The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2008-12-16 StatDs Issued CITY OF SPRIN(jl'lJ!;LD Building/Combination Permit PERMIT NO: COM2008-01777 ISSUED; 12/16/2008 APPLIED: 12/16/2008 EXPIRES: 06/1612009 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection.Line SITE ADDRESS: 3133 U ST ASSESSOR'S PARCEL NO.: 1702302102300 Springtield TYPE OF WORK: Electrical Work Only TYPE .oF USE: Alteration Residential . PROJECT DESCRIPTION: Reconnect Only Owner: TURNER RICK M Address: 3133 U ST SPRINGFIELD OR 97477 I CONTRACTORINFORMA~ION . Contractor Type Electrical Contractor OWNER LiceDse Expiration Date Phone BUILDING INFORMATION' # 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: n/a I DEVELOPM~~T INF?~M;\TIO~ I REQUIRED PARKING Total: Handicapped: ATTENTION: Q!Sli\'j\IilJflW requires you to foll.ow rules adqptea by the Oregon Utility . Notification Center. Those rules are setfortl In OAR 952-001-0010 thro'loh !'lAP q~?-,\01 VVI:IU.. YOU may obtain copies of the rules b} calling the center. (Note: the telephone Sicfi#fllR@TWethe Oregon Utility Notification . Center is 1-800-332-2344) Downspouts/Drains: . Frontyard Setback: Overlay Dist: Side 1 Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback:NOTlCE: . % of Lot Coverage: Solar Setbacks: THIS PERMIT SHALL EXPIRE IF THE WORK . rlU' nUO'LCU UIWCt1 I ~T.Yl:i----\lNri4<6VEMENTS COMMENCED OR IS AB'(I,n~ !,':tU':='::::i' ,I Street ImprovemeJ,itNY 180 DAY PERIOD. . Storm Sewer Available: \ t\1O ./ Special Instruction: ~f\ ~ Notes: \~~~~ . '.' I. V al,u~tion D~,~cri9tion I Description Type of Construction $ Per Sq Ft , or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 _S~~,~f.~.I!,~..g;I'~,. '" lv ' , .' .. .l~ ~ i" - Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01777. ISSUED: 12/1612008 APPLIED: 12/1612008 EXPIRES: 06/1612009 VALUE: 225 Fiftb Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I II... . Fcc Description + 10% Administrative Fee + 12% State Surcharge + 5% Technolugy Fcc Service Reconnect Amount Paid Date Paid $5.70 $6.84 $2.85 $57.00 12/16/08 12/16/08 12/16/08 12/16/08 Receipt Nnmber . 1200800000000001225 1200800000000001225 1200800000000001225 1200800000000001225 Total Amount Paid $72.39 I Plan Reviews I To ReqDest an inspection call the 24 hour recording at 726-3769. All iDspections 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. Reouired Insnections I Rough Electric: Prior to Cover Final Electric: Wben all electrical work is complete. By signature, I state and agree, that I have earefnlly 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 be done in accordance with the Ordinances of the City of Springtield 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 fnrther certify that ouly euntraetors and employees who arc 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 the permit card is located at tbe front of tbe property, and the approved set of plans will remain on the site at all tjJlg;~s~:.. ~L' /6. os Owner or Contractors Signature Date Pa2e 2 of2 ZON INITIALS lSV _ DATE I ;7Jti +;C"; SOURCE ' 225 FIFlli STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3~53 . FAX: (541)726-3689 ELECI'RICAL PERMIT APPliCATION City Job Number {\n)'Y'{.-}Offi - 0 I 'l- Cf-.'1- I, il!j'jO<i:ii.iflONIOFj1N;.~-SrpA'i!f~ii;eilf!J;l'1(1(1}~JH ~i0t~~"'T~l'fr-""'-""~ LE\~DESCRlP~.r ~ JOB Ii~~N: Q(lCnl\(\('cl- CJI'\_.tv\/" Permits are non-transferable and expirWr work is Dot started within180days ofissuance or jrwork is Suspended for 180 days, 2_ Electrical Contractor Address City Phone Supervisor License Number . Expiration Date _ COi'J;@Tt<@!t,:Number - "J(';t.." THIS PERMIT SHALL EXPIRt I~ I t1t v vr," EXIJ({j~E.Q IlMn~R THIS PERMIT IS NOT '.1".n~n.nJ:'Mr.J:n.~~ ABANDONED FOH SIgnw.urtl'O~lIt'ervl e~tficlan ANY 1BO DAY P I u. f'6wners Name t c- K Address -3 i -3 2, LJ City SPR_i tU[,FIff-LlJ ;L1, --;;;hJ~yt ST, Phon~ifV S 20'{,/2 '7 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ow4rsJtignature: .- L:;)k:. 