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Home My WebLink AboutPermit Electrical 2007-12-10 ZON L[)2 INITIALS N^^-.- DATE i J. _1'1 - C"LJ- SOURCE ~ ~ . . -, 225 FIfTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COvV\ Z.uO-] - O/hl -;- Date Installation, Alteration or Relocation 200 Amps or less $ 55,00 20] Amps to 400 Amps $ 76,00 ATTENTION: Oregon laWJle4ulJllls"liOOlAmps $] 10,00 :~gnP::::no:::pervising Electrician ~=~;~~~:~ftr~e~h~@r~~~~~J~~~'~01ts.seG"B"ab00G' in OAR 952-001-0010tl'iftlu~.UA\'l~.ttltJlh, . "...,.,.. 0090. You may obtain cORilW ~V.MfM\\l~P~xtension Per Panel calling the center. (No : t teljplione , , I .. Oregon I ~fication IIUtlUJUI VI ".iIl:,. 0 .. lOoat CIrcuit or with , "\ Q Center IS 1-8 ervlce or eeder Permit Owners Name ~~"''''F~ 0 ,(\<;, ~ ~o;-- Address L\L\ 5~'-1 . _, r, Q r'>. "" ?d Pump or irrigation $ 55,00 Sign/Outline Lighting $ 55,00 OWNER INST ALLA nON Limited Energy/Residentia] $ 28,00 The installation is being made on property I own which LiI!l}!~,~)ip.e,rgy/G.oniniefi:ia] $ 50,00 is not intended for sale, lease or rent. ~~~1 ~:::;rr~Al~~~iStR~~~e.eji.S$.~O.~O,.,.~.,...surchar~s,_ ~:'S~n~D,-~ ~~~~~~~~r~~bW'~r::r::).: :~~o , ANY 180 DAY ~f.~'oIOgy Fee Z 7 j 6 7 fi.L I. L./ L{ <;;1../ JIlS LEGAL DESCRIPTION: I X'D Z O;-Z "-( o ~Zoa JOB DESCRIPTION: S/LVL 2c-C.OAktlG-c.T- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor Address City Phone Supervisor License Number '0W ~ \~ Q- Expiration Date Constr. Contr, Number , City C::::~r' ,,~-O p \ d ,'. l)' Phone 1 L.II. - I../'?Ll/ Inspection Reqnest: 726-3769 3. A. 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 $]]7,00 $21.00 $55,00 B. 200 Amps or less 20] Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to ]000 Amps Over ]000 AmpsNo]ts Reconnect Only $ 70,00 $ 83,00 $138,00 $]80,00 $413,00 $ 55,00 s,-~ I c. $ 48,00 $ 4.00 E. TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application 7-07.doc Status Issued 225 Fifth Street, Springfield, OR 541- 726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01615 ISSUED: 10/30/2007 APPLIED: 10/30/2007 EXPIRES: 06/06/2008 VALUE: $ 11,340.00 SITE ADDRESS: 4454 JASPER RD ASSESSOR'S PARCEL NO.: 1802052405200 SPRINGFIETYPE OF WORK: Garage PROJECT DESCRIPTION: Attached garage TYPE OF USE: New Residential Owner: DAVID ROSS Address: 4454 JASPER RD SPRINGFIELD OR 97478 Contractor Type General Electrical Plumbing I CONTRACTOR INFORMATION I Contractor OWNER OWNER OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Street Improvements: License BUlLDlt::G INFORMATION I # of Stories: U Height of Structure Type of Heat: VB Water Type: Range Type: Energy Path: ATTENTRvp:j!'l!J.~l\ill!wgequlres ylll<Wo ,', Il,', ~\I~ IJ.j...~ 4l.i..JU~....J t:.',-'*..:. gn:;,:,:,: t l~:l:~" Nh.Pf\(~~-"~MtA'JIieJl\e~orth in OAR 952-b~1-\m1U lnrougn v^,n "".,,(J01- 0090 YOJav o~ain copies of the rules by 24.00 caliin e~~~1t ~st{NQte' the telephone 5.90 numb;r ~tlP ~( fe'IlQ/f~i1ity Notification ,e'lrt't! ~r~"fJ~'!t32-2344). . }/o or -,ot Coverage: 0.00 I PUBLIC IMPROVEMENTS I Phone Number: 541-913-1848 Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq,Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 420 Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Storm Sewer Available: Yes Downsponls/Drains: Speciallnstructiol1: Notes: Garage will tie into existing house for drai~~~~\VIfI'IS+lAll1>fiI(PlRE If THE WOR~ AUTHORIZED UNDER THIS PERMIT IS NO COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Paee I of3 Status Issued 225 Fifth Street, Springfield, OR 541- 726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Constrnction Garaee Garae:e Fee Description + 10% Administrative Fee + 5% Tecbnology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Fire SF Fee - Residential Garage/Carport Plan Review Minor - Planning Plan Review Residential SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Service Reconnect Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01615 ISSUED: 10/3012007 APPLIED: 10/30/2007 EXPIRES: 06/06/2008 VALUE: $ 11,340.00 I Valuation OescriDtion I $ Per Sq Ft or multiplier $27.00 Square Footage or Bid Amount 420.00 $11,340.00 $11,340.00 10/30/2007 Value Date Calculated Total Value of Project FpPl;\~ Amount Paid Date Paid Receipt Number $25.88 $17.69 $19.02 $48.00 $4.00 $21.00 $135.80 $116.00 $88.27 $7.27 $145.33 $50.00 $5.50 $2.75 $4.40 $55.00 10/30/07 10/30/07 10/30/07 10/30/07 10/30/07 10/30/07 10/30/07 10/30/07 10/30/07 10/30/07 10/30/07 10/30/07 12/10/07 12/10/07 12110/07 12/10/07 1200700000000001348 1200700000000001348 1200700000000001348 1200700000000001348 1200700000000001348 1200700000000001348 1200700000000001348 1200700000000001348 1200700000000001348 1200700000000001348 1200700000000001348 1200700000000001348 2200700000000001804 2200700000000001804 2200700000000001804 2200700000000001804 $745.91 Plan Reviews I Plannine: Review 10/30/2007 10/30/2007 APP TAJ Public Works Review 10/30/2007 10/30/2007 APP LKW Garage will tie into existing drains to weep holes to storm Structural Review 10/30/2007 10/30/2007 APP DJB 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. ~e(]lIirerUnsnections I Footing: After trencbes are excavated. Paee 2 of 3 -;:-i"~;. iii ~.. ~0 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01615 ISSUED: 10/30/2007 APPLIED: 10/30/2007 EXPIRES: 06/06/2008 VALUE: $ 11,340.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541 - 726-3 769 Inspection Line Slab: To be made after all inslah building service equipment, conduit piping and otber equipmeot items are in place but prior to concrete. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rougb in inspections have been approved. Firewall: Located and constructed according to plans. Storm Sewer Line: Prior to filling trench. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully examined the completed application and do bereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance witb 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 .gree to ensure that.1l required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at tbe front of the property, and the approved set of plans will remain on the site at all times during construction. ~ .~~ Q'I./Y/Q 1';2 - 1 n - 07 Owner or Contractors Signature \ Date Page3 of 3 225 Fifth Street .. .. . SI?ringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01615 COM2007-016]5 COM2007-01615 COM2007-01615 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Service Reconnect + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By DA VID ROSS JR City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001804 10:05:43AM Date: 12/10/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 55,00 2,75 4.40 5,50 $67.65 Amount Paid db , J $67,65 $67.65 277IIB In Person Payment Total: Page] of 1 12/1 0/2007