HomeMy WebLinkAboutPermit Electrical 2008-6-25
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CITY OJ< ~rKu"GFIELD
Building/Combination Permit
PERMIT NO' COM2008-00924
ISSUED. 06/25/2008
APPLIED. 06/25/2008
EXPIRES: 12/2512008
VALUE:
Status
Issued
225 FIfth Street. Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fdx
541-726-3769 InspectIOn Lme
SITE ADDRESS 1133 J ST
ASSESSOR'S PARCEL NO 1703351102300
Sprmgfield TYPE OF WORK ElectrICal Work Only
TYPE OF USE
AlteratIOn
ResIdent..]
PROIECT DESCRIPTION Replace servIce
Owner
Address
CROCKER MICHAEL E & RHONDA R
549 S 68TH PL
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
E1ectncal
Contractor
G MILLER ENTERPRISES INC
LIcense
87145
ExpiratIOn Date
11/1012008
Phone
541-741-2596
BUILDING INFORMATION I
# of Umts
Pnmary Occnpancy Group
Secondary Occupancy GIOUp
Pnmary ConstructIOn Type
Secondary ConstrnctlOn Type
# of Bedrooms
# of Stones
HeIght of Strnctnre
Type of Heat
W dter Type
Range Type
Energy Path
Sprmkled BlIlldmg
Lot S,ze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback
SIde I Setback
S,de 2 Setbdck
Rearyard Setback
Solar Setbacks
Overlay DlSt
# Street Trees Rqd
Paved Dllve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
SIdewalk Type
ATTENTIOO~~p~\!I\S/P,'i!'\~"lroq "0" 10
follow rufesadopted by the Q'J,J';~, 'cy
Notlflcallon Cenler Those rules aiL Sol ,C.1I1
in OAR 952-001-0010 through ol.n 902-001-
~ ~ ~ __ _ _ 0090 You may obtam cOPIes of thl> 'I ,,~< h"
I~U 11,,1:. "~I"~ IIn:l cemer. (Note the telephone'
THIS PERMIT SHALL EXPIRE IF t~YlIgfil$., DesCflDtuJw.,ber for the Oregon Utility Notlilcallon
AUTHORIZED UNDER THIS PERfVlI1 1'-' "" r Center IS 1-800-332-2344)
DescnptlQ)()MMEilJ{lJil1flR,l.ltAafltMlONnI f-OOq Ft Sqnare Footage Value
ANY 180 DAY PERIOD. or multJpher or B,d Amonnt
Storm Sewer AVailable
Specldl InstructIOn
Notes
Date Calculated
Paee I of 2
~iIii:~
Status
Issued
CITY OF SPRIN~HJ'.L1J I
Building/Combination Permit
PERMIT NO' COM2008-00924
ISSUED' 06/25/2008
APPLIED. 06/25/2008
EXPIRES. 12/25/2008
VALUE
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541- 726-3676 Fax
54J-726-3769 InspectIOn Line
Total Value of Project
Fees Palll I
Fee Descnptlon
+ 10% AdminIstrative Fee
+ 12% State Surcharge
+ 5% Techuology Fee
Perm Serv/Fdr 200 amps or less
Amount PaId
Date Paid
ReceIpt Number
$700
$840
$350
$70 00
6/25/08
6/25/08
6/25/08
6/25/08
2200800000000000974
2200800000000000974
2200800000000000974
2200800000000000974
Total Amount PaId
$88 90
I Plan ReVIews I
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 workmg day, mspechons requested after 700 a.m Will be made the followmg
work day.
I ReoUlrecl TnsnectlOns I
ElectriC ServIce Approval reqUIred prior to utility company energIZing servIce
By sIgnature, I state and agree, that J have carelully examined the completed applicatIOn and do hereby certify that all
informatIOn hel eon IS true and correct, and I further certify that an)' and all work performed shall be done In accordance WIth
the Ordinances of the CIty of Springfield and the Laws 01 the State of Oregon pertaining to the work deSCribed herein, and
that NO OCCUPANCY WIll be made of any structure WIthout permIssIOn of the Commulllty ServIces DIVISIOn, Budding 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 IIlspectlOns are requested at the proper tIme, that each address IS readable from the
street, that the pernllt card IS located at the frout 01 the pI operty, and the approved set of plans WIll remain on the sIte at all
times dUring constructIOn
Owner or Contractors SlgnatUl e
Date
Pa2e 2 012
CIty o(Sprmgfield
ElectrIcal AuthorIzatIOn To Begm Work
E-malled To gglamlller@eomeast net
ReceIpt # ,RC532782
6/25/2008 8 43 15 AM
~
By Phone
Cheek on status of permIt
(541)726-3753 or Emall permlteenter@elspnngfield orus
TYPE OF WORK
I SubdlVl~lOn
I Tax map/parcel no
I
I Lot no
FEE SCHEDULE
I DescnpllOa I Qty I E.I I Talal
I Resldcl1tJ~1 ~~GLE~ OR multi-family dwell 109 UllIt Includes
attach~~~~~~~
1I000sqftorless I I I
I En addl 500 sq ft or portIOn I
I Limited Energy
I . LImited energy resIdential
(with above SQ ft)
I-Limited energy multlfamtl}
resldenl1al (wIth above SQ n)
I-LimIted energy commercIa]
(with above SQ ft)
