HomeMy WebLinkAboutPermit Electrical 2008-9-5
SPRINGPIELD
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""...: CI:rY':OF ~R~GFIELD, OREGpNI
'~2s FIFI"H STREET - SPRlNGFIEW, OR 97477, - PH:(S41)726-3753 -FAX: (541)726-3689
ELECTRICAL PERMIT APPliCATION
City Job Number ("e>w\ LOOJ'- 0 r "3 y g
PH /.(;:~ ,~r'"c~200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIV olts
Reconnect Only ,
Pump or irrigatipn $ 57.00
Sign/Outline Lighting $ 57.00
OWNER INSTALLATION Limited EnergylR,.esidential $ 29.00
The installation is being made on property I own which Limited Energy/Commercial $ 52,00
, is not intended for sale, lease or tent.~~II;:~M1T ;im.~~Elect~I_:~~~\~~;;=~ur7charg[' )
Owners Signature: AUTHORIZED UN 'ER;,' " .. w n.....l~.._l!~ S '---I__~
. ~uIVlMENCED OR 1S;;~~~!e~F~e ~~'
ANY 180 DAY PER~>>~eclrilOlogyFee 3&,r
I
TOTAL! 9 z 71
f'hared Drive(T:)/Building FormslElectrical Permit Application 7-08.doc
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LEGAL DESCRIPTION:
[702 3Z3~
JOB DESCRIPTION:
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Permits are non-transferable and expire if work is
not started within 180 days nf issnance or if work is
Suspended for 180 days,
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Electrical contractoa.:? If
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Address ?;;; :s:;;: P- / b ~ '-- 4J l?-.b
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CiC-&Sw.€L.L
Phone
S',5"- J'~60
Supervisor License Number 52. Z 8 :5
Expiration Date /0/ o~ 2.<::'/,0
Constr. Contr. Number 15 23 77
Expiration Date /2/ '2 (I, Z <::> <::>?
Signature of superviS~g Electrifian
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Owners Name Dt:>.{/. W 45'5 fr"..
Address /9f 3 -"* 4U$6.u s.r--
City k"t;7',6Ue.....c,f.Phone f/&
Z52.t
,Inspection Request: 726-3769
--
Date
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'Service Included
1000 sq. ft. or less
Each additional.500 sq, ft, or
portion thereof
$121.00
$ 22.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$57,00
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l~~ ~ $ 73.00 7'~
, $ 86.00
$143,00
$186,00
$426:00
$ 57,00
$5,00
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Status
Issued
CITY OFSPRINGl'lJ!.LD'
.Building/Combination Permit
PERMIT NO: cOM2008-0,1348
ISSUED: 09/05/2008
APPLIED: 09/05/2008
EXPIRES: 03/05/2009
VALUE:
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 232 S 42ND ST
ASSESSOR'S PARCEL NO.: 1702323302100
I
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Service overhead to underground
Owncr: TWIN BUTTE MORTGAGE INC
Address: 1960 GILHAM RD
EUGENE OR 97401'
Contractor Type
General
Electrical
Contractor
TWIN BUTTE BUILDERS
CHRIS MILLERS ELECTRIC 1NC
I
I CONTRACTORINW,RMATlON I
I
License
50374:
62377
Expiration Date
04/21/2010
12/21/2008
Phone
541-484-2326
541_895-3660
I BUILDING INFORM~T10N I
, . \/OU\O
# of Umts: ' _ 'aW 1E#J,l>'jtt~11 iilit'l
Primary Occupancy Gr?u,p,',:,''''l,'':',\CJI'\' R, "..3',:'?:::~ \;y t\1eml~li1PSr 'f6\'llwe
Secondary Occupancy 9r?ug:'J',ef,,' .J:~,',:1hose 1l1iyjlJ'l t101-
Primary ConstructIOn Type, ,.:)()(1 '.,'VB-:, ,'0 thlOUglI1,Q ~es I:lY
Secoudary Constructioh Ti'P..~: 9, 5'2",rrl. .0~tai(1 coPi<<aRlje ~lIe
# of Bedrooms: "'090, '{oU (1..ay ~\er. ~Note~\M o~ifl~O~
o ca\\il19 t\1e ce 01e90(1 ~W} 100. Bu.ldmg: n/a
. _ ~ ",,( the _ ';l:'" '7'12. "'I
nUI"~- center \51 'iiIVELOPMENT INFORMATION I
, Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ff Garage/Carport
Sq Ft Other:
Occupant Load:
Froutyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
..' Overlay Dist:
,'.. .# StreeiTrees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Notes:
I PUBLIC IMPROVE~ENTS I
'. ' f 1\-\E~alk Type:
N01"Cf.. iT S\-\,,\.\. E'J'.?\?E \N\li \~G1ispoutslDrains:
~~:i~~~D ug~~~ ~~~~;~N\:D f?? ' ,
CON\N\ENCDE~ PERIOD.
AN'1' 180" ' ,
Street Improvements:
Storm Sewer Available:
Spcciallnstruction:
Pa!!e 1 of2
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax ,
541-726"3769 Inspection Line
I Valuation Descrinti?n 1
Descriptio~
$ Per Sq Ft
or multiplier
Type of Construction
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
$7.30
$8.76
$3.65
$73.00
Total Amount Paid
$92.71
Squarc Footage
or Bid Amount
Total Value of Project
y'.e.~~.. P!i~ I
Date Paid
Plan Reviews I
9/5/08
9/5/08
9/5/08
9/5/08
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01348
ISSUED: 09/05/2008
APPLIED: 09/05/2008
EXPIRES: 03/05/2009
VALUE:
Value
Date Calculated
Receipt Number
2200800000000001349
2200800000000001349
2200800000000001349
2200800000000001349
,
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 afte'r 7:00 a.m. will be made the following
work day. '
I Re/luired I nsn~ctions I
Electric Service: Approval required prior to utility company energizing service.
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, and I furthcr 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 made of any structure without permission of the Community 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 further agree to ensure that all required inspcctions 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
Pa!!e 2 of 2
Date
.
225 Fifth Street
Springfidd"Oregon 97477
541- 7:26-3759 Phouc
Job/Journal Number.
COM2008-0 1348
COM2008-0 1348
COM2008-01348
COM2008-0 1348
Payments:
Type of Payment
CreditCard
cRecciotl
RECEIPT #:
Description.
Penn Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
CHRISTOPHER MILLER
City of Spriugfield Official Receipt
Development Serviccs Department
Public Works Department
2200800000000001349
Date: 09/05/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
02175C In Person
Payment Total:
Page 1 of 1
2:15:14PM
Amount Due
73,00
3,65
8,76
7.30
$92.71
Amount Paid
$92,71
$92.71
9/5/2008