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Home My WebLink AboutPermit Electrical 2008-12-26 Status Iss u ed CITY OF SPRING., IJ!,LU B uilding/ Co ill bina tio nPerlllit PERMIT NO: COM2008-01810 ISSUED: 12/26/2008 APPLIED: 12/26/2008 EXPIRES: 06/26/2009 ' VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2600 WAYSIDE LN ASSESSOR'S PARCEL NO.: 1703224402600 Springtield TYPE OF WORK: Electrical Work Ouly TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace existing subpanel Owner: Address: WALL RUNGRAWE 2600 WAYSIDE LN SPRINGFIELD OR 97477 Phone Number: 541-736-3913 ICONTRA,CTO~ INFO~~~~I?N ,I Contractor Type Electrical Contractor OWNER License Expiration Date Phone . BUlLDl~G lNFORM~T10N' , # 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 Pilth: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq FI Other: Occupant Load: n/a DEVELOPMENT INFORMATION 1 REQUIRED PARKING Front yard Sethack: Side 1 Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Overlay Dist: ' # Street Trees Rqd: Paved Drive Rqd: , % of Lot' Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: t, Sidewalk Type: DownspoutslDraius: Notes: I Valuation DescriDtion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-0181O ISSUED: 12/26/2008 APPLIED: 12/26/2008 EXPIRES: 06/26/2009 VALUE: 225 Fifth Street, Springfield, OR 54i-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid' Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $8.30 $9.96 $4.15 $10.00 $73.00 12/26/08 12/26/08 12/26108 12/26/08 12126/08 2200800000000001775 2200800000000001775 2200800000000001775 2200800000000001775 2200800000000001775 Total Amount Paid $105.41 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 Relluired T nsnections I Rough Electric: , Prior to Cover Electric Service, Approval required prior to utility company energizing service. Final Electric, When all electrical work is complete. By signature, T state and agree, that I have carefully examiued 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 juaccordance with the Ordinances of the City of Springtield aud 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. 1 further agree to ensure 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 Page 2 01'2 "-' , , , , , , , , , , " " ., . '.... Construction Contractors Board 700 Summer St NE, Suite ~OO PO, Box 1~.140, Salem, OR 97309-5052 : Phone: 503-378-4621 Web Address: wwW.ccb.state.or.us - , ' Pemnt #:C'Drn?1X>'6 - 0 I ~ 0 Addre~s: ?X 000 ltJO_00~}YJ.t,- " ' Issued by: ~ Q (~(~ 1fJ( . Dat~: 12:.):+:1 0 I of) , . ' '. .' '.' Statement: Information Notice to Property Owners, t.. -- , ,About Construction Responsibilities Note: Oregon D/w, ORS 701,055(4) requites residential construction permit applicants who are not li~ensedwith the -c~nstruction ,Contractors Board to sign the follo~ing statement before a b~ildiilg permit" can be issued:' This statement is' required for residential building,' eleCtrical, mechanical and plitmbingperinits, Licensed architect and engineer applicants. exempt from licensing under ORS 701,010(7), need n.ot submi? (his stat(!ment" T]2isstatementwil! be filed with the permit. " " ..... 1 . .' _. _" "_ Fi\( ill the appropriate 'blanks and ipitial boxes land 2, and either box 3A OJ; 3.B,: . - ...... .', -. o .0 1.. ,lown,residein, or will reside in the completed structure. . (, 2. :' .I understand that I must become licensed as a construction contractor. if the structure is sold or , ,off~red {o~ sale before or on completion. ' , " 0, 3A. My general contractor is .1 (Name) , (CCB#) ':1 will i~sfructmy general contractor that all sdbcon.tractors who work on the structure mustbe '., .,. Jicensed with the C,onstruction Contract~s Board. . " , OR. _ ~ n irA-Qi. ciY--.. )j), . 