I - Stand-alone limited energy
reSIdential
I - Stand-alone limited energy
multi-famIly
I - Stand-alone limited energy,
commercIal
l$ervlccll OR feeder'! m~tallatlOll! alteratIOn, AND/qR relocahon I
1200 dfilpS or less II $7000 $70001
1201 amps to 400 amps I
1401 amps to 599 amps 1 1
I,T~!\'ff~~!lY ser~vlces 9R feederOii ID!!.tallahon, a}te~!lOn, I
~N4'~/p1i~losahon , '" ~~~
1 200 amps or less I
1 20 I amps to 400 amps 1
140 I amps to 599 amps !
~;Brl!nch CI!:C~~ts - NEW, alteration, OR extensIOn, per panel I
I A Fce for branch CircUits with I
servIce or feeder fee each
branch CIrcUIt
I B Fee for branch CirCUIts I
wIthout service or feeder fee
first branch circuit
I each add] brdJlch CirCUit 1
I !\llscellaneous I
I ServICe f(,connect only 1
I Each manufactured or modular I
dwelling servIce and/or feeder
I Pump or IrngatlOn cude I
1 SIgn or outline IIghtlllg r
I Signa] Clrcu1t(s) or hmlted- Inot offered online at thIs JUflSdlctlOn I
energy panel alteratIOn or
extensIOn
1 ELECTRICAL. PERMIT FEES I
I Subtotal $7000 I
I State Surcharge (12% of~ermlt fee) $840 I
I CIty OfSpnngfield fees'" $10 50 I
I TOTAL PERMIT FEE $8890 I
'" CIty Of Spnngfield 10% Lo<.al Admin Fec 5% Local TeL-hnology Fee
lONe\\- constructIon
UJ AddltlonJalterallon/r<.placement
CATEGORY OF CONSTRUCTION
I [K] 1 or 2 tamlly dwellmg D MultI-famIly D Commercial I Industrial
I JOB SITE INFORMATION AND LOCATION
IJOb no \ lob .tddre!!o' 1133 I ~ I
IC'tyNJteIZIP SPRINGFIELD OR 97477-4018
I SUlte/bldg Japt no
I Project n.tme
Cross street/directions to Job site
1703351102300
DESCRIPTION OF WORK
n..pl<\L-e service entrance mast to do so mLl~t replace meter With meter mam and kt-dcrs to
panel
SITE CONTACT
I :\lame gary mIller
I Phone
I~mall
I Fax
CONTRACTOR
I E...I hc no ZO.Z84C 1('( B he no 87 I 45
I BU!lmes~ N,lme G Mill rR FNTrRPRISr", IN(
I Contact gdry miller
IAddre!!os 3954 HAYDEN BRIDGE RD
I Clt}JState/ZIP ~PR[NGF(ELD OR 97477
!.)hone (541 )7412596 1 Fax Nonl;;:
I Emall gglamlller@comcast net
1 Metro hc no 1 CIty he 110
1 ~lIpervl!lIng electriCian's he no 3654S
I SupervISIng electriCian's name GERARD G Mill rR
Upon review and approval by your local JUriSdiction, your
permit will be e-malled or faxed wlthm one bus mess day,
With instructions on how to schedule your mspectlon
NOTE ThiS AuthOrization To Begm Work expires wlthm 180
days If a permit IS not obtamed
The local bUlldmg department may determme that an
Authonzatlon To Begin Work IS null and VOid If It does not
meet applicable land use laws and local ordinances
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM200S-00924
COM2008-00924
COM200S-00924
cOM2008-00924
Payments
Type of Payment
ONLINE CHGS
cRecelOtl
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
RECEIPT #.
2200800000000000974
Description
Perm Serv/F dr 200 amps or less
+ 5% Technology ree
+ 12% State Surcharge
+ 10% Admmlstratlve ree
PaId By
ONLINE PERMIT CHGS
ddk
Page 1 of 1
CIty of Sprmgfield OfficIal Receipt
Development ServIces Department
Public Works Department
Date' 06/25/2008
12 31 49PM
Amount Due
7000
350
S 40
700
$88 90
Amount Paid
ONLINE G M]LLER Onlme
ENTERPRl
SES
$88 90
Payment Total
$88 90
6/25/2008