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Home My WebLink AboutPermit Electrical 2008-10-30 , City of Springfield Electrical Authorization To Begin Work E-mailedTo:shelhy007@qwest.net Receipt# EC54092/i 10/29/20084:45:04 PM Check on status of permit I By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us 10 New construction IKJ Addition/alteration/replacement I w I or 2 family dwelling o Multi-family D Commercial! Industrial I Job no.: I Job address: 1007 W N ST I City/StatcrLlP: SPRINGFIELD, OR 97477-2870 I Suite/bldg./apt.no.: I ProjeCt name: Doug and-Suzy's Cross street/directions to job site: Centennial to (go North) Rainbow. Go to end of 'oad and turn left. HOllse is close to end of street on the Right side, I Subdivision: ITax map/parcel no.: ]70327340]200 ILot no.: Service change and over all update, I I Name: Shelby I Phone: I Email: IF"" I EI. lie. no.:. 2Q-460C IceB lie. no.: 180991 I Business Name: ANTONE ELECTRIC INC I Contact: 6894560 IAddress: 937 W HILLIARD LN ICHYISt"telZlljIJ~ 97404 IPhon" (54IJ6FMI,ClIlPER-MJT S ,.IF,,,, (541)6894560 I Em"H, sh'lb\llfJ~!1l'ltED U:~~ll:>.l"'Hl: IF THE WORK IM.tro he, noqlMMENcm 1;ii1111!'~J~MIT IS NOT Isnpm;s;ng\1'l\/Y'TWb~V 1~~6Al'1UONED FOR I Supervising electrician's name: ~E ANTONE 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 ToBegin 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 ordinances. 11,000 sq, ft. or less Ea. addl 500 sq, ft. or portion I -Limite~ energy,'residemial (wllh above Sq, fl.) I-Limited energy, multifamily residential (with above SQ. fl.) I - Limited,energy, commercia-l (wltllabovc SQ. fn I . Stand-al,one limited energy, residential I - Stand-alone lirnited energy, multi-family I ." Stand-a!onelirnited energy, commercial 1200 amps or less I 201 limps to 400 amps 401 amps to 599 __amps $73.00 $73.001 1 '7;~1 . .' 1200 amps or less /201 amps to 400 amps 401 amps to 599 amps Fee for branch circuits with service or feeder fee, each branch circuit lB. Fee for;branch circuits without service or feeder fee, !irst branch circuit; leach addl ~rat1ch circuit 8 $5,00 $40.00 I I I I I I I I Signo<l!l09l)I;Miumavob CO soflhe e8bv II Signal ".'.. ;'ll'i&itl8flt . (Note: lhelefe=- one - I en"gy p . 'lIl.."'...~ Ulllty N I extens;o . IUJ u... egon 0 Oft 1~~f~;'ii~Ji\l\J'~iliAl~~~,,~!f+l.i':;:r~'..1 I Subtotal $113.00 I I StateSurcharge(l2% of penn it fee) $13561 i CiryOfSpringfield fees. $16.95 I I TOTAL PERMIT FEE $143,51 I '* City or Springfield fees: 10% Administration Fee; 5% Technology Fee Ii -""""- . . COM' ;)DO~- ,O/5Q7 RCPTl!. fJJ/))O'6 r rOl~~ DATEPROCESSED:J1j,:<..o / n,>< This Authorization To Begin Work must be posted at the jd ) site until replaced by a Permit. , , PROCESSEDllY:-:t:::o' /1 I . ,.' "', KVOVVJL ~o~(bQl'. \"J ~ . _ s9,",~",!tilI;:IIilL"'t u.., ',-. Status Issued CITY OFSPRlNGFIELD ~uilding/Combination Permit PERMIT NO: COM2008-01597 ISSUED: 10/30/2008 APPLIED: 10/29/2008 EXPIRES: 04/30/2009 VALUE: , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1007 W N ST ASSESSOR'S PARCEL NO.: 1703273401200 Springfield TYPE.OF WOR.K: Electrical Work Only TYPE,OF USE: Alteration Residential PROJECT DESCRIPTION: Service chauge and over all update Owner: FREMONT INVESTMENT & LOAN Address: 616 FIRST AVE 500 SEA TTLE W A 98104 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor' ANTONE ELECTRIC INC License 145436 Expiration Date 04/23/2009 Phone 541-689-4560 BUILD!NG INFORMATION I, # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constr'uction Type Secondary Constructiou 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 Basem~nt: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Fronlyard Setback: Side 1 Set hack: Side 2 Setback: Rearyard Setback: Solar Sethacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: .~-;..'~.. ... Notes: " \\\)IJ)') I PUBLIC IMPROVEMENTS I ~.4j~'~<V Storm Sewer Available: " Speciallnstru')'.iUTlCE: ~ THIS PERMIT SHAll.EXPIRE IF THE WORK . AUTHORIZED UNDER THIS PERMIT IS NOT L;UIVIIVltNl,;tU UK I~ AtlANlfofl;'Q :-\::Itj ANY 180 DAY PERIOD. I. Valuation Description I Street Improvements: .Sidewalk Type: Description Type of Construction $ Per Sq Ft or multiplier Square Footag~ or Bid Amount' A1TI!N7R!1KlsC!lfi!:i8fi law requires you to . follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In QAR 952-001-001 0 through OAR 952-001. 0090. You may obtain copies of the rules bv calling the center. (Note: the telephone number for the Oregon Utility Notification Center Is 1-800-332-2344). Value Date Calculated Paee I of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01597 ISSUED: 10/30/2008 APPLIED: 10/29/2008 EXPIRES: 04/30/2009 VALVE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line . Total Value of Project I Fees Paid I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add' Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $11.30 10/30/08 2200800000000001572 . $13.56 10/30/08 2200800000000001572 $5.65 lol10/08 2200800000000001572 $40.00 10/30/08 2200800000000001572 $73.00 10/30/08 2200800000000001572 Total Amonnt Paid $143.51 I Plan Revie,:s I 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 Reouired Insnections I, Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. \ By signatnre, I state and agree, that I have carefully examined the completed appHcation aud do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with , ~ the Ordinances of the City of Spriugfield 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, Bnilding Safely. I further cerlify that only contractors and employees who are iu compliance with"ORS 701.005 will be used on this project. I further agree to ensnre 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 ~imes during construction. Owner- or Contractors Signature Date Page 2 of 2 City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541,726-3759 Phone . , Job/Journal Number COM2008-0 1597 ' COM2008-0 1597 COM2008-0 1597 COM2008-0 1597 COM2008-01597 Payments: Type of Paymef!t ONLINE CHGS cRecell1tl RECEIPT #: 2200800000000001572 Date: 10/30/2008 8:05:4IAM . Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 73.00 40.00 5.65 13.56 11.30 $143,51 Paid By ONLINE PERMIT CHGS Item Total: (;heck Number Authorization Received By Batch Number Number How,Received Amount Paid $143.5\ KR ONLINE ANTONE Online ELECTRIC Payment Total: $143.51 Page I of 1 10/30/2008