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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 ( 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~ _'?- I-{- 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