HomeMy WebLinkAboutPermit Electrical 2008-11-3
Status
ISsued
CITY OF.SPRINGFIELD
Building/Combination Permit
PERMIT NO: <:OM2008-01608
. ISSUED: 11/03/2008
APPLIED: 10/31/2008
EXPIRES: 05/03/2009
VALUE:
225 Fifth Street, Springfield, OR .
541-726.3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
SITE ADDRESS: 210 58TH ST .
ASSESSOR'S PARCEL NO.: 1702334100300
Springfield TYPE.OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTlON: Install 200A temporary electrical service
Owner: BEBOUT LIVING TRUST
Address: 3576 SPRING BLVD
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
ROBS ELECTRIC INC
License
156678
Expiration Date .' Phone
08/14/2011 541-686-5444
BUILDING INFORMATlONI .
# 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 Sizc:
. Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft.Garage/Carport
Sq Ft Other:
Occupant Load:
"n/a
NOTICE" - . , DEVELOPMENT INFORMA T101)\1r~""IVN: Oregon law requIres YOU,t.O
.' . I\;'r.6w rules adopt~O\'R.Q(EIRPIJ.utl.ij}y
l~ P.ERMIT SHAll EXPIRE IF .THE WORK. . Notification Center. ThOtle rules i1te's!lt'io!1h
F;ontyard ~IZED UNDER THIS PERMIT ~tm'fY Hist: In OAR 952"o()1"o()111'lIlrb~gh OAR 952-001-
SIde I Setb . . 1;"treet Trees Rqd: 0090. You may obtlfit\lcO~~lIthe rules by
Side 2 SetbltWYIMENCED OR IS ABANDONED F ved I,>rive Rqd: . calling the center.C(atqtlll:~.he tel~pho~8
. Rearyard Sl.tb'1lc1J30 DAY PERIOD. % of Lot Coverage: number for the Oregon Utility Notification
Solar Setbacks: Center 18 1-800-332-2344).
Notes:
~ I PUBLIC IMPROVEMENTS I
\\-~~db
\~~
.Sidewalk Type: . .
'iDownspouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
. I V alu~tion Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
_~~~fl!~~I~a,:.t!J
"
h'
,
CITY Vi< ~YRINGFIELD
Building/Combination Permit
,
Status
Issued. .
PERMIT NO: COM2008-01608
ISSUED: 11/03/2008
APPLIED: 10/31/2008
EXPIRES: 05/03/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541_726-3769Inspection Line
Total Value of Project
Fee.~ Paid I
Fee Description
+ 10%Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Temp Power 200 amps or less
AmountPaid
Date Paid
Receipt Number
$5.70
$6.84
$2.85
$57.00
11/3108
1113/08
11/3/08 '
11/3/08
2200800000000001590
2200800000000001590
2200800000000001590
2200800000000001590
Total Amount Paid
$72.39
I .Plan RevieWs ,
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.
Re{]lIired .Insnections I
Temporary Electric: Approval required prior to Utility Company energiiing pole.
By signature, I state and agree, that 1 have carefully examined the completed application and 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 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 ofthe 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 eUsure 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 approv'ed set of plans, will remain on the site at all
times during construction. I.
Owner ~r Contractors Signature
Date
Paee 2 of2
"
!\
City of Springfield
,
Electrical Authorization To Begin Work
E-mailedTo:ro~selectric@hotmail.col1.1
Receipt # ,"C541 089
10/31/20084:01:26 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I [K] ] or 2 family ~wclling
D Multi-family
D Commercial I Indust~i<ll
II Om,;p';on 1 Qty. I Ea. I 'Iot.] I.
IfRCStd~ti:ll'2iN.G.tE~OR\multiffU~iT!Jhfd";e!iing: ~}Iitjiii~!!l~~~' "'t!~i41
;~tt!tjfe%(ffg@TIfe~~~~?);(,?J#~~";~~1r;!~;/,~~ ~;"' ,i~L~iif;J~;'\~
.1 ],000 sq. ft. or less I
I Ea. add] 590 sq. ft. or portion I
10 New construction
[X] Additjon/<ll~erationlreplacemcnt
I Subdivision:
ITax map/parcel no.: 1702334100300
ILot no.:
I -Limite~ energy, residential
(with above Sq. [1.)
