HomeMy WebLinkAboutPermit Electrical 2008-2-6
Status
Issued
CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2008-00169
ISSUED: 02/06/2008
APPLIED: 02/06/2008
EXPIRES: 08/06/2008
VALUE:
225 Fifth Street, Springfield, OR
,541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2539 20TH ST
ASSESSOR'S PARCEL NO.: 1703244300110
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Sub-panel & four circuits
Owner: OSGOOD CHARLES I & HEIDI L
Address: 2539 20TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Tvpe
Contractor
License
Expiration Date Phone
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 Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
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:
I PUBLIC IMPROVEMENTS I
Street Improvements: Side\Valk Trp~:
ATTENTION: Oregon law reqUIres you to
Storm Sewer Available: follow rules adop~~~nB~jlUtility
Special Instruction: Notification Center. Those rules are set forth
NOTICE- in OAR 952-001-0010 through OAR 952..Q01-
Not~~:IIS ' 0090. You may obtain copies of the rules by
1l1/ r.. ~ERMIT ~LJ .. calling the center, (Note: the telephone
- " 'Wj liED' 1" t:)(I'/fIE n." ';'''' '''~'lle lJleYOII UIIIIly Nom....LIlI
,~OIVlMENCED gNDER THIS p/F THE W~uation Descri_ ti~Jer is 1-800-332.2344).
flNY 180 D R IS ABAN RMIT IS ~
Description AY P.f&QOI cons~r~~gbltFOR ~rISt.q,~t squBa.rdeAFootage Value Date Calculated
or mu Ip ler or I mount
Pal!e 1 of 2
CITY OF SPRINGFIELD -
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-00169
ISSUED: 02/06/2008
APPLIED: 02/06/2008
EXPIRES: 08/06/2008
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 I
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$0.00
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Reauired Insoections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pal!e 2 of 2
Ui,~ij/ue !lre !1.~~ r~A ~.~'oVJV~V'
~
6/.
/1[!jo:JTJJ3 (Jog ()
JOB DESCR1P110N
~h-V)/lt1/~ c)t(J~~~
Permit>> are j.-R~tnDsferabJe alld Gp9" it Jork is
... llItu't1d witlliD 180.ye of btJlllaDee or if IIfOrk .
Suspended for JIG days.
Bllldrica.l Con'natot #^"'/S, Eli.t. + it-...LP.
.~ddrea9 ~ 1\ 1___
. '7~". 76't"'
!i'S''fr$'Lc,t/
Chy ~ Il c.u.tK
Pboot
Expiration Date
~ "'15'7 ~_ ~
fOtt/1 0
S\lPervilor Llcel1se Number
Cor'str. COIl'lf. Numbcr _, 0 "l. '31~___ _
bpiranofl Date J 0//1 III c
"-:;)i?T~~
oWf1en~;'(' wM !ls~~
Addt(i)$3fJ>yt:J-/:l_ 6/ ~ ,-
~JfJ /1.../ . Phone
O"~IN~ALLATIOI'oI -,
Th. Insmlla!irJU h bl!:ltl,i l1lade on prop<<ty I ,wn I'lhich
IS OQ( mnmded for $BIe. lca~e or I'Cnt.
OWMJ'S Signature,
UWll"'ttiOft Request: '126-3769
J '\~.i ~:'r,~JiWR~*,~;~~,,_b!~~~~i~~1:~~ :,~~l~I~~~~~'~~~~.~i\~?;:;
. :~~~~,~~~~~Y~#;!~:J'JJ;...t.,.,.il),'/.I}" JJ1J.:d'~,w ~~"'~
lY~~tHr..1~r7jt~:, :t~ iIt~~~t~:II;~l;~lrl'~\'
~~I."'" , fI@'....~."9 'Glf,'" ,,",'
Ij~",~A:~' ~'l"'~' ~~~.l'~I~""""';" J~~"llol,_~..~_1' \~,,-:..:...
