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