I-Limited energy, multifamily
residentiar'(w'ith above so. [1.)
I -Ljmite~energy, commercial
(with above SQ. fL)
I - Stand-alone limited energy,
residential,
I -- Stand-alone limited energy,
mu]ti.fami]y
I . Stand.alone limited energy,
commercial
I.Job no.: 4903 I Job addrc!'S: 210 58TH ST
I City/Statc/ZIP: SPR]NGFIELD, OR 97478-5400
I Suite/bldg./apt.no.:
I Project name: Vern Benson/58t]1 St
Cross street/directions to job site:
I 200 amps or less
1201 amps fO 400 amps
140] amps to 599 amps
lnstall 200ampteniporaryelectrical serVice
I Name: Vem Benson
I Phone: (541) 688-8897
jEmail:
IF..,
1200 amps or Jess II $57,001
/20 J amps ~o 400 amps J
1401 amps to 599 amps I I
IlPJ~~Y~~:cj.t';'~~t~:i'NJ~Y~~!.t,i~~iilirji!r~~€~i~n;:R~)~}w~!,":
I A. Fcc fOr"..bran. ch circuits with
service or feeder fec, each
branch circuit
lB. Fee for branch circuits
without servi~e o~ feeder fee,
first branch cm:Ult .
1 each add] branch circuit
157.00 [
I
I
J;'L~0~~~'1
lEI. lie. no.: '20A62C ICCBlic. no.: 156678
I Business Name: ROBS ELECTRICINC
I Contact: Gena .Baker
IAdd"ss: l'''AA''t~E;
[citYls.alc/z~Ho~bYfn~~T7~~...lJ_ ill' ~ID!: IJ:T.HEWORK
[Phon" (54]k~1bI4t ~~D U'!nJ:D T t"DttItI~MlI'ffi NOT
I . [,"T~uF;lt.h "VlOn "...-.
Emad, mbsel'''t,'e.aIPJJIl}'W(:'5' OR ISAIHNDONED F(lR
I Metro lie. n~UIVII/II:.f\lli ~City lie. no.:
.... . - :1F'.!" r~11I3~ I
[Snpm;s;ng ill~fk;\,Ir\'];~\ik, 4~-US .
1 Supervising eleclrician's name: DAVID R LAWLER
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.
I ility
Ea ] ", o;..mo "T se rul are set 'orth
dw ali. !'.t\dI6llfJ ~ 10 _
[ pu.i@ QAijaii&a-001-001 ~ mro~gn ~,;,nd~~: ~6t:
[ s;g\1~!I;n!G1~m,\'lY UIJ."'J'~ ~':::'o~ r- ~;; ';:~ ~ by
~;gna]""'lIA!\l dlllln...",g,. ,!.v,~. t~J b._~"-f.e
::;;:;:ttl~I6:~~\~~~ipE~~~~~'l~;J~fica iO~ .
!JL~~1[':jj(~E~_Ec;;T:i,<]c;AL4~~RM]hr~E~~f~~<'0'- ,~I
I Subtotal 1 $57.00 I
I State Surcharge (12% of permit fee) $6.84 I
I City Of Springfield fees *'1 $8.55 1
I TOTAL PERMIT FEE $72.39 I
* City Of Springfield fees: ] 0% Administration Fee; 5% Techno]ogy Fee
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
AuthorizalionTo 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
COM: Qt')LJ9 - n/loOA
RCPT#' '6jtoi - \ 'S q 0
,l?mKm);~~JWJt3:\~Q8
PROCESSED BY:
-II
225 Fifth Street
Springfield, Oregon 97477
541-72(i-3759 Phone
Job/Journal Number
cOM2008"0 1608
COM2008-0 1608
COM2008-0 1608
COM2008-0 1608
Payments:
Type of Payment
ONLINE CHGS
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department.
RECEIPT #:
2200800000000001590
Date: 11/03/2008
Description
Temp Power 200 amps or less
+ 5% Technology Fee
+ 12% State Surc)large
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE ROBS Online
ELECTRIC
Payment Total:
Page I of I
8:00:2IAM
Amount Due,
57.00
2.85
6.84
5.70
$72.39
Amount Paid
$72.39
$72.39
11/3/2008 .