Semee x.eJucled
IO()Q sq. ft or less
ElIt;tll!d4~oDal ~OO sq. 1\. Of
portlon thereof
Eatb Muv6act' cl Home 0'
ModulIII' Dwelling Sl..'iVi4le Qr
'ewer
$11 7 00
$ 2) 00
$5S.oo
"Iif' " ~~;. ;'F~', :!.l'!r:"L>i'~.~'i",ii:' <I Ir~' -'ifr ;:;"Ii, 'I ,,'r,~'~~' J,;';' "
&!J.' ~r." ,,".~Q),~... ',":~t'I'""~l~Ili'I'~'~li~'~
I,J" " ..,...,\... ,~,~l:;..:1:l....ll~ .n,~ ''''' ,~",,,,~,","I, ..OJ'. ,,< ..,~
70
200 ~ or 10" __L s 70.00
201 AmpS. to 400 AIIIps _ $ 83 00
401AJDtl8to~~,AmP.J ,~, '-~n '.....~I.I!l\~18{'8U.tS -
t . ' , i \! \ ' ! i I:- VY I v"1.... T S
601 ~~,to \~~ ~l~~j j)h: c: t.y' ~b~ Q.r~~~JeJt\J.i1y-
Over \~~.Af'~~~\'.:>';nter, ThG&? ~,-,lo.c:: Mb3~ fCl.l:!b---
~<<52IW9S2-001-001 0 thf-e~~A~-OI)1--
$,@>~'hi'~~,~~, I:'V'~::;'J
. e';~@J.U.tOIll~::, ;:II.L.iL r~
b.tal1a9WPiG,Jm,,\t1~t ~~..ggo Utility Notification
temer IS f.:sotr-~32.2344).
200 Amps or Ids __ $ 53 00
201 Am,s to 400 Amps $ 76.00
401 AnlfIs to 600 Amps $11000
Over 600 Amps or 1000 Volts s.e~ ":B" abovC'.
.~'I.rl ~~ j1ti"'~'(.I'~I.l.II~~\.br."~~"'''r.t\.. ~' 'I.... l,>/., ~t"\~i!,,;(I.,tI'~I~~\' "';:';l"";!'i r".. " '..'....r~
I), ,/' '~I~"'f." ,I~ 'J;: '~,~I,: i1,'~' ",l;!Il:'),~~,".11 ,~llf")'I~i" ,li~l':,d,,:;;J
\\\l~.d.o.\i _ ..,....,i-;-;:~~.,llo~'~oi1. '.'v ' "...c;:.:.~,..o1ll I.l~(... ;~iJ .""..~..... ..~....:.... ....1"'. .....~...
N"'A~tioll or ElU'lIlioll rer PlUll4!l
Oue CutVlt $ 4'.00
~~~rou.Itorwtth ~. W'-OD\V oV
seMoe;~\~c;~r~oofSHf\LL EX \, lb'cE ~,~,.;;...
'to' ~~ " '11 >60-1 \S'~ .~1~,.:\~~.,~.:,~~~:1~"'';
" " ~n~' '.....tio:at:.
. ',01 . -("t \. JAb l ' . v "'" . .\'all.'0.~,
rO!!lIv}E v
pumpor1WS~1 DAY PERIOIl $55.00
Slgnl~e Lig~tw; $ 5~,OO
Luniltd Encr'&)'fResidentla1 S 28.00
LlIrnud ElUraY/Commerclal $ 50,00
MlnimfUll fJerlric Peratt lupectiOB Fee i. _tit + Surehargc:s
......~..~_JO '1\ ., ~ 1;j.j' ~{ ,,'" ~.....t.. ~,,~ ~r"< ,t"'~'" .' ~ )
'.id'f.' ,," "... . ...;rl",.."" ,," ," ",fl'" ': . ~ u '-'
4. "\P\t~'~ l '~~,',rl~~I' ,~"r'~\'!;'/~J-"~ll\~\ ,{~: " ...
, i~ =,~~"": f.. -", .-'" .,..1,.." ''.:] , ~;;J..
>% Tr.clmoloS)' Fee ' K"". hW
TOTAL $/09'd).
SiwI.o J)rIvc(T Viwlllllli YQmlillUlI:lC4'.cell'c:rmit "pplLOlIl'Qr l.u8 doc:
225 Fifth Str.eet
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00 168
COM2008-00 168
COM2008-00168
COM2008-00168
COM2008-00 168
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000000157
Date: 02/05/2008
DescrIptIOn
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
SUNSET ELECTRIC
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
nJm 095152 Phone
Payment Total:
Page 1 of I
7:22:00AM
Amount Due
4800
800
280
672
560
$71.12
Amount Paid
$71 12
$71.12
2/6/2008