HomeMy WebLinkAboutPermit Electrical 2008-8-26
S.PRINGF'....D iiiI ZON ~
A" _ INITJALS I }.:
~- A!. DATE~' I..p .O~
~-.... 'liD' SOURCE ~\l'V
Date '6-2c>~o6
LOCATION OF INSTALLATION. 3
ill? - [7U. bl x~J ('Vf- ~t:J
LEGAL DESCRlPTli U A New ReSldenhal- Smgle or MultI-FamIly per dwelhng unot
0l~ 'l7t/'( 17D3Zb 43 12200 Service Included
JOB DESCRIPTION ~ 1000 sq ft or less
_ (!J tl--It.e{ -.::> Each additIonal 500 sq ft or
7'190 IIIV' A ~ portIOn thereof
~ermlts ~on-transferable and expire .f work IS Each Manufact'd Home or
not started within 180 days of Issuance or .fwork IS Modular Dwelling Service or
Suspended for 180 days Feeder
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I
\ - -J:' CITY OF SPRI[NGFIELD, OREGON
, ,
225 FIFTH SfREET . SPRINGFIELD, OR 97477 . PH (541)726-3753 . I<AX (~41)726~3689
ELECTRICAL PERMIT APPLICATION
City Job Number COrM 'Zo 0 3' - () I z.. b b
COMPLETE FEE SCHEDULE BELOW
2
CONTRACTOR INSTALLATION ONLY
B ServIces or Feeders - 10st.lIlatlOn. AlterdtJons or Relocal1on
Electncal Contractor
p~to
Jot\ \aw~.Jb.MIjl8 \! ffiw
- "" j~\ i')(P~"d b~ \\\l!lO\'m'jli;llbe%t\WPs
- c eClOt- . oetOJ\'i\'hil!,fl~IlI\).\nps
. '0'''U \\10- h OI\R'it""",, ,,\I
1 ",,-~ 0010 \\1IC60:\ ~m~1PtlJ'le(l1unps
\ " -00 ,- ~Ies 0'""
Phone ,_ I ,\1 \ ,"~L ,,')talt\ CC0ve{tWQ~\AIl\1B!V'olts
0090 'IoU '~~det\\et (N~WR9~'ij9-tlon
ca\\lt\') \~ot the o(ego~_'332_2344)'
l\umbet"nnlet IS I-~ Temporary Services or Feeders
Address
City
Supervisor License Number
EXpIratIOn Date
Installation, Alteration or RelocatIOn
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Constr Contr Number
ExpiratIOn Date
Over 600 Amps or 1000 Volts see "B" above
D Branrh Circuits
SIgnature of Supervlsmg Electnclan
$12100
$ 22 00
$57 00
$ 73 00
$ 8600
$14300
$18600
$426 00
$ 57 00
$ 57 00
$ 79 00
$11400
New AlteratIOn or ExtenSIOn Per Panel
One CIrCUit ~ $5000 C&
Each AdditIOnal CIrCUlt or Wltb,v,'t. ()\ 3
Q _ /I \_ -f'l/'IL\~ ServlceorFeederP~~'t.\" $500 0
Owners Name -..Q/l!nlt c... I " ~4-T_. C~:. 1>-'-'- \:.1" \'0 ~'t.~~ fl)~
Address~? :t- rVJ ~ ( \\01\ l~~\j\acg~~~~~~t mcludeIl) -Each InstallatIOn
,()' (\ -__~/J r? 'V'<"":"(J\\\\'O ~ 1'C~ \} \'0 f>.\)f>i
City $--r I vl(' ,~Phone 51') lJ v' / I>-\}~~~~I~~!ft~ \I)\)' $ 57 00
o c()~ P~g $ 57 00
OWNER INST ALLA nON f>.~'*'~ nergylResldenl1al $ 29 00
The IOstallallOn IS belDg made on property I own whICh Limited Energy/Commerclal $ 52 00
IS not mtended for sale, lease or rent Minimum Electnc Permit Inspection Fee IS $52 00 + Surcharges gO
~~;t ---
4
SUBTOlAL 0[0 ABOVE
12% State Surcharge
10% AdmInistrative Fee
5% Technology Fee
Inspectoon Request ~760
TOTAL
Shared Dnve(T }/BUlldmg ForrnslElectncal Pt,..nnrt Appllc~tron 7 08 doc
( .--
/01 II"
76~
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-01266
ISSUED' 08121/2008
APPLIED' 08/21/2008
EXPIRES 02/21/2009
VALUE: $ 2,00000
-iij[ i1iI
Status
Issued
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlDe
SITE ADDRESS 1162 7TH ST
ASSESSOR'S PARCEL NO 1703264312200
SprlDgfield TYPE OF WORK Smgle FamIly ReSIdence
TYPE OF USE ReSIdential
PROJECT DESCRIPTION Add 7clrclllts, replumb 5 fixtures, dryrot repair and 10undatlOn repair lor garage
Owner SANTANA WALRUFF
Address 1162 7TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electncal
Plumbmg
Contractor
OWNER
OWNER
License
I BUILDING INFORMATION'
# 01 Umts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type'
# of Bedrooms
1- " # of Stones 0 r' I - - '(1\' to
, I
R-3 I,d' Height ofStructu':,e, "u,1 L: dlly
UN~L1f,c" ,Type 01 Heat~s" r ,1]< are set forth
VBm OAI, utJ?'YPutfrcllY,e'1mough OAR 952-001-
0090 You~~!I?~i!'@~ copies of the rules by
calling tlID'I!Ul(frat~~ote the telephone
number I~Pl1'I!!<B!B~lllldmg'ty Notlflcailllln
B.... .!_. .... 1 CJ':: 7:~ ,~?" .t~_
I DEVELOi'MENt"JNFORMATioN I
Frontyard Setback
Side 1 Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Phone Number 541-513-8517
ExpIratIOn Date Phone
Lot Size
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
REQUIRED PARKING
Total
Handicapped
Compact
M/'1"'I~!='
"HISI PUiHl1l<<:: IMI\Roi./(MiEililiSiiHE WORK
lIT.iUr\ILtu ul~~tn I F1loJ rl:h,,1IT ISJ.lJ.!lalk T e
(" ,\ :EI~CED OR IS ABANDONED FoFf" yp
",~y 180 DAY PERIOD. DownspoutslDrams
Street Improvements
Storm Sewer A v aIlable
Spec..llnstructlOn
Notes
Pa2e 1 of 3
.-GPAINQf'laLO ,jl i!~}\LlI\ot,jl
]1-
it\"'4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO
ISSUED:
APPLIED.
