HomeMy WebLinkAboutPermit Building 2008-2-25
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3920 E 17TH AVE
ASSESSOR'S PARCEL NO.: 1703344304701
PROJECT DESCRIPTION: ADD SOLAR VOLTAIC SYSTEM
Owner: WILSON SHANNON
Address: 3930 E 17TH AVE
EUGENE OR 97403
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00244
ISSUED: 02/25/2008
APPLIED: 02/19/2008
EXPIRES: 08/25/2008
VALUE: $ 6,200.00
Eugene
TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor
OWNER
OWNER
License
Expiration Date Phone
BUILDING INFORMATION'
# 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
R-3
VN
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
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:
Storm Sewer Available:
Special INO'fi~~ No new structure, no SDC's
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHOR/ZED UNDER THIS PERMIT /S NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Sidewalk Type:
Downspouts/Drai.ns: yOU to
, w reqUIres . .
"'""'ON' Oregon a Oregon UtIlity
~1iE\''4 , . dopted by the set forth
toll oW r~\es ~nter. ,hose rules a~ 952-001-
Notificatlo~_~01_001 0 throu,gh ~~he rules bY
\0 OAR 95 may obtain COP\~she telephone
OO~~\li~~~he center. (~~t~ti~ity Notification
number ior the O~~~00_332-2344).
center \s
Pal!:e 1 of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00244
ISSUED: 02/25/2008
APPLIED: 02/1912008
EXPIRES: 08/25/2008
VALUE: $ 6,200.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
6,200.00
Value
Date Calculated
Description Tvpe of Construction
Total Value of Project
$6,200,00
$6,200,00
02/22/2008
~
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $17,09 2/25/08 1200800000000000173
+ 12% State Surcharge $20,51 2/25/08 1200800000000000173
+ 5% Technology Fee $8.55 2/25/08 1200800000000000173
Add, Alter, Extend Circ Ea Add $8.00 2/25/08 1200800000000000173
Building Permit $92.90 2/25/08 1200800000000000173
Perm Serv/Fdr 200 amps or less $70.00 2/25/08 1200800000000000173
Plan Review Residential $60.39 2/25/08 1200800000000000173
Total Amount Paid $277.44
Plan Reviews I
Initial Review 02/20/2008 APP NJM
Public Works Review 02/20/2008 02/2012008 APP LKW No new structure, no SDC's
Planninl! Review 02/20/2008 02/22/2008 APP TAJ No Planning issues
Structural Review 02/20/2008 02/22/2008 OK DLM See documents for Plan review
comments.
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.
~eouiredJnsnections ,
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pal!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00244
ISSUED: 02/25/2008
APPLIED: 02/19/2008
EXPIRES: 08/25/2008
VALUE: $ 6,200.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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,
_AAA9 1/#~
~
Owner or Contractors Signature
.:2 /~ 5--/ () 5?
( {
Date
Pal!:e 3 of 3
ZON
INITIALS
DATE
SOURCE
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number r!lN\) Ii1) Y: - rin 24Lf
1. LOCATION OF INSTALLATION: 3.
'3 9 ';;...0 E. f'1-R.. /11/-(.
LEGAL DESCRIPTION
-r. I 7 t<.D3 5."3 L/ To..k.Lo+ '170 I
JOB DESCRIPTION:
'So/~Y' &Iec-f~(c 5' v.rkm :k.skl/
Lo~'O? -Itu:r1"'L l(JJo~ (.,.J~tf:5'
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2,
CONTRACTOR INSTALLATION ONLY
/
City
Ignature of Supervlsmg Electnclan
Owners Name ShaJ.1.l1nVl t///So'V\
Address '3 9'2."> E {-rJ-h.- 4v~
City 6.~Y\P Phone 7'1{ --3'37/
0/
OWNER INST ALLA TION
The mstaIlation is being made on property I own whIch
is not intended for sale, lease or rent
Owners Sjpature:
JvLf:t/l bl;,}L
/l
~/ ,;<?- /~
Inspection Request: 726-3769
Date :2 J 1-510('
COMPU:IE FEE sCHEnk B~W
A. New ResidentiaI- 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
$5500
B. Services or Feeders - Installation, Alterations or Relocation:
200 AmPS.A8lili~tITfON OrpQ0f"l faw 1qUir*SJlJ~ to 7/J.e 0
T I/OW rules adr;clerlLJy th. . Ole%~~p"ty / ~
201 Am~~I~~9~ent8r Tt10GC rules are Qrlh
401 Amt:i$1t(i)AlPP~1-0010 th!.O!.'<}h OA~ '.j01
60 1 Am~q@q{)()'@~ obtain caples of Uti 80!l}@ bv
Over 1000 ~'tli i1@JJ;\fscenter. (Note: the teMl~rooo
Reconnec(1tjillJEilr' for the, Oregon U!IIlty NCSI~~Wdon
Center IS 1-80u-".::l~-,,;)...4).
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less $ 55.00
201 AnfIln;rM}f~ps $ 76.00
401 An1i:1rl/tS ~MfWsSHALL EX,QJ.RE I~T~E19\~Rf(
Over 66WAMWdlfd0dJtQQ)iS~e~M$ ~il[qX~~]iT IS NOT
D. Bra!tQ~~~ED OR /S ABANDONED FOR
ANY 180 DAY PEBlnn
New Alteration or ~xtensioil' Ptr Panel
One Circuit
Each AdditIonal Circuit or with
ServIce or Feeder Permit
$ 48.00
?_ $ 400
~.6D
· E, Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrIgation $ 55 00
SlgnlOutlme Lighting $ 55.00
Limited Energy/Residentlal $ 28.00
Limited Energy/CommercIal $ 50 00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
4, SUBTOTALOFABOVE 7~~
1 ~ State Surcharge q. g ~
10% Admmistrative Fee -7. Sl'
5% Technology Fee ? .. 9tJ
TOTAL :7 tf9~t7 C::,
Shared Dnve(T )/BUlldmg Forms/Electncal Permit Application 7-07 doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00244
COM2008-00244
COM2008-00244
COM2008-00244
COM2008-00244
COM2008-00244
COM2008-00244
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
1200800000000000173
Date: 02/25/2008
Description
BUlldmg PermIt
Plan Review Residential
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
SHANNON WILSON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
536
In Person
Payment Total:
nJm
Page I of I
11 :54:58AM
Amount Due
9290
6039
7000
800
855
2051
1709
$277.44
Amount Paid
$277 44
$277.44
2/25/2008