HomeMy WebLinkAboutPermit Electrical 2008-1-11
. :~,~o':' CITY,OF.;SPRfi'S9FIELD, OREGON
ZON \IlY
INITIALS f\ fYJ '
DATE .1 -I} ~or
SOURCE\<, crs ~rD
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)72&-3753 . FAX (541)726-3689
ELECTRICAL PERMIT APPUCATION
City Job Number COo.Ao'\ z'eo 7 - D I 'i c 7 Date
1 ~ LOCATION OEINSTALLATION:'
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LEGAL DESCRIPTION
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JOB DE~cFoN
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Permits a.re non~transferable and expue If work IS
not started Wlthln 180 days of Issuance or If work IS
Suspended for 180 days
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Eleelneal Contractor
Address ~"')'L(
City ~L-t
,ICL<<;,':Ur QJ
I .
Phone .:x8-/()7.!
ExprratlOn Date
t(7Cfn 'S
!()- (- /0
/ro/ 'J~-S-
q- 07 -OK
Supervlsor License Number
Constr Contr Number
Exprranon Date
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~~s~:e / ~\l.4cui lJ: /1, \
Address VI J r/J Sit'lL IL J
S~F.) Phone 6rb - J2C>(
3 ~... " .,=..", ~~.." _'4~'v""'~ ,.... ~ ';~~"'''~?'''''"'*'''''m~''''~~ 1
fPt;OM,J!L:![:!!~f~~l!JIf~. ~EIQ~.=4V~.,j k.:~~ ~i_~E;:~ISs
A ~N~R~identfal;': Snigit~T,~MuI~~F",!IlyJ;;i-~d~iij.;~~nit.'~J
Semee Included
i 000 sq It or less
Each admtlOnal 500 sq It or
portIon thereof
Each Manufact'd Home or
Modular Dwellmg ServIce or
Feeder
$ lO6 00
$1900
$50 00
B rSeryJ~~~ ;;~~~;s:~~,~~i~~~;:~!~~~tiq;~s;!1!~!t~;~- ;:1
200 Amps or less $ 63 00
20 I Amps to 400 Amps $ 75 00
40 I Amps to 600 Amps $125 <w,
601 ~>>nQTegon laW reqU'~t\I(l,..
o ltdElNiopted by ;;'V 9::J "J
ver .Mati enter. Those Riles aflH&t flItth
Reco In OAR 2.o01-0010thrOllgll OAI'\~'I!I01.
c ~;T~~t~~l1
.. mb9L~':..~~e Oregon UtlhW 011 Icab
InstallaWllli;AIW\t'ttt If ~-2344).
200 Amps or less $ 50 00
201 Amps to 400 Amps $ 69 00
40 I Amps to 600 Amps $ lOO 00
Over 600 Amps or lOOO Volts see "B" above
D
New AlteratIon or ExtenSion Per Panel
One Cltcwt
Each Addlnonal Cltcwt or WIth
ServIce or Feeder Pernut
$ 43 00
"
20 $100
80
E ~Nii~~~~~~~,~~!t~t;i~{~;,~fi~~'~!~~~)!~~t~tWI~~;;1
Pump or 1lTlganon $ 50 00
SlgnlOutlme LIghtIng $ SO 00
OWNER INSTALLATION Lmnted Energy/Resldennal $ 25 00
The mstallallon IS bemg made on property 1 own whrch Limited Energy/CommercIal $ 45 00
IS not mtended for sale, lease or rent MImmum Electne PenDlt Inspeehon Fee IS $45 00 + Surcharges
Owners Signature ~1~rl~;~M1T SHAll EXPIRE IFMT~mS":l~~~;41QE!\1t~ ~~o
, ,cHORIZED UNDER IHIS PER ~A.mmmstrallveFee 8
~~~MENCED OR IS ABANDONED FO Vo Technology Fee C(
Inspechon RequestAWb-1l8ti9DAY PERIOD. TOTAL 101 b 0
Shared Dnve(T )/Bwldmg Forms/Electncal Penmt Appbca110n 8'{)6 doc
CIty
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Ilk. '
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2007-01307
ISSUED. 09/25/2007
APPLIED 08/30/2007
EXPIRES. 07/11/2008
VALUE: $ 74,260.00
225 F,fth Street, Springfield, OR
