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Home My WebLink AboutPermit Electrical 2008-3-18 ZON lA.lC _ INITIALS J)O n j ,. DATE -.2I\'blu~ SOURCE 'f'<\. ~ Date >}8jog I ~-'~-'/.4>><<<~ ---'-"->.<'"<<<,, _ ::;-:;~~~;-~f>:; A<;~~- -.,..--, f''''0 <' ~ .- ..;-~ '<"'''~/p....'. A ~-""';;4- 3. tE!flWk~!fi'lS,Esb,~~1:11AL!~i~~f{1JJf:;,': "<n/~,~,; C~:q~%~fJWiqrI~.LD{:OIffiGQN~. . 2251'1.1' In STREET. SPRINGFlELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION CltyJobNumber CO&A--\ZoC8- DO ZD.3 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only c::.' 1~'j{;N' 018f10n law requires you to ij7?y5.,1~~3pt?d by th? ..' ,~':'t:"ll.l, Those ru IO.:.tl PJl.t={ Pt900 1-001 ~ througtbQ~a~gi-QQ.\ration or Relocation J r- r 0ud0. \ vu {rldY j::rtam caples orUi"e rUl~fl:), ,;>oJ. II fc<5Yll~ ~nter. (Note: twS ~h\l)~s $?if."oo Constr. Contr. Number --1 (0 b~~ ~thj:> C1.regon Uti~t4mif~_Amps $ 69.00 q _ 0 Cen~~-800-33~Il~st0600AmPS $100.00 Expiration Date ") - . Over 600 Amps or 1000 Volts see "B" above. Supervismg ElectricIan D. PhonW~T!C~: Pump or irrigation $ 50.00 THIS PERMIT SHAll EX~I~Fl\iHf!.~ $ 50.00 OWNER INSTALLATION AUTHORIZED UNDER T~~T~nt1al $ 25.00 !he in.stallation is being made on prOO1WM2$fBiceR IS ABAN00Niil:Mommercial $ 45.00 IS not mtended for sale, lease or rentANy 180 DAY PER,~imum Electric Permit Inspection Fee is $45.00 + Surcharges - Owners SIgnature: 4. ~~'r~ 5S I Z;8% State Surcharge tbV 10% Administrative Fee sro 5% Technology Fee Z 7 :r 8.r h? ?-::.fWt: ~q--<;y~ ... <.":;' f"~: ~ .-.1:\ 1. ~!4~~W,!lN", -:;;.- -;>T <<>n-, r: ""::;::'W;--< ';', ~"":.q , ~nU.L.J!: ;;;, ;\,;;;"t' ~.:dfL\\$,,,,,..J&l'{~.I,~=..... -~,,, - '<~~ ,kt:-:wJl: S+ S4zr F LEGAL DESCRIPTION: {7a Z 5.5/] rcw~vL oos-oo JOB DESCRIPTION: TeVvt f Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Electrical Contractor _J €.lM. [(-ecf.t.Jc \ k=i-~p.jl. \" ~ Phone :JJ3 -1()7~ Address ~L( City _ 2)n~- lJ Supervisor License Number Expiration Date tL E. City Inspection Request: 726-3769 A. '~ t;" _< *;~':',': ' Service Included 1000 sq. ft. or less Each additlOnal500 sq. ft or portlon thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50 00 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 New Alteration or Extension Per Panel One Crrcwt Each Additional Circuit or Wlth Service or Feeder Permit $ 43.00 $ 3.00 TOTAL Shared Drive(T.)/Bwldtng FormslElectncal Permit Apphcation 8-06.doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00203 ISSUED: 03/18/2008 APPLIED: 02/11/2008 EXPIRES: 09/18/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5428 E ST ASSESSOR'S PARCEL NO.: 1702331300500 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: Fire Damage Owner: METTEER ADAM J Address: 564 68TH PL SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License JEM ELECTRIC INC 161235 . A_ ,_I BUlLDIN.G! INF(j)RWlA'T'&9~i~ut\\ity I, I"''':''; adopted uy l"~lesaresetforth ,I , '# o~torms:Those rOAR 952-001- R-3 \,I_tiW:at~'n~~~~I$H:U\hffi~9h i the fu\es by \Ii Of",R c c. 19f lb\n\n cop es 0 te\ephOne VN ggg~\i' 'Ie ~:JO~ptr~ (Not~~\~~~ Notiilcation :=~~ ~ttmyl~\e~g~.332-2344). E~PlHh.. Sprinkled Building n/a Expiration Date 09/07/2008 Phone 541-729-1074 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: PUBL ~~EMENTS THIS EXPI.8~ IF THE WORK AUTHORIZED UNDER THIS'l~E~nf~tt'J~T COMMENCED OR IS ABA~6'"~tfii)'ftrams: ANY 180 DAY PERIOD. Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00203 ISSUED: 03/1812008 APPLIED: 02/11/2008 EXPIRES: 09/18/2008 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 + 12% State Surcharge + 5% Technology Fee Temp Power 200 amps or less Amount Paid Date Paid Receipt Number $5.50 $6.60 $2.75 $55.00 3/18/08 3/18/08 3/18/08 3/18/08 1200800000000000252 1200800000000000252 1200800000000000252 1200800000000000252 Total Amount Paid $69.85 I Plan Reviews I 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 InsDections I Temporary Electric: Approval required prior to Utility Company energizing pole. 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 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 Pal!:e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00203 COM2008-00203 COM2008-00203 COM2008-00203 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: DescrIptIOn Temp Power 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% AdmInistrative Fee Paid By JEM ELECTRIC City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000000252 Date: 03/18/2008 Item Total: Check Number AuthorIzatIOn Received By Batch Number Number How Received dJb 224051 In Person Payment Total: Page 1 of 1 2:22:27PM Amount Due 5500 275 660 550 $69.85 Amount Paid $6985 $69.85 3!l8/2008