HomeMy WebLinkAboutPermit Electrical 2008-7-10
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-01033
ISSUED' 07/10/2008
APPLIED: 07/10/2008
EXPIRES: 01/10/2009
VALUE
Status
Iss u ed
225 Filth Street, Springfield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-37691nspectlOn Lme
SITE ADDRESS 2180 5TH ST
ASSESSOR'S PARCEL NO 1703262105800
Springfield TYPE OF WORK Electrical Work Only
TYPE OF USE
New
ResidentIal
PROJECT DESCRIPTION Receptacle for garbage dIsposal
Owner
Address
JOHNSON CHRISTOPHER R & LISA K
2180 5TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
SCHULTZ ELECTRIC INC
LIcense
179066
ExpiratIon Date
10/30/2009
Phone
541-505-8351
BUILDING INFORMATION I
# of Umts
Primary Occupancy Group
Secondary Occupancy Group
Primary CouStruCtlOU Type
Secondary ConstructlOu Type
# of Bedrooms
# of Stories
Height of Structure
Type of Heat
W Mer Type
Rauge Type
Energy Path
Sprlukled BUlldmg
LotSlZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupaut Load
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Froutyard Setback
Side I Setback
S,de 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Drive Rqd
% of Lot Coverage
Total
HandIcapped
Compact
Street Improvemeuts
urtTIrE'
Storm Sewer ~Yr\~a~~RM\T SHALL EXPIRE IF THE,W0RK
Spec.al InstructIOn U"DER THIS PERlVIll IS NOT
AUTHORIZED "
Notes COMMENCED OR IS ABANDONI:D FOR
6~IV i RO DAY PERIOD.
._.-........1.........1 r\..r.,...,-m I~w reOUlres you to
I PUBLIC IMPROVE~~ifs1~es adopted by thr~I~~~~~I~~~~~th
NOoll~~"~5~_~~~i~~'l'~rlf~~'e1 OAR 952-001-
In )~S of the rules by
0090 You ma'ilIl~\MtM~~""fIIl!'felePhone
n~~~~r ~~ f~;~;ego~ Utility Notification
Center Is 1-800-332.2344).
I ValuatIOn DescrmtlOn I
DeSCriptIOn
Type of ConstructlOu
$ Per Sq Ft
or multlpher
Square Footage
or Bid Amount
V.lue
Date Calculated
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-01033
ISSUED. 07/10/2008
APPLIED. 07/10/2008
EXPIRES: 01/10/2009
VALUE:
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
Fee~ PaId I
Fee Description
+ 10% AdmmlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extcnd Orc
Add, Alter, Extend Clrc Ea Add
Amouut PaId
Date PaId
$520
$624
$260
$48 00
$400
7/l 0/08
7/l 0/08
7/10/08
7/l 0/08
7/10/08
Receipt Number
2200800000000001059
2200800000000001059
2200800000000001059
2200800000000001059
2200800000000001059
Total Amouut PaId
$66 04
I Plan RevIews ,
To Request an mspectlOn call the 24 hour recording at 726-3769. All mspectlOns requested before 7.00
a m. wIll be made the same workmg day, inspectIOns requested after 7:00 a m. will be made the followmg
work day.
I He/mired In.nectio~'1
Rough Electric Prior to Cover
Fmal Electric Wheu all electrical work IS complete
By slguature, 1 state aud agree, that I have carefully exammed the completed applIcatIOn and do hereby certIfy that all
mformatlOn hereou IS true and correct, aud I further certIfy that any aud all work performed shall be doue m accordance with
the Ordmduces of the City of Sprlugfield aud the Laws of the State ofOregou pertammg to the work described herem, and
that NO OCCUPANCY WIll be made of any structure WIthout per mISS IOU of the CommuDlty ServIces DIVISIOn, BUlldmg Safety
1 further certIfy that ouly COUtl dCtOl saud employees who are m complIance WIth ORS 701 005 WIll be used ou thIS project
1 further agree to eusure that all required mspectlOus are requested at the proper tIme, that edch address IS readable from the
street, that the permIt cdrd IS located at the tront of the property, and the approved set of plans WIll remam on the sIte at all
times dunng constructIOn
Owner or Coutractors SIgnature
Date
Paee 2 of2
FEE SCHEDULE
I DescriptIOn Qty En Total
I Resldenlnd SINGLE- qR mulh~famlly d~e1hng ~D1t lncludes
attached gardge - - ;
11,000sq ft or less I I I
En add] 500 sq ft or portion
Llmltt>d lnergy "
LimIted energy, residential
(with above sa ft)
LimIted energy, multlfdmlly
resIdential (with above sa ft)
- Limited energy commercla'l
(wllh above sa ft)
Stand-alone limited energy,
residential
Stand alone lmllted energy,
multi famllv
Stand alone limIted energy,
commerCla]
Services OR feedel"'i lD'\tallntJOIl, alteratIOn, Al\:'D/OR relocation
200 amps or less
201 amps to 400 amps
401 amps to 599 amps
TlMIJORARY \U.VIC~ on fcedeN installation, alteration.
