HomeMy WebLinkAboutPermit Electrical 2008-2-6
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5280 HIGH BANKS RD
ASSESSOR'S PARCEL NO,: 1702280000401
PROJECT DESCRIPTION:
Owner: DEFOE RONALD MAJOR
Address: 90751 PRAIRIE RD
EUGENE OR 97402
Contractor Type
Electrical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00172
ISSUED: 02/0612008
APPLIED: 02/06/2008
EXPIRES: 08/06/2008
VALUE:
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
I CONTRACTOR INFORMATION I
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building
Expiration Date
07/01/2008
Phone
503-234-9900
Contractor License
OREGON ELECTRIC CONSTRUCTION INC 203
BUILDING INFORMATION I
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk TY.I~e:
ATTENTION ureg(l'l ':,\", r('IlUlreS you to
follow rules f)owpsp'out~/Draillsegon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090, You may obtam copies of the rules by
calling the center. (Note: the telephone
" ,
t;;1 IVI lilt;; UIt::I!:IUII UlIIIlY l'lULlilUi::lUon
Center is 1-800-332-2344).
Storm Sewer Available:
~e~i't@t)truction: LL EXPIRE If 1HE WORK
\S PERM\1 SHA S PERM\1 \S N01
N~s\:HOR\ZED UNDER ::~NDONED FOR
-,r n r-1\\('j::\1 OR \S
\.IUIVIl".... - PER\OU.
MW 180 DAY
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Date Calculated
Page 1 of2
Value
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00172
ISSUED: 02/06/2008
APPLIED: 02/06/2008
EXPIRES: 08106/2008
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
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 1000 amps/volts
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 401 to 600 amps
Amount Paid
Date Paid
Receipt Number
$83.10
$99.72
$41.55
$413.00
$280.00
$138.00
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
3200800000000000083
3200800000000000083
3200800000000000083
3200800000000000083
3200800000000000083
3200800000000000083
Total Amount Paid
$1,055.37
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..LlReouired Insoections I
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
Paee 2 of2
'"
ZON l.JYl~
INITIALS ",.\(\/\
DATE ~ 11 f 0 Y
SOURCE ~ 5.er.z...
SPI'lING"'IELI:>
6);
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
ELECTRICAk PERMIT APPLICA TION
City Job Number lJJ rn LtfD ~ - 00 I { 2.
zJ 1/( Dr< .
..
Date
COMPLETE FEE SCHEDULE BELOW
1. LOCA110N OF INSTALLA110N:
~D ~f\h ~~cL(\\(~
LIfQAL DESCRIP,^I~ 11 O'd ~ ~ OOooL{o (
i-f.1s+l ~ m lA-W\ffilAW\
JOB DESCRIPTION
NeD SeL\)\~ ~K. Lt-P
'lA-1\~lV\U.\N\ t:~I::ct;]:0 fll~
3.
A. New Residential- Single or Multi-Family per dwelling unit.
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
$11 7 00
$ 21 00
Permits are non-transferable and expire If work IS
not started within 180 days of Issuance or if work IS
Suspended for 180 days.
$55 00
2. CONTRACTOR INSTALLATION ONLY
Electncal Contractor TJ2..e.(I~ "ta ~f~~lL. 200 Amps or less
~C'Yl 201 Amps to 400 Amps
Address tOIO SB \ \~iA-v{J 401 Amps to 600 Amps
J) 601 Amps to 1000 Amps
City YDi-+t jl\J\J Phone fib. 2:31..IJt4..0D Over 1000 Amps/Volts
~~~lcL d~r..L 9.fl14l~~(I Reconnect Only
Supervisor License Number ~oS C. Tempolary Services or Feeder~
,~ '\1-D\ (j
Zf)~
,I J )L.f){)V
,. ~
8, 5ervice~ or l<eeders - InstallatIOn, Alterations 01 Relocation.
y
1
\
$ 70 00 '2..VD:C12
$ 83 00
$13800
$18000
$413 00
$ 55 00
, 3~ .D6
L-Il:?> :M2
InstallatlO~1\.TliN.TI6?tNI:rQJ.~ql:iw req .
200 Amp~/im1% rules adopted bv the o~iP~~)~.
201 Amrftt~~~8.}1~J.penter. Those ru/es$a~~t ~r{h
401 AmJ:Go~&0<VblY~01-001 ~ through OAA<900?-QQ.1_
". ay obtam comes of the, ,
Over 600 flffl#~~ t~Cf9jte~ee('m" aOQ}Ce ru as by
nJ4mh f " Iwtti, me telephone
D. Bnlllcll 'tlfl'UliVs or the Oregon UtIlity Notlf t'
Center is 1-Rn lea Ion
New Alteration or ExtenSIOn P~r~~?-2344).
One CIrcUIt $ 48 00
Each AddItIOnal CircUit or wIth
Service or Feeder Permit
ExpIratIOn Date
Constr Contr Number
Expiration Date
Signature of Supervlsmg Electnclan
~~
OwnersNamefO\a.JOQ.. ''Dg-Fo-G
Address q OIS I -?Q..ftIf2.1? e-.D
CIty..r;J l('/J~G Phone
<;. 80 Q7'j62-
OWNER INST ALLA nON
The mstallatlon IS bemg made on property I own which
IS not mtended for sale, lease or rent
$ 400
N 61'1 CE~cellaneou~ (SerVIce/feeder not mcluded) -Each lnstallation
THISPPt2:PlWltrl~fI~9 $ 55 00
AUTl~(Ff1!fl~tfjnDkl~~iXPIRE IF THE t^/oRk55 00
COMilv'H~Wt1:irlffi''i1ffilJMthSI PERMIT IS Nof 2800
ANY Ml(I)l1S~~nprE~,,J~o~h1~QONED..EoF? $ 50 00
Mmimum Electric pJOOt InspectIOn Fee is $50.00 + Surcharges
4. SUBTOTAL OFABOVE 8"3 ) _ rrv
4/.55
qq.7:J-...
K<. /6
11/,Q [;5. 37
Owners SIgnature
12% State Surcharge
10% AdminIstrative Fee
5% Technology Fee
Inspection Request: 726-3769
TOTAL
Shared Dnve(T )/BUlldmg Forms/E/ectncal Pernllt Application 1-08 doc
225 Fiftb.Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00 172
COM2008-00 172
COM2008-00 172
COM2008-00 172
COM2008-00 172
COM2008-00 172
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
3200800000000000083
Date: 02/06/2008
DeScriptIOn
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 40 I to 600 amps
Perm Serv/Fdr 1000 amps/volts
+ 5% Technology Fee
+ 10% Admmlstratlve Fee
+ 12% State Surcharge
Paid By
SONDRA G BROWN
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
NJM 088217 In Person
Payment Total:
Page I of I
10:47:22AM
Amount Due
280 00
13800
41300
41 55
83 10
9972
$1,055.37
Amount Paid
$1,05537
$1,055.37
2/6/2008