541,726,3753 Phone
541,726,3676 Fax
541,726,3769 InspectIOn Lme
SITE ADDRESS 3875 JASPER RD
ASSESSOR'S PARCEL NO 1802061411001
Springfield TYPE OF WORK Smgle Family ResIdence
TYPE OF USE Repair Residential
PROJECT DESCRIPTION ServIce mast reconnect, also Garage converSion & Addmg 2nd story dbove (BWOP)
Owner RICHARD WILLIS
Address 3875 JASPER RD
SPRINGFIELD OR 97478
Pbone Number 541,686,1201
I CONTRACTOR INFORM A TION I
Contractor
OWNER
JE~~~ ~@gon law requires you to 161235
0\ II rules adopted by the Oregon Utllrty
- . -~,_.- ^--.,. ., I l' '1
In OAR 952'001~iDriBdVI~J~tf-" "'.- ~.~ ""." N
0090. You may ob!~m boptes ~
# of U nits calling the center. (Nlilll8tlh11e!elephone
Primary Occupancy Group numbeRtar the Oregl)ll,ldltbI)f5a:Y_~....n
Seconddry Occupancy Group Center Is 1~anaa4til.
Primary ConstructIOn Type VB Water Type
Secondary Construchon Type Range Type
# of Bedrooms 2 Energy Path
Sprmkled Buddmg
Contractor Type
General
Electrical
Mechamcal
License
ExpiratIOn Date Phone
09/07/2008 541,729,1074
2
1700
Wall Heat
Lot SIZe
Sq Ft 1 st Floor
Sq Ft 2nd Floor 400
Sq Ft Basement
Sq Ft Garage/Cdrport
Sq Ft Othel 140
Occupant Load
Path 1
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback
Side 1 Setback
Side 2 Sethack
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Drive Rqd
% of Lot Coverage
Total
Handicapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewel Available
Special InstructIOn
Sidewalk Type
DownspoutslDrams
Notes
NorlCE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa2e 1 of 3
Status
Iss u ed
225 F,fth Street, Sprmgfield. OR
541,726,3753 Phone
541,726,3676 Fax
541,726,3769 InspectIOn Lllle
DescriptIOn
Tvpe of ConstructIOn
Deck/Balconv
Dwelhnes
Garaee Conver
Deck
V Wood Frame
Garaee
Fee DescriptIOn
+ 10% AdmmlstralIve Fee
+ 5% Technology Fee
+ 8% State SurchJrge
ServIce Reconnect
-MechJnlcal Issuance Fee-
+ 10% Admmlstr.tlVe Fee
+ 5% Technology Fee
+ 8% State SurchJrge
BUlldmg PermIt
FIre SF Fee, ResldenlIal
Mlmmum/AdJustment Mechamcal
Penalty Fee, BWOP BUlldmg
PI.n ReVIew ResldenlIal
Wood StovelInsert
+ 10% AdmlUlstratlve Fee
+ 12% State SurchJrge
+ 5% Technology Fee
Add, Alter, Extend Clrc Ea Add
Total Amount PJld
Structural ReVIew
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2007-0I307
ISSUED: 09/25/2007
APPLIED. 08/30/2007
EXPIRES' 07/1112008
VALUE: $ 74,26000
I Valuation DescrmtlOn I
$ Per Sq Ft
or multlpher
$1900
$10300
$76 00
Square Footage
or B,d Amount
14000
400 00
400 00
09/2112007
09/2112007
09/2112007
VJlue
Date Calculated
Total Value of Project
$2,660 00
$41,200 00
$30,400 00
$74,26000
Fpp<. ~
Amount Pa,d
Date PaId
RecClpt Numbe,
1200700000000001122
1200700000000001122
1200700000000001122
1200700000000001122
1200700000000001235
1200700000000001235
1200700000000001235
1200700000000001235
1200700000000001235
1200700000000001235
1200700000000001235
1200700000000001235
1200700000000001235
1200700000000001235
