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Home My WebLink AboutPermit Electrical 2008-8-29 ZON ~~ INITIALS (",)r\ DATE ~.y-\CIb SOURCE ~ 225 FIFIlI STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICALJ'...ERMIT (iPPLICATION City Job Number ' ~- \() A4 I. iWJfo-eAfFioj!PaEfiNSFAiJ'i!A-'iioN:7t~~ 1!I:,f,.....,'".'".."'~,.:!;._.._~......~.:~ S-O 7 p",l/e, )/few . LEGAL DESCRIPTIO~ "~n R~t~fC, \'OJ")1./2.7.\ JOB DESCRIPTION: o \\DO g af'tt,ucrn ,4&>W>-.xf~1 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days.' 2. Date 3. A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $121.00 $ 22.00 $57.00 B. Electrical Contractor ,()IJVIO STVCIC ~cneIC, UC Address 96:1 'T1lpP sr:., t'f S 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 73.00 $ 86.00 $143.00 $186.00 $426,00 $ 57.00 City ~du~7J""- ,c;i( Phone -S7-t1- SJ,l.7.. aa? Supervisor License Number 'Y'" 32 -S" Expiration Date /d //0 Expiration Date /S'?177 / /, //0 Constr. Contr.. Number Signature of Supervising Electrician- ~/?~ Address Owners Name ~\ Ve0- ~,)\.o.W City Phone fIIOr. ovf~l(;sr ALLA nON "..., :f.\)1<l.;;"j~oijti,.being made on p,vp:ai I own which 4s ~oY.w~g'~~r~iJ.e,:t2ase or rent .. . ~~,4~~DEIT-gP'/Rt IF PE/),~S -4R/J!S PF/J, r.llF 'A. "V{) ';VOO :'VI/ r ,- '(l.ol/ '.' WED 1.5 A, ''I . FOR 'vOr Inspection Request: 726-3769 c. Installation,Alteration or Relocation 200 Amps or less' 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 57.00 $ 79.00 $114.00 D. New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with . 'Service or Feeder Perinit Z $ 50.00 $ 5.00 "o~ct.' /0 / C(, E. . Pump or irrigation . $ 57.00 Sign/Outline Lighting $ 57.00 Limited Energy/Residential $ 29.00 Limited Ene. rgy/IComm!ll:v.i"ls you In . $ 52.00 A"CTJ:MT r\N.- r OO'D aw reLJurre . Mln1111 ,)jj E ~ ifJl!Ml!Stil1llWillis $52.00 + Surcharges follow Noti':k ~c:J / ~ in OAR 120-0 l:Jie <;:ur~harge f the rules by ....., "'(6 0090 You m8 O(ll""" v._ ,Cl1es 0 \. I '. IWiH. '0 ~~1.Y!'Jf~~e telephone lOA) calhbnQ;o/,jll. je2C~'~logy(Ij'e,-Jtil;tY Notification 'J..,.lIv num el UI lrlWIB." o\.; , Centel is i -800-332-2344}, '- "1. cJ TOTAL ,,\.0. Shared Drive(T:)/Building FonnslElectrical Permit Application 7-08.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01244 ISSUED: 08/19/2008 APPLIED: 08/19/2008 EXPIRES: 02/19/2009 VALUE: SITE ADDRESS: 507 V ALLEY VIEW AVE ASSESSOR'S PARCEL NO.: 1803022101100 Springfield TYPE OF WORK: Bathroom PROJECT DESCRIPTION: Relocate bathroom fixtures Owner': Address: BELYEA DAVID R 507 VALLEY VIEW AVE SPRINGFIELD OR 97477 TYPE OF USE: Alteration I CONTRACTOR INFORMA T10!'!1 Contractor Type General Electrical Plumbing Contractor ALAN A CODDINGTON DA VE STUCK ELECTRIC, LLC JAM MAL lNC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: License 41499 158177 158262 Expiration Date 02/1612010 0110112010 0111212010 BUILDING INFORMATION' VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: nla Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION .1 Overlay. Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Pa2e I of 3 Residential Phone 541-484-1886 541-485-8855 541-484- 7 440 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: "~N._.. -....,......."............"............". r... l~ '.' "i t."''' 1 .: tIi:....... .......~. .1: ,~. ..... ", .:.... 'W/ ',~ Status Issued 225 Fifth Street, Springfield, OR 541-726:3753 Phone 541-726-3676 Fax 54t-726-3769 Inspection Line I Valuation Oescriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project F..... PlWiU Fee Description + tO% Administrative Fee + 12% State Surcharge + 5% Technology Fee Fixture Minimum/Adjustment Plumbing + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ _ Add, Alter, Extend Clrc Ea Add Amount Paid Date Paid $5.20 $6.24 $2.60 $51.00 $1.00 $6.00 $7.20 $3.00 $50.00 $10.00 8/t9/08 8/19/08 8119/08 8119/08 811 9/08 8/28/08 8/28108 8/28108 8/28/08 8/28108 Total Amount Paid $142.24 I Plan Reviews I CITY OF ~rK1j~GFIELD . Building/Combination Permit PERMIT NO: COM2008-01244 ISSUED: 08/19/2008 APPLIED: 08/19/2008 EXPIRES: 02/19/2009 VALUE: Value Date Calculated Receipt Number t200800000000000885 1200800000000000885 1200800000000000885 1200800000000000885 1200800000000000885 1200800000000000920 1200800000000000920 1200800000000000920 1200800000000000920 1200800000000000920 , 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. I I?..~.n.."tion. I Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of 3 _s;~~.rl!l~]!;III!,~~"._~ ~ .. ". Bf .-:~ .. ~ ". ", -,." ,c. ' , ,..-. ,..., ..",', -', ,~',.-.~- ,'~ ~ ..' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01244 ISSUED: 08/19/2008 APPLIED: 08/1912008 EXPIRES: 02/1912009 VALUE: By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is trne and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield 'and the Laws of the State of Oregon pertaining to the work described berein, and that NO OCCUPANCY will be made of any structure witbout permission of the Commnnity Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I fnrther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Pa2e 3 01'3 Date 225 Fifth Street , , Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0] 244 COM2008"0 1244 COM2008-0 1244 COM2008cO 1244 COM2008"0 1244 Payments: Type of Payment Check cReceiotl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: . 1200800000000000920 Date: 08/28/2008 9:43:03AM Description Add, Alter, Extend Circ Add, Alter, Extend CircEa Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 50.00 10.00 3.00 7.20 6.00 $76,2U P.id By DAVID STUCK ELECTRIC , Item Tot.l: Check Number Authorization Received By Batch Number Number How Received Amount Paid IIh In Person Payment Total: $76.20 $76,20 2573 Page 1 of 1 8/28/2008