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Home My WebLink AboutPermit Electrical 2008-6-12 Lw f\J"" {", -1'2-~O't rn f :>-f~6- ZON INITIALS DATE SOURCE 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL fERMIT APPLICATION City Job Number W.YY7L.. {)?)5' - dO.?'SO - , 1 LOCATION OF ItffiTALLATION: jjr( ( SI, 5/4/\" tr'( (r/ r LEGAL DESCRIPTION \!n2, ?-i.o '2.,'1-) ( 0 7., 00 JOB DESCRIPTION rv c-Lv SeA-v / c e J Date - , 3 COMPLETE FEE-SCHEDVLEBEWW A N~w R<;s!dent~al- Smgle or, MultI-Family per dwelling umt ServIce Included 1000 sq ft or less I ~ Each addItIOnal 500 sq ft or C, i-~V' t portIOn thereof $OAfl1! Permits are Don-transferable and expire If work IS not started wltbm 180 days of Issuance or If work IS Suspended for 180 days ~~m 1 2 CON1'RACTOR IN$TALLA1'ION ONLY ElectncalContractor l);uh (~r/,~QL- LL( , Addressp' () { f1 X- 7 z. / City C!-cJ tAr e (( Phone Kf~-= ~ 7'-/ Supervisor License Number J-; 9 CJ K 5 ExprratlOn Date J (:;> /6 / / I 0 Constr Contr Number / ~) 7 0 '2. 7{/o//of ExprratlOn Date s,~._ ;pp"m Owners Name GU~viL'I (;,j h Address I -3 6-.3 C s 1-' CIty Sf 11.,' ':.) f (e-Id Pbone 2iJ7 -I:, L 'If 1 OWNER INST ALLA nON The mstallatIon IS berng made on ~w~caj I own wblch IS not mtended for sale, lease or rent Owners SIgnature Inspection Request 726-3769 $]] 700 $2100 Each Manufact'd Home or Modular Dwellmg ServIce or Feeder $55 00 B ServIces or Feeders -InstallatIon, AIt~ratlons or RelocatIOn' 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only J $ 70 00 $ 83 00 $13800 $18000 $413 00 $ 55 00 -;70 cJO c Temporary ServIces or Feeders -- A-:l'- 1- ""'" - IDstallatIoDf~lterahoD ?r Re!ocatlOD \ : I \ I J tn 200 Amps Jr lessC11 I' CO [ , _ - $5500)-001- l'1 r, ~r' ~52 0 ' I .J L l ~ \.J -- 201 Amps to 40~ ~mps "\I 0 'lain rnll "' 0$176 00le8 by O~l -Tau mC.j IJ - nb 401 Amps to oC'dll~Il~le center INote 1118SJlJO'uoJne ,c '" 'h", nrpr(\n IJtlllty NotlflcatlulI Over 600 An1JlIjIlI\JWOwVol<S Se'~ ~\3." 'l!59v~~44) _ CentSI' IS 1 *OVv-vv" "'" . D Brancb CIrcUIts New Alteration or ExtenSIOn Per Panel One Crrcmt Eacb AdditIOnal Crrcmt or wIth ServIce or Feeder PermIt $ 48 00 $ 400 I L+ E MIscellaneous (ServIce/feeder not Ineluded) -Eacb InstallatIOn Pump or ImgatlOn $ 55 00 Slgnlquth~e L'g!Jhrtg S 11M LEX" $ 55 00 I II DDU-r lilli' 1FT Lunlte~Energy/ResldCJ)tIa1=R TH'^ L , '$ 28 00 ,/ u ""v:t/,If'!=n n~ -c -I" I"tl-' _ - vrU\ Llm\llili!'f9"8w/eO~I@ ABM'J _ 1 '{IJ 1$IS-OIQ[}r MInImum ElectTlc'i>P.4.Y.tfibSVtIl!1on F~e W~WOoJRsurcharges 4 SUBTOTAL OF ABOVE '74. aD 12% State Surcharge ..6 -70, 10% Admmlstratlve Fee X" . ~ 1\ 5% Technology Pee -;1 #0 TOTAL 93 9f( Shared Dnve(T )/BUlldmg FormslElectncal Penmt Apphcal1<>n 1-08 doc ---....... ~ ~ .- . J'/ cb I/J~Dd'rJ \.O\\{{\~ . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO. COM2008-00850 ISSUED 06/12/2008 APPLIED, 06/12/2008 EXPIRES: 12112/2008 VALUE: Status Issued 225 FIfth Street, Spnngfield, OR 541-726-3753 Pbone 541-726-3676 Pax 541-726-3769 Inspection Lme SITE ADDRESS 1353 C ST ASSESSOR'S PARCEL NO 1703362310800 Spnngfield TYPE OF WORK Electncal Work Only TYPE OF USE New ResIdential PROJECT DESCRIPTION ServIce & 50 amp CIrCUIt (hot tub) Owner GIBB GREGORY G C & HEATHER E Address 1353 C ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electncal Contractor BIRCH CONSTRUCTION LIcense 165702 ExpiratIOn Date 08/0112009 Phone 541-895-5721 BUILDING INFORMATION' # of UOItS Pnmary Occupancy Group Secondary Occupancy Group