The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2003-9-11 (2) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00844 ISSUED: 09/11/2003 APPLIED: 09/02/2003 EXPIRES: 03/11/2004 VALUE: * SITE ADDRESS: 4145 JASPER RD Springfield TYPE OF WORK: Electrical Work Only ASSESSOR~S PARCEL NO.:goI802052300403S you to ,~~:,:1~ :,~';;'~;';;;~edbY the Oregan Utility, TYPE OF USE: New Residential PROJE01'IDESCRIPcION:r .Reconned;es are set for' Notifi~~~~ n;~ "~n'1 ~ ;~;~, ;~h OAR 952-00 111 \."""\1' -,;....- -" ,. ~ ......,.. :ec "f thA rUleS \ Owner:009lIJENDRIGKSON11l0RI1='&i J:EFFRE)'... M Address: eMMA!\~~!kllJ);r,S'pRINGFIEIfDe.~R'J~7478 l,j. ,,_ _ ".^"nn IItil1tll Notification "U'''U~' .~, '''-, - 2-23,1,1\- Centerls 1-800-33 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License Expiration Date L,r \'11 \~(~ THE MURPHY HARRIS CQ.-Mf~'NC !H4!.OlDIRE \1' \' \ 0'I120f2QQ4 I BUlLDINGJiNFORMATloN:I\'HIS PEI.JS~\\ \ORW . I>.\]'\ \1un'~~~ - IS p,BI>.\'lDONcO # Of~!er.!\'!'.!.tNCEO OR \) Lot Size: Heiglithl1~St!'.'!}:tilre' I'H\\O . Sq Ft 1st Floor: Type'3c'I'teat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Impervious Surface Area: # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction R-3 VN Phone 541-736-1292 I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS' Sidewalk Type: Downspoutsmrains: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Date Calculated Value Total Value of Project Pal!e I oc2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00844 ISSUED: 09/11/2003 APPLIED: 09/02/2003 EXPIRES: 03/11/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I F....s PaW Fee Description + 10% Administrative Fee + 7% State Surcharge Refund - + 10% Administrative Refund - + 7% State Surcharge ReCund - Service Reconnect Service Reconnect + 10% Administrative Fee + 7% State Surcharge Service Reconnect Amount Paid Date Paid Receipt Number $5,00 $3.50 $-5.00 $-3.50 $-50.00 $50.00 $5.00 $3.50 $50.00 9/2/03 9/2/03 9/2103 9/2/03 9/2/03 9/2103 9/11103 9/11103 9/11103 2200200000000001463 2200200000000001463 2200200000000001467 2200200000000001467 2200200000000001467 2200200000000001463 2200200000000001509 2200200000000001509 2200200000000001509 Total Amount Paid $58.50 I Plan Reviews , 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. o I R..ouir..d Tnsneetions' 1 Electric Service: Approval required prior to utility company energizing service. 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 octhe property, and the approved set of plans will remain on the site at all J' .X~~;;;l - Q(\\lo2> " er or Contractors Signature Date Pa~e 2 oc2 ;,.- " I .1i.;:';'\.~'~';':';.J''''~' ,;~ . , .. . . . .' ." :.~:" \.... .-. ,~~~,;i:,:'."~'::;:': t,'Crrx. <IF:, )1~.m-.Q~p;:Lp~\q.RJ:;GO~:\;i~\,.j '; :~ ',',: i . : .. ....', '!:.''.;.~.. ~ ~ ~ ,: .... .,.1" ELECTRICAL~RM. IT APPLICATION City Job Number ''J'Y);J([1)3 -{Y)y~ I. LOcATION OF INSTALLATION: 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5~'IY126-~n~asS"b",'t ' ' '.' , 11 Zo require I feCI has t' ,. .; D.2!e rling rV ^ sPeCiti 'he fOI/ . /, ? 6:5 .;".. . '::'\<ufC C Jana ":e"'/ng I --1/2: 3. .. CO~iErE FEE S~:J.'ljjiJiEBE - 4145 Jasper Road LEGAL DESCRIPTION IfOLOS-Z '3 JOB DESCRIPTION 60L( 0:3, ;:' .. -~~ '.,.:-,.... ' . ~"'''::!i.\.-''_~-~~ c'.. rw'. 'it.t~--'r; .k_ A. New Resldentlal-, Smgle or Multl-FamIly.per'd\ve :uriit;' :'> .. ,".-, .~', .. ...... '_":--X'''--:-:",,t..--''"-'.>d.'~..'', Service Ineluded Reconnect fee for reoair of meter 1000 sq. ft. or less Each additional 500 sq, ft. or portion thereof $106.00 $ 19.00 Permits are non-transferable and expire if work is Each Manucact'd Home or not started within 180 days of issuance or if wor~,isU to Modular Dwelling Service or SUS~~,~!!~~?,~t~~~;:'~t~~I,~;~~~~9~~;~~,~~ilitYt ~~~~~~" ,",.;"';;. ~"," '-'. ,'_ ,. "":";~~~~ff'j~~ny.e 2 . CO~CTORI.N." Sl-A.r:~'1-:TIOJViONl,Y".t for B. I Ser,'icfs,o~ I'{eder's ~ Installation, Alle~ations:or;Relocatio;,::;":> . ....'Not1fiCBctI'OnV\:l.lI""'". - YdjAR~52-00 '-_'.,iC.,_,._,c -,.,' '.~- ,',10, ,. ':f_ _.:.',':"~~k!""""=.":~c ,,,,,^ClQ<;2_001-0010throug ,,' ~ ,,,,,,, \ ' Electrical Contractor The.,Murohv,ioHa,r,r-ils r <;;ompanyOO Amps or less $ 63.00 0090;,;OU\~~~~e~t~r. (Note: the tele.~none 201 Amps to 400 Amps $ 75.00 Address t'J?49'1\'9tl1"Str,eetm Utility Notlflca\1On 401 ~li\inb.MO Amps EXp,nE IF T'-I~\~t9~( nUIIIU"'c~~t~; is 1_800-332-2344). 601 AMP'$ Po[j'OO&IAJj~~~~ 1HI~ 'Dr:Q~!11$;I,gO,OT City Sorinqfield Phone 736-1292 OverllbOiH\ll?~VV'6Mfn IS ABA;,':-nhlr:n ~~7~.00 Reco@i9C110lliylCED\)n "-,' