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Home My WebLink AboutPermit Electrical 2005-12-15 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 www.ci.springfield.or.us December 15, 2005 Scott Jackson 4105 Jasper Road Springfield, Oregon 97478 Enclosed is a copy of the revised electrical permit for a service change at your residence located at 4105 Jasper Road, Springfield, Oregon. When you or your contractor obtained the permit, we neglected to include your mailing address and phone number. I have also changed the description showing it is an electrical service change. Thank you, and if you have any questions, please feel free to phone me at 726-3790. Sincerely, Lisa Hopper Building Safety Supervisor encl City Job Number 1. ::ZoCAiioNhFiNsTALl'.A'-iTON.~}.'U:;;'1 3. , '.:... ..lop....<-'...:.J., ...... ~.' ...J..,.....!;t,..."'." ,,-,- ~ . 1.' '.....~- ..;.;;. <~,;.~.:..:.,.k. 1./ J DS- 'JA5Pt.K ((f). LEGAL DESCRIPTION ,!tf02 65 2'S htJ-f/J1 JOB DESCRIPTION '207J A. ,JWrc.il ~t3 Permits are non-transferable and expire if work is not started within 180 days of issuance or jfwork is Suspended for 180 days. t..'........." .'...y,-'of\,...~,.-':"._').-?"'..... ....,_.~.......- ~~~'t;t~~'''-~'~'.l ", /CONl-kA'ctOR INSTALLATION ONLY:, 2. .....::,.,J~i'.r'~.:'l.C::,;.'~.I..:l:.:4.'.t...,~i~......;::c;;..'L;~I;;,.d'~~.::..,;.;:.<'.J.;.J:,...;;-~...\ Electrical Contractor {: A '3751D t. t.C €C7!JC Address 3'6;;;>-5'3 f3oSGAGE- LN. City SP t<-D Phone 7 <f 1-1'119 Supervisor License Number ()7).7S D7 Expiration Date )C::r I Expiration Date Ifl770 )()-I-06 Constr. Contr. Number Signature of Supervising Electrician ~ D, ~ CT. Owners Name SCO 1T ':5A(j(5oN _, Address 4t()~ ~r ~!)1/,,- City ~Nl\~hone 141' I (l{.:5> OWNER INST ALLA nON :ne iasf"I~\!j>rIB/I:'i~'1!'~(\'1\%P!ql'!'.;t)j!I'-O)"!,:~ich IS no Inten~ed for sale, leasfJor ~ent~ Oregon Utility ollOW rUle~ aUOfJl" u 1 '''~ O "~';'S'~~.;nn Genter Those rules are set forth wners tgnature: . in OAH 952-001-0010 through OAR 952'001- 0090, You may obtain copies of the rules by calling the.cemer, \'~Ol": "'" 1"'':f'''V',''' number for the Oregon Utility Notlflcalion Inspection Re<ju_est:)[72613769)-332-2344). l\ Service Included 1000 sq. ft. or less r,J Each additional 500 sq. ft. or portion lhereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50,00 ~: ;,r:~. ,,~:: ~e.'[L~"r.:.~:';.i:0:'r;:~::',:)':t:J,' ~'" ~ .... ~~::":{':;;.r"~"""'''r:,;?,':''-.;';:.;-.;::~ B. f;';~!,t\:_i~e.s,.,o.r'F ee.d~.r~ '+-.. J ~.s!al~.a~~o~; ~~!e~ati,o~s :~.r~~_~,~?s:ft~~~ f~fb~,~ :.l,~_.__,.~,>>,",~"L.,",-:~, ................!i...l}f~.~'"'..,_,~~....~."".,,_".:.ci..t._",.._.~_u._,.~~'J 200 Amps or less 20 I Amps to 400 Amps 40 I Amps 10 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolls Reconnect Only $ 63.00 6 :5 ,()O $ 75.00 $125.00. $163.00 $375.00 $ 50.00 ~; _ .~{~,~.,;:,<,:"~,,,---:t;~'1',.';""~ _~..::--r~~N~~r'~..',.r~~~7-.-. -...';/..,-:~ j".. ft) C. .,Tem. porar\' ServIces or. Feeders"',''',,;';. ''':_*'i.i~~~~'_ /,,''.-;,;,':'''<;:',;'''~c,~~~-',' ,,",oJ' , t:i j ~\4i:::J.j,~,I>:l,U_'.'.;.....,";,d,,~H~,;;>"-:;.l,,"~'~_" ,. - . t. ,.;;;"," ~,',' , -. '~~-.,",,' . . Installation, Alteration <<?r Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volls see "'B" above. ,..:,.,.... .._-.