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HomeMy WebLinkAboutPermit Electrical 2007-12-12 ( ZON \LLV INITIALS . W \"-- " DATE N()0)\07 - SOURCE U(?)QC) Date ./;;) / ~ QITD '_ . 3. rgeoMPiiJEij"EfPEE:seiiiJ;:jj~JijE1tQffil~~~~,~,] fii,*!\_,_"~_~~,,,',,~,,,,,,,,gaz:"""'^_'0&_'''*'''Ii.~ib=':!L'''''~''''-~''''"'=~'''''-~~~~ ",,> ~:; CITY: Of.(~l'~9..,I:!FLD, .OREGqN . 22S F1FfH STREET. SPRINGFIELD, OR 97477 . PH:(541)725-3753 . FAX: (541)725-3689 ELECTRICAL PERMIT APPUCATION City Job Number CO~ 'Z-C> 0 7 - 0, g"! l{ t(7C1n S !O~ 1- /0 / / ~ 200 Amps or less $ 50.00 Constr, Contr. Number (0 f 'J ~ '2:j I f,j'JTlON: OreJ%i\l1lPsto 4QOAmps $ 69.00 q IcJIo..W r"'es adoPt"4Q1I:jV~~Il~lg~If6'~\l!r to $100,00 Expiration Date - 07~0.!@I~Center.~",,~' ~,._regOn(Jtilit " " tilt UMM gb~-0~1 uverf6{)(lhiUUPlim ts see B above. /1 u -OQ1~""..."r. il' .". - Signature (!J Supervising Electrician 0090.. You may oL'fllill'~ie "'iJr!ll--- ; Ii,n, , " , 1. calling the t ' ~. e rilles hv her cen er.r(~l~I\!i?S1Ilr.l'i'dfe~fon Per Panel _ num for the Or~1cl;\t.clil .~ ne Gettler is 1_Mr;,<l.Q.o,L~otlf!cat.ion . r;aan~~j:I!Cult or W1th ./1. (.~ Service or Feeder Permit "'3 ~y ~~r..c, T.4)~e-tL ~.l NOTICE: THIS PERMIT '1:1 ~ E'\lIMIT IS NOT AUTHORIZED U % \i~'\!DR COMMENCED OB'Ma-AF'l!eLJ ANY 180 DAY PERIOD. S {. TOTAL 100 - Shared Drivc(T:)lBuilding FormslElectrica1 Permil Application 8-06.doc e'""""""'~""'---"'"~""",,~w"-'~,,''''-m''II''''~ 1. ."EOCA..TION:OSINSTAIJIfA/TIONSt,,,~'i@.:,, :: ., ~.'_".v~.,d',""'.~._,"," ",,",0'"..n~''' (1""-"~"..."",,,"",,.",.~,..~0,~,..41Jill;~ A>, "3 If <;t..( n\ s IL~ f2,J" LEGAL DESCRll'TI9N: . I BOZOb(l{ 12.36<:::::> JOB DESCRll'TION: 5R-vL ('"rlA",~~ ~ S' c..,,,-c.......:fs Permits are non-transierable aAd expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ke:omMeFORi1NSTM!mTioNlO~JIl 2. .m'0"'!JMfiQ0~~f.!d\&'K:!1;hN;L4i*(G\~;ThSK"MWk"';:"*'H;\0~)1i0dqkj~1\L'7';'" ,., Electrical Contractor ~ €.LM. [,/-ec0-jc ,IC.:",O.Jl."'" 0 I . Phone :Jff3-ln7j Address C%SL{ City srkt Supervisor License Number Expiration Date ~ O~Qfl'a[ne -S-~ A):J." 3L9( City S ?,c/\ Phone .72l> -/07 t( OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ~j., :t%lj'1!*\I'''_~~~<:~~~'Yi~~.w'ih_'~~'''''P~'<''_''"''""''''1~\'M''''~:'''.'"'-P}[iI A. "New:Restdii'i\iiaJ,'"ISin"le'o~jM\ilti"Eamil"'l"eanwelIfn""Unitr ,. "' ," "."''' ",-~,",.",..~",,,,,,~,,-,=,,,;J,,,~,,"<,,,,g.,.,,,,,,,,~.";'''-N(iliitk.':;;R'*,,,dl~,,,Y,'j!&''i:>,tW4'''h,_"*,,.gk'in'''~ ,. '. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or F ceder $106.00 $ 19.00 $50.00 B.I1~;lrsr4~r~I~~r~~urJ!i!;~~. 7D I ~.Oo $ 75.00 $125.00 $163.00 $375.00 $ 50.00 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only 70 C. Installation, Alteration or Relocation $ 43.00 I( $XOO 12 "'''_B\1!f._~~''''''''~~4lR~c:lt~~'''"".'!j;''B!8l E. ~~Iis;~~I~a~e~~1~~~€l!