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Home My WebLink AboutPermit Electrical 2008-11-13 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1378 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703253209100 \ ft-V_ .,l - (' /'- ~\ / , \ rv1 ) , 'fY\VJ\OV CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-01654 ISSUED: 11/13/2008 APPLIED: 11/13/2008 EXPIRES: 05113/2009 VALUE: Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: 200 Amp Service Owner: THOMAS E. BARTO Address: 1378 OLYMPIC STREET SPRINGFIELD OR 97477 Contractor Type Electrical Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Fro'ntyard Setback: . Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction TYPE OF USE: New Residential Phone Number: 541-968-6904 I CONTRACTOR INFORMATION 1 . BUILDING INFORMATION 1 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: License Expiration Date Phone n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION....,;:N: Orenon law requires you to , eS adopted ')\' RE"'\>JIRED D....IIKING . Notification Center T'l'OS' . "/' ,. - 1,,,,;...,- . OAR C . I e IU es are set forth Overlay Dist: III ;,,2-001-.0010 thro[fo,t,a!JAR 95:>-00 . # Street Trees Rqd: 0090., lOU may obtain OOf:~'!.n9i~l'.\!.IJ'llf~s t Paved Drive Rqd: callmg the Denter. (NotlCompa"t: h Y numb f . "" .c"cP one % of Lot Coverage: . er or the. Oregon Utility Notification . Center IS 1-800-332-2344). I PUBLIC IMPROVE~,~NTS , Sidewalk Type: Downspouts/Drains: NO,.ICE: PIRE IF THE WORK . THIS PERMIT SHA~~ ~IS PERMIT IS NOT AUTHORIZED U_N.?r, f 0 ^ MnnNED FOR vu~Ml::Nvtu vh roj .- J Valuation DescriDtitlo'118.0 DAY p~RlOD. $ Per Sq Ft or multiplier Square Footage or Bid Amount Page I of2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-01654 ISSUED: 11/13/2008 APPLIED: .11/13/2008 EXPIRES: 05/13/2009 VALUE: 225 Fifth Street, Springfield, OR, 541-726_3753 Phone 541-726-3676 Fax 541-726~3769 Inspection Line Total Value of Project Fees P~i~ I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less " Amount Paid Date Paid Receipt Number $7.30 $8.76 $3.65 $73.00 11113/08 11/13/08 11/13/08 11/13/08 1200800000000001135 120080000000000]135 1200800000000001135 1200800000000001135 Total Amonnt Paid $92.71 I Plan Reviews 1 To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be m"ade the same working day, inspections requested after 7:00 a.m. will be made the following work day. Renuired Insnections 1 Electric Service: Approval required prior to utility company energizing service. By signature,.! state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further cCl'tify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any'structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree t~ ensure that all required inspecti.ons are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved ,set of plans will remain on the site at all tiDies during construction. . - Owner'or Contractor:s Signature Date Page 2 of 2 ZON lNTl1ALS DATE . SOURCE 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRIC A( PERMIT APPLICATION, City Job Number \:JJrn)..ffi) '~-OlCo5U ","r= .... ~ 1. 1I1j~iFj@MOE;1Ns~fjN,"'',fJlfi~.:',''!!I ~"",'~~o/4;"'''''';'0\;&j!\i~'''"''"''''-''''*'''''''''''''~''''''*' , \ '\ ,'6 ak'''''D'<- S1 :5o\~.$;\J~ ()\S.\~T) ,i V .::. LEGAL DESCRIPTION: ( \ In":>,?"'" '32-n '1 \.6l) JOB DESCRIPTION: 2(Jl) ~YY\ {) <;""'nvl'~ Permits are non-transferable and expire if work is not started witbin 180 days of issuance or if work is Suspended,for 180 days. ectrical Contractor / City Signature of Supervising Electrician , OwnersName/lfo,n,et; C tfc.?1o , 0);. ",,.?/(:. Sf, Address /? 73 City 5.,0,,"';, [jo/ Phone '1b2l- 670</ 1/ OWNER INSTALLATION The installation is being made on property I own which is nol intended for sale, lease or rent. Owners Si~~ .---- ~ ~~~~ , Inspection Request: 726.'3769 Date \ I -- l 3 - O&--' 3. . A. ~~r\fi1t~=ruiit!5sir;'T~M~Jti!j~iiNilg~~ij~iuili~ffit1. ~:""-"""-'-""'~-~~~:Wt"""""'^,;;Z;;,t'~'--"'"'~"Y1Lam~iM.~"MP",~g~-"'_"N_" Service Included -.-.--.:."."'.:......._"., __"_.,, 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $121.00 ..,.-- .. --~~,- .q.-~~ ..- $ 22.00 Each Manufact'd Home 'or Modular Dwelling Service or Feeder $57.00 B. 200 Amps or less X $ 73.00 ') \ .Cln 201 Amps to 400 Amps $ 86.00 401 Amps to 600 Amps $143.00 601 Amps to 1000 Amps $186.00 Over 1000 AmpsIVolts , $426.00 < "~,, ,,, Reconnect Only ATTENTION: ureUUI', "'''''$'59.'00:::' ~ 1 "'\:1" , follow rules adul-Jl~U uy I:,,, ell"!,'. ..." 