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Home My WebLink AboutPermit Electrical 2003-6-30 ~ . 22S1FIITH STREET . SPRINGFIELD, OREGON 97477 INSPECfION REQUEST: 726-3769 OFFICE: 726-3759 LEGAL DESCRIPTION I7D33Lf/3. OSfSDO ELECfRlCAL PERMI~.L1CATION City Job Number I LolM ZG..93'-OO S-3.'-{ The following projecl as submitted has the !ollowlng 3. COMPLETE FEE SCH~~fffii.'19W nol r~CiflC land use R 'd . I S' I Zoning A. New es' entia- mgeor b. ?' -0"3 Multi-Fwnily pt\"t,~;I;.... ....;.. r~.. ) Service Included:.ihonzed Signalu,,' ~ .r-- Items Cost Sum I. LOCA nON OF INST ALLA nON 718 Edgemon! Way Pennits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1000 sq, ft.. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder S106.00 S JOB DESCRIPTION Rinnai H20 Gas FP w/Blower S19.00 S S50.00 S Electrical Contractor JB ELECTRIC. INC. B. Services or Feeders Installation, Alterations or Relocation: 2. CONTRACfOR INST ALLA nON ONLY Address 4685 Isabelle SI. 200 wnps or less 20 I wnps to 400 wnps 40 I wnps to 600 wnps 60 I wnps to 1000 wnps Over 1000 wnpslvolts Reconnect Only S63.00 S S75,OO S $125.00 $ $163.00 $ $375.00 S S50.00 S City Euoene, OR 97402 Phone 541,687.5770 Supervisor License Number 3872S Expiration Date 10/1/03 Constr Contr. Number 37587C cce 104929 C. Temporary Services or Feeders Expiration Date 10/1103 3/14/04 200 wnps or less S50.00 S 20 I wnps to 400 wnps S~~~ S Over40lt0600wnps _ ''t.~~~ s Over 600 wnps or 1000 volts see ~'t. \\' ,\ ~ \<11 ~ B above \. ~"f-'?~, ()~'?-~ _ c.(\~ , J ~f;; <11~~~ 'W;)' ~~'(.... . " ' D. Branch C~'\~ o'i:.~~\' ~~\;)'t.'?- 'r.'O~~'V Owners N'wne New, '\1fJ.Ll. 'I'\~ \\b~~anel John Kemp ~,~\S ~~'i:.\;) 'i:.~\t;;j . Address _same. \0 One Ci~~.~~~'t: ~ \;)~ '? ,City Sprinofield, OR 9747.1. P~one 316-17'<!1 ",: '10',\~\\'1 Each Ad 'w\'~uit or with Service OWNER INST ALLA nON 100..'\).\\ 0'(\'0'" \Of." or Feeder nnit '(\ \\l.'l'l oleg 0 ",,0\ 00\ The installation is being made-!!.n0gO... '0'1 \'(\0 '\).\0"" \l.~ QE~MisOOllaneous (Service/feeder not included) h. h' ,,>\. d"...~1.) 01 OP-'P I'\).\"~ 'II . r'-r-"; I own W IC ~,.not '%'8'_!'" ,,\'(\0"" '\).g'(\ \'(\0 o'(\e-Each Insta atlon for sale, lease ~'.rem. \'\).\0"" 0\,\el. 0 \'(\10 :\0"" 0\ 0\~P 'l.':"irrigation \o\\o'l'l \\0'(\ G 0\-00\ ''(\ CO~ . \'(\0 ~ o'i.\\\c7> Sign/Outline Lighting_ Owners Si~:,\\\c'> 9J'iJ?:\J :oj O'O\'C-\ ,~o\~\\\\\'l ~\.ll.'" Limited EnergylRes ~I.) o "'Y'"O'\). {I\7> c0'(\\e\. ,,0'(\ "'~_~':> Limited Energy/Camm \'(\ ^"'O. ~ ^ ,'(\0 ..n 010;: "O-'?i" \JV C\l.\\\""I\OP" I\""Y~ 5 SUBTOTALOFABOVE MINIMUM ....'00 '(\\0 . '(\'\).'" Ge 7% State Surcharge 10% Administrative Fee Si S $43.00 S 43.00 S3.00 $ 3.00 S50.00 $ S50.00 S S25.00 S $4S.00 S $4500 S S S 46.00 3.22 4.60 JB Job # _03-435 TOTAL $ 53.82 . . ell}' VI' I:)nur~GFIELD' Building/Combination Permit PERMIT NO: COM2003-00534 ISSUED: 06/19/2003 APPLIED: 06/19/2003 EXPIRES: 12/27/2003 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 718 EDGEMONT WAY ASSESSOR'S PARCEL NO.: 1703341305800 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: install gas w/h and fireplace insert Owner: KEMP JOHN G Address: 718 EDGEMONT WAY SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Owner Contractor JB ELECTRIC MARSHALLS INC KEMP JOHN G License 