HomeMy WebLinkAboutPermit Electrical 2008-8-5
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED
APPLIED
EXPIRES:
VALUE'
COM2008-01163
08/05/2008
08/05/2008
02/05/2009
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 6222 THURSTON RD
ASSESSOR'S PARCEL NO 1702342100300
Sprmglield TYPE OF WORK Electncal Work Only
TYPE OF USE
New
Resldenllal
PROJECT DESCRIPTtON Replace servIce hnb
Owner RENNIE GORDON G & SANDRA J
Address 6222 THURSTON RD
SPRINGFIELD OR 97478
Phone Number 541-746-6626
I CONTRACTOR INFORMA TtON ,
Contractor Type
Electncal
Contractor
C & SELECTRIC
License
3849
BUILDING INFORMATtON I
ExpiratIOn Date
09/01/2008
Phone
541-741-2236
# of UUltS
Pnmdry Occupancy Group
Seconda. y OCCUPdUCY Group
Pnmary Construcllon Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled Bmldmg
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
n/d
I DEVELOPMENT INFORMATtON I
REQUIRED PARKING
FI ontyard Setback
Side 1 Setback
S,de 2 Setback
Rearyard Setbdck
Solar Setbacks
OverldY Dlst
# Street Trees Rqd'
Paved Dnve Rqd
0/0 of Lot Coverage
Total
HandIcapped
Compact
ATTENTION
'<<_11-
o :,t'''r '~'" ,,_...
~ -,... .
Street Improvements
-..-.. ..... ...;:) a~' }U,~
I PUBLIC IMPROVEMENTS I Nollllcallon Cen . '.
. In 0 1.1 I , , ,c" '[, ,
009~1~M:IQGfy\J~'0 n'~1 ~ ,~ , ",~ Gel'_l
C //)0 au may olJtp,n CO'lICS :,' 'J -. ' . b
a !Ytisp<\JIj~t\Qralr~u,e "C '8'- " 0, y
IlUmber lor the Orc000 UJ : ,e:':Jr e
C IdlY I\JC" "a
enter IS 1-800-33.2-2344) ,,~ "on
Storm Sewer Available
SpeCIal InstructIOJJOnC~:
Notes THIS PERMIT SHALL EXPIRE IF TH::- ' ICO:;:(
AUTH081ZED Ur~OEFl THIS ,'Cf~",'T ,S ,~Gr
r-nr/HIlr-"............ ---r .-
- -'. ...... 'V...U VII Iv rl' ',...... ,." ~ ' "
ANY 180 DAY PERIOD I Vaiu;t~o'n-Descnntion I
DeSCriptIOn
Type of ConstructIOn
$ Per Sq Ft
or multIplier
Square Footage
or BId Amount
Value
\P~
?1VJ~Qr
v.::,y
Date Calculated
Paee 1 01 2
'-iiir ..
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO' COM2008-01l63
ISSUED: 08/05/2008
APPLIED: 08/05/2008
EXPIRES: 02/05/2009
VALUE:
Stdtus
Issued
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspechon LIne
Total Value of ProJect
Fees Palll I
Fee DescriptIOn
+ 10% AdmlDlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm ServlFdr 200 amps or less
Amount Paid
Date PaId
ReceIpt Number
$700
$840
$350
$70 00
8/5/08
8/5/08
8/5108
8/5/08
3200800000000000543
3200800000000000543
3200800000000000543
3200800000000000543
Total Amount PaId
$88 90
I Plan Reviews I
To Request an mspectlOn call the 24 hour recordmg at 726-3769 All mspections requested before 7'00
a m Will be made the same workmg day, mspectlOns requested after 7 00 a m Will be made the followmg
work day
I Renuired Tnsnechons I
Rough Electnc Pnor to Cover
FInal Electnc When all electncal work IS complete
By sIgnature, I state dnd agree, that I have carefully examIned the completed apphcatlOn and do hereby cerhfy that all
InformatIOn hereon IS true and correct, and I further cerhly that any aud all work performed shall be doue In accordance wIth
the OrdIndnCeS of the CIty of Spnngfield and the Laws of the State of Oregon pertdInIng to the work descnbed hereIn, and
thdt NO OCCUPANCY wdl be mdde of any structUl e wIthout permIssIOn of the CommuDlty ServIces DIVIsIOn, BuddIng Safety
I further certIfy that only contractors and employees who are In comphance wIth ORS 701 005 WIll be used on th,s proJect
I further dgree to cnsure that all reqUIred InspectIOns are requested at the proper hme, that each address IS readable from the
street, thdt the permIt card IS located at tbc front of the property, and the approved set of plans WIll remaIn on the sIte at all
times dUring constructIOn
Owner or Contractors Slgndture
Date
Page 2 of2
CIty of Sprmgfield
