HomeMy WebLinkAboutPermit Electrical 2008-11-3 (2)
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01608
ISSUED: 11/03/2008
APPLIED: 10/31/2008
EXPIRES: 07/28/2009
VALUE:
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Status
Issued -
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 210 58TH ST
ASSESSOR'S PARCEL NO.: 1702334100300
Springfield TYPE OF WORK: Electrical Work Only
PROJECT DESCRIPTION: .lnstall200A temporary electrical service
TYPE OF USE: Alteration
Residential
Overlay Dist: ' '/..
# Street Trees Rqd: .- f \f 1~~ ~O~ ~
"9.,\,,\~rive Wb}\. fj.?\~ ~\'.WI\\ \S ~O
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, I PUBIjO'U\WI'lH'nf~'AA1i..
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Owner: BEBOUT LIVING TRUST
Address: 3576 SPRING BLVD
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor License
ROBS ELECTRIC INC , .~n\liles '1~\l~2()78
\,rn('~mm5inN.G' iNF~~Aa.,idl'.'~
"",E. ules ~(,Jr ,\'lose ,~I!- R 95i'-U}\.
IOI\~~~lion cen\~&WI'~~g\'l ~ft\'le lules '0,#
~Ol\ ",R 9f"2.-00\]6t~ <Jf)Sl~~\h0'le\l\'lone
In 0 '(ou roa'lj:xBf. ~\li;\, Notilicat\on
0090. 1\18 cW; . "....n,~I\\lt'I )
calling I 1 Ii ~~;;;ri:<\'a2-2a44 . -
nuro'oel 0 'la~e': -
cent nergyPath:
Sprinkled Building:
# of Units:
Primary Occnparicy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
, Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
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Notes:
I Valuation DescriDtion I
Description
$ Per Sq Ft-
or multiplier
Square Footage
or Bid Amonnt
Type of Construction
Page 1 of2
Phone Number: 541-688-8897
Expiration Date
08/14/2011
Phone
541-686-5444
n/a
, Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Value
, Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726_3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Temp Power 200 amps or less
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Amount Paid
$5,70 '
$6.84
$2.85
$57.00
$8,90
$10.68
$4.45
$89.00
$185,42
Total Value of Project
Fees Paid.
Date Paid
11 /3/08
11 /3/08
11/3/08
11 /3/08
1/29/09
1/29/09
1/29/09
1/29/09
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01608
ISSUED: 11/03/2008
APPLIED: 10/31/2008
EXPIRES: 07/2812009
VALUE:
Receipt Number
2200800000000001590
2200800000000001590
2200800000000001590
2200800000900001590
2200900000000000113
2200900000000000113
2200900000000000113
2200900000000000113
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 Renuired' nsnectinns .
Temporary Electric: Approval required prior to Utility Company energizing pole.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon 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 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, 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
Pae:e 2 on
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-0 1608
COM2008-0 1608
COM2008-0 1608
, COM2008-0 1608
Payments:.
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200900000000000113
Date: 01/29/2009
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
DAVID LAWLER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 015707 In Person
Payment Total:
Page 1 of 1
11:12:33AM
Amount Due
89,00
4.45
10,68
8.90
$113,03
Amount Paid
$113.03
$113,03
1/29/2009