HomeMy WebLinkAboutPermit Electrical 2008-8-5
Status
Issued
Lll }:' OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01161
ISSUED' 08/05/2008
APPLIED: 08/05/2008
EXPIRES. 02/05/2009
VALUE:
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 1162 7TH ST
ASSESSOR'S PARCEL NO 1703264312200
SprInglield TYPE OF WORK ElectrIcal Work Only
TYPE OF USE
New
Resldenllal
PROJECT DESCRIPTION Panel change only
Owner BULLIS NATHANIEL
Address 1162 7TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
ElectrIcal
Contractor
DOUG PALMER CORP
License
90725
ExpIratIOn Date
05/03/2010
Phone
541-434-5600
BUILDING INFORMATION I
# 01 U OItS:
PrImary Occupancy Group
Secondary Occupancy Group
PrImary Construcllon Type
Secondary ConstructIOn Type
# of Bedrooms
# ot StorIes
HeIght of Struetnre
Type of Heat
Water Type
Range Type
Energy P .th
Spllnkled BuildIng
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd FloOl
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setb.ck
SIde 1 Setb.ck
SIde 2 Setback
Rearyard Setback
Soldr SetbAcks
OverlAY Dlst
# Street Trees Rqd
Paved DrIve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Compact
Street Improvements
I PUBLIC IMPROVEMENTS IATTENTION Oregon law requires you to
lollow rules adopted by tile Oregol1 Utility
Notlflc!WlSIY~!s6\:YperI10<O rules are set forth
In OAij-,a"?,illl~PsffiO Ulrougll OAR 952-001-
0090 Yc>W'may 0'jjlaW2~ples of tile rules by
calling the center (Note the telelJllone
number for the Oregon Utility Notification
Center IS 1-800-332-2344)
Storm Sewer Available
SpeclallnstructlOV.
/VOTlCE:
Notes THIS PERMIT SHA
AlJTl-lnor:::J :J;vu LL EXP!R~ 1/= Tl-u: "':":):
COMMENCED t:K I H11} rChlVl1/ IS .!lInt I
4NY 180 0 OR IS ABAI ,eValuatIOn- vcscriDtlOn
AY PERIOD .. ~"
$ Per Sq Ft Square Footage
or multlpher or BId Amount
DescnptlOll
Tvpe of ConstructIOn
Value
'>$)~e Calculated
0,\9 ~\t--
~~
Pal!e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-01161
ISSUED: 08/05/2008
APPLIED 08/05/2008
EXPIRES 02/05/2009
VALUE
225 F,fth Street, Spnnglield, OR
541-726-3753 Phone
541-726-3676 FdX
541-726-3769 InspectIOn LIne
Total Value of ProJect
Fees PaId I
Fcc DescnptlOn
+ 100/0 AdmImstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount PaId
Date P dId
ReceIpt Number
$700
$840
$350
$70 00
8/5/08
8/5/08
8/5/08
8/5/08
3200800000000000542
3200800000000000542
3200800000000000542
3200800000000000542
Total Amount Paid
$88 90
I Plan RevIews I
To Request an mspectJon call the 24 hoUl recordmg at 726-3769. All mspections requested before 7:00
a m will be made the same working day, mspectlOns requested after 7:00 a.m. WIll be made the followmg
work day
I Reomred InspectIOns'
1111111 I
Electnc ServIce Approval reqUIred pnor to utlhty company energIzIng serVIce
By signature, I state and agl ee, thdt I h.JVe carefully exammed the completed apphcatlOn and do hereby certify that all
mformdtlOn hereon IS true and COI reet, and I further certify that any and all work performed shall be done In accordance With
the OrdIndneeS ot the CIty of Spnnglield and the Laws of the State of Oregou pertaInIng to the work descnbed hereIn, and
that NO OCCUPANCY wdl be made of dny structure WIthout permISSIOn 01 the Commumty ServIces DIVIsIOn, BuddIng Safety
I further certIfy that only contractors and employees who dre In comphauce with ORS 701 005 wIll be used on thIs proJect
I further agree to ensure thitt all reqUIred mspectlOns are requested at the proper time, that each address IS reddable from the
street, that the permIt card IS located at the Iront of the property, aud the approved set 01 pldns WIll remaIn on the sIte at all
hmes dunng construction
Owner or Contractors SIgnature
Date
Pae:e 2 of2
CIty of Sprmgfield
Electrical AuthorizatIOn To Begm Work
E-malled To JULlE-DPE@COMCASTNET
