HomeMy WebLinkAboutPermit Electrical 2008-5-22
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CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2008-00733
ISSUED: 0512212008
APPLIED: OS/22/2008
EXPIRES: 11/22/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
SITE ADDRESS. 3725 OREGON AVE
ASSESSOR'S PARCEL NO. 1702314300500
Sprmgfield TYPE OF WORK. Electncal Work Only
TYPE OF USE' New
ReSidentIal
PROJECT DESCRIPTION Service change
Owner BEMETZ JEFFREY M
Address 3725 OREGON AVE
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION'
Contractor Type
Electncal
Contractor
BUILDERS ELECTRIC INC
License
4296
ExpiratIOn Date
12/10/2011
Phone
541-485-0922
BUILDING INFORMATION I
# OfUllltS
Primary Occupancy Group.
Secondary Occupancy Group'
Primary ConstructIon Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones.
Height of Structure
Type of Heat
Water Type:
Range Type
Energy Path.
Spnnkled BUlldmg
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback
SIde 1 Setback.
Side 2 Setback'
Rearyard Setback.
Solar Setbacks
Overlay Dlst.
# Street Trees Rqd
Paved Dnve Rqd.
% of Lot Coverage.
Total.
Handicapped
Compact
NOTICE" I PUBLIC IMPROVEMENTS IT
T " TEI\JTlON Oregon law requires you to
Street Improvem.~.pERMIT SHAll EXPIRE IF TH follow rSldS3Valfu1>f~ by the Oregon UtIlity
Storm Sewer AJ~~~IdQR/ZED UNDER THIS PERMIT ~:ORK 1~~~~1~'2~~~msliflltAA(UleS are set forth
SpeCIal InstructlOll'.~~4ENCED OR IS ABANDON NOT 0090 ~;) - -0010 through OAR 952-001-
, r> ED FOR au may obtam caples of the rules bV
Notes rl\y PERIOD calling the center. (Note' the telephone
number for the Oregon Utllrty Notification
ron+o.. ''1 1 0"" """" ~ H
' - -~. .t:J:. ~'"Y/.
I Valuation DescriptIOn I
DeSCriptIOn
Tvpe of ConstructIon
$ Per Sq Ft
or multIplIer
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
CITY OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2008-00733
ISSUED: OS/22/2008
APPLIED: OS/22/2008
EXPIRES: 11/22/2008
VALUE:
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
Total Value of ProJect
Fees PaId'
Fee DescnptIon
+ 10% AdmmlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$700
$840
$350
$70 00
5/22/08
5/22/08
5/22/08
5/22/08
Receipt Number
2200800000000000735
2200800000000000735
2200800000000000735
2200800000000000735
Total Amount Paid
$88 90
I Plan Reviews I
To Request an mspection 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 exammed the completed applIcatIon and do hereby certify that all
mformatIon hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance With
the Ordmances of the City of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structure Without permissIOn of the Commumty Services DIVISIOn, BUlldmg Safety
I further certIfy that only contractors and employees who are m complIance wIth ORS 701.005 Will be used on thiS proJect.
I further agree to ensure that all required mspectlOns 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 remam on the site at all
tImes durmg constructIon
Owner or Contractors Signature
Date
Paee 2 of 2
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
City of Sprmgfield OfficIal Receipt
Development Services Department
PublIc Works Department
Job/Journal Number
COM2008-00733
COM2008-00733
COM2008-00733
COM2008-00733
Payments
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000735
Date: OS/22/2008
DescriptIOn
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
ONLINE PERMIT CHGS
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
NJM
ONLINE BUILDERS OnlIne
Payment Total
Page 1 of 1
2 23 44PM
Amount Due
7000
350
840
700
$88 90
Amount Paid
$88 90
$88 90
5/22/2008
City of Sprmgfield
Electrical AuthorizatIOn To Begm Work
E-maded To kelly@budderselectnc com
Receipt # EC530818
5/22/20082 05 15 PM
Check on status of permit
By Phone (541)726-3753 or Emad' permltcenter@clsprmgfield orus
~""41~~W~'E:O, #~:WORK
'" ~ 00""" iX~ II! ~ ~~
FEE SCHEDULE ~;' I
I I
I Qty I
I -th'l'f:' 11M,", I Id
mu ..- ami y ~
Total
I 0 New constructIOn IX] AddItIon/alteratIOn/replacement
J I rJllUltllllJU11 I I """"I~&_ I *,*'IiJ1Ilj1
I '~~Z lWlWlI"<\I"gA!EGORY 0I71,C<?J1,i?i!!~JlPTION lIo11IIJ!WJIIIZ,,,
I [XJ I or 2 family dwellmg D MultI-famIly D Commerctal / Industnal
I ill"WlI~II.lilS)lIII'ill[_"" 1\:JOa'SlTE1INFORMATION ANO'1roCATIONML"
jlW!)r~ 'J0rt: I 4J$) 4 I 1".-,,\ ~fi11IIII~III)1111 >\. "'!mMI~II@iIF"
I Job no 08-1552-s I Job address 3725 OREGON AVE
I City/State/ZIP SPRINGFIELD, OR 97478-6459
SUlte/bldg /apt no
Project name Handy Hammer
Cross street/dIrectIOns to Job sIte
I Descrlphon
%Resl~e'iitllijIIS
attached garnge
11,000 sq ft or less
1 Ea addl 500 sq ft or portIOn
I'CONTRAC;r:ORII_""1..