ElectrIcal AuthorIzatIOn To Begm Work
E-malled 10 awood@cselectnc org
ReceIpt # EC535494
8/5/2008 9 33 43 AM
~
By Phone
Check on status of permit
(541)726-3753 or Ema.1 permltcenter@clsprmgfieldorns
I
I
Subtotal I $7000 I
State Surcharge (12% of perm I! fee) $840 I
~ CltyOfSonnl?;fieldfees. $1050 I
- "'" V _ nlrll\.~pl>~lITFEE1""" $8890 I
CUM. OrtDf1nkfield feb jb}1t,g~~mm Fee 5% .ocdllechnology
Fee
RCPH :2,'2-()0!5 --- 5 '-(!3
DAn:: PROCESSED' ~u.0~
pr~OCr;SSE~ /U'-;j----
This Authorization To Begin Work must be posted at the JO~lte untlUePla;ed by a ~:mlt
TYPE OF WORK
o New constructIon
[KJ Addltlon/altlratlon/replacement
CATEGORY OF CONSTRUCTION
[KJ I or 2 fdmtly dv.ellmg
o MultI family
o Commercldl / Industndl
JOB SITE INFORMATION AND LOCe-!ION:,
IJobno 7076 IJobdddre!>s 6222 lHUR$TONRD
I City/State/LIP SPRINGrlELD OR 97478 7056
I SUltc/bldg hpt no
I Project naml" R...nme
Cross street/directions to Job !lIte
I SubdlvlMon
IT'lX map/p Ired no
I Lot no
]702342]00300
DESCRIPTION OF WORK~
replace servIce hub
SITE CONTACT
IName
IPhone
I Em'ld
S<lndr<l Renme
(S41 )746 6626
IF"
I
lEI he no 20-14C
I Bll~me~s Ndme C & S LLl::C I RIC INC
I Contact Dave Gehrke
IAddre~s PO BOX] 482
IOt)./Slate/ZIP SPRINGFIFI D OR 97477
I Phone (541 )7412236
I Fm.1l1 awood@cselectncorg
1 Mt..lro he no
I Supervlsmg electnUdn's he no 4894~
1 Supervising elt..ctncmn'... ".lme Di\VID E GEHRKE
CONTRACTOR
ICCRhc flo.
3849
IF", (S41)7412473
IOtyhc no
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 Begin Work expires within 180
days If a permit IS not obtained
The local bUIlding department may determine that an
Authorization To Begin Work IS null and vOid If .t does not
meet applicable land use laws and local ordinances
I I FEE SCHEDULE
II Descllphon I Qty Ed 101411
I Re"'ldcntla~ SIN(.U.~ OR mulh-ramil) dwcllmg' uii,~ !?el~des~-~
1 dtt<'lcbed garage Ck
111,000Sq ft orless I
I Ea addl 500 sq n or portIOn I
! I LII!utt..d ~nergv
I I LImIted energy rt.."'ldentlal
I (wIth above sa ft)
I Llmlled energy multIfamIly
I resIdential (v.1th <lbove sa ft)
I I ~ LImited energy commercla-1
(with above sa ft)
I Stand-alone limIted energy
residential
I Stand alone Ilmlled energy,
multi famllv
I-Stand alone hmlted energy
comm"rclaI
I Services OR feeders""lnstall.UlOn,11Iter.dtlOn, AND/OR relocation I
1200 dmpS or less $70001 $7000 I
120 I amps to 400 amps I I
1401 amps!O 599 amps I I
TEMPORA:RY ~en Ice" OR f~d(n IDstall.JtlOn, alteratlo~n;: I
AND/OR ~e1ocatJ!,n
I
I
I
I
I
I
I
I
I
200 amps or less
I 201 amps to 400 amps
1401 amps to 599 amps
I Brolncb CIrCUIt!. ~ NEW, dlteratlonl OR extensIOn, per p..lnel
A Fee for branch CIrcUIts wllh
service or feeder It..e each
branch CIrcuit
B Fcc for branch CIrCUits
WIthOut service or feeder fee
first branch CIrCUIt
I each addl branch ClrclIlt
Il\'hscellnneolls
ServILe reconnect onl}
Each manufactured or modular
dwellmg servIce and/or feeder
I Pump or ITrlgallon CIrcle
SIgn or olltlme Ilghtmg
I ~Ignal Clrcu1t(s) or hmlted-
energy panel alteratIOn or
extensIOn
not offered online al thl'" JunsdlLtlOn
ELECTRICAL PERMiT FEES'
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
:-~Q'JELD iii
c._AA "'If
lILai
City of Sprmgfield OffiCIal Receipt
Development Services Department
Pubhe Works Department
Job/Journal Number
COM2008-0 1163
COM2008-0] ]63
COM2008-0 1163
COM2008-0 1163
Payments
I ype of Payment
ONLINE CHGS
cRecuntl
RECEIPT #
3200800000000000543
Date' 08/05/2008
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistrative Fee
raid By
ONLINE PERM]T CHGS
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
NJM ONLINE C & S Elect In Person
Payment Total
Page I of I
945 lOAM
Amount Due
7000
350
840
700
$SS 90
Amount Paid
$88 90
$SS 90
8/512008