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Home My WebLink AboutPermit Electrical 2010-5-17 Status Issued ~;:(q; '-"'<" , :'"'\,rt' .....~ " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00621 ISSUED: 05/17/2010 APPLIED: 05/17/2010 EXPIRES: 11/1712010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '- SITE ADDRESS: 1067 CENTENNIAL BLVD ASSESSOR'S PARCEL NO,: 1703264412800 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair PROJECT DESCRIPTION: Replace service and 3 circ '(17178;;';;88'008'1 S! JalUao ~C:l-O':;:~"':~ '~:nn "....R....,@ -:\111"'J 10<.11""11 Owner: HUFF DANIEL MILTON aU04dala\ a41 :aION) ,'JalUaO a4lBu!ljl3O Address: 82263 nA TTLESNAKE no Aq SalnJ a4l,0 sa!doo urelqo Aew nOA '0600 DEXTER on 97431 -100';;961:1\10 46noJ410100-rOO-C:se ~O UI . , 4pOjlaS aJe SalnJ as041 'JalUao UOII'8o!J!ION Owner: SHA TO LA CHUCK Al!l!In uo6aJO a41 Aq pa)dop'8 SalnA '"'01101 Address: W 25TH 01 noA SaJlnbaJ Mel u06aJO :NOUN3llV EUGENE OR Residential I CONTnACTOR~~~OnMATION ~ - Contractor Type Electrical Contractor ,n'lHl -~:^.i'~;." EASTSIDE ELECTRIC INC" '.;' ...... License 117770 " - Expiration Date 10/04/2011 Phone 541.915-9828 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: .I BUILDING INFORMATION , NOHi,l!. THIS PERMl1!'~J\kL EXPIRE IF THE WORK AUTHORI~'lJrt>!l~fl;u'j;i1ife PERMIT IS NOT COMMENf,W (,}ifIf8't,~BANDONED FOR ANY 180 ty~fePT:r~ge:lJ, "ange ype: Energy Path: Sprinkled Building: nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENTlNFORMATION ~ Fronryard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive nqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS ~ '. , ,~ ' . ,; " - ,. -. , ',' .' q, .<i"I.' Sidewalk Type: DownspoutslDrains: ;..;{': Notes: Paee I of 2 , . -, ' '. ~ \ Itrj'-I~G"IEl.D: ''''d'<L';'''W._" .... . ". ..,,_I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00621 ISSUED: 05/17/2010 APPLIED: 05/17/2010 EXPIRES: II/17/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ; . Valuation Description ~ Description Type of Construction ,.i $ Per Sq Ft or mnltiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees Paid ~ Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Number " $11.88' $4.95 $18.00 $81.00 5/17/10 5/17/10 5/17/10 5/17110 2201000000000000514 2201000000000000514 2201000000000000514 2201000000000000514 Total Amount Paid $115.83 Plan Reviews ~ '1.;~:"i '.'" .'"-", ,; ;........... ~.....w...., ... . ~'"~~I~- -- ,- - ., .....H....t... "-,>t. , 1 -;r;:~;' . 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. Reouired InsDections , 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, 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 further 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 Commnnity Services Division, Bnilding Safety. 1 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 reqnested 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 . .. ,,,,,.,,, "-. ". L~, ", 'j . , ,~, . times durmg constructIOn. - . ~' 14j" ,::.:;;:' "''''.''"' :.:::J.\'i, ,.~.(~;" "r4<'';' Owner or Contractors Signature Date Paee 2 of2 Electrical Permit Application ~YTY OF slirNcm'tELD, OREGON "~, ~M:k . , >"',L.~",~..:: 1".,A.l."':'L.>~:)., __ .~<~~-> c).-'>., q ~ ,_ _, 225 Firth Street+Springfield, OR 97477+PH(541)726-3753tFAX(541)726.3689 ~ DEPARTMENT USE ONLY Permit no.: Ol{) - C; 2 f Date: )-/1 '; ) I 0 Tbis permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started witbin 180 days of issuance or if work is suspended for 180 days. lOCAL GOVERNMENT APPROVAL Zoning approval verified? D Ves DNo CATEGORY OF CONSTRUCTION B:l Residential I D Government I D Commercial JOB SITE INFORMATION AND lOCATION Job site address: 100 CEmtNIJ)A,L City: SP~lD I State: I ZIP: Reference: I Taxlot.: DESCRIPTION OF WORK 'RE~L !\CE e:CtC:T!l.J CAI.- St!?\; ICE PROPERTY OWNER Name: CHvGK. 54'ATOCA Address: City: I State: I ZIP: Phone: - - I Fax: - - E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: CONTRACTOR INSTAllATION Business name: e "STSiD~ EL ELTfliC Address: ~'b)S3 80SC{lH LN. City: SPHD I State: 0 R. I ZIP: q 7 1./ 7'6 Phone: - - 7l/l-I'{'19 Fax: - -) 3/:" Y960 E-mail: RICKU,,$T5)i)E YAHo6, COM CCB license no.: J (ilIO BCD license no.: )6 - 'I05'c Signing supervisor's license no.: l/7J.7S Print name of signing supervisor: 12. () G- E!1.. I( )Iv (j. Signature of signing supervisor: ~)/) I~ 440-2584-) (9108/COM) FEE SCHEDULE Number of inspections per item () Qty. Cost Total ea. cost Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25,00 $ thereof Limited cocrgy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) I $ 81.00 $ "6/,6D 201 to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over I ,000 amps or volts (2) $469,00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Ovcr 600 amps or 1,000 volts, see services or feeders scction above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase ofa service or feeder fee: Each branch circuit 3 $ 6.00 $ I~ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (1) $58.00 $ APPLICANT USE (A) Enter subtotal of above fees /' (Minimum Permit Fee $58.00) $ cn (B) Enter 12% surcharge (.12 x [A]) $ Iii\, (C) Technology Fee (5% of [A]) $ It'i '> TOTAL fees and surcharges (A through C): $iI<;~ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000514 Date: 05/17/2010 2: \0:57PM Job/Journal Number COM20 I 0-00621 COM20 1 0-00621 COM20 1 0-00621 COM20 1 0-00621 Payments: Type of Payment CreditCard cReceintl Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ROGER KING : C~eck Number , , ~t;ceived By Batch Number cjc .';1 ~~;.~i~;~!~;\ ' "". ~:"'. ~. ....;.' ,,' ...~ '..fC ....~ .'l!dt'~., ;~;~t~t ':~'i;:.t\,/' 1~.1~~ki', ' 1'1:: ,i,f",' ;- ,...1 Page I of I Item Total: Authorization Number How Received 00597c In Person Payment Total: Amount Due 8l.00 18.00 11.88 4.95 $115.83 Amount Paid $115.83 $115.83 5/17/2010