""*~ ~,II~ 1M '7
1 CCB hc no 4296
- Limited energy, reSidentIal
(wIth above Sq ft)
I-LImIted energy, multifamIly
resIdentIal (wIth above sq ft)
I-LImIted energy, commerCIal
(WIth above sq ft)
I - Stand-alone hmlted energy
resIdentIal
I - Stand-alone hmlted energy,
multI-famIly
I - Stand-alone hmlted energy,
commerCIal
Iif. fl ~ "' ,;.>0",'"'1",);%'- UI@IIIII%liW" ~ 00:-.- w,'&~ 'M *
~f[[IF~~~~,!~.ers mstallatlon~lalt~,\"lJ~~~' A~/OR r:el~c~~~n I
1200 amps orless $70 001 $70 00
I 20 I amps to 400 amps I
1401 amps to 599 amps I
J:rEMPORARY'~rJl~~ dRlfeeaers!lDstal1ahon;'alt~h~tlbn,(~ j\llJ'\II\II1 I
l~D'OR\iFelocatlon W~<<fY:1J~Oft~S1fjt~ll~ Ii ~~ }/I; I{ ~ ,!
~ 1*\ \:f<ri&JI! !!!ii'ii!irI!J,jIp I ~,," ~ -qc)~ \ t
1200 amps or less
I 20 I amps to 400 amps
1401 amps to 599 amps
1Y;"'Wt'%1\L f "... -d~"1!iAlIWI ~ Ii >;"Hii *'lirWtl'"
1!~t~,~ch clrculls - NEW, altef,~J"\~~MP~ extensIOn, per p~n.ltl""~ \II
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,
I each add I branch CircUIt
SubdivISIOn
Tax map/parcel no
I Lot no
1702314300500
ServIce change
~"~I~w>r 0<*'", t~~~ .,.#
SITE CONTAC;rlJlll'nILw 4
I Name John R
IPhone
IEma11
I ~IAVJJ;I~^'ItI\i%;
lEI hc no 20-12C
I Busmess Name BUILDERS ELECTRIC INC
I Contact Kelly O'Bnen
IAddress 195 MADISON ST
I CIty/State/ZIP EUGENE OR 97402
I Phone (541)4850922
I EmaJl kelly@bUllderselectnc com
I Metro hc no
1 SupervISIng electriCIan's hc no 5275S
I Supervlsmg electriCIan's name RUSSELL R ROBBINS
IFax
) II~ II Itll j ~ { j
\II
'I
1
I
I
I
1 Fax (541)4854055
I ServIce reconnect only
I Each manufactured or modular
dwellmg, servIce and/or feeder
I Pump or lITIgatIOn CIrcle
I SIgn or outhne hghtmg
Signal CIrCUlt(S) or hmlted-
energy panel, alteratIon, or
extensIOn
11tllllllllltJ\.2r01~'4%lt'ELECTR(CAL:PERMIT FEES I
I Subtotal " ~ 4 $7000 I
I State Surcharge (12% of permIt fee) I $840
I CIty Of Sprmgfield fees 'I $10 50 I
I TOTAL PERMIT FEE I $8890 I
, Cltv Of Sprmgfield 10% Local Admm Fee 5% Local Technology Fee
J
not offered onlme at thIS JunsdlctIon
1 City hc no
Upon revIew and approval by your local JUrisdiction, your
permIt WIll be e-malled or faxed WIthin one bUSiness day,
With instructions on how to schedule your inspectIon
NOTE ThiS AuthOrization To Begin Work expIres WIthin 180
days If a pennIt IS not obtained
The local bUIlding department may determine that an
AuthOrization To Begin Work IS null and VOId If It does not
meet applicable land use laws and local ordinances
COM:~ (jl) 5?-' - 00'73 '3
RCPT #: ~:) (n) ?- - '(,5--.:;
DATE PROCESSED: 6/~c)}J 6/
ThiS AuthOrization To Begin Work must be I'c!~~~"rl bV-"~Fermlt
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