HomeMy WebLinkAboutPermit Electrical 2008-6-16
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00051
ISSUED. 06/16/2008
APPLIED' 01/11/2007
EXPIRES: 12/16/2008
VALUE.
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection LIDe
SITE ADDRESS 5693 Mt Vernon Rd
ASSESSOR'S PARCEL NO 1802041401200
Spnngfield TYPE OF WORK Electneal Work Only
TYPE OF USE New
PROJECT DESCRIPTION InstallIng 2" condUIt and wIrIng from new EPUD Junction box to new meter enclosure
on house ServIce IS currently overhead, It wIll be underground
Owner CLOUSE JOHN W & LYNNE M
Address 718 S 68TH PL
SPRINGFIELD OR 97478
I CONTRACTOR INFO,RMATlON .
Contractor Tvpe
Electncal
Contractor
BUILDERS ELECTRIC INC
License
4296
BUILDING INFORM~T10N I
# of UUltS # of Stones
Pnmary Occupancy Group HeIght of Structure
Secondary Occupancy Group Type of f!J'S'~u to
Pnmary Construction Type , nN Oreqon \lW:f/l,~fe'~5n Utility
Secondary ConstructIOn Type e' adopted b'RlhN~r~e set forth
# of Bedrooms : 8t;~n'center ThOEnJ~IjY~52-001.
t~A~ 902_001-0010 th&lY\mJ'Isf\~~bY nla
,,1 - '-"'~"\.COf - ,\r\:lQt'''
OO~~\lI~~th~-;;~rm!vEmn~[;fj~A T10N I
number lor thb ~1~loo-332-2a4:fl'.
center IS
Overlay DlSt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Frontyard Setback
SIde I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
I PUBLIC IMPROVEMENTS I
ExpIratIon Date
12/1012011
Phone
541-485-0922
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
REQUIRED PARKING
Total
HandIcapped
Compact
SIdewalk Type
NOT\CE: IT SHAll EXPIRE If THE ~~~poutslDraIDs
TH\S PERM THIS PERMIT IS~U I
AUTHORIZED UNRD~: ABANDONED FOR
COMMENCED 0
.\t~V 1Rn nAY PERIOD.
I ValuatIOn DescrlOtlOn I
Street Improvements
Storm Sewer AvaIlable
Spectallnstructlon
Notes
DeSCription
Tvpe of COllstructlOn
$ Per Sq Ft
or multiplIer
Square Footage
or BId Amount
Page I of2
Value
Ddte Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2007-00051
ISSUED. 08/01/2007
APPLIED. 01/11/2007
EXPIRES 02/01/2008
VALUE.
225 FIfth Street, SprIDgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LIDe
Total Value of Project
I Fees Paid I
L....iiiiJ. II
Fee DescnptlOll
+ 10% AdmlUlstratlve Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm ServlFdr 200 amps or less
+ 10% AdmIDlstratlve Fee
+ 5% Technology Fee
Renew Electncal PermIt
Amount PaId Date PaId ReceIpt Number
$630 1/11/07 2200700000000000042
$315 1/11/07 2200700000000000042
$504 1111/07 2200700000000000042
$63 00 1/11/07 2200700000000000042
$500 6/16/08 1200800000000000656
$250 6/16/08 1200800000000000656
$50 00 6/16/08 1200800000000000656
Total Amount PaId
$ 134 99
I Plan Reviews I
To Request an mspectIon call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7 00
a.m. will be made the same working day, mspectIons requested after 7:00 a.m. wIll be made the followmg
work day.
I. RenUlred InsnecllOns'
Electnc ServIce Approval requIred pnor to utilIty company energIZIng servIce
By sIgnature, 1 state and agree, that I have carefully examIDed the completed applIcation and do hereby certify that all
mformatlon hereon IS true and correct, and I further certify that any and .111 work performed shall be done In accordance With
the OrdIDances of the CIty of Spnngfield and the Laws ofthe State of Oregon pertaIDmg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structure WIthout permIssIOn of the Commumty ServIces DIVISIOn, Butldmg 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 IDspectlOlls are requested dt 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 remaID on the sIte at all
times dUring constructIOn
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~\-
Job/Journal Number
COM2007-00051
COM2007-00051
COM2007-00051
Payments
Type of Payment
CredltCard
cRecelOt I
RECEIPT #
DescnptlOn
Renew Electrical PermIt
+ 5% Technology Fee
+ 10% Admllllstratlve Fee
PaId By
JOHN CLOUSE
-j:~~
ai:
City of Sprmgfield Official Receipt
Development Services Department
Pubhc Works Department
1200800000000000656
Date. 06/16/2008
Item Total
Check Number Authorization
Received By Batch Number Number How Received
dJb 441279 In Person
Payment Total
Page I of I
I 19 55PM
Amount Due
5000
250
500
$57 50
Amount Paid
$57 50
$57 50
6/16/2008