HomeMy WebLinkAboutPermit Electrical 2008-7-3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO' COM2008-00989
ISSUED: 07/03/2008
APPLIED: 07/03/2008
EXPIRES: 01/03/2009
VALUE:
225 Fifth Street, Sprmgfield, OR
541,726,3753 Phone
541-726-3676 Fax
541-726,3769 InspectIOn Lme
SITE ADDRESS 2365 G ST
ASSESSOR'S PARCEL NO 1703361115200
Spnngfield TYPE OF WORK Electncdl Work Only
TYPE OF USE
New
ResidentIal
PROJECT DESCRIPTION Panel change out
Owner CWABS INC
Address 400 COUNTRYWIDE WAY SV,35
SIMI VALLEY CA 93065
_ . \n
Contractor Type
Electncal
Contractor
STEVE HAUCK
\ HI reoU11c....
~ o('~~ a" \ \\I\W
I CONTRACTOR INFORMATION I' - cy the Qrego \ '"l \orlh
, " "., \1c.So rules a~ :S2-001-
License ~ J 1E,,~PlratlOn~I}~~f\; ~h_one,r
\ 147618~~ ~o\l obl,04/09/200)lo~ \F\e,~41'21!I'2665
BUILDING INFORMATioN\l~gthe cef\~r e~'~~'U\\\lW NoutlcallV"
. number lor 1\'\8 \_800-332-2344)
# of Stones Cenler 1'.ot Size
HeIght of Structure Sq Ft 1st Floor
Type 01 Heat Sq Ft 2nd Floor
Water Type Sq Ft Basement
Range Type Sq Ft Garage/Carport
Energy Path Sq Ft Other
Sprmkled Bmldmg n/a Occupant Load
#ofUmts
PnmdrY Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
I DEVELOPMENT INFORMATION'
Frontyard Setback
SIde I Setback
SIde 2 Setbdck
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Compact
Street Improvements
Storm Sewer A vadable
SpecIal InstructIOn
T\CE: I PUBLIC IMPROVEMJ;~&I1RK
~~IS PERMIT SH~~~ \,,~~PERM\T IS NOT SIdewalk Type
AUTHORIZED UN \S ABANDONED fOR DownspoutslDrams,
COMMENCED OR
ANY 180 DAY PERIOD
Notes
I V aluation Desc~lOti~n I
DescriptIOn
Type of Construction
$ Per Sq Ft
or multIplter
Square Footage
or BId Amount
Value
Date Calculated
Paee I 012
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008,00989
ISSUED, 07/03/2008
APPLIED: 07/0312008
EXPIRES: 0110312009
VALUE:
225 FIfth Street, Sprmgfield, OR
541,726,3753 Phone
541,726,3676 Fax
541,726,37691nspectlOn Lme
Total Valne of Project
Fees PaulJ
Fee DescnptlOn
+ 10% AdmmlStratIve Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend CIrc Ea Add
Temp Power 200 amps or less
Amount PaId
Date Paid
Receipt Number
$870
$1044
$435
$32 00
$55 00
7/3/08
7/3/08
7/3/08
7/3/08
7/3/08
1200800000000000735
1200800000000000735
1200800000000000735
1200800000000000735
1200800000000000735
Total Amount PaId
$11049
I Plan Reviews I
To Request an mspectlOn call the 24 hour recording at 726-3769. All inspectIOns requested before 7.00
a.m, wIll be made the same workmg day, mspections requested after 7:00 a,m, wIll be made the followmg
work day,
I ,~e,lIIJ1red Tnsnrctl,!ns I
Rough Electnc Pnor to Cover
Fmal Electnc When all electncal work IS complete
By SIgnature, I state and agree, that I have carefully exammed the completed apphcatIon and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done 10 accordance WIth
the Ordmances of the City of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY WIll be made of any StruCtUI e WIthout permISsIOn of the CommuDlty Services DIVISIOn, Bmldmg Safety
I further certIfy that only contractors and employees who are 10 comphance WIth ORS 701 005 wIll be used on thIS project
I further agree to ensure that all reqUIred mspectlOns are requested at the proper tIme, that each address IS readable from the
street, that the pel mlt card IS located at the front of the property, and the approved set of plans wIll remam on the SIte at all
times dunng constructIOn
Owner or Contractors SIgnature
Date
Paee 2 of2
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~.p_Q~~~
Ilia:
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
Pubhc Works Department
Job/Journal Number
COM2008-00989
COM2008-00989
COM2008,00989
COM2008-00989
COM2008-00989
Payments
Type of Payment
CredltCard
cRe..emtl
RECEIPT #.
