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HomeMy WebLinkAboutPermit Electrical 2008-12-3 \b{ A ,,..,1, ~. '!r ' o;:lO~ \0Q CITY OF SPRIN\..TJflJ!.LD ' Building/Combination Permit PERMIT NO: COM2008-01725 ISSUED: . 12/03/2008 APPLIED: 12/03/2008 EXPIRES: 06/03/2009 VALUE: Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 301 35TH ST ASSESSOR'S PARCEL NO.: 1702313101201 Springfield, TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Panel Change Owner: Address: ELDER ROBERT W & SANDRA G 301 35TH ST SPRINGFIELD OR 97478 I CONTRACTOR INFO.~T10N I Contractor Type Electrical Contractor BHM ELECTRIC License 184005 BUILDING INFORM~ TION I Expiration Date 09/19/2010 Phone 541-686-0905 # 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 Pa\h: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: ' Overlay Dist_ # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: . TION' Oreqon law requires youto ATlEN , _ ~ ~ _~;'_rl rH thR 0, enoll Utility I PUBLIC IMPROVEME~I;S;~;;t;~~C~nter. Th.ose rUleOsAaRre9s;~_T~~~~ . " 'I ".ffi 952-001-001 0 tnrough In UA y Sitleywalk .Ty,pe: pies of the rules by " 0090. ou I '" u:;"~' (~~~te,' the telephone ' : calling t90wilspoutSfDrliils: Notification number for the Oregon 1II112Y344) Center is 1-800-332- . Total: Handicapped: Compact: ) Notes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS pER.f,;rf 13 rJE;-;-, I COMMENCED OR IS ABANDONI:i}'ahrntion Description /\!\!Y 1 SO DAY PERIOD. Description Type of Construction $ Per Sq Ft , or multiplier Square Footage or Bid Amount I Value Date Calculated Page I of 2 CITY OF SPRINGFIELD Building/Combination Permit Status Issued '\ 225 Fiftb Street, Springfield, OR 541~726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line . . , PERMIT NO: COM2008-01725 ISSUED: 12/03/2008 APPLIED: 12/03/2008 EXPIRES: 06/03/2009 VALUE: Total Value of Project Fe~~ Pai~ , Fee Description + 10% Administrative Fee + 12% State Surcbarge + 5% Tecbnology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $7.30 $8.76 $3.65 $73.00 12/3/08 12/3/08 12/3/08 12/3/08 220080000000000]694 220080000000000]694 220080000000000]694 220080000000000]694 Total Amount Paid $92,71 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. , Rellllired I n.neetion. I Electric Service: Approval reqnired prior to utility company energizing service, By signature, I state and agree, tbat I bave carefully examined,tbe completed application and do bereby certify tbat,all information bereon is true and correct, and I furtber certify that any and all work performed shall be done in accordance with tbe Ordinances of tbe 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 to ensure that all required inspections are requested at the proper time, that each address is readable from the street, tbat tbe permit card is located at tbe front of tbe property, and the approved set of plans will remain on tbe site at all times during construction. Owner or Contractors Signature Date Paee20f2 City of Springfield Electrical Authorization To Begin Work . E-mailedTo:BHMELECTRICCO@AOL.COM Receipt # j':C543005 1213/2008 8:28:28 AM Check on sta!ns of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or,ns , D New construction IX] Addition/alteration/replacement I [KJ 1 or2 family dw.el1ing DMulti-fli!TIily o Commercial/Industrial 11,000 sq. ft.-or less I Ea. addl 500 sq. "rc or portion I I ;:1 I I Job no.: 301 I Job address: 301 .35TH ST I City/State/ZIP: SPRINGFIELD, OR 97478-5862 I SuitelbldgJapt.no.:" I Project nllIDe: Elder Cross street/directions to job site: I Subdivision: )Tax map/parcel no.: 1702313101201 ILot no.: - Limited energy, residential (with above Sq, f1.) I - Liinited energy, multifamily residential (with above SQ. [1.) I - Limited,energy, commercia-I (with above SQ, ft.) I - Stand-alone limited energy, residential Ie Stand-alone limited energy, multi-family - Stand-alone limited energy, commercial 1200 amps or less 120] amps to 400 amps 40] amps 10 599 amps 'i $73,00 Panel Change I Name: Sparky Rose I Phone: (541) 686-0905- I Email: BHME]ectricCo@ao].com IFax: (54])686-3050 1200, amps or less 120] amps to 400 amps 1 40] amps to 599 amps Irnrnlicjifc'ircuItS'~NE\Waltcl~:lt1on~O~:ex'te'10silj'n~f:lYehpanef~)~-~r:~:::;1 ~~7"'.?"X!'~""""'=A*""",;.'.._"='""'~~'-'" ...,.,...._.h,,""~. ~',,,. ~~.._""^'" """='~","'.. IA Fee for bran eh circuits with service or feeder fee, each branch circuit I B, h~e for branch circuits without service or feeder fee, first branch circuit I each addl branch circuit ! EI. lie. no.: C438 . I ceB lie. no.: 184005 I Business Name: BHM ELECTRIC COMPANY I Contact: 184005 IAddress: 4065 W llTHAVE#8 I City/StatefLIP: EUGENE OR 97402 I Phon" (541)9125121 IF." (541)6863050 I Email: BHMELECTRICCO@AOL.COM . I Metro lie. no.: I City lie. no.: I Supervising eleetrician'$ lie. no.: 1568S I Supervising electrician'!$ name: PHIL S ROSE I Service reconnect only I Each manufactured or modular d~elling, service and/or feeder I Pump or irrigation circle I Sign or outline lighting Signa] or limited. or 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 sch~dule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. I Subtotal $73.00 I State Surcharge (12% of pemit fee) $&,76 I I City OfSpringtield fees * $10.951 I TOTAL PERMIT FEE $92.7] * City Of Springfield fees: ] 0% Administration Fee; 5% Techno]ogy Fce ~fY' 20v (; - 0 \ 7-.:.$ NV'v\. l"L- 03 -0(( The local building department may determine that an Authorization To Begin Work ;s 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 site until replaced by a Permit. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1725 COM2008-0 1725 COM2008-0 1725 COM2008-01725 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000001694 8:S6:22AM Date: 12/03/2008 Item Total: Check Number Authorization Received By;' Batch Numb~r Number How Received Amount Due 73.00 3,65 8.76 7.30 $92.71 Description Penn Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS Amount Paid NJM ONLINE BHM Online ELECTRIC Payment Total: $92.71 $92,71 Page I of 1 12/312008