~~~lt~lLl!tl~~)4:i~l,l~J@~,~~~ $ 50.00 $ 50.00 $ 25.00 $ 4~.00 E;'Z. " T'b ll"Zu u,e Status Issued CITY OF SPRINGFlELU Building/Combination Permit PERMIT NO: cOM2007-01834 ISSUED: 12/]2/2007 APPLIED: 12/]2/2007 EXPIRES: 06/] 2/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3854 JASPER RD ASSESSOR'S PARCEL NO,: 1802061412300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Service change and 3 circuits Owner: MEYERS JOE E & CAROL A Address: 3854 JASPER RD SPRINGFIELD OR 97478 Phnne Number: 541-729-1074 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor JEM ELECTRIC INC License 161235 Expiration Date 09/07/2008 Phone 541-729-1074 BUILDING INFORMATION I # nf Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: I1'rT~~I""""L f Type ofoneatOregon law requl'r SIFt 2nd Floor: O"~'" ]'.';',. j es YOU~ N Water'i'ype: opted by the Orego Ut Ft Basement: Ofifi('~tl -, n I J in ~,~mlar);1'6i1ler. Those rules are set f r 'It Garage/Carport 00 ~<\! Iill1c0010 through OAR 952-~ '~'t Other: C ~rl &I<m.J1i1iiilP copies ol'(lIe rU/e~<t'cupant Load: mo t e CAnter ''''....._. "-Ie .. y I DE~k'~iN~'tNIu(')~MAliIf~Niitifi~~:;n ! '." .r-,,:;dS44). Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Nntes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT ~ n 'If IF/'f. -- - -~.... ".. 11 un Iv f\Of\I~UUNtU tUK I Valuation rMtYriJWoWf PERIOD. DownspoutslDrains: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amnunt Value Date Calculated Paee I of2 -~~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-0]834 ISSUED: 12/12/2007 APPLIED: 12/]2/2007 EXPIRES: 06/12/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps nr less Amount Paid Date Paid Receipt Numher $8.20 $4.10 $6.56 $12.00 $70.00 12112/07 12112/07 12/12/07 12112107 12112/07 1200700000000001492 120070000000000]492 1200700000000001492 1200700000000001492 ]200700000000001492 Total Amount Paid $100.86 I Plan Reviews , 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. Reouired Tnsnection.' , 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 herehy certify that all information hereon is true and correct, and] further certify that any and all work performed shall be done iu 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 he made of any structnre 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 Date Paee 2 of 2 225 Fifth' street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01834 COM2007-0 1834 COM2007-0 1834 COM2007-0 1834 COM2007 -01834 Payments: Type of Payment CreditCard cReceintl SFA1N.G"''''''l.'j).:.: ,i>>~ ': _~'J City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200700000000001492 Date: 12/12/2007 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JOE MEYERS Item Total: <":heck Number Authorization Received By Batch Number Number How Received djb 164096 In Person Payment Total: Page I of I 2:17:32PM Amount Due 70.00 12.00 4.10 '6.56 8.20 $IOU.86 Amount Paid $100.86 $1 UU.86 12112/2007