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Home My WebLink AboutPermit Electrical 2008-11-21 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01703 ISSUED: 11/21/2008 APPLIED: 11/21/2008 EXPIRES: OS/21/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 t -726-3676 Fax 54t-726-3769 Inspection Line SITE ADDRESS, 433 4TH ST ASSESSOR'S PARCEL NO.' 1703352409800 Springtield TYPE OF WORK, Electrical Work Only TYPE OF USE, New Residential PROJECT DESCRIPTION, Install temp service for constr~ction Owner, GROVER MATTHEW E & TlSHA P Address, PO BOX 154 CRESWELL OR 97426 Phone Number, 541-225-7827 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License COMPLETE ELECTRICAL INSTALLATION I. BUILDING INFORMATION' . Expiration Date Phone 541-225-7827 # of Units, Primary Occupancy Group, Secondary Occupancy Group, Primary Construction Type Secondary Construction Type, # of Bedrooms: Lot Size, Sq Ft 1st Floor, Sq Ft 2nd Floor, Sq Ft Basement' /lTl.ENTI(Sq.Ft Garage/Carport "'\ ,....1. vi !JUVl, :ciVII II.:i.Julres you to . follow rul,"~qJ!~b~~M~srt.y 1ile Oregon Utility Ncn/acat.lonOccupant-Load,. I j -,..- -..J"""~I, "I\J..H;;/U.esareset orth ',- .-..~~ ~-- -_. ~-- - - ... _.u............. '"''-', VVIV lI11UU!:J11 Ur\ntl'iJ,:::::~vUI- I DEVELOPMENT INFORMA TlON'"t. You may obtain copies of tile rules by . . "ailing tile center.R!\,Q.wRJ;!>~4~!QN~ O. I'D". t. number for tile Or"T:9onl.Utility Notification ver a) tS. Ct. 1 {tola , en er IS - lJU. . # Street Trees Rqd, . . an;'~a~~l?d,4). Paved Drive Rqd, , Compact' % of Lot Coverage: # of Stories, Height of Structure Type of Heat, Water Type, Range Type, Energy Path: Sprinkled'Bnilding: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback, Solar Setbacks, '" I PUBLIC IMPROVEMENTS I Street Improvements, Storm Sewer Available: Special Instruction, ,&<Y . . ~ ~\)~V ~~ '-t4< . NOTICE: . \.t' THI.~ Di:OnnIT CU^,., EX~'--Ir-' - ~. ., .~e. ,"i "'- ) IlC VVUt'it\. I . . . /-ILl' HORIZED UNDER THIS PERMIT ValuatIOn DescrmtlOnr \1MENGED IS NOT M"; ioo OR IS ABANDONED FOR $ Per Sq Ft Square .FootageDAY PERlnnl I. I. I B.d A va ue Date Calculated or rou tip ler or I mount Sidewalk Type, DownspoutslDrains, Notes, Description Type of Construction ; Paee I 01.2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01703 ISSUED: 11/21/2008 APPLIED: 11/21/2008 EXPIRES: OS/21/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Temp Power 200 amps or less Amount Paid Date Paid Receipt Number $5.70 $6.84 $2.85 $57.00 11/21/08 11/21/08 11/21/08 11/21/08 3200800000000000763 3200800000000000763 3200800000000000763 3200800000000000763 Total Amount Paid $72.39 I Plan Reviews 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 Reauired Insnections I Temporary Electric, Approval required prior to Utility Company energizing pole. By signature, I state and agree, that I have carefnlly 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 he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will he made of any structnre without permission of the Community Services Division, Building Safety. 1 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 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-rnailed To: electricmanl@centurytel.net Receipt # EC542502 1l/2112008 t ,42,34 PM -ii~'~~"'1 '.'..."..,....."_...~.-..... l:" .. .. !1IIil-;",. ~~~;.? Check on status of permit By Phone, .(54t)726.3753 or Email.permitcenter@ci.springfield.or.us ....CO.... ~'-";I ~;e"''.'' ""'~';"s-,,'l ,;....-r,~ :.4.<",,,,.,,, I '1 I 1;:?::~r:..~t;,~=~:~.t~1#p~t!,P.~B~~~~i(tRKYf;i'~~~i; 10 New construction [X] Addition!alterationJreplacement .. _ .'."i;=tJ',.......t'''~7''S~ ,- -~ -.--:.... _ --~.. - - ""'7_<_" -;_. :~.: ,':'_~y.i.t _~,~,~!~qp~Y~OF,SRNST_~~9.!tO~~~~:.,_,",~' 'k.~_"'::=, [XI I or 2 family dwelling 0 Multi-family D Commercial I Industrial :" ~~~~~;..; .~ ;.{):~:~:r:.;:rlQ~;SITg~~~qR,~~tlbN' AND;fQ"9~i.I~fr", e!;,~'::~;j:~~,.',-~~~~iJ !Jobno.: .1001 IJobllddress: 433 4THST I j City/StatelZlP: SPRINGFIELD, OR 97477-4676 I !SuiteJbItJgJapt.no,: APT] I I Project nurne: matt graver I Cross street/directions to job site: 4th and C I Subdh'ision: I Lot no.: ITax map/parcel no.: ]703352409800 . . 