HomeMy WebLinkAboutPermit Electrical 2008-8-4
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Iss u ed
PERMIT NO
ISSUED.
APPLIED
EXPIRES.
VALUE'
COM2008-01154
08/04/2008
08/04/2008
02104/2009
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LIne
SITE ADDRESS 767 12TH ST
ASSESSOR'S PARCEL NO 1703351103900
Spnngfield TYPE OF WORK Electncal Work Only
TYPE OF USE
AlteratIOn
Resldeutlal
PROJECT DESCRIPTION ServlC chdnge on both SIdes 01 duplex
Owncr HA YES LARRY R & JANICE G
Addre;; 701 RAYNER AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Eleetncdl
Contractor
SPRINTER ELECTRIC INC
Ltcense
174458
Expiration Date
02120/2009
Phone
541-743-1213
BUILDING INFORMATION I
# of UOIts
Pnmary Occupancy Group
SecondalY Occupancy Group
Pnmdry ConstructIOn Type
Seeonddry ConstructIOn Type
# of Be~rooms
# of StOlles
HClght of Structure
Type of Heat
Water Type
Range Type
Energy P dlh
Spnnkled Bu.ldmg
Lot SIze
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Bdsement
Sq Ft Garage/CdrpOl t
Sq Ft Othcr
Occupant LOdd
n/a
I DEVELOPMENT INFORMA nON I
REQUIRED PARKING
Front yard Sctbdck
SIde I Setback
SIde 2 Setback
Rearyard Setbdck
Solar Setbdcks
Ovellay D.st
# Street Trees Rqd
Pdvcd Dnve Rqd
% of Lot Coverage
Totdl
Hand.cdpped
Compact
-!I
I PUBLIC IMPROVEMENTS I
Street Improvement>
SIdewalk Type
~<V6b
'O~~(V
~;P
Storm Sewer AVailable
SpecIal ~"rt:m'I1!JN' Oregon law requires you to
follow rules adopted by the Oregon Utility
Notes Notification Center Those rules are set forth
In OAR 952-001-0010 throuah OAR 952-001-
0090 You may obtain caples of the '(-';'0 uy J~U 11\"1:..
calling the center (Note the telepMhfluaflOn DescrmtlOn fHIS PERMIT SHALL EXPIRE IF THE WORK
number for the Oregon Utility Notlfrd""ulI AUTHORIZED UNDER THIS PERMIT IS NOT
DescrIptIon Center IS f1-800-332-.2344). $ Per Sq Ft Square Footage'ENCED 0" '" ^BANDo"u:n I:f\Q
Type 0 ConstructIOn It I B d AvUIV"'/1 1\131DO"\ '1'J8~ (}lIl~uldted
or IOU Ip ler or I A~Y' 80 DAY PERIOD.
Downspouts/Drains
P dee I of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01154
ISSUED. 08/04/2008
APPLIED. 08/04/2008
EXPIRES. 02/0412009
VALUE
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fdx
541-726-3769 InspectIOn LlOe
Totdl Value of ProJect
Fees Palll ,
Fee Description
+ 100/0 Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm ServlFdr 200 .Imps or less
Amount PaId
Date PaId
$14 00
$1680
$700
$14000
8/4/08
8/4/08
8/4/08
8/4108
ReceIpt Number
2200800000000001189
2200800000000001189
2200800000000001189
2200800000000001189
I otal Amount PaId
$177 80
I Plan Reviews I
To Request an IOspectlOn call the 24 hour recordlOg at 726-3769 AlllOspechons requested before 7 00
a m will be made the same worklOg day, IOspechons requested after 7.00 a m WIll be made the followlOg
work day
I Re,lIIlIrerl Insoechons ,
Electnc ServIce Approval required pnor to uhllty company energIZIng servIce
By slgndture, I state and agree, thdt I have carefully examlOed the completed applicatIon and do hereby cerhfy that all
mformatlOn hereon IS true and correct, and I further certify that any and all work performed shall be done ID accordance \\lth
the OrdlOdnces 01 the CIty of Spnngfield and the Laws 01 the State of Oregon pertalOlOg to the work descnbed hereIn, and
that NO OCCUPANCY WIll be made of any structure wIthout permIssIOn of the CommunIty ServIces DIvIsIOn, ButldlOg Sdfety
I furthel cel tlfy that only contractor; dnd employees who .lre In compliance wIth ORS 701 005 WIll be used on thIS proJect
I further dgree to ensure th.tt .Ill reqUIred IDspectlOns drc requested at the proper hme, that each address IS I eaddble from the
street, that the pel mlt card IS located dt the front of the pI operty, and the approved ,et of plans WIll remalO on the sIte dt dll
times dUring constructIOn
Owner or Contractors Slgndture
Date
Pdee 2 of2
CIty of Sprmgfield