Ai'D/OR relocahon '~'qt;
200 amps or less
20] amps to 400 amps
401 amps to 599 amps
Broncb CU'CUlt!> - NEW, alteration, OR clte-oslOn, per p.lOcl
A Fee for branch circuits with
servIce or feeder fee each
brdnl:.hclrLUlt
B Fee for branch CIrcuits
Without service or feeder fee,
first branch CIrcuit
I cach addl branl.h CIrCUIt
I MI'Kcllaneou!l
ServIce reconnect only
Lach manufactured or modular
dwellmg service and/or feedt.r
I Pump or lrTlgallon CIrcle
I Sign or outhne IIghtmg
I Signal clrcull(s) or limited
energy panel alteratIOn or
extensIOn
I
1 Subtotal $52 00 I
I Stale Surcharge (12% ofpcnmt fee) $6241
1 Cltv Of Sprmgfidd fees" $7 80 1
I. 10lALPI-..RMIll<I-..E $6604 I
~ CTDiff':- n\O;:;:'~s.3% Local Admm 'eo, 5% Local lechnology
City of Sprmgficld
ElectrIcal Authorlnhon To Begm Work
E-malled To schultzelectnc@comcast net
r;~
Il
By Phone
Check on status of permit
(541)726-3753 or Ema.1 perm.tcenter@clsprmgfieldorus
TYPE OF WORK
jONewconstructlOn
[2:J Addltlon/alteratlonln.placement
CATEGORY OF CONSTRUCTION
IX] 1 or 2 family dwellmg
o MultI family
o Commercml I Industnal
JOB SITE INFORMATION AND LOCATION
IJob no IJob addreslI 2180 5TH ST
IClty/Statcrnp SPRINGflfLD OR 97477 2220
I SUltelbldg lapt no
I ProJcct namc
Cross street/directIOns to Job site
I SubdIVISion
IIIX map/p Irecl no
I Lot no
1703262105800
DESCRIPTION OF WORK
Add receplack for garbage disposal
SITE CONTACT
INamc
IPhone
l....mall
Brad
I Fa<
CONTRACTOR
I 1'.:1 he no C354
BusllIcss Namc SCHULl Z l::.LECTRIC INC
I Contact Matt Schult.z.
IAddrc!l!l 217] BIRCHWOODAVE
IClty/StlttclZlP EUGEN[ OR 97401~7409
I Phone (541 )5058351
I. mall schultzelectnc@comcast net
I Metro he no
ISuperVlsmg e1eefflelan's he no 5247S
I SUpCrvl!llDg lleetneaan'!l name MATTII[W L SCHUl TZ
jceD he no
179066
I Fa> (541 )5058454
I City he no
Rccelpt # EC533658
7/9/20087 17 13 PM
I
II
II
$4800
$48001
$4001
I
I
I
I
I
$400
Ino! offered onhn, a! !hlS Junsd"l!on
Upon review and approval by your local jurisdiction, your
permit Will be e mailed or faxed within one business day,
With instructions on how to schedule your inspection
ELECTRICAL PERMIT FEES,~
NOTE ThiS AuthOrization To Begin Work expires wlthm 180
days If a penmt IS not obtained
The local bUlldmg department may detennme that an
AuthOrization To Begin Work IS null and VOid If it does not
meet applicable land use laws and local ordinances
COM
RCPT#' ;"'~lJ\) g--- C) I 05<1
DATE PROCESSED' '1-/ D-{)8'"
ThiS AuthOrization To Begin Work mU:}b~og8~~eEJ'~! "",;"""J
JY a Permit
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~mNQ"notij
~ .A ,.,
~
CIty of Sprmgfield OfficIal ReceIpt
Development Services Deparlment
PublIc Works Department
Job/Journal Number
COM2008-0 1 033
COM2008-0 I 033
COM2008-0 I 033
COM2008-0 I 033
COM2008-0 I 033
Paymeuts
Type of P .yment
ONLINE CHGS
cRecemtl
RECEIPT #.
Date. 07/10/2008
2200800000000001059
DeSCriptIOn
Add, Aller, Extend CIfC
Add, Alter, Extend C,rc Ea Add
+ 5% Technology Fee
+ 12% Slate Surcharge
+ 10% AdmmlstratIve Fee
PaId By
ONLINE PERMIT CHGS
Item Total
Check Number Authorization
Received By Batch Number Number How Received
nJm
ONLINE 2008-01033 Onlme
Payment Total
Page I of I
943 09AM
Amount Due
4800
400
260
624
520
$66 04
Amount Paid
$66 04
$66 04
7!l 0/2008