HomeMy WebLinkAboutPermit Electrical 2008-6-6
"',
\
- CnT~ ((J)w ~jJD~OlN<<JlFnfi~L/D)" (Q)~n~(G((j)N
~
ZON ~
fNITIALS (:kl
DATE L9.lQ.~
SOURCE -"-.<;()(1./
\
225..VI H ~IIH.U . ~J>RJNGFJELD. OR 97477 . J'H (541)726-3753 . FAX (541)726-3689
ELECTRICAL PFtfA1~T A!!JX!CA TION
Cll) Job Number \: YJ' S~
LOCATION OF INSTALLATION~
Li01Olo
\ -
LEGAL DESCRIPT10N ~
{'1r:5t~~4 U\CXV
j\;LS21lM1t\ \\1~~1 U, \-s
~
~
Permits are non-transferable and expire If work IS
not started wlthm 180 days of Issuance or If work IS
Suspended for 180 days.
2
CONTRACTORINSTAJ.,LATION ONLY
Electrical Contractor fllJR. /!J()J/I/lifIAJ EtE'c
Addressg~gg D/LUlIYJ f)CLESS I?D
CIl),EU(oE!lJ~ Phone 1!fiP'I tj
1htJ()_ S
I{) /10
/Jh~qg
hp'" 0 D'll '11/0 g'
S'g' ~JS7r~E~':"'M
,
~upervlsor LIcense Number
Expll atlOn Date _
Constr Contr Number
Owners Name. \\" m ll)\ f'd. () X
Address \-9::E>\o 'OO...uaU
c.~ ~~ Phoo, ~"T ed
OWNER INST .\LLA TION
The IIlstallatlon IS belllg made on ploperty I own whIch
IS not IIltended for sale. lease or rent
oN9-TlGEtture
THI~ P~RMIT ~HAlLEXPIRE IF THE WORK
AUTH-ORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
I nANlth~e6t{i),wtPl2ilO&9
~\-l~\ ~~S
Date
3.
COMPLETE FEE SCHE"J)ULE BELOW-
A. New J{esld~ntlal- Single (II' MlIltI-Fnnlily pel~ dwenrll~ unft.
Service Included
1000 sq ft or less
Each additIOnal 500 sq ft or
portion thereof
Each Manufact'd Home or
Modular DwellIng Service 01
Feeder
$11700
$ 2100
$55 00
B. Services or Feeders -: installation, Altcratipns or Relocatioa;
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Onl)
$ 70 00
$ 83 00
S 138 00
$180 00
$413 00
$ 55 00
c
Temporary Services or Feeders
Installation, Alteration or RelocatIOn
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 1\mps 01 1000 Volts see .'B- above
D. Branch Circuits
$ 55 00
$ 76 00
SIlO 00
New AlteratIOn or ExtenSIOn Per Panel
One CIrCUIt
Each AdditIOnal CirCUit or WIth
Service or Feeder PermIt
$ 48 00
S 400
'P-!J,CO
rID
E. Miscellaneous (Servlcc/feellcl' not ilicluued) -Rac.b-lnstanati.on
Pump or Irrigation $ 55 00
SIgn/OutlIne Llghtlllg $ 55 00
LImited Energy/Resldentml 5> 28 00
Limited Energy/Commercial S 50 00
Mmlmum ElectriC Permit Inspection Fee IS $50.00 + Surcharges
4. SUBTOTAL OF ABOVE ft).cO
l1- P/o State SurA/lII!JtNTION: Oregon law requires YittQo.
lV ~% Admlllml~JlUteS adopted by the Oregon iJ1tqiJ
5% TechnoNmifisation Center. Those rules are s Clf~
In OAR 952-001-0010 through OAR Q5~fi)01, 7\
TOT AL 0090. You may obtain copies of the ~~ W1J
'>ll.lI e'JClllling )/ffW:!~tJtID'~/liNtMi: Ill'yelttM~ph Ol'le07 doc
number for the Oregon Utility Notification
Center is 1-800-332-2344).
~'.~ '}.~
~ '\\t
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00353
ISSUED: 03/19/2008
APPLIED: 03/14/2008
EXPIRES: 12/09/2008
VALUE: $ 40,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4856 DAISY ST
ASSESSOR'S PARCEL NO.: 1702324404000
Springfield TYPE OF WORK: Fire Damage
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Fire Damage
Owner: WINDER TIM
Address: 4856 DAISY ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Tvpe
General
Electrical
Plumbing
Contractor License
BELFOR USA GROUP INC 146973
BEAR MOUNTAIN ELECTRIC LLC 136298
EUGENE EXCAVATION & PLUMBING INC 138003
BUILDING INFORMATION I
Expiration Date
02/16/2009
08/06/2009
04/27/2009
Phone
541-726-9905
541-741-8844
541-988-0868
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
U
VB
# 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:
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 Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pa!!e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
DescriDtion TVDe of Construction
Bid Amount Use Bid Amount
Fee DescriDtion
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Dryer Vent
Exhaust Hoods
Minimum/Adjustment Mechanical
Miscellaneous Plumbing
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C0M2008-00353
ISSUED: 03/19/2008
APPLIED: 03/14/2008
EXPIRES: 12/09/2008
VALUE: $ 40,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
40,000.00
Value
Date Calculated
Total Value of Project
$40,000.00
$40,000.00
04/15/2008
~
Amount Paid
Date Paid
Receipt Number
$7.80
$9.36
$3.90
$8.00
$70.00
$20.00
$44.39
$53.27
$22.20
$343.94
$7.00
$10.00
$33.00
$50.00
$8.00
$9.60
$4.00
$80.00
3/19/08
3/19/08
3/19/08
3/19/08
3/19/08
4/16/08
4/16/08
4/16/08
4/16/08
4/16/08
4/16/08
4/16/08
4/16/08
4/16/08
6/10/08
6/10/08
6/1 0/08
6/10/08
1200800000000000256
1200800000000000256
1200800000000000256
1200800000000000256
1200800000000000256
1200800000000000366
1200800000000000366
1200800000000000366
1200800000000000366
1200800000000000366
1200800000000000366
1200800000000000366
1200800000000000366
1200800000000000366
2200800000000000857
2200800000000000857
2200800000000000857
2200800000000000857
$784.46
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.
UeolliredJnsnedions.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Pa!!e 2 of 3
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00353
ISSUED: 03/1912008
APPLIED: 03/14/2008
EXPIRES: 12/09/2008
VALUE: $ 40,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Electric: When all electrical work is complete.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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 ofthe 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pae:e 3 of 3
225 ,Fiftb Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00353
COM2008-00353
COM2008-00353
COM2008-00353
Payments:
Type of Payment
CredltCard
cRecemt I
RECEIPT #:
2200800000000000857
Date: 06/10/2008
Description
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstratIve Fee
Paid By
BEAR MOUNTAIN
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
llh 025098 Phone
Payment Total:
Page I of 1
7:19:01AM
Amount Due
8000
400
960
800
$101.60
Amount Paid
$10 I 60
$101.60
6/10/2008