'h ~1ii:~:~~!!!t!l1Il c.~~"~~ " OOijO. you may obtain copies 01 \I;~ r~:e" pD, , Installation, Altera6w,\\,~J' "'1(j"5.'!~i!lJl. (i~o\e: the te,8pr "Jfl~ . I'd" . ltilj~v l~otl~IC:atlon 200 Amps or less number lor the OregOlI ;,$,37.01);4' .. 201 Amps to 400 Amps Center IS l-ouu-'$'79"6'0 ',' 401 Amps to 600 Amps $114.00 Over 600 Amps or 1000 Volts see "B" above. u.Jr,I~EWn:c--i"'h,!Q~,.,'I;-'r'cN.'u_f..'I'.~"~~!!@~",~~gw~~=, 'Mt:tr<iDi""$fwtitrJ&ilit&if1lUi%B,' :JSliN~!1 Nu IT~- - " -_-~;_~,;_~,,~_.~0dj:P}'%~s;R~_lfullBF~J00B~lli$i&U$N1WJii~ THI(N"w~ff."Sionor Extension Per Panel . . AU~o;;~CWcuit HAll EXPIRE IF THi: IMnov $ 50.00 ~G'" E~cl't':A!ddili1i'ri!;ir(fircUftiarjwithMfT IS _..1. . , (; "',1"'"",'.'''10'' ,~,- , .- ,'-'" NOT $ 5 00 ~ 'I\! Se~l~e or Feeder '\'!'!'A1tJDONED . . . ,ti" 18u !lAV DeDI"'" I- UK ~ml1l\At0'ill\t'!lEl:;"fu:;~~~'f'liG:'""Mq="')&i,;itB4i'd0@t-'i!lJ{1%r"'1;r_'!7?!JW['%ii1=='f"'l' _ iM0', E. Et~~~!.''1!~~.!:~A~i:i~,t~~!i!!~g~i,~m!t~!i'J1i.= Pump or irrigation $ 57.00 Sign/Outline Lighting $ 57.00 Limited EnergylResidential $ 29.00 Limited Energy/Commercial $ 52.00 Minimum Electric Permit Inspection Fee is $52.00 + Surcharges 4. (~ ' cr-v '2-- 7& '/. 2.0 ~.i-,-s 12% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL '1 )... - 71 Shared Drive{T:)JBuilding FonnsIElectricaI Pennit Application 7-08.doc " ."~ ,c Pennit#: C-c: -- DJ tJ.f?'Y '. . Address: I:} 7;(' '{)6frn (?L '?- _ "-r- Issued~Fo' f-J/L/' Date: JJ-I.J'---cJY I - / -. . . . . . . . . ", ," ". ." . . . " . " Construction Contractors Board, 700 Summer St NE Suite 300 PO Box 14140, _. - Salem OR 97309-5052 Phone: 503-378-4621 Web Al:ldress: wWw.cch.state.or.us . j > ,"";"'", . ,', " . . . Stateme~t:'lnforn:-ation Notice to Property Owner:s- , About;ConstructionResponsibilities ' '. Nqte'.' Orego.nLaw, ORS 701.055(4) requires residential construct!on permit applicants who are not 'licensed with the Construction Contractors Board to sign the following statement before a building , , ,permit canbe issued: This'statementis tequiredfor residential building, electrical, mechanicaland , 'plumbing permits. Licensed architect and eflgineer applicants, exempt from licensing under . ORS 7Q1.010(7), neednot submitthis statement. This stateinent will befiled with the permit: , . ~.:,. '". ~. , . Fill in the appropriate blanks.anqinitial boxes I'and 2, and either bdX 3A or3}3: ,rtI l. .'0' 2.. I own, reside il,l, or wiHreside inthe completed structure: , ' I understand that I must become .licensed as a construction contractor if the structure is sold or offered for sale before or on~completion. o . 3A.' My generalcoiltractoris (ccB #) I will instruct'my geri~ral contractor ~at all sUbcontra\?torswho wprk on the structure 'must be licensed with the Construction Contractors Board:' . ' OR IXI 3B. I.will be my own ,general contractor.. " " . . . " " .' If! hire subsontractors,Fwill hire ?nl~ subcontr~ctorslicense~ with the Co?struction contracto~s /;/" . Board. IfIchange my mind and hire a general contractor, I will contract With a contractor who IS /" ./ ' Iicensed.:with,the CcRand,will immediately notifY the office issuing this building permit of the ''-'/ _?:.~ , '. ' . ' /.' name.ofthe contractor. . .' , , ..' .~/ ' , . I hereby certify that th~.above informationis correct and that. I have ,read and do understand the Information Notice to Pr6pefty OW,ners about.Construction Responsibilities on t~e re~erse side ofthis form. --~ '~~?',~' -, /y)Voi , (Signatureofpermit applicant) (Date) . . (White copy to issuing agency permit file, pink copy to applicant.) ,. t.', ' , Property owner.doc 06-01-04 , 225 Fifth Street Springfield, Ore'gon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1654 COM2008-0 1654 COM2008-0 1654 COM2008-0 1654 Payments: Type of Payment Cash cRcccintl RECEIPT #: Description Perm Serv/Fdr 200 amps or "less + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By THOMAS E, BARTO' City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000001135 Date: 11/13/2008 Item Total: Check Number Authorization ~eceived By. Batch Number Number How Received nJm In Person Payment Total: , , Page 1 of I 2:55:28PM Amount Due 73,00 3,65 8,76 7.30 $92.71 Amount Paid $92.71 $92.71 I . 11113/2008