3B. rwiilbemyO_~~';"C . ( " 'If.! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board, If! change my mind and hire a general contractor, I will contract with a contractor who is , ,licensed with the CCB and willimrnediately notify the office jssuing this bUIlding permit of the name of the, contractor. " . I hereby certify that the above information is correct and that I have read and do nnderstand the Information ' Nnticeto,j'roperty Owners about Construction ResponsibiJitiesnn the reverse side nfthis form. .. ~ . A'IJJt-/-;a;jA~~:- _ /2.-2C~26oxr "-.J.;J (Signature of permit applicant) - (Date) " , (Whit~ c.opy to issui?g ,agency permit file. pink copy to applicant.) Property _ o,wner,doc 06-01-04 11 - ,'I :~ALS \~ L~~ DATE ~O\..V-U SOURCE \),~(l'" Date i 7- ')(.2 -)..0 n S;; ~ ' 225 FIFTH STREET. SPRINGFIELD, OR 97477 .PH:(54I)726-3753 . FAX: (541)726-3689 ELECTRICAL P1Wll6;\1tIrf1:'fCATION CIty Job Number \. \ (') ty)\U 1. ~fi!ii01'i'i'i:iN7JiF}msT~~"j~. 3. '1!lQeJO'Ti:)(rli~(cG::.:~""" LEG\1(j~~~ \ ) JOB DESC~TION: 2-gpO( ,~i::I;C~~~:s ~jc; \1(\1\ Q ~ \\Q))(~ tQ.ffi &1 ~~~~o~d~~~~~~ 500 sq, ft, or - Permits are nonlansferable and expire ~ ~ork is Each Manufact'd Home or not started within 180 days ofissuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder A. $121.00 $ 22,00 $57,00 2. B. $ 73'.00 ,"'" $ 86,00 , $143,00 $186,00 $426,00 $ 57,00 // 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpslVolts Reconnect Only -~ .,,:.,.. .-, .. w ' '" "":r.,"'"~,,,,, . Supervisor License Number: c. Expiration Dat~~!' . Installation, Alteration or Relocation I hi' htiMIT SIl, L EXPIRE IF 200 Amps or less' Constr,ContrA r f rriIJIJRIZEO IINnr:. TU,,, ,,~_ THE WORiO] Amps to 400 Amps " SOMMENCEO OR IS A' 'AND LnlVI/ I IS NOjlol Amps to 600 Amps ate~Y 1 An nAV nr",,,~ ONEO FOR A -""<...IIlVLJ, mpsor $ 57,00 $ 79,00 $114,00 re of Supervising Electrician " D. Owners NameW/r/ f I.j .4J r, ft-f-.H-e Address ;J rd? t,l P,'f')\~ p ", LIJ City .5{r;'f-.//.1 P:;'f fd Phone 7X:: 3'713..- Pump or irrigation $ 57,00 1 /- '"'f'':''' eel \ 5.;2..\ '1 \ L '( Sign/Outline Lighting , $ 57,00 OWNER INST AL'iffATION 'LImIted EnergyfRes.dentJaI $ 29,00 The installation'A~Qtt;,q "~JtI,)J ~!hes yo~ ~imited Energy/Commercial $ 52,00 is not intendedNn:::=~:r~e~h~~:r~~~e~r~ns~",' ,:.~"I,"~t~~~"e:=::~:~~,~~~~,:0~~~;~~;":u'~f' s oJ Owners Signall'f'OAR 952-001-0010 through OAR 95t~~~f~"q~j!li_il!i!~iJ4:1I!lll1'rEt'" _ . onQn Vnll m"" nhtRin cooies of the rules bJ% State Surcharge ,3 W , calling the center. (Note: the telephone 10% Administrative Fee ~. ~ n\lmber for the Oregon Utility Notification'% Technology Fee ~ . \ '""7 Inspection Reqriest: 7~~tpl is 1800.332 2344). TOTAL \ I\~ ~ \ Shared Drive(T:)IBu{lding Forrns/Electrical Permit APbU.tiOl17~O~Joc New Alteration or Extensio'o Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit' $ 50,00 IOPV d) $ 5,00 j- 225 Fifth Street SRringfield, Oregon 97477, 542 -726-3759 Phone Job/Journal Number COM2008-01810 COM2008-01810 COM2008-0181O COM2008-0 1810 COM2008-0181O Payments: Type of Payment CreditCard ~. '. cReceintl RECEIPT #: Description Penn Serv/Fdr 200 amps or less Add, Alter; Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By WALLY ALRIANCE City of Springfield Official Receipt , Development Services Department Public Works Department 2200800000000001775 Date: 12/26/2008 2:21 :33PM Item Total: Check.Number Authorization Received By Batch Number Number How Received Amount Due 73,00 10,00 4,15 9,96 8.30 $105.41 Amount Paid' Ilh , $105.41 $105.41 511871. In Person Payment Total: Page 1 of 1 12126/2008