Date' 07/03/2008
1200800000000000735
DeSCription
Temp Power 200 amps or less
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistratIVe Fee
Paid By
STEVE HAUCK
Item Total
Check Number AuthorIzation
Received By Batch Number Number How Received
nJIn
012744 In Person
Payment Total
Page 1 of 1
11 49 16AM
Amount Due
5500
3200
435
1044
870
$11049
Amount Paid
$11049
$11 049
7/3/2008
ZON \ (tv
INITIALS (\)''/\ j
DATE j/j /O'--/,
SOURCE'{Y\ ~'S~j
Date 7,3~cJg:-
225 FIFIH STREET. SPRINGFIELD, OR 97477 . PH (54t)726-3753 . FAX (54t)726-3689
ELECTRICAL PERMIT APPLICATION
CIty Job Number ;) (J)} ((' - () () 9 ;57
1 EHi.fArIQ.N"gt1'lfs.!1~i~!,4,!iQN~~:;;~f~~~1 3 ~l;QM!!1Jf!!3t'1~E,~l:l!!-'l!JYt}iEi.o:~~:~~!ij:,~':::;~::::I
~305 & StRd'
J'W 'KWJ" ," -:;e,"'''i~tiiil}''0-' ","~yq~ ",:'!7^ :::;;c;;;;;-;,- -' F~;':::4'R\0tl1UiBP'iH!PGP.W.'"f41.,Z"4i. '1i;lS-Y"'"'rJ;''1''"'~''k'<- -"".~- >1
LEGAL DESCRIPTION A ;N~e,w,Resiilel!tIal?:Smgle &r~M'!,I!i;,Fa.,!!!ly per,dly~l!!!!gunit'l
\ I 03 3(, I II c; A aU Semce Included
JOB DESCRIPTION
A'i;JD ltGll' C:DU.v,,~.s EIHI1 FfIr.l t:'r1..]:i)~~
,/ ./ I I .I
D.",,_ C)V8V C~Ior= Pfhu.L-
PermIts are non,transferable and expIre If work IS
not started wlthm 180 days of Issuance or If work IS
Suspended for 180 days
F'" '"." 'f" ",,",, '~",'h ,,c',*,, 'h""""_..' ',~
2 p~~!!!f!MgQ!!l!'!/f!AJL.,,~llQl'j,'RNL}j~
Electncal Contractor S IbJE ! ~,~t.
Address
f (] iJu~ fB' I
CIty GiJ-
Phone ~,;{l' ;4<.,1.-5
...,
SupervIsor LIcense Number ~.... c; 1- 't S
I
ExprratIon Date I d - I - / (!
Constr Contr Number I '11 ~ J ~
ExprralIon Date (/- 3:: - {j q
v
SIgnature of SupervIsmg Electnc18n
_JA- ~~
--- J " f "
Owners Name f h.. iftt<:S I7\J('./
Address-7UV 6?lz.n+;-'u, tJ 1 dL 'ij~
CI~ft,; ~ po~
OWNER INSTALLATION
The mstallalIon IS bemg made on property I own whIch
IS not mtended for sale, lease or rent
Owners SIgnature
InspectIon Request: 726,3769
1000 sq ft or less
Each addllIonal 500 sq ft or
portIon thereof
Each Manufact'd Home or
Modular Dwellmg ServIce or
Feeder
$11700
$ 2100
$55 00
f1"1/:'y,5,,;"';::1!.;::;tir:tt'i'/L:;i?i:04':":;'"' ;:q;:?,,.iY::::4iv~.4t0:Y2; r "j0~L+12~~m;fV'%WkD4i1tf1'#. x:~'~: '-~
B t:tr~~ry~~~~.~~!:,~tt~~~~72~!!~!t~jj~;:tt~j~r~~~~~!!g~a!~lpn:j~_
$ 70 00
$ 83 00
$13800
$18000
$413 00
$ J~c9O
..rr \\f8S '4~ l~ \ t
C m4i.-~~~f1'jf\E':edett=
" w.~.."~""., .....p L -,-
\\0'1>1 rules all~~\ -I' "5'- I ," Q~~ 952
Instal~~?\\e~tei'~*?_81i Relocatl~,~ 9\ tile rules bV S S 00
200 AIm>S)J!:Iie~~2-mav obtalr\ ~O~)~v~~(e tel($)55'OB"
201 An{jlSa\l408~8"te\ \,,0 I-'IIIM \'lo'$'ftBo
401 Ampsq1}\~B~kPs\l8 O\,e~~~_332-2j""~IIO 00
num' tel '5 ,-
Over 600 Amps OIG'OBo Volts see "B" above
1f!1''"''+F''Hl!!:~~~0~~%qr''''i'~{#1W'''=~W;8~F1:J''~oih:fTh'';Y]*,J'4~1<j0Yti0''\-~:n,"~~'
D H~t1tnch CZJicurtS~~ ^"'~2ili't'i~tL~imru~Gbill;~m:t;1t~1;:~'hL""3]~m.~::;,s,:q, ~~71 ~7~'>~"'-
:rv ~~,/;;;;;; ~b """",,_'0~~ "iiI.IWi\0"''''"''' bA8tL~~ '''""''~= _",~,;:w"'A"_$0P'W"",\\;fiw..0\\\'W_!!.3"'~
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
New AlteratIOn or ExtenSIOn Per Panel
One CIrCUIt <tZ
Each AddItIonal CrrcUlt or WIth
.'ltm'1, cC>Of".F eeder PermIt
l'iU I 11.01:,
E T CtMi~lfm~bill1i$lJ:\.~?eli36~11i~1IilfcMJD&1Jf:Ei~h;fu;"cii'i~'.r.I.-. ~..r~
A~TIlJ1S'"prmililt'fS"Nat~~$ A<~ ~ , .. ~
CWM~~Jtrq!ihOlR IS ABANDONED FOR $ 55 00
tSigh/dili1Ille~lgliimIOD $ 55 00
LUUlted EnergylResldenl1al $ 28 00
Lumted Energy/Commerc181 $ 50 00
MInImum ElectrIC PermIt Inspechon Fee IS $50 00 + Surcharges
$ 48 00
'"
$ 4 00
5/_
4
8:7. 6D
12% State Surcharge
10% AdnuUlstratIve Fee
5% Technology Fee
\J1 /I () , ..y9
Shared Dnve(f )lBulldmg FolIll'i!Electncal Penmt ApplicatIon 1-08 doc
TOTAL