HomeMy WebLinkAboutPermit Electrical 2008-2-21
Status
Issued
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00257
ISSUED: 02/21/2008
APPLIED: 02/21/2008
EXPIRES: 08/21/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2188 DEBRA DR
ASSESSOR'S PARCEL NO.: 1703261102900
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: 200 amp service with one sub-feeder.
Owner: JOHNSON BUD
Address: 4350 MAIN ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
ROSE CORPORATION
License
54431
Expiration Date
09/30/2008
Phone
541-686-0905
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 Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
r,~ - -'\'--lr'\l ;;'~,-'I)n "'PI j(\qdlres you to
", i' l -., 1 hr> nroQ/"\r ' ltilitl'
I PUBLIC IMPROVEMENTS .:,) ',1.',1, I (I); ,ttJr. Th;)se rules are set forth
"1 W,,1 !:'<-,2-G:J1-001 0 through OAR 952-001-
0090, S,~~1(yJl&fin copies of the rules by
call1fiQJtl~ f(.WfMfuJlil~Je: the telephone
number (6~he oregon 'Utllity Notification
Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: ~ HH~CE:
~:;;;~ ;,;::m,~!T SP.N_~ ':VDIRI: II: TI-I~ ,^,n~~
'L!THORIZED UNDER THIS PEPlIV{~U.~_I~~J1 D . f I
',~;jt1MENCED OR IS ABANDON~ .on escnp .on
D 't' f~Y i RCl nlivfD~RlnD't' $ Per Sq Ft Square Footage
escnp lOn' "'t'Vtfe'dl COnstrue Ion It' I' B'd A
or mu Ip ler or I mount
Value
Date Calculated
Paj!e 1 of2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00257
ISSUED: 02/21/2008
APPLIED: 02/21/2008
EXPIRES: 08/21/2008
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-l
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$7.00
$8.40
$3.50
$70.00
2/21/08
2/21/08
2/21/08
2/21/08
2200800000000000233
2200800000000000233
2200800000000000233
2200800000000000233
Total Amount Paid
$88.90
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 Reouired 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
Pae:e 2 of2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:RoseCorp2000@aol.com
Receipt # EC525970
2/21/20082:09:02 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
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DATEPR~~;?t!1 c;/ ·
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This Authorization To Begin Work mL sf%W!lJ\~rtne\jo ~lte: until rep!~.c.ed by a
/ (
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TYPE OF WORK .
<:/:1:;"
D New constructIOn
[X] AddItion/alteratIOn/replacement
(,II
I I h
, ',., CATEGORY OF CONSTRUCTION
~ I", '
[Xl I or 2 famIly dwellIng
D MultI-famIly
D CommercIal / Industnal
I
I Job no ' 2188 Debra I Job address. 2188 DEBRA DR
I City/State/ZIP SPRINGFIELD, OR 97477-2438
SUlte/bldg.lapt no
':JOB SiTE INFORMATION AND LOCATION
1 I'"
Project name
Cross streeUdlrechons to Job site East on Hayden Bndge Road from 5th Street m
Spnngfield, RIght on Debra Dr to 2188
I SubdivIsIOn'
Tax map/parcel no.. 1703261102900
. DESCRIPTION"oFwORK
..
200 amp servIce with one subfeeder
I Lot no
.. , . <' SITE CONTACT
, ,"
"II II
I Name' PhIl Rose
I Phone, (541) 686-0905
I Emall Rosecorp2000@aol com
I
lEI hc no 20-253C
I Busmess Name. ROSE CORPORATION
I Contact' Phil Rose
Address. 89976 DAY LN
I Fax; (541) 686-3050
,,II,
. iCONTRACTOR
W ',1' I ,<,
I CCB hc, no.. 54431
City/State/ZIP' EUGENE OR 97402
I Phone (541 )6860905 I Fax None
I Emall. RoseCorp2000@aol com
I Metro hc no' I City hc no..
I Supervlsmg electnclan's hc no 1568S
I Supervlsmg electnclan's name PHIL S ROSE
Upon review and approval by your local JUriSdiction, your
permit Will be e-malled or faxed wlthm one bus mess day,
With mstructlons on how to schedule your mspectlon
NOTE ThiS AuthOrization To Begm Work expires wlthm 180
days If a permit IS not obtamed
The local bUlldmg department may determme that an
AuthOrization To Begm Work IS null and VOid If It does not
meet apphcable land LIse laws and local ordmances
'I
I
" i FEE S9HEDULE ,,', .
Descnpbon I Qty. I Ea I Total
Residential'SINGLE-.OR rnulti-familydwellmg umt. Includes
,ati~ch~d\iarage, """ , ''''" i, ," ,," , I
,1'11"111> "~,, g ,"'" " ,~ ,
11,000 sq ft or less
I Ea addl 500 sq ft or portIon
I Liilllted Energy"d"
"4 Ii'\'"
I-LimIted energy, residential
(wllh above sq ft)
I-LImited energy, multIfamIly
resIdentIal (with above sq ft)
I-LImIted energy, commerCIal
(wIth above sq ft)
I - Stand-alone lImIted energy,
resIdentIal
I - Stand-alone lImIted energy,
multI-famIly
I - Stand-alone lImIted energy,
commercIal
IServi~~:2!! feeders.in~t;lIation, altfration. AND~p~ relocation, I
200 amps or less I $7000 $7000 I
I
I
<1>1'1
, ,II
201 amps to 400 amps
1401 amps to 599 amps
'T~,MPORAR~.,~.~rv!ces OR feOO~rs instalhhlOn, alteratIOn,
A~D~ORrelocation" 'd,t.I.'" '';1, .'
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
I B~nc~,circuits \~~, '~lter~~I~~~ OR ext~nslon; per panel
A Fee for branch CirCUits WIth
servIce or feeder fee, each
branch CIrcUIt
B Fee for branch CIrcUIts
WIthout servIce or feeder fee,
first branch CIrCUIt,
each addl branch CIrCUit
I. J\'l1scellanoon~
", '1111"
I ServIce reconnect only
I Each manufactured or modular
dwellmg, service and/or feeder
I Pump or IrrIgatIon cIrcle
I SIgn or outlIne IIghtmg
SIgnal clrcUlt(s) or lImIted.
energy panel, alteratIOn, or
extension
. .'
not offered onlme at thIS JUrIsdIctIon
I'
'. .
1
I
I
I
/eteCTRICAL PERMIT FEES,
e, ( j ,
Subtotal I $7000
State Surcharge (12% of permIt fee) $8 40
CIty Of SprIngfield fees 'I $10 SO
TOTAL PERMIT FEE I $8890
;,,',~ ~'M" '."....Illl. Fee, 5% Local Technology Fee
Permit
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00257
COM2008-00257
COM2008-00257
COM2008-00257
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000233
Date: 02/21/2008
DescrIptIOn
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ ] 0% AdminIstratIve Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthorIzatIOn
ReceIVed By Batch Number Number How Received
nJm
ONLINE rose corp Onlme
Payment Total:
Page 1 of]
2:16:53PM
Amount Due
7000
350
840
700
$88.90
Amount Paid
$88 90
$88.90
2/21/2008