HomeMy WebLinkAboutPermit Electrical 2008-8-4 (2)
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01154
ISSUED: 08/04/2008
APPLIED: 08/04/2008
EXPIRES: 02/12/2009
\iALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 767 12TH ST 765
ASSESSOR'S PARCEL NO.: 1703351103900
SPRINGFIETYPE;, OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PR()JECT DESCRIPTION: Service change on both sides of duplex
Owner: HA YES LARRY R & JANICE G
Address:' 701 RAYNER AVE
SPRINGFIELD OR 97477
I, CONTRACTOR INFORMATION.
Contractor Type
Electrical
Contractor
SPRINTER ELECTRIC INC.
License
174458
Expiration Date
02/20/2009
Phone
541-743-1213
BUILDING INFORM~TlON I,
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: '
# of Stories:
Height of Structure
Type of Heat:
,Watcr Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: '
# Street Trees Rqd:
Paved Driv~ Rqd: '
% of Lot Coverage:
REQUIRED PARKING
. Total:
Handicapped:
Compact:
I ~UBLlC IMPROVElVm,NTS I '
Street Impro.vements:
'Sidewalk Type:
Storm Sewer Available: 'DownspoutslDrains:
SpeciaW1'1l.!'I1~~ie'lJ: Oregon law requires you to
follow rules adopted by the Oregon Utility
Note~:Jotification Center. Those rules are set forth '
in OAR 952-001-0010 lhrouoh OAR 952-001- NOTICE:
0090. You may obtain copies of the rlflel> <., -1-'11;) PERMIT SHALL EXPIRE IF THE WORK
calling the center. (Note:. the tele~H~\i6\luation Descrip,tiRP'IIORIZED UNDER THIS PERMIT IS NOT
number for the, Oregon Utility NotlflcaLlUlI r.mnMF~~ED OR IS ABANDONED FOR
., CentAr IS 1-ROO~::l32-2344). $ Per Sq Ft Squ\iI't'Filllt.jj \!
DescnptlOn ,'Tvpe ofConslrucfion or multiplier or B\tJI)\~Q AY PERlotY.alue Date Calculated
Pa!!e 1 01'2
_GIl)RINQF,:I14~i~'
-1'
iF
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
TotalValue of Project
Fe~s Pa,id I
Fee Description
+ 10% Administrative Fee
+ 12% State.Surcharge
+ 5% Technology Fee
Perm ServlFdr 200 amps or less
+ 10% Administrative Fee
+ 12% State,Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid !
$14.00
$16.80
$7.00
$140.00
$9.50,
$11.40
$4.75
$50.00
$45.00
8/4/08
8/4/08
8/4/08
8/4/08
9/5/08
9/5108
9/5/08
9/5/08
9/5/08
Total Amount Paid
$298.45
1 Plan Reviews I
CITY OF SPKJJ'I\.J.tu.LD
Building/Combination Permit
PERMIT NO: COM2008-01154
ISSUED: 08/04/2008
APPLIED: 08/0412008
EXPIRES: 02/1212009
VALUE:
Receipt,Number
2200800000000001189
2200800000000001189
2200800000000001189
2200800000000001189
2200800000000001348
2200800000000001348
2200800000000001348
2200800000000001348
2200800000000001348
To Request an inspection call the 24 hour recording at 726-3769. Ail 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 '{eOll "'ed Insoections .
.1.1 1111 III I , , ,
Eledric Service: Approval required prior to utility cOl!lpany energizing s'ervice.
Rough Electric: Prior to Cover
Final Electric: When' all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, an,d 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 herein, and
that NO OCCUPANCY will be madc of any structure without permission of the Community Services Division, Building Safety.
, I further certify that only contractors and employees who are in compliance withORS 701.005 will be used on this project.