Pnmary 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 Pt 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load n/a , 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 0/0 of Lot Coverage AT fc t (1' No. II.' "( 11 r In OAf \ LJJ~ UU 1 I.J... 0090 You may cbtw" cu, . J calling me cemer tl~OI.J l IL II-ll J u e number for the Oregol1 UlilllY 1%IIIICculon Slde~lI{l~pli-1-800-332-2344 ) , ~ Total HandIcapped Compact "v I PUBLIC IMPROVEMENTS I Street Improvements Storm Sewer A vadable SpeCIal Instruction DownspoutslDralns Notes DeSCriptIOn Tvpe of ConstructIOn I ~''''Trl'l:J ValuatIon Descrlp'f1on 1 II Hu, mrmT SHALL EXPIRE IF THE WORK $ Per Sq Ft ASifUjl!~fP~9'~DER THISrlilligMIT IS f\.IWe Calculated or multlpher C~f'~m:~C'~e"6R IS ABANDONED FOR . [,IY ,80 DAY PERIOD Paee 1 of 2 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO ISSUED' APPLIED EXPIRES: VALUE. COM2008-00850 06/12/2008 06/12/2008 12/12/2008 225 F,fth Street, SpnngfieId, OR 541-726-3753 Pbone 541-726-3676 FdX 541-726-3769 InspectIOn LlOe Total Value of Project Fees Pal/I. I Fee DescnptlOn + 100/0 AdmmlstratIve Fee + 12% State Surcbarge + 5% Tecbno]ogy Fee Add, Alter, Extend cuc Ea Add Perm ServlFdr 200 amps or less Amount PaId Date PaId ReceIpt Number $740 $888 $370 $400 $70 00 6112108 6112108 6/12108 6/12/08 6112108 3200800000000000401 3200800000000000401 3200800000000000401 3200800000000000401 3200800000000000401 Total Amount PaId $93 98 I Plan ReViews .1 To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspechons requested before 7.00 a,m will be made the same working day, mspectlOns requested after 7:00 a.m. will be made the following work day. I Reolllred TnsnectJ~ns I Rough Electnc Pnor to Cover FlOal Electnc When all electncal work IS complete Electnc Service Approval reqUired prior to utIhty company energlZlDg service By sIgnature, I state and agree, tbat I bave carefully exammed tbe completed applicatIOn and do hereby certify that all IOformatlon hereon IS true and correct, and I furtber certify that any and all work performed shall be done m accordance WIth the OrdlOances of the CIty of Sprmgfield and the Laws 0] the State of Oregon pertammg to the work descllbed herelO, and that NO OCCUPANCY wIll be made of any structure Without permISsIOn of the commumty ServIces DIVISIOn, BUlldlOg Safety I further certify tbat only contractors and employees who are m comphance wltb ORS 701 005 wIll be used on tbls project I furtber agree to ensure tbat all reqUired mspectlOns are requested at the proper time, tbat eacb address IS readable from the street, that tbe permIt card IS located at the front of the property, and tbe approved set of plans wIll remam on the site at all hmes dunng constructIon Owner or Contractors SIgnature Date Page 2 of2 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone 8PRlHQF'lBl..D , " W1L~ CIty of Sprmgfield Official ReceIpt Development ServIces Department Pubhc Works Department Job/Journal Number COM2008-00850 COM2008-00850 COM2008-00850 COM2008-00850 COM2008-00850 Payments Type of Payment Check cRecemtl RECEIPT #, 3200800000000000401 Date. 06/12/2008 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend ClfC Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdminIstratIve Fee PaId By BIRCH CONSTRUCTION Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received nJIn 1894 In Person Payment Total Page I of I 2 36 12PM Amount Due 7000 400 370 888 740 $93 98 Amount Paid $93 98 $93 98 6/1212008