emall: MAGELECTRICINC@COMCASTNET
I
lEI. lie, no.: 20-317C
I Business N:tme: MAG ELECTRIC INC
I Contact: NATE BUSHNELL
jAddl1's's: 2952 ALLANE LN STE C
I City/State/ZIP: EUGENE OR 97402-2077
I Phone: (54] )4610387 I Fax: None
I Email: MAGELECTRICINC@COMCASTNET
1 Metro lie. no,; I City lie. no,;
!Supcn-'ising elcctrician's lie. no.: 4742S
I Supcn-'ising electrieilln's name: MARTIN ALAN GRAY
ICCBlic, no.: 149834
$48,00
$48,001
I
each addl branch circuit
This Authorization To
Service reconnect only $55.00 $55,00 I
Eal:h manufactured or modular 'I
dwelling. service and/or feeder
I Pump or irrigation circle I
I Sign or outline lighting J
I Signal circuit(s) or limitcd- not offered online at this jurisdiCtion I
energy panel, alteration, or
extension,
I>' ~~'j~Af,1~~;~ E~ECTRlq.o&'f$-RM~T ~~~s.~ I
I Subtotal $103.00 I
I State Surcharge (12%ofpermit fee) $]2,36 I
J City Of Springfield fees * $] 5.45 I
I 'HHt-t.Lrr.hl\lITFEE $]30.8] I
COM:~ m? ~ ~ity OAS{~l~~;I~Locaf Actmir Fee; 5% LOl:al Technology Fee
RCPT#"D~(j\J r -:- 4['
OF'e'S~j~-cJl .
PR~~,p \ .h^:,
Begin Work mls,t"hP p"'iteaat j jt~ uillllleplaceo'by a Permit.
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 pennit is not obtained.
The local building department may detennine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
225 Fifth Street
SprbgfieJa, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00050
COM2008-00050
COM2008-00050
COM2008-00050
COM2008-00050
Payments:
Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #;
Description
Add, Alter, Extend Circ
Service Reconnect
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works' Department
3200800000000000048
Date; 01122/2008
1I:16:IIAM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM ONLINE mag elect Online
Payment Total:
Amount Due
48.00
55.00'
5.15
12,36
10,30
$130.81
Amount Paid
$130.81
$130.81
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Page 1 of I
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