HomeMy WebLinkAboutPermit Electrical 2008-7-30
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-01135
ISSUED' 07/30/2008
APPLIED 07/30/2008
EXPIRES' 01/30/2009
VALUE:
Status
Iss u ed
225 Fdth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 4076 NORTH ST
ASSESSOR'S PARCEL NO 1802061100700
SprlOgfield TYPE OF WORK ElectrICal Work Only
TYPE OF VSE
Move
Pubhc
PROJECT DESCRIPTION add two heatel CirCUits
Owner
Addless
V ANBEENEN CINDY & LARRY
4076 NORTH ST
SPRINGFIELD OR 97478
I "CONTRACTOR INFORMATION I
Contractor Type
Electncal
Contractor
DOUG PALMER CORP
License
9072 5
ExpiratIon Date
05/0312010
Phone
541-434-5600
BUILDING INFORMATION I
# of Vmts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type 01 Heat
Water Type
Range Type
Energy Path
Spnnkled BUlldmg
Lot S,ze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
nla
I. DEVELOPMENT INFORM A nON I
Frontya, d Setback
S,de I Setback
SIde 2 Setback
Rearyard Setback
Solal Setbacks
Overlay DlSt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS'
Street Improvements
Storm sl,mT"{C'Jiiable
Speclalli\"Stlfuclloii'MIT SHALL EXPIRE IF THE WORK
AUTH081ZED UNDER THIS PERMIT IS NOT
Notes COMVlENCED OR IS ABANDONED FOR
^",l\l -i ~'::' ~_^Y r[~IX
SIdewalk Type '0
Tr:!,!TJ01\1 ()\ ':lC'C'l""l b\~' ~('a '1 rot.;" ,('"
AT. . ~DownspoutsfDlams 10,' ~ Ilf
fO\~0"" ruh..J ac.,...lI...........\....;'; ~ ,.. bt tClth
Notification Center rh )S8 ,Uhl\,;FV c52-001-
OAR 952-001-0010 thl oug , v
~090 You may obtain copies of th\e r~les :y
. U.._ _ .ho Mn\f'r. (Note the Ie ep on
----b~. t r the Oregon UlllllY lW\lIil.......w..
I ValuatIOn DescriDtHJlJl1 erc~ntsr IS 1-800-332.2344),
DeSCriptIOn
Tvpe of ConstructIon
$ Per Sq Ft
or multlpher
Square Footage
or Bid Amount
Value
Date Calculated
Paee10f2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-01135
ISSUED. 07/30/2008
APPLIED 07/30/2008
EXPIRES: 01/30/2009
VALUE:
225 F,fth Str eet, Spnugfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of ProJect
Fees Pa,d I
Fee DescnptlOn
+ 10% AdmlOlStratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
Amount PaId
Date PaId
ReceIpt Number
$520
$624
$260
$48 00
$400
7130108
7130/08
7/30/08
7130108
7130/08
3200800000000000531
3200800000000000531
3200800000000000531
3200800000000000531
3200800000000000531
Total Amount PaId
$66 04
I Plan ReViews I
To Request an IOspection call the 24 hour record 109 at 726-3769 AlllOspectIons requested before 7 00
a m will be made the same working day, IOspechons requested after 7:00 a.m. will be made the folloWlOg
work day.
I Reolllred I nsnechons I
Rough Electnc Pnor to Cover
Fmal Electnc When all electncal WOI k IS complete
By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do he.eby certrfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all "ork performed shall be done m accordance WIth
the O. dlll,IUces of the CIty of Spnngfield and the Laws ot the State of Oregon pertalUmg to the work descrIbed herem, and
that NO OCCVPANCY WIll be made of any structUle WIthout permISsIOn of the CommuDlty ServIces DIVISIOn, BuIldmg Safety
I further certIfy that only contractors and employees who are m comphance WIth ORS 701 005 WIll be used on thIS proJect
I further agree to ensure that all requIred IOspectlOns are requested at the proper t,me, 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 remam on the SIte at all
times dunng construction
Owner or Contractors SIgnature
Date
Paee 2 of 2
CIty of SprIngfield
ElectrIcal AuthorIzatIOn To Begm Work
E-maIled To JVLlE-DPE@COMCASTNET
ReceIpt # EC534971
7/29/20084 54 11 PM
Check on status of permit
By Phone (541)726-3753 or Emall permllcenter@clsprmgfieJd orus
TYPE OF WORK
FEE SCHEDULE
o New con"tructlOn
[X] Addltlon/alteratlOn/replacement
]81465
$48001
$4001
I
I
I
I
I
I
I ELE_CTRICAL PERMIT FEES I
I Subtotal $5200 I
I ~tate Sun"harge (12% of permIt fee) $624 I
J Olj~ CltyOrSpfll1gfield fees * $7801
f<"rV< I ' I I UrAL VEIn ilT fEE $6604 I
t )~.. Clt) OfSpnngfield fees 10% Local Ad: 1m ree, 5% Locallechnology
Oe...cnphon Qty [.I TotJI
Residential SIN(TLF - OR. lIlulh-rll~lll) d\\clhng unit Include."
