HomeMy WebLinkAboutPermit Electrical 2008-9-9
. {
\ ~ "'\ 0 1 :}1/
r~\iA\ ~?;A
0'
CITY OF SPRINGFIELD
Building/Combination Permit
PERMJT NO: COM2008-01359
ISSUED: 09/09/2008
APPLIED: 09/09/2008
EXPIRES: 03/09/2009
VALUE:
Status
.lssued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 360 BRD ST
ASSESSOR'S PARCEL NO.: 1703361405900
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Service change - code, violation corrections
Residential
Owner: CARRINGTON MORTGAGE LOAN TRUST
Address: 2141 5TH AVE
SAN DIEGO CA 92101
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
Expiration Date Phone
BUILDING INFORMATION 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:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
, Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
on laW r~<p.lmEI.c:;I'Mr}WVEMENTS I
Nl10N' Or8g the I, T -tn .
Street Improvem'l;hlf:- laS ~dopled by ~s-roe set lor n Sidewalk Type:
talloW rU. ter. lhose \U ",1'1952-001-
Storm Sewer A~i!ll!t!.:.\lon ce~_OO\ 0 Ihrou9~ 0 tne rules by N aT!t~.nspouts/Drains:
Special Instruct\W0AR 952-00 blain COp\e~ 01 lephon8
'lou may 0 N te' lne Ie, THIS PERMIT SHALL EXPIRE IF THE WORK
Notes: OO~~\ling the ce~I~~'e60~ UtiliW N~I)ilicatlon fl,UTHORIZED UNDER THIS PERMIT IS NOT
J I1Umber:o~:~, i~ 1_800-332-234 ' COIVlMENCED OR IS ABANDONED FOR
I 'ANY 180 DAY PERIOD.
Valuation Descri.,tion
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
_~Il/I!iI~~(;l~l~"'~1
I
:~I
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676, Fax
541-726-3769 Inspection Line'
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm ServlFdr 200 amps or less
, Amount Paid
$7,30
$8.76
$3.65
$73.00
Total Amou'nt Paid
$92,71
Total Value of Project
Fe~s P~id ,
Date Paid
I Plan Reviews I
919/08
919108
919108
919/08
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01359
ISSUED: 09/09/2008
APPLIED: 09/09/2008
EXPIRES: 03/09/2009
VALUE:
Receipt Number
3200800000000000637
3200800000000000637
3200800000000000637
3200800000000000637
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.
ReJlI~i..~e~ I~sn~ctions ,
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, and I fnrther certify that any and all work performed shall be done in aceordance 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 ofanystrllcture witbout permission of the Community Services Division, Building Safety,
I further certify that only contractors and employees'who are iu compliance with ORS 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 thc front of the property, and the approved set of plans will remain on the site at all
times-during construction.
Owner or Contractors Signature
PlIee 2 of 2
Date
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:dadhorton@comcast.net
Receipt # .EC537591
9/8/20088:45:38 PM
Cbeck on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I [X] 1 or 2 family dwelling
D Multi-family
o Commercial/Industrial
"I Description J Qty. ,I Ea. 1 Total
I~ResidentiilfSIN~-GJjE~ORi'ih,uiti-Yfamil~'dwelUng;Unit~In~lu'dc;_,'1 - . :> -
5ttjfth~i'~lt'e,__s]1~~~~J~i~,T;W~"_ " ..
_"'''''''><"..x!_.....g_'''''_..,_~"r0 _,~ 3m'%R'<t~~1~iW=~)-'-~.~,~~~,~._ _..,~~
I I, 00 Os q,ft,ocl,ss I I I
I Ea. add! 500 sq. ft, or portion
I D New construction
IX] Addition/alteration/replacement
IJob'no.: IJob address: 360 23RD ST
ICity/StatelZIP: SPRINGFIELD, OR 97.477.5109
I Suitelbldg./apt.no.:
I Project name:
Cross streetldirection.'i to job site:
I-Limited energy, residential
(with above Sq. ft.)
I -'limited energy, multifamily
residential (with above Sq. ft.)