Receipt # RC535487
8/5/2008 8 20 40 AM
~
By Phone
Check on status of permit
(541)726-3753 or Emall permltcenter@clsprIngfield orus
I I FEE SCHEDULE
II DescriptIOn I Qty I Fa Total
I R~ld~ntldl ~INGLE~ OR mllll1~rll-mlly dl\-dlmg umt Includl"
I ttttdchcd garngl
111,000,qftml'" I I
I Ea add] 500 sq n or portlOn
I I Llmltld l.Ulrgy
I I . LImIted Lncrgy resldentldl
I (WIth above so fI)
. LImIted energy multifamIly
I resIdential (wIth above sq ft)
I LImIted energy, commercIa']
(wIth above ~q ft)
Stand alone hmlted energy
resIdential
Stand alone limited energy,
multi famIly
I Stand alone limIted energy
cOmmtTclU]
I Servlc~ OR fceders mstallntlOn, ulterllhon. AND/OR relocatron I
1200 amps or less $70 00 $70 00 I
1201 amps 10 400 amps I
140] amps!O 599 amps I
I fE'\IPORARY senlCC~ OR fl"CtJer.. installatIOn, alteration, I
AND/OR relocutlOn
1200 amp' or Ie" I 1
I 20] amp' 10 400 dmp' I I
40] amps to 599 amps I I
I
I
I
I
I
I
I
I
I
I
ELECTR]CAL PERMIT FEES I
Subtotal I $7000 I
State Surchar~e (12% of penmllee) I $840 I
I CltyOfSprmgfie]dfees*1 $]0501
JA. ..__,1!,,14InrrH;jl"lHI'J $8890
r,k't--.. iYl.II'i/fNrP\ll1fIJCI2 IreS 10% Local Adrr: r1] et. 5% Locallt.t.hnoJogy
COM:~)~Jl)""'~
- 8"
~Z-()i) - 5'-1}- ,
RCPT #" ,
DATE PROCESSED j(/{lcfd
I
PROCESS~ 01 ~If /I~,
Th]s AuthOrization To Begin Work mus, be no!'.tprl "llhl I) sit '-::' 'op:.:.""~ L; a Permit
TYPE OF WORK
I D New constrUCllon
[X] Addlllon/alteratlonlreplat.ement
CATEGORY OF CONSTRUCTION
I [K] I or 2 faml]Y d\\tllmg 0 MultI famIly D CommerCIa] Ilndustrml
I JOB S]TE INFORMATION AND LOCAT]ON
I Joh no IJoh IHldre~s 1162 7rJI ST
jOty/StatefZlP SPRINGHl::1 D OR 97477-4068
I SUlfelbldg lapt no
IproJectnuml
Cross ~freetldlrechons to Job ~ltL
I ~ubdlvl~lOn
lla' mdp/pdrcel no
I
II ot no
1703264312200
DESCRIPTION OF WORK
panel change only
S]TE CONTACT
INdme
IPhone
IJoma11
Julie ford
Ih'
I
II<I hc no C263 ICCBhc no
I Busmess Name DOUG PAl MeR eLeCTRIC LLC
IContdet JU]]f J-ORD
IAddress 1368 BARRINGTON AVL
1C,ljfStalelZtP IoUGIoNEOR 9740]
I Phone (541 )4345600
II< m ul JULlL~DPL@COMCA~ I NET
I Metro he no
IsupervlslD~ eleetneldn's he no 27425
I Supervlsmg ellclnellll's n'lme DOUGLAS G PALMER
CONTRACTOR
181465
I~"' (541)7621056
I Oty hc no
Upon review and approval by your local jurisdictIOn, your
permit Will be e-malled or faxed wlthm one business day,
with mstructlons on how to schedule your Inspection
NOTE This Authonzatlon To Begm Work expires Wlthm 180
days If a permit IS not obtained
The local building department may determine that an
Authonzatlon To Begm Work IS null and void If It does not
meet applicable land use laws and local ordinances
Brou(h clrculb - NEW, alter.ItIOIl, OR extensIOn, per panel
A he for branch CIrCUits \\llh
senl1ee or ft.tder fee each
branch CirCUIt
B Fee lor brunch ClrcUlts
WIthOut servIce or feeder fee
first branchclrlUlt
each addl br,mch urcUlI
MlscellanCQUS
I ServIce reconnect onl)
I Each manufactured or modular
dweJhng SerVlll" and/or feeder
I Pump or IrrigatIOn Circle
SIgn or outlme IIghtmg
SIgnal clrcUlt(s) or hmlted-
energy pane] alteratIOn or
extenSIon
not offered online at thIS JUrisdIctIOn
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~.PRINQ.IE"" ~
IlL-
City of SprIngfield Official Rccclpt
Developmcnt Services Department
Pubhc Works Department
Job/JournAl Number
COM2008-0 1161
COM2008-01161
COM2008-0 1161
COM2008-0 1161
l)ayments
Type of Payment
ONLINE CHGS
cRecelOtl
RECEIPT #"
3200800000000000542
Date 08/05/2008
DescriptIOn
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistrative Fee
PaId By
ONLINE PERMIT CHGS
Item Total
Check Number Authorization
Received By Batch Number Number How Received
nJm
ONLINE doug palmer Online
Payment Total
Page 1 of 1
83037AM
Amount Due
7000
350
840
700
$88 90
Amount Paid
$88 90
$88 90
8/5/2008