104929 25790 Expiration Date 03/14/2004 12/23/2003 Phone 541-687-5770 541-747-7445 I BUILDING INFORMA nON I # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Palh: Gas Lot Size: Sq Fllst Floor: Sq FI 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: I DEVELOPMENT INFORMATION I ~,,- ,,;0\0 '~\I.'l., Frontyard Setback: ~,~e fCo \)'1. :I. \1..0vtrlay Dist: Side 1 Setback: ~ ~e~~e~O 13 ",13 !lJSI~eet Trees Rqd: Side 2 Setback: fCo \'l> 'S'e '" '<>\). ~,:>~p<1lyed'Drive Rqd: e~O i'\ ,>\e~,. ~,>\ roC>. Rearyard Setback: i'~~ \130'0 0",13 ~ ~"(;\ 0 1\ 'S'e .,fof ~t Coverage: Solar Selbacks: \ ,0 '/).OO~ ~ ~'(' 'S-~O\'j. 13'" 0 \13\13\,(,'<>\\ , ,-...\ e. "P.' ~ ~ _<'\'\ __c>. _\\ 1'-\ ~~-t\ ~~;" G~~\,<J~~i-" ;0~0~~ip.UBLI€ IMPROVEMENTS I 'O~ ",<>'1. _:l:\i >to e~'\!. fCo '{:' Ol,..t' '''THE WORK Street Improvement~:J ~'<> 13"'1. e~o ~'5 ' N'" Side.w~~tiE r MOT ~l)'("\~'(' '0'> eCi O~ ~\)<J' THIS PERMIT ~t1f\'- lJl.C oJ:RM\1 IS" Storm Sewer\(\:v.t\~61~: ~ 'S' ~'S'e \'" \' ORIIEo'lm'8liWulSftJrbln'\O fOR SpeciallnstruC!ion{,#'<" e~\O I:'o\e~ f>.U1H CEO OR IS f>.Bf>.NDON Notes: ",>~'O Ge ~~~~i~ Df>.'t PERIOD, SETBACKS REQUIRED PARKING Total: Handicapped: Compact: Paee I of3 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project ]?pp<. PIiILI Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Vent Gas Fireplace Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $10.00 $4.50 $3.15 $6.00 $15.00 $24.00 $4.60 $3.22 $43.00 $3.00 6/19/03 6/19/03 6/19/03 6/19/03 6/19/03 6/19/03 6/27/03 6/27/03 6/27/03 6/27/03 Total Amount Paid $116.47 I Plan Reviews , . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00534 ISSUED: 06/19/2003 APPLIED: 06/19/2003 EXPIRES: 12/27/2003 VALUE: Value Date Calculatcd Receipt Number 1200200000000001590 1200200000000001590 1200200000000001590 1200200000000001590 1200200000000001590 1200200000000001590 1200200000000001653 1200200000000001653 1200200000000001653 1200200000000001653 To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. ~rlln~'"rrt~ 1 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complele. Paee 2 of 3 . . CITY OF SrKll'\jljt<lJ!.LD . Building/Combination Permit PERMIT NO: COM2003-00534 ISSUED: 06/19/2003 APPLIED: 06/19/2003 EXPIRES: 12/27/2003 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thai 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 Stale of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission oflhe 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 readahle from Ihe street, Ihat the permit card is located at the front of the property, and Ihe approved set of plans will remain on the site at all times during construction. Owner or Contractors Signa lure Date Pal!e 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00534 COM2003-00534 COM2003-00534 COM2003-00534 Payments: Type of Payment Check ~~,'-,"',',I ~I ,._~~,.... ..---..,' ~- Receipt #: 1200200000000001653 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By JB ELECTRIC INC Received By djb (;heck Number Batch Number Authorization Number City of Springfield Official Receipt~ Development Services Department. Public Works Depart~ent~ Date: 06/27/2003 9:13:47AM Amount Paid Item Total: 43.00 3.00 3.22 4.60 $53.82 How Received In Person Payment Total: Amount Paid $53.82 $53.82 . .