I further 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 Contractor~ Signature
Pa!!e 2 01'2
Date
City,of Springfield
Electrical Authorization To Begin Work
E-mailed.To: Sprinter5c@yahoo,coin
Receipt # EC537109
912/20089:04:07 AM
Check on status of perm it
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
\ W 1 Of 2 family dwe\\ing 0 Multi-family 0 Commercial J Industrial
[-f~';i]~-_~~~jtlr"if~i: .~~ ;ijQ'BrsiTE!fNroRMATldN:ANO:;l.OCATi6.N~*%~~~~,*';:.~t~i~
"~,,,1~^, "._ .',"'''." ''''to '.) '".,r ,.0:'-". ~'.~'. ";""'c-'~"',, ',-- -'. ,,: ~." ~;,&, ".,~-~0A,.."'" ',,'"," .. _'-" _~-"-.2"~ _~It"'""" .,__
IJob no.: I.Job address: 767 12TH ST
I City/Stale/ZIP: SPRINGFIELD, OR 97477-4149
\ S~itc-/bldg.lapt.no~:
I Project name:
Cross street/directions to job site:
\ ,000 sq. ,ft. or less
Ea, add! 500 sq. ft. or portion
I
I
I
I
10 New construction
[iJ Additionhilterationfreplacement
I Description
I Subdivision:
ITax map/parcel no.: 1703351103900
1 Lot no.:
I-Limited energy, residential
.. (with above SQ. (1.)
I . ~irriited energy, multifamily
residential (with above sa.-fl.)
I-Limited energy, commercial
(with above SQ. [1.)
I - Stand-alone limited energy,
residential
I - Stand~alone limited energy,
multi-family
I - Stand~alone limited energy,
commercial .
1~.~~C1I(~ql~';r.i~~~eiljliiI~t[!l:OE~~1~f~in~iI~;~~:~/Q!!.~19d;fi.<i~i$'t~1
1200 <lI11pS or less I I
120 I amps to 400 amps I I
140 I amps 10 599 amps I I
1'.TE;\:lPORARY/scr_ViceS:.bR;fee'derS'illstUlllltiO[)';~alie'ri1:i(;ii,i.,.~'\!{+it-<;:~1
[1~P?2f!1~~)o~i1i<rr=:!:!~~~~~~E,1;K~)~,f~~.i.:-::,-~~:7 _' "'~~7z~~~~
1200 amp.s or less I f
1201 <lI11pS to 400 amps 1 1
1401 amps to 599 amps 1 I
Im;ailci1'~frctit-srtNE,\',~~j{eratlOlif6R;e'xte~~'j6n~pel~pail~I . F,
~"',,'",,-,,~,",,~""_"'j_""''','','''''.,_L_,',_.0ii,,',,+'&'" ,""" .-', _
I A. Fec fo., r bra.nch circuits with I
service or feeder fee, each
branch circuit
R Fee for branch circuits
without service or feeder fee,
first branch circuit
each addl branch circuit
$50,00
$50,001
$45001
Rewiring circuits do 10 addition.
IName: Jeremy Cooper
[Phone: (541)743-1213
\ Email: Sprinter5c@yahoo.com
1 Fax: (541) 895-2207
I EI. lie. no.: C256
I Business Name: SPRINTER ELECTRIC INC
I Contact: Jeremy Cooper
!Address: 82924 FLORENCE AVE
I City/State/ZIP: CRESWELL OR 97426
!Phune: (541)7431213 IFax: (541)8952207
J Email: Sprinter5c@yahoo:com
I i\'1etro lie. no;: 541 743-1213 I City lie. 110.: Creswell
!Supervising elcctrician's lie. 110.: 1871S
I Supervising electrician's name:' DAVID,GADOMSKI
9
$5,00
Service reconnect only
Each manufactured or modular
dwelling, service and/or feeder
I Pump or-irrigation circle
I Signor o~tlinc lighting
I Signal circllit(s) or limited~ .
energy panel, alteration, or
extension.
Upon review and approval by your local jurisdiction, your
permit will be e-mailed 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.
I SnblOlal I $95,00 I
i State Surcharge (12% of permit fee) $]IAO!
I . City Of Springfield fees * I $14.25 I
l TOTAL PERMIT FEE I, $120,651
* City Of Springfield fees: 1,0% Administration Fee; 5% Technology Fee
The local building department. may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Strect
,
Springfield, Oregon 97477
541-726-3759 Phonc
City of Springfield Official Reccipt
Developmcut Services Departmcnt
Public Works Departmeut
RECEIPT #:
2200800000000001348
Date: 09/05/2008
12:04:56PM
Payments:
Type of Payment, Paid By
'Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
50,00
45,00
4,75
11.40
9,50
$120.65
Job/Journal Number
COM200S:0 1154
COM200S-0 1154
COM200S'0 1154
COM200S-0 1154
COM200S-0 1154
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Amount Paid
ONLINE CHGS
ONLINE PERMIT CHGS
ddk
ONLINE SPRINTER In Person
, ELECTRIC
Payment Total:
$120,65
$120.65
cReceiotl
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