I-Limited energy, commercia-]
(with above SQ. f1.)
I - Stand-alone limited energy:
resIdential
I - Stand-alone limited energy,
multl-famlly
I . Stand-~Ione limited energy, I
commercIal
I;Servic~10R\feeHe"H;iii~tjitiatio'~aiieratIon;'Ai\;Tif{jRTtelocatiori~1l1~<1
R"""_..'-'''"....,''''''''''''''':&,.','''''''''''gc'W''=T''',."''''''''''''''_,,i<'''''''''==''''.'.:;;;<~''1;'''',;.'''"''':,j:""w:,,:,r;:':'~I~b:;~_"(
i 200 amps or less $73.001 $73.00 I
1201 amps to 400 amps 1 I
1401 amps to 599 amps' I
l~tg~t?ll~~Y~~~~~II;;tiO'~lt~r!t-i~iA1Q~Pj;"fi
~~1Q,~~9~a!i~~S2~hY.l~~1t1;flX~lliifi:~, "^ .,mm' >2;., ,~~
1200 amps or less -
1201 amps to 400 amps
1401 amps to 599 amps
ImrartcI{:cirFufiStilliNEW;aIiernti1nJ'O'R'eX'ten~iooF';er:"an'ei~.'?
"'-J1!'F;_"=,=,'~5E"~~"""""''''-''_k.'''_'';~_~'''&'i'1,,.,.,:---,,e..,,,,,.p..:..",,~'~'jfj[
I A. Fee for branch circuits with
service or feeder fce, each
branch circuit.
lB. Fee for branch circuits
without service or feeder fee,
first branch circuit .'
1 each addl branch circuit
) Subdivision:
ITax map/parcel no.: 1703361405900
ILol no.:
service change ,correct code violations
Don Horton
IPhone: (541) ?17-3059
I Email: dadhorton@comcast.net
I Fox, (541)726-9021
I EI. lie. no.: 20-458C I CCB lie. no.: 116021
I Business Name: DONALD MARVIN HORTON
I Contact: Don Horton
jAddress: 7805 57TH 5T
1 City/SlatelZIP: SPRINGFIELD OR 97478
1 Phone: (541)5] 73059 I Fax: (541)726902\
I Email: dadhorton@comcast.net
I Metro lie. no.: 1 CitY lie. no.:
1 Supervising electrician's lie. no.: 45545
1 Supervising electrician's name: DON M HORTON
NOTE: This Authorization To Begin Work expires within 180
days"if a permit is not obtained.
Service reconnectOliJy
Each manufactured.or modular
dwelling. service and/or feeder
1 Pump or irrigation circle
I Sign or outline lighting
I' Signa] circuit(s) or limited-
'energy panel, alteration, or
extension.
l~i~~f!!3EifEcfRicAi]I'PERMiTiiiEEs""H''''?,:;:~,,!>~,,,,
~~",,,,J.\l!%'''''',,~,,_~.,,..~,,,,_,,,,,_..,".~_..:R'l!?iJijil~!iJ,'tl
I S,btotal I $73,00
I State Surcharge (12% of permit fee) 1 $8.76
I City Of Springfield fees *1 $10.95
L TOTAL PERMIT FEE I $92,71
. City Of Spririgfield fees: 10% Admiriistration Fee; 5% Technology Fee
Upon review aod 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.
The local ~uildin9 department may detennine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
COM' :J rv 1( -- OL~5OJ
This Authorization To
RCPT #' /?>2.-cJV y; - ~? '3/
, DATI:PROCESSED:_ Cj/~/OY
Begin Work must be posted at the j( b site until <reolaeJ1 "'~J )j'ermit
PROCESSED BY:/" I /1 ~
I V
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM200S-0 1359
COM200S-0 1359
COM200S-01359
COM200S-0 1359
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200800000000000637
Date: 09/09/2008
Description
Perm ServlFdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE DON Online
HORTON
Payment Total:
Page 1 of 1
7:47:01AM
Amount Due
13.00
3,65
S,76
7.30
$92,71
Amount Paid
$92,71
$92.71
919/200S