1111 ' / I J /'o--1A 1-- Inspection Request: 726-3769 Date 3_ A. .bW1~]$j~~}~mr~ilffi~~1iil'Yit~~@~l~~1I Service Included 1000 sq, ft, or less Each additional 500 sq, ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $t21.00 $ 22,00 $57,00 B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $73.00 $ 86.00 $143,00 $186,00 $426,00 $ 57,00 ~rJ 00 C. Installation, Alteration or Relocation ' 200 Amps or less $ 57,00 201 Amps tAliOl):WIhQN: Oregon law reqL~r~~.OIPUl,O 401 Amps tsl/i'o'tY AYI~ adopted. oy the Orff1.~rob1tH"~ . Notification Center. T"uo" , ul"s are set fef,l'; D_~.e~;;~/~A~~.\Ij~;ti\[~~1~~ia7~i_ iF!......m~~~hecent'i:.1 No;:lf1lr\~\~~' New ~te~'hffU'rI\B~mfg~~I'P!'!tility Notification One CrrcUlt Center is 1-800-332-23ii49.00 Each Additional Circuit or with Service or Feeder Permit $ 5,00 E. Pump or inigation $ 57.00 Sign/Outline Lighting $ 57.00 Limited Energy/Residential $ 29,00 Limited Energy/Commercial $ 52.00 Minimum. Electric Permit Inspection Fee is $52.00 + Surcharges 4_ ~'J 00 Lv . ~-Li c::.,,',O ~,~'\ 12% State Suicharge 10% Administrative Fee 5% Technology Fee TOTAL I!,':) . ?n Shared Drive(T:)/Building FormslElectrical Permit Application 7-08.doc -. , . , , . . .. .. . .' 0.. .' . . . Construction Contractors Board' ", " 700 Summer St.NE Suit.e 300 . fO Box 14140 , Salem OR 97309-5052 .' Phone: 503-378-4621 . ~Web Address: www.eeh.state.or.us, "permit #(1 Drf\Qc;t:f)-:,O I ~-)- Cl--'~l- ' . Addre.ss: _~,\' ~A., . U S-(-.~' Issued by: l:L- Date: \'::Yjllo I m ~\j. ~. .- Sta~ement:. fnformati~h Notice to ~roperty Owners :', About Construction Responsibili'ties " Note: Oregon Law, ORS 701.055 (4) requii:esresidential construction permit applicants whoare not licensed, with the ConsiructiOli Contractors- Board to sign the following statement before a building . ' . pe'rmit can be issued. This statement is required for r~sidential building, electrical, mechanical ana' plumbing permits, License(larchitect and 'engineer applicants, exempt from licensing under ." " ORS 701,010(7), need not'Submiuhisstatement; This statement will be filed with the permit, ~ . ':;, ; ....:,.' . ..' . '. . " . FilI'inthe appropriate blaDks anliiiiti~1 b~oxes I ~d 2, an<j. eit~er box 3A or 3B: , . ft(L o .r own,reside in, orwili reside in the.completed strUcture: ::. ' ~. . 2. I understand that I must become licensed as a construction contractor if the structure is sold or : 'offered. for' sale before or on,completiori. . . .: -'. ..",'. ,.} o. ,3A. My general contractor is (Name) " ~ (CCB #) . I.will instruct my general contractor that all subcontractors who work on the structure must be licen~ed with the Construction Contractors Board, . OR . ,~3B. I will be my oWn general contractor. , ' , , . . If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors . Board. If I change my mind and hire a general contractor, I will contract with a contractor, who is licensed with the CCB'ahd will immediately notify the office issu~ng,this building permit.ofthe name of the contractor, : . . ~. I hereby certify that the above information is correct and .that I have read and do understand the Infor.:nation Notice,toProperty Owners abont.Coostructi,!n Responsibilities, 00 the reverse side c;>>fthis form. : ,llM, //..</'-1;<.-' ___ " /2 -/6.og- (Signature of permit applicant) " (Date) (White copy to issuinlf agency permit file, pink copy t() applicant.) , . 1'1 Property _ owner.doc .06-.0 1-.04 ~' '. 225 Fifth Street Spri~gfield, Oregon 97477 '541-726-3759 Phooe Job/Journal Number COM2008-0 1777 COM2008-0 1777 COM2008-0 1777 COM2008-0 1777 Payments: Type of Payment CreditCard cRcceintl RECEIPT #:. Description Service Reconnect + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By RICK M TURNER .. PR_'N._9F1.,..E!LD.__ .ijAJ."' ..'.... .,.~I' _~..'. 11 ...:-~:o-' .-, -' -'-1 r/ii"" '--0- .,' -.' ,^".:.~-,_.._.,.,.,.. _. '- City of Springfield Official Receipt Development Services Departmeot Public Works Department 1200800000000001225 Date: 12/16/2008 10:42:04AM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 57,00 2,85 6,84 5.70 $72.39 Amount Paid KR 026897 In Person Payment Total: $72.39 $72.39 -- Page 1 of 1 12116/2008