~,.._ ;-.--...' _' "r...,._~'- r":'n"--~'~''''.!!' !":'t'~--"''''''''''~-"'''''1f",~"-,-"",=",:",=,,,,~,~v-:-rn D ;:"'Branch' Cir'cuitst...:~.. .::.;):r,,"'~'''';'':~'~~-' ~~,.'~:'~-' ,N:fi~".';;,; .t:"I~', ,,>:..~ . :........~. __. _u', .....:-....~..d.:..:c.:J;.;.;:~;;Ld:~~'.->-{-=-,:,:-.... ~.,~',\ :,', :"',.-.:',~'!o' ". , New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 F'~ '., .t_..."'>' -":$::;'{ ""f~-" _~:.''-~':'-~ ~ ~......,~,~ ,,-~,-:-~--;'~~~;::l~'1.::"':.:~-::.~": E. i; l\-tisc:eIJ.,n~9~,~ ,(~~'r.yi~,~(J~e~~r: ~,~! jllcl,ud~"~t:If~~~,' ~~,taHa!Io n:" i.,A'~,,,....."l:_.. .....{;j...~ ,..,,",~..,:,...). .,.,....~,'__.......,:.:J<.._..~.... ):"._~:>"~.~~" ._....~",~"'........ ...~ Pump or irrigation $ 50.00 Sign/Oulline Lighting $ 50.00 Limited N&tl~dential ~~~<woor. Limiled 1f*~~g:cShlALL ~~~R~];S 0-, ""1 Min~7~.~.,~I:t~~~~JfuU~'\~~'f~~~~f~~~r~es 4. ~;~}[~:r~1\&;:~~~~9g:.::S,>~'2\t~,; 63.00 4.11 /- .:30 7_< ,7/ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FonnslElectrical Pennit Application J.03.doc . . CITY OJ' ISrKlNGFIELD ' Building/Combination Permit PERMIT NO: COM2005-01721 ISSUED: 12/13/2005 APPLIED: 12/13/2005 EXPIRES: 06/13/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4105 JASPER RD ASSESSOR'S PARCEL NO.: 1802052300401 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Electrical Service Change Owner: JACKSON SCOTT A Address: 4105 JASPER RD SPRINGFIELD OR 97478 Phone Number: 541-741-1185 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor EASTSlDE ELECTRIC INC License 117770 Expiration Date 10/04/2007 Phone 541-915-9828 BUILDING INFORMATION I # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Sethack: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa!!e I of2 -1II1it&f'~~~a.q, 'C ' --- " . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2005-01721 ISSUED: 12/13/2005 APPLIED: 12/13/2005 EXPIRES: 06/13/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project ~ Fp.... tiWU Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 200 amps or less Amount Paid Date Paid $6.30 $4.41 $63.00 12/13/05 12/13/05 12/13/05 Receipt Number 1200500000000001806 1200500000000001806 1200500000000001806 Total Amount Paid $73.71 I Plan Reviews I 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. Electric Service: Approval required prior to utility company energizing service. By signature, 1 state and agree, that 1 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 descrihed herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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 of2 i'z5 Fifth Street Springfield', Oregon 97477 5~1-726-3759 Phone . ~ aY of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 1200500000000001806 Date: 12/13/2005 1:10:25PM Job/Journal Number COM2005-0 1721 COM2005-0172I COM2005-0 1721 Description Penn ServlFdr 200 amps or less + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment CreditCard Paid By ROGER 0 KING Item Total: Lbeck Number Authorization Received By Batch Number Number How Received OLM 015378 In Person Payment Total: Amount Due 63.00 4.41 6.30 $73.71 Amount Paid $73.71 $73.71 ) , :/ ,. " " ", , ;1 '\ , '" , " ; 12/13/2005 I of I