HomeMy WebLinkAboutPermit Electrical 2008-12-8
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01746
ISSUED: 12/08/2008
APPLIED: 12/08/2008
EXPIRES: 06/08/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2477 VIEWMONT AVE
ASSESSOR'S PARCEL NO.: 1703244102700
'Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Wire laundry room
Owner: GOODRIE THOMAS D & K M
Address: 2477 VIEWMONT
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
OREGON ELECTRIC SERVICE
License
181997
Expiration Date
05/09/2010
Phone
541-343-1681
. I BUILDING INFORMATION ~
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group: '
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structnre
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:
n/a
I DEVELOPMENT INFORMATION 1
REQUIRED PARKING
Frontyard Setback: Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Setback: ,ATTENTION: Oregon law requlreffl:lU1t6rive Rqd:
Rearyard Setba%lIow rules adopted by the Oregllil ~Ujjl>l Coverage:
Solar Setbacks:Notification Center. Those rules are set forth .
~O:~:l,fo~l ~:~ :~t~~nt:~Pii~[;J~VEMEN~TICE:
Street 1m rovemJmVJng the center. (Note:.I.'". .tI~(t.IJI.1I . f HI~ PE~M!tll~~~~eexPIRE IF THE WORK
p nuiiiber for the Oregon Utlltty Notification AUTHORIZED UNDErl 'fHIS PERMIT IS NOT
Stor~ Sewer A~ailable: Center is 1-800-332-2344). , COMMEN'e~OSmr\sl}m~DoNED fOR
SpeCIal InstructIOn: ~<::\! (},:c5t:>At:: ANY 180 DAY PERIOD.
Notes: ~ ~'\J..'
Total:
Handicapped:
Compact:
I Valuation Descriotion 1
Descrintion
Type of Constrnction
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amonnt
Value
Date Calcnlated
Page I of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
" ,
Total Valne of Project
Fees P,~irl I '
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Tecbnology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amonnt Paid
Date Paid
$9.30
$11.16
$4.65
$20.00
$73.00
12/8/08
12/8/08
12/8/08
12/8/08
1218/08
Total Amonnt Paid
$118.11
1 Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01746
ISSUED: 12/08/2008
APPLIED: 12108/2008
EXPIRES: 06/08/2009
VALUE:
Receipt Nnmber
2200800000000001716
2200800000000001716
2200800000000001716
2200800000000001716
2200800000000001716
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I H.l'(1uire~llnsoectioos I
.... I
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information bereon is true and correct, and I fnrther certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any strncture without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensnre that all reqnired inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner Of Contractors Signature
Page 2 012
Date
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:tcna@orelectricscrvice.com
Receipt # EC543266
12/8/20089:14:15AM
~,~""",'-."","
~~~',.
~'<-;f",
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
j~:if~;;,~t;~:~~'t";~~i~:!~ry.~~IJV!9B1s;7;;~~~r: 1;.';~:};)'G~;it:~'(~'~j!
10 New construction [K] Addition/alteration/replacement
k~'~ :~~;rq~.t~!$'bZ:,;;'ili~~1 tg~t~"~~9:~Yi2~)~<?~~fB,4STIQ~ \:' 'i;,~'A~f.)>>~
I [K] I or 2 family dwelling 0 Multi-family 0 Commercial I Industrial
I~":' ..~;;ti>l">;l""J6B:SITE'iNEbRMATlc:iN'AND'~OCATiciN11f:i,~,;jd"'''l'I'''~lk ..'1;1
f3\::11:&-,;:;.t - .. ._ ."J:r="._'......~....~"..""._\: ""'#.'~.",."'-"';'_n"."'...,...,",'__".,,:..,:_~, :WM.. ""4;",, .. _.,~
IJob no.: IJob address: 2477 VIEWMONT AVE I
!CitY/StaCefZIP: SPRINGFIELD, OR 97477-1782 I
I SuHclbldg.l.pt.no.l I
Project name: I
Cross street/directions to job site: I-Iayden Bridge to 23rd to Viewmont
I Subdivision:
I Tax map/parcel no.: ]703244102700
I Lot no.:
Wire laundry room
!Name: Jeff Brooks
I Phone: (541) 520-6034
IFox:
lEI. lic. no.: C408 ICCBlic.no.: ]81997
1 Business Name: OREGON ELECTRIC SERVICE LLC
Conlac', Tena Bmok:ATTENTlON: Oreaon law requll'es you to
Add"SSl PO BOX 2fQ11ow rules adopted by the oregon Utility
my/S"'c/ZIP: E~l!1@~lW.!lJ:!-iemer. I nose rUles are sellonn
I ~' ~~ ~z;::~...~-a\p. :3-: 391
PhO~C: (541)34316 99 " Vi t" l1i 4i1flile rules br
Emad: tena@orelcclrl(fia:Jli"('iOfhA ~ .tpIAf'bonA
!Metro 1;0, no,: number for the Or4l9.DW<Ut9lity Notification
!Supenising electrician's lie. noCeDttlr 181..ao0-332-2a44).