attJ~hed gar~gc ~ - ~
11,000 sq ft or less
I Ea addl 500 sq ft or portIon
I L!I!l!tcd Energy
I LImIted em'xgy resldentml
(wIth above sq ft)
I Lllmted energv mu]tlfmmly
resldentml (wIth above sq ft)
I LImIted LnCTgy commercm-I
(wIth above SQ it)
I Stand-alone llnllted energy
resldentld]
I Stand alone limited energy
multl-faml]Y
I-Stand alone limited energy
commercia]
l Servlce~ og f~eders m!.taltll~~on; !i1te!llhOn, A~D~OR relocation
I 200 amps or less I I
1201 amps to 400 amps
40] amps to 599 amps I I
I~TEMPORARY !lervlces OR f('(.dl.r\ m!ot~lIallon, .)ltl.,~~~~n,
AND/OR relocatlon " \, ~ 0V?~_
,. 200 'mps oeless I I I
20] amps to 400 amps I
1401 'mpsto 599 amps I I
I Branch clrculh -N~W, dlterdtlon, OR extenSIOD, per panel
I A Fee for branch CirCUits with
service or feeder fee, edch
branch circuit
B Fee for branch CirCUits
without servILe or fceder lee
first branch CircUIt.
each addl branch CirCUit
ll\-bSCellaneo~us~~ ,
Service reconnect only
I Each mdnutacturl.d or moduldr
dwellmg servl<..t and/or feeder
I Pump or HTlgdtlOn circle
I SIgn or outllOe IlghtlOg
I SlgnaJ ClfLUlt(S) or hmlted
energy panel alteratIOn or
extensIOn
~48 00
CATEGORY OF-CONSTRUCTION
I [K] 1 or 2 faml!) dwellmg 0 Multi family 0 Commercm] I lndustnal
I J~OB SITE lIiFORMATION AND~LOCATION~:~"';:
J Job no I Job address 4076 NORTH ST
lC.ty/StaterLIP SPRING~IELD OR 974786518
I StIlte/bldg Ilpt no
[Project lldmc
Cro!.!I !ltreet/dlrcctlon!. to Job !lite
I ~ubdl\ L'>lOn
I lax mdp/parceJ no
I
I Lot no
1802061100700
DESCRIPTION OF WORK
add (2) heater Clr<"Ults
SITE CONTACT
INdme Julie ford
I Phone
]Emnl
I CONTRACTOR
FI he no C263 I CCO hc 110
I Bu~mes.. Ndmc DOUG PALMeR [LECTRIC LLC
IConldet JULlE FORD
IAddress 1368 BARRINGTON AVr
c.tv/~t Ite/.lIP EUGENL OR 97401
I Phone (541 )4345600
I. mad 1Ul IE~DPE@COMCASTN[T
I Metro he no
I~upervl!.lng dcc(rlclan's be 110 2742S
I Supuvl!lmg elldnclall'S n.lme DOUGLAS G PALMER
I Fax
II
$400
IFax (541)76210)6
I City he no
not offered onlme dt !hls JIJTJsdJcllOn
Upon review and approval by your local Jurisdiction, your
permit Will be e~malled or faxed Wlthm one bUSiness day,
with instructIOns on how to schedule your mspectlon
NOTE ThiS Authorization To Begm Work expires Wlthm 180
days If a permit IS not obtained
COM~
The local bUilding department may determine that an
Authorlzatlon To Begm Work IS null and vOid If It does not
meet applicable land use laws and local ordinances
RCPT#' <,21rJ K - 53 /
DATE PROCESSED' .:;;j<Bt!.. ~O;S
PROCESSE~
ThiS Authorization To Begin Work mu it ue pos{eo a1(he JOD ~ until replacea by a Permit
225 FIfth Street
Spnngfield, Oregon 97477
541-726-3759 Phone
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-0 1135
COM2008-0 1135
COM2008-01135
COM2008-0 J 135
COM2008-01135
Payments
Type of Payment
ONLINE CHGS
LRecemtl
RECEIPT #.
3200800000000000531
Date' 07/30/2008
DescriptIOn
Add, Alter, Extend Circ
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
, 12% State Surcharge
+ 10% Admmlslratlve Fee
Paid By
ONLINE PERMIT CHGS
Item Total
Check Number AuthOrization
Received By Batch Number Number How ReceIVed
NJM
ONLINE DOVG P Onlme
Payment Total
Page I of I
71847AM
Amount Due
4800
400
260
624
520
$66 04
Amount Paid
$66 04
$66 04
7/30/2008