HomeMy WebLinkAboutPermit Electrical 2008-11-12
_~"!I;!"QIi!IIlfIf,D,
~
F.
\ " 1
\ U- D"
0~,Q~Q(1J ,
\'(1 \'
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-01647
ISSUED: 11/12/2008
APPLIED: 11/12/2008
EXPIRES: 05/12/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1231 37TH ST
ASSESSOR'S PARCEL NO.: 1702304303200
S~ringlield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Service Change & Meter Relocation
Owner: ATKINSON KAREN M
Address: 1191 LAWRENCE ST
EUGENE OR 97401
I CONTRACTOR INFORMATION ,I
Contractor Type
Electrical
Contractor
OREGON ELECTRIC SERVICE
License
181997
Expiration Date
05/09/2010
Phone
541-343-1681
BUILDING INFO~M~TION 1
# 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION 1
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:
.(tJm-c:ee-009''llll J81Ue:>
lJ8!1"B8!i!lGrJ 'l~l~lR.lln~oIO AliI Illl J8nwnU
'1 PUBLIC IMPROVEMENTSl eUOlldelel elll :elON) 'Jel\J90 elll6UI!11l0
ttJ~r)~~~-._' q se@ ~!l.u9. seldoo UllllqO~llW nOA 0600
Stree~, IS ~EROOfSHALLEXP.IR~I,F'!,HE, W, 0~~ . -loo-G'~'6lNOlliiili\5jlll O~,Oo-~Oo-C:S6l:iVO UI
Storm 'ftIDtlll~ePlmDER THIS PERM,IT IS t:l9f llPOIl>>6,vIM_AlJigll1.:'JelUeo UO!l~UllON
Speci !iSJf"""hQ$D OR IS ABANDONED FOR Allmn u06eJO elll ~q peldopll S91nJ MOIIOl
C )MIVltl~vt ,-0- . ". , OJ no~ SeJlnbeJ Mill U069JO :NOUN311V
Notes:ANY 180 DAY PERIOD.
.__'....:;".r;;.';.."..,'.
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier.
Square 'Footage
or Bid Amount
Value
Date Calculated
Page I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-0I647
ISSUED: 11/12/2008
APPLIED: 11/1212008
EXPIRES: 05/12/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valueof Project
~~.~~ ~a.id, 1
F~e Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
Receipt N umher
"
$7.30
$8.76
$3.65
$73.00
11/12/08
11112108
11112108
11112/08
1200800000000001127
1200800000000001127
1200800000000001127
1200800000000001127
Total Amount 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 made the same working day, inspections requested after 7:00 a.m. will be made the following
work day. '
Rerj.,I.]ire,~ Insnectin~~ 1
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 appli~ation 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 ofthe City of Springlield 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 to ensnre that all required inspeCtions are reqnested 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
(
Page.20fl
City of Springfield
Electrical Authorization To Begin Work
; ", ,
E-mailedTo:tena@orelectricservice.com
Receipt # EC5411154
111121200810:59:05 AM
~heck on status of perI~it
By Phone: (541)726-3753 orEmail: permitcenter@cLspringfield.or.us
10 New construction
o Addition/alteration/replacement
10 ] or 2 family dwelling
D Multi~ramily
D Commercin!1 Industrial
I ],000 sq. ft. or less
I Ea. add! 500 sq. ft. or portion
IJabRO.: IJobaddrcss: 1231 37THST
ICity/StatelZlP: SPRINGFIELD, OR 97478-5614
I Suite/bldg./apt.no.:
I Project name:
Cross street/directions to job site:
I Subdivision:
I.Tax map/parcel no.: 1702304303200
ILot no.:
I-Limited energy, residential
(with above Sq, ft,)
I . Limited energy, multifamily
residential (with above Sq, ft)
I-Limited energy, commercial
(with above sq, it.)
I - Stand-alone limited energy,
residential
I - Stand-alone limited energy,
multi-family
I - Stand-alone limited energy,
commercial
Service ch~ngc & meter relocation
1200 amps or less
1 20] amps to 400 amps
amps to 599 amps
$73.00
$73.001
I
I
1200 amps or less
120] amps to 400 amps
[40\ amps to 599 amps
,IName: Jeff Brooks
I
I Phone: (541) 520,6034 I Fax: I
:~~~(~~:t~7~~~S2.~filliS!9B~~n~~~~~J ;1~gf~ll~tpt9OWl1. I
lEI, I", no,: C408NO!'CE. jCCBI", no.: 181997, I Bi~U9'JdIf~i~~~I;I/.~ON) "JelU90E1ll6ulII9t 1
I Bn,ine" Name: dttillill?ffiMIli<S!WI.~El4PIRE IF TIlE WORK I klSSI6I<lM40 seia60 U BlqO MU. noA '00)0
I Contact: Tena ",~Ul HORIZED UNDER THIS PERMIT IS NOT I 1'l<0l1"ijl~'~lilllnO~~;OO-~~96I:f9'9.ilJ_., .)
IAdd"''' PO Bo:GaMMENCED OR IS ABANDONED FOR 11,~~~J!i!i!{!!~~I!.)t}!'~I\I.,,,~ljJ~Il~~,!:lI~lf.!'t~''',,,,,,,,1
I CilyiStatefGlP: ~~J1 00 fMY PERIOD. I ~M!I'\' h!Jt!8t "'I' . .. I ~ I
1 Phone: (54] )343\68\ --I Fax: (54])3431683 ~wclling. service ilnd/or feeder I
1 Email: tena@ore]eclricservice.comIPump or irrigation circle I
1 Metro lie. no;: I City lie. no.: 1 Sign or outline lighting 1 'I
I Supervising t;leetrician's lie. no.: ]392S 1 Signa] circuit(s) or limited- ., lO:'i'-'';;I';'' I
energy panel. alteration, or
I Supervising electrician's name: HERMAN OLLAR' extt:nsion.
1~."i.,~iI~~ECE~CTRICAL,PERMfi\F,EES~'" i(';';itf'''!t!it;~1
~:::~J';f'd"."= ~'_',.__....-,,-,... __~...~. ~ _."^'"""~'''''_ ~ -.." _,or . .
1 Subtotal $73.00 1
I State Surcharge (12% of pennit fee) $8.761
1 City Of Springfield fees" $]0.95 I
I TOlJ.LPERMITFEE $9271 I
.. City OrSpringfie]dfeeil: 10%Adrninistration 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.
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 ordinances.
This Authorization To Begin Work must be posted at the
COM' ()bDR- 01&L/l
RCPU IJ()()K' / / ~"1
DATE PROCESSED: II /121 O~
q\k~S's\~il/S\I!ac~cj.{ly a PE1rmJ!
-p JLuu-JI./
.J
225 'Fifth Street
Spri,ngfield, Oregon 97477
541-:726-3759 Phl!ne
Job/Journal Number
COM2008-01647
COM2008-01647
COM2008-0 1647
COM2008-0 1647
Payments:
Type of Payment
ONLINE CHGS
cReceint I
RECEIPT #:
Description
Penn ServlFdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000001127
Date: 11/12/2008
11:16:02AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
kr ONLINE oregon Online
electric
service
Payment Total:
Amount Due
73,00
3.65
8,76
7,30
$92.71
Amount Paid
$92.71
$92.71
'Page I of I
11/12/2008