HomeMy WebLinkAboutPermit Electrical 2008-2-29
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00881
ISSUED: 07/10/2007
APPLIED: 06/1512007
EXPIRES: 08/19/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1889 Vera St
ASSESSOR'S PARCEL NO.: 1703243102000
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Service and circuits for lift station
Owner: DANIEL JACKSON
Address: 2778 19TH STREET
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
CAMP CREEK ELECTRIC LLC
License
164877
Expiration Date
06/09/2009
Phone
541-746-1471
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
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
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:
IPUBLI5~PROVEMENTSI
\\it IJJe .
Street Improve,lJ\oots: t.~\,,\Rt. \f \5 ~01 ATTE~~~~ law requires you to
Storm se~e91 ~~iDI~:\" 5\-\l\ll \\-\\5 \"t.RW\\\ R follow i@'JWitS15b?R~Wr~iht~e Oregon Utility
Special In~N~~~ 1.-. ,. t.D \.\~Dt.R ~DO~t.D fO Notification Center. Those rules are set forth
I\Ul\-i~f\\1 OR \5 1\\3~ in OAR 952-001-0010 through OAR 952-001-
Notes: CO\'Ij'\N\E~Ct.?, \"ER\OD. 0090. You may obtain caples ofthe rules by
~\:l "\ BO D~' calling the center. (Note' the telephone
l:"\\l , !. ". _ ^._ ~~~ I 1+.1,+\, i\lntifl/"'::ltlnn
IIUII(..,'-'I ...... ........ _.e!;_ ...
I . .. I Center is 1-800-332-2344).
Valuahon DescrIptIOn
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00881
ISSUED: 07/10/2007
APPLIED: 06/15/2007
EXPIRES: 08/19/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Backflow Device
Fixture
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
Amount Paid
Date Paid
Receipt Number
$8.10
$4.05
$6.48
$18.00
$63.00
$13.00
$15.60
$6.50
$16.00
$16.00
$50.00
$48.00
7/10/07
7/10/07
7/10/07
7/10/07
7/10/07
2/29/08
2/29/08
2/29/08
2/29/08
2/29/08
2/29108
2/29/08
2200700000000001110
2200700000000001110
2200700000000001110
2200700000000001110
2200700000000001110
2200800000000000267
2200800000000000267
2200800000000000267
2200800000000000267
2200800000000000267
2200800000000000267
2200800000000000267
Total Amount Paid
$264.73
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.
l.ReouirecUnSDections I
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Water Line: Prior to filling trench and including required testing.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Final Plumbing: When all plumbing work is complete.
Pa2e 2 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00881
ISSUED: 0711012007
APPLIED: 06/15/2007
EXPIRES: 08/19/2008
VALUE:
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.
~\~ rLAlh,~
Owner or Contractors Signature
'd /;::>q / ~"
-/ ,
Date
Pae:e 3 of 3
225' Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00881
COM2007-00881
COM2007-00881
COM2007-00881
COM2007-00881
COM2007-00881
COM2007-00881
Payments:
Type of Payment
INT CHGS
cRecemtl
RECEIPT #:
Description
Fixture
Water Line - 1st 50 Feet
Water Lme - Each Addt] 100'
Backflow Device
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
443-62252-850121 P20321
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000267
Date: 02/29/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
LLH
INT CHG
In Person
Payment Total:
Page 1 of 1
9:27:26AM
Amount Due
1600
5000
4800
1600
650
1560
1300
$165.10
Amount Paid
$165 10
$165.10
2/29/2008