EXPIRES
VALUE'
COM2008-01266
08/21/2008
08121/2008
02/21/2009
$ 2,000 00
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I ValuatIOn DescnotIon ,
DescriptIOn
Type of ConstructIOn
$ Per Sq Ft
or multlpher
Square Footage
or Bid Amount
Value
Date Calculated
Total Valne of ProJect
F'pp_~, P<:IlrlJ
Fee DescrIPtIOn
+ 10% AdmmlStratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Altel , Extend C.rc
Add, Alter, Extend Clrc Ea Add
BuIldmg Permit
FIxture
Amount Paid
Date Paid
Receipt Number
$23 40
$28 08
$11 70
$50 00
$30 00
$52 00
$10200
8/21/08
8/21/08
8121/08
8/21/08
8/21/08
8/21/08
8/21108
1200800000000000899
1200800000000000899
1200800000000000899
1200800000000000899
1200800000000000899
1200800000000000899
1200800000000000899
Total Amount Paid
$297 18
I Plan ReYlews I
To Request an InspectIOn call the 24 hour recordIng at 726-3769. All InspectIons requested before 7 00
a m will be made the same workIng day, InspectIOns requested after 7 00 a m wIll be made the folloWIng
work day
L.Rpnlllrp1.llllrP('hon~ I
Rough Plumbmg PI lOr to cover and mcludlDg required testmg
FlDal PlumblDg When all plumblDg work IS complete
Rough Elech IC Pnor to Cover
Fmal Electnc When all electncal work IS complete
Frammg InspectIOn Prior to cover and after all rough 10 IUspectlODs have been approved
FoundatIOn After lorms are erected but pnor to concrete placement
FlDal BuIldlDg After all reqUIred mspechons have been requested and approved and the bUlldmg IS complete
Pa2e 2 of 3
Status
Issued
225 F,lth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlDe
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO
ISSUED,
APPLIED.
EXPIRES:
VALUE.
COM2008-01266
08/21/2008
08/21/2008
02121/2009
$ 2,000 00
By SIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certIfy that all
IDformatlOn hereon IS true and correct, and I further certIfy that any and all work perf 01 med shdll be done ID accordance with
the OrdlDances ofthe CIty of Sprmgfield and the Laws 01 the State of Oregon pertalDlDg to the work descnbed herem, and
that NO OCCUPANCY will be made of any structure wIthout permissIOn of the Commumty Services DIVISIOn, BUlldlDg Safety
I further certIfy that only contractors and employees who are ID comphance with ORS 701 005 Will be used on thIS proJect
I further agree to ensure that all reqUIred mspectlOns are requested at the proper tIme, that each address IS readable from the
street, that the permit cal d IS located at the tront of the property, and the approved set of plans wIll remam on the site at all
times dunng constructIOn
~n~~~=U1e
Pa2e 3 of3
0/ Z~/0 g
Date
,
225..Flfth Street
Spn~gfield, Oregon 97477
541-726-3759 Phone
~~
CIty of SprIngfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-0 1266
COM2008-0 1266
COM2008-0 1266
COM2008-0 1266
COM2008-0 1266
COM2008-0 1266
COM2008-0 1266
Payments
Type of Payment
CredltCard
cRc(,cmtl
RECEIPT #
1200800000000000899
Date. 08/21/2008
Descnptlon
BUlldmg Pel1nIt
Fixture
Add, Alter, Exlend Clrc
Add, Alter, EXlend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
W ALRUFF
Item Total
Check Number AuthortLatlOn
Received By Batch Number Number How Received
CJc
170540 In Person
Payment Total
Pa2e I of 1
I 42 41PM
Amount Due
5200
102 00
5000
3000
1170
2808
2340
$29718
Amount Paid
$297 18
$297 18
8/2112008