1 .-__ ,,".~ .... ..-.-~""'-." .,".__...... __~_ .-".....__.,~ ~_""'c n.... .'-""""," ..,---,.." 1"'-;-""''''',,, ,;,::~"'-'~-''\,''''ri',~''_ -..'.;i>'DESCR-IPTION'O'FWORK-' .~~..b,,,__,";_.'l,:."..3'''~''', ,\,-,;;,- .;,8,:~.:..,t_'-::q_::-t..,,\"' :-f':--,.__ _'-_" '.._. "f>#'-~':" ~ J. ".,--"'!:.:.'....~'-'::_:;:~ . Install temp service for construction -'-~. ~' ~~:"';~. i~;~;#;-:_~~:~~t~~-;Slt~;S::ON!~gT~;~~- ,J _ I Name: Matthew Grover I Phone: (541) 225-7827 1 Fax: I Ernail: electricman l@centurytel.net >.fi'<'c-I .-.="'" .-.,,""'-, ,..,...._,~- .., li,~;- lEI. lie. no.: C441 ICCBlic, no.: 184274 I Business Name: COMPLETE ELECTRICAL INSTALLATIONS ]NC I Contact: IAddress: 33024 CAMAS SWALE RD I City/Stllte/ZIP: CRf.SWELL OR 97426 .!I'hone: (541)2257827 IFax: None II<:mail: electricmanl@centurytel.net 11\-'Ietro lie. no.: I City lie. no.: lSupervising electrician's lie. no.: 5367S I Supervising electricilln'snamc: MATTHEW E GROVER 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 pennit is not obtained. The local building department may detennine that an Authorization To Begin Work Is null and void If it does not meet applicable land use laws and local ordinances. I ','"""i" '~:r:l""'-""'-~ ,~,,~...-,,~.. .. ~..-", - ~"'''~\;,if7-''.t'i~~:t..;;;,[':.:p1 >'~,,-kc ~~.. ~,~",-"':" .,,,,~,,.~F,EE.SCHEDULE.~.+,,,-,, ir;Jo-;"2:";.;,c1-~:'~';";;; "'.""'~'.' ~,..". -...,....... ,"-e='="" ,,''''.'L' . ... ..,..........,..."< -<....."..'.-......-.-..,.. ..... ] Description Qty. Ell. J 'Ibtal r 1::ReSidential'SINGL.>'OR'f'mUlti~r..mil).;d".\'lIin.g.'cU"lIit.]oCludes', \-, ~~ I :~.t~.sh~gllr~F~1:-!;,;i'f ~... ;~~- ~"'_.;, .,,"s;~t:.}\::~':)t~~:..' .:.;, ';< I ],000 sq. Ii. or]ess I 1 I Ea. addl 500 sq. n. or portion I j J~~~Jf~ '!~It~m~~~""',:"::{~+-'~ I "Limited energy, residential (with above SQ, fU I ,Limited energy, multifamily residential (with above SQ. n.) I-Limited energy, commercia] (with above SQ. n.) I - Stand-alone limited energy, residential I ,Stand,alone limited energy, multi-family ' I - Stand-alone limited energy, commercia] 1~$-~7fJe:rpltI(~<ie'j1iYiF~;lfii'ii()'r'1~4ite~lillom~~'&W2~"re~!t;rt~i~iil ,;:7~~ 1200 amps or less j 20 I amps to 400 amps j 40 I amps to 599 amps liTE~JPq~RY~~_hi~~SQR~r~dCis'!~stll~,lllti_o.il~!cr~~iO~~,V; '--;"-1 !~\ND/QI!'rclo~jioll~:1J,~~.~T.,4_.:'~j:~;:f'1:~~i':~f~:tl!3~.r~;~'if+!,:;;:. Ji 200 amps or less 20 I amps to 400 amps 40 I amps to 599 amps $57.00 $57.00 I ~'~fl~~!J;ciiCuj~~~~~E'5f, ~11~:~tiO!< <?-..RTexie~lsi~H_~"pe(p,an~lr.' I A. Fee for branch circuits with I service or feeder fee, each branch circuit. lB. Fee for branch circuits I without service or feeder fee, tirst branch circuit I each addl branch circuit I 11\-'IiB~~l!n~o.'Ii~"?\, {;1t~'f' ~i€~i'~ ?Xi' :<~f~~,,!-:,.>~~;~7~~f:},;-t,~ c~,- "~1 I 'c~1 Service reconnect only I . Each manufactured or modular I dwelling. service and/or feeder I Pump or irrigation circle ! I Sign or outline lighting I I Signa] circuit(s) or limited- I energy pane], alteration, or extension. _ ~~fJ:lE~1~lcA1tp~if~_lf ~~Is. ;:-1 Subtotal $57,00 I State SurchargeJ] 2% of permit fee) $6.841 City Of Springfield fees'" $8.55 1 I TOTAL PERMIT FEE $72.39 I .... City Of Springfield fees: 10% Administration Fee; 5% Techno]ogy Fee ~2_..crrn'. 0\,03 (\.JjVl II -2.-1 _00 This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 225 Fifth Str,eet Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt . Development Services Department Public Works Department RECEIPT #: 3200800000000000763 Date: 11/2112008 2,Ol,48PM ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received . ONLINE OEC542502 In Person Payment Total: Amount Due 57.00 2.85 6.84 5.70 $72.39 Job/Journal Number COM2008~0 1703 COM2008-0 1703 COM2008-0 1703 COM2008-0 1703 Description Temp Power 200 amps or less + 5% Technology Fee. + 12% State Surcharge. + 10% Administrative Fee Payments, Type of Payment _ Paid By Amount Paid ONLINE CHGS $72.39 $72.39 ,. cReceintl Page I of 1 11/21/2008