ElectrIcal AuthonlatlOn To Begm Work
E-malled To SprInler5c@yahoo com
ReceIpt # EC535395
8/4/2008 7 38 11 AM
~
By Phone
Check on status of permIt
(541)726-3753 or Emall permltcenter@cl.prIngfield orus
TYPE OF WORK
o Nc\\ conslrUlJlOn
lliJ AddltJonlalteratlonlreplalcment
CATEGORY OF CONSTRUCTION
I [K] I or 2 family d\\cllmg D Multl.fwmly 0 CommerclJI / Industnal
L JOB SITE INFORMATION AND LOCATION
IJob no jJob address 767 12TH ST
IClly/StatllZlP SPRINGrILLD, OR 97477-4149
I Smte/bldgJdpt no
! Project Daml
Cross street/directIOn... to Job site
ISUbdl\-lSIon
II-IX m.lp/parcll no
1
1101 no
1703351103900
DESCRIPTION OF WORK
Domg a servlCI.. chang/. on both sides oflh.s duplex
SITE CONTACT
I Name Jeremy Cooper
IPhone (541)743-1213
I. mall Spnntl..r5l@)dhoo com
1 h, (541) 895-2207
CONTRACTOR
II J lie no C256 I ceo he no 17445M
I Husme...s N.lmc SPRINTI R ELECfRIC INC
I Contact Jerem) Coopu
IAddrt.'\ 82924 rLORENCb AV[
I C"l/Materl:'P CRESWELL OR 97426
IPhonl (541)743t213 Irox (541)8952207
I t mall Spnntcr5c@)ahoo com
1!\letrohc no 5417431213 ICllyhc no Crcsy,ell
l'tupcrvlsmg cllClrltl,lIl''; hc 110 1871S
ISupenlSlng elcctncllII'S name DAVID GADOMSKI
Upon review and approval by your local JUriSdiction, your
permit will be e-malled or faxed Within one business day,
with Instructions on how to schedule your Inspection
NOTE ThiS AuthOrization To Begm Work expires Within 180
days If a permit IS not obtamed
The local bUlldmg department may determme that an
Authorrzatlon To Begm Work IS null and VOid If It does not
meet applicable land use laws and local ordinances
I I FEE SCHEDULE
II Deslnphon Qty F.I
I Resldelltl.t1 SIi\GLl.- OR multl~famll) dwelllllg umt Includl~
I attached garagl
1II000sqftorless I I
1 Ea add! 500 sq ft or portIon I
1 l Limited Fnerg)
1 I - Llnuted lnergy n.sldentlal
1 (wllh abO\c sa ft)
I LlIlllted energy, multltdlnlly
I reSIdential (WIth above sa ft)
I I LImIted energy lommercml
(\\ Ith above so ft)
I - Stand-alone limited energy
reSldentml
I - Slwld-alone limited energy,
mulli-famllv
I - Stand-alonl limited energ}
commercial
I ~en Ices OR feeder!! IIlstallallOn, alteration, i\.Nn/OR relocallOn
1200 amps or less 2 $70001 $14000
120 I d1nps to 400 amps
140 I .Imps to 599 amps I
I TEMPORARY ~enlces OR feeders lDstallallOn, alteration,
A~D/OR relocatIOn
1200 amps or less I I
I 20 I ,imps tn 400 dmps I I
I 40 I amps to 599 amps I I
I Branch CirCUIts - NI<~W, alteratlOlI, OR exten!olOlI, per panel
I A Fee. for branch CirCUits With I I
servIce or tet..der fee Lach
branch CIrCUIt
I B reLlor br,U1ch llrCUlts I
Without servIce or feLder fee
tirst hranch L1rCUlt
1 each addl branch CIrcuLI I
1 J\hsu.llaneolls
I Service reconnect only
FdCh manul~lctllred or modul.rr
dy,elhng servH"e andlor feeder
Pump or Irng,ltlon CIrcle
1 Sign or oUllme i1ghtmg
I Slgndl clrcult(s) or IImlted-
energy panel alteratIOn or
extenSIOn
I
I
I
I
I
. CIty OfSpnngfield fees
ree
lolal
nol ofTt..rt..d on!me at llllS JUrISdictIon
ELECTRICAL PERMIT FEES
Subtotal I $140 00
State Sllrclldl"ge (12% oft?t..rmlt fel) 1 $1680 1
City Of Sonngfield fees .1 $21 00 I
J(jTAI PtRMH HI I $17780 I
10% LOLal Admm fee 5% Locdl Tt..t..hnology
.
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
225 FIfth Strect
Sprmgfield, Oregon 97477
541:726-3759 Phone
~~l
Job/Journal Number
COM2008-0 1154
COM2008-0 1154
COM2008-0 1154
COM2008-0 1154
Payments
Type of Payment
ONLINE GIGS
cRcccmtl
RECEIPT Ii.
2200800000000001189
DescriptIOn
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistratIve Fee
CIty of Sprmgfield OfficIal Rccclpt
Development ServIces Department
Pubhe Work, Department
Date. 08/04/2008
Item Totu!
Check Number AuthorizatIOn
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page I of I
ONLINE SPRINTER OnlIne
ELECTRIC
INC
Payment Total
8 08 13AM
Amount Due
14000
700
1680
1400
$177 MU
Amount Paid
$177 80
$177 MU
8/4/2008