I Supervising electricinn's name: HERMAN OLLAR
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 detennine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
I Description l Qty. Ea. Total 1
I ,,~.~},~~!~1I1' S!~~.tE.~~'pI}~~I_~llti~ fn-,;m~~~.i d}\'cJJi,~~,ti.'i it_~ i,I.~~~,~d ~~. ..,-'.,'.: ',1
,,~,t,~~;:~~~g~IJ.l~.e,~Nt~ :_/~:;.~,. ,.:..R~i;:' _ /'r:.{~ ~ J;.:~:~/i; i~ ~i;~~~',' : i"
I ] ,000 sq, ft,odess I
I Ea. addl 500 sq. ft. or ponion 1
I . Limited energy, residential
(with above SQ, ft.)
. Limited energy, multifamily
residential (with above SQ. ft.)
. Limited energy, commercia-I
(with above SQ. ft.)
I - Stand.alone limited energy,
residential
I - Stand-alone limited energy,
multi.familv
I . Stlind~alone limited energy,
commercial
~~fv,~~'<?~~t~,~~~~~.}.~~~~~i~~n,,~!~~~~:ti_~~I~,&B~Q!fj;S!~~~!~l;:?t<-I
1200 amps or less II $73.00 $73.00 I
1201 amps to 400 amps I I
1 40 I amps to 599 amps !
,!E~r~Q~_~Yis~~-ice~6~_,fee~E~:J"-st~II!1iio!i,:~,It~i~~~1I;' >j'~ >~~".I
~A~'Q[t?I~~C1o~t~~I~'.~t~(':~~::.o';'. 'i : \1i.+:.:r} .i<1:~J';~r:' .:'.,~~!\~'~~~' ,~';:_'~
200 amps or less I
1 20 I amps to 400 amps 1
140 I amps to 599 amps !
l:iJ~im'}h;:E~uit~~~'{E\Y;'Ii.&:i:~'!i~ilf!9-~;'~x;ic~~Ioti~1ier:p~li!!!':~'" ; . ~',:~ 'I
I A. Fee fO, r branch circuits with 4[_ $5.00 $20.00 I
service or feeder fee, each
branch Clrcuit. .
I B. Fee for branch circuits I I
I without servi~e o~ feeder fee,
first branch Circuit;
Ilt~t~~nc~'r:"_:-;;p,,_,, " ,I, W- ORK ' ~ II
_ ~'~1--..i'[~~1.'~PlllC:=":> ~ ,. cc,.,
I / ,iliYJt~ctb:\J~WJTI ~~~ 0 nIT 1~ ~ IT II
Il :~.~re~8I'tM5bd7bR'~AE ~NDON 0 FOR
11~)Pf~~l~:~.'f'Pt~Rlnn I
I 1 ~n or outline hghtmg 1 1 I
I I Signal circuit(s) or Ii.mitcd. I J. I
I energy,panel, alteratIOn, or
extenSlOn.
:~':i:;~,~1~' _:~~;~:E.~Ect~!CA~ R~~I;f-~~~~. .....{ ~ ,;':'d
Subtotal $93.00 I
State Surcharge (12% of permit fee) $11.161
City Of Springfield fees. $]3.951
I TOTALPERMITI'EE $]]8.11 j
.. City Of Springfield fees: 10% Administration Fee; 5% Technology Fee
COM:~ -f1'lL\V
RCPT#~COB- \ 1\ lP '
DATE PROCESSED: 1;), - fj- DE::>
This Authorization To Begin Work must be posted at the jo ) site until replaced by a Permit.
PROCESSED BY:. / ft 1.
of-.~
22S Fifth Street
Spdngfield, Oregon 97477
541~726-3759 Phone
Job/Journal Number-
COM2008-01746
COM2008-01746
COM2008-0.l746
COM2008-01746
COM2008-01746
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 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
2200800000000001716
9:25:29AM
Date: 12/08/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
73,00
20,00
4,65
11.16
9,30
$118.11
Amount Paid
KR
ONLINE OREGON Online
ELECTRIC
SERVICE
Payment Total:
$118.11
$118,11
,,'
Page 1 of 1,
12/8/2008