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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