2200800000000000036
2200800000000000036
2200800000000000036
2200800000000000036
$550
$275
$440
$55 00
$20 00
$11082
$54 06
$45 25
$51559
$27 00
$1700
$515 59
$33513
$33.00
$800
$960
$400
$80 00
8/30/07
8130/07
8130/07
8/30107
9/25/07
9/25107
9/25/07
9/25/07
9/25/07
9/25/07
9/25/07
9/25107
9/25/07
9/25/07
1111108
1111108
1111108
1111108
$1,84269
I Plan ReVIews I
09124/2007
OK
09/2412007
RWC
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 Rpf1v.rprl 'n~npl"t~
Temporary Electnc Approval reqUIred pnor to Utlhty Company energIZIng pole
Paee 2 of3
CITY OF ~t'KlJ~l:rl'lJ<,LD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01307
ISSUED: 09/25/2007
APPLIED' 08/3012007
EXPIRES. 07/11/2008
VALUE $ 74,260.00
225 FIfth Street, Spnngfield, OR
541,726,3753 Phone
541,726,3676 Fax
541,726-3769 InspectIOn Lme
Footmg After trenches are excavated
Floor InsulatIOn Pnor to deckmg
Shear Wall Nadmg Before covenng sheath 109 WIth fimsh matenals
Frammg InspectIOn Pnor to cover and after all rough 10 mspectlOns have been approved
W dll InsulatIOn Pnor to cover
CeJlmg InsulatIOn Prior to cover
Dry"all Pnor to tapmg
Fmal Buddmg After all reqUIred mspechons have been requested and approved and the bUlldmg IS complete
Rough Mechamcal Pnor to Cover
Fmdl Mechamcal When all mechamcal work IS complete
Wood Stove After InstallatIOn
Rough Electnc Pnor to Cover
Fmal Electllc When dll electncal work IS complete
By SIgnature, I state and agree, that I have carefully exammed the completed apphcdtlOn and do hereby cerhfy that all
mformatlOn hereon IS true and correct, and I further cel tlfy that any and dll work performed shall be done," accordance With
the 01 dmdnces of the City of Spnngfield and the Laws of the Stdte of Oregon pertdmmg to the work descnbed herem, and
that NO OCCUPANCY wdl be made of any structure Without permissIOn of the Commumty Services DIVISIOn, Buddmg Safety
I further certIfy that only contractors and employees who are 10 comphance WIth ORS 701 005 Will be used on thIS project
I further agree to ensure that all reqUIred mspectlOns arc requested at the proper tIme, that each address IS redddble trom the
street, that the permit card IS located at the front of the property, and the approved set of pldns wdl reUlam on the site at all
times dUring constructIOn
Owner or Contractors Signature
Ddte
Paee 3 of3
225 Fifth Street
Sprmgfield,. Oregon 97477
541-7~6.3759 Phone
~~
City of Sprmgfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007,O 1307
COM2007,O 1307
COM2007-0 1307
COM2007,Ol307
Payments
Type of Payment
CredltCard
cRccemtl
RECEIPT #:
2200800000000000036
Date: 01/11/2008
Description
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
JEM ELECTRIC
Item Total
Check Number Authorization
Received By Batch Number Number How Received
dJb 143180 In Person
Payment Total
Page I of 1
2 49 29PM
Amount Due
8000
400
960
800
$10160
Amount Paid
$101 60
$10160
1/11/2008