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Home My WebLink AboutPermit Electrical 2008-9-10 Status Issued CITY OF SPRIN(Jl'lELD Building/Combination Permit PERMIT NO: COM2008-01386 ISSUED: 09/10/2008 APPLIED: 09/10/2008 . EXPIRES: . 03/1012008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1379 OL YMPIC ST ASSESSOR'S PARCEL NO.: 1703253210600 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: INSTALL 200 AMP PANEL WITH 2 BRANCH CIRCUITS Residential Owuer: DUURSMA OKKE W & JENNIFER D Address: 1379 OLYMPIC ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I . . Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05/0912010 Phone .541-343-1681 BUILDING INFORMATION I # of Units: Primary Occnp~ncy 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: ilIa I. DEVELOPMENT INFORMATION I REQWREI> PARKING Front yard Setback: Side 1 Setback: Side 2 Setback:, Rearyard Setback: Solar Setbacks: Total: NOTICE: . ~::di~~i:ped: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT .::w:r.1i:Ilt;;::~ U.13 .~L.l~D:;Il;:::-er. 1 PUBLIC IMPROVEMENTSINY 180 DAY PERIOD. Sidewalk Type: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Speciallnstrudion: .~.-".-.- ....'e. or. DownspoutsIDrains: - Description Type of Construction $ Per Sq Ft or mnltiplier Square Footage or Bid Amonnt ATTENTION: Oregon law requires you to follow rules adopted by the Oregon UtIlity .'.9t.ifl~NI(ln Cente,; Those rules are set ~ In OAR 95l!..oOHlO1U tnrougn \.11\11 v.u."<N" 0090. You may obtain copies o1lhe rules bJ' calling the center. (Note: the telephone 1IUJlIber,(of the Oregon UtlI~tlfIcatlQft ce\'I'l8r181~ ~~ted Noies: .' I Valuation Description I' Paee 1 of 2 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-0t386 ISSUED: 09/10/2008 .. APPLIED: 09/10/2008 EXPIRES: 03/10/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F~es Pair! I Fee J;>escription + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amonnt Paid Date Paid $8.30 . $9.96 . $4.15 $10.00 $73.00 9/10/08 9/10/08 9/10/08 9/10/08 9/10108 Total Amount Paid $105.41 I Plan Reviews I Receipt Number 1200800000000000960 1200800000000000960 1200800000000000960 1200800000000000960 1200800000000000960 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.. Refl,"i,re~ In,'pectio~.s I Rough Electric: Prior to Cover Electric,Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By siguatnre, I state and agree, that I have carefully examined the completed application and do hereby certify that all ~nformation hereon is true and correct, and Ifurther certify tha~ any and all work performed sh.all be done ill 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. 1 further certify that only conti'actors and employees who are in compliance with ORS 701.005 will be nsed on this project. 1 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 Contractors Signature Date Paee 2 of2 City of Springfield Electrical Authorization To Begin Work E-mailedTo:tena@orelectricservice.com Receipt # 1<:C537747 9/10/20081 :28:48 PM Check on st!\tus of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.ns 10 ] ,or 2 family dwelling '0 Multi-family D Commercial J Industrial I Description l Qty. Ea. l Totlll IL.R~.'^~.,~.~tl~t~I['{8~~7,=.:9. J..~1'~!~'~i~f~~i1.iid~~.7E,!ii~rUii.~~.-<lni~.'~d~~~~.7~; ~,l!~ta~~~~!gl!!llg~,~~,~~~~ ~'t!~-4',,~~,"~,~ ~ ~~~ 11,000 sq. ft. or less I Ea. addl 500 sq. n, or portion I D New construction 0. Addition/alteration/replacement IJob no.: 1.lob address: 1379 OLYMPIC ST . I City/State/ZIP: SPRINGFIELD, OR 97477-3225 I Suite/bldg.lapt.no.: I Project name: knnifer Duursma Cross street/directions to job site: I Subdivision: map/parcel no.: 1703253210600 1 1.01 ,no.: I-Limited energy, residential (with above SQ. f1.) 1 - Limi,ted energy, multifamily residential (with above SQ. ft.) /, - Limited energy, com.mercial (with above sq, f1.) I' - Stand-alone limited energy, residential I - Stand-alone limited energy, muhi~famllv ' I - Stand-alone limited energy, commercia] 1 1200 amps or less 1201 amps to 400 amrs 1401 amps to 599 amps $7300 200 amp panel with 2 branch circuits 1200 amps or less J 20] amps to 400 amps 1401 <imps to 599 amps I EI. lie. no.: C408 I CCB lie. no.: 181997 I Business Name: OREGON ELECTRIC SERVICE LLC I Contact: Tena Brooks IAddress: PO BOX 2237 I City/State/ZIP: EUGENE OR 97402 IPhone: (54])3431681 I FllX: (541)343]683 I..~mail: tena@orelectricscrvice.com Il\1etro lie. no.: r City lie. no.: 1 Supervising electrician's lie. no,: ] 392S 1 Supervising eleetricilln's name: I-JERMAN OLLAR lA, Fee for branch circuits with ,service or feeder fee, each branch circuit. lB. Fee for branch circuits without service or feeder fee, first branch circuit: 1 each addl branch circuit 2 $5.00 I j ,I $10001 1 I I Name: Oregon Electric Service I Phone: (541) ~43-1681 Email: tenll@oreJectriCservice.com IFax: (541)343-1683 NOTE: :This Authorization To Begin Work expires within 180 days if a permit is not obtained. 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 ordin~nces. 1 Service reconnect only I Each manufactured or modular dwellmg, service and/or feeder I'Pu'mp or irriglltion circle I Sign or outline lighting I Signal circuil(s) or Iimited- energy panel, alteration, or extensIOn. 1;;:;;:~1S;~~~,;,;E~E9JBL~.fQ?E~MIT,~~E,~t~,~i:" I Subtotal $83.00 I I State Surcharge (12% cifpermit fee) $9.96 I I City Of Springfield fees'" $12A5 I I TOTAL PERMIT FEE $105.411 '" City Of Springfield fees: 1 0% Administration Fee; '5% Technology Fee 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. ~DIV\ ~CO'b- 01 OW ~-\D-Dg ,Qece~\--lh~'1leO ~ ~o.( This Authorization To Begin Work must be posted at the job site until replaced by a Permit 22~ Fifth Strcet Springfield, Oregon 97477 541-726-3759 Phone :1 City of Springfield Official Receipt' Development Services Department Public Works Department RECEIPT #: 1200800000000000960 Date: 09/10/2008 1:45:28PM Paid By ONLINE PERMIT CI-IGS Item Total: {;heck Number Authorization Received By Batch Number Number How Received Amo':lnt Due 7300 10.00 4.15 9.96 8.30 $105.41 Job/Journal Number COM2008-01386 COM2008-01386 COM2008-0 13 86 COM2008-0 1386 COM2008-01386 Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Payments: Type of Payment ONLINE CHGS Amount Paid KER' ONLINE OR ELEC Online SERV Payment Total: $105.41 $105.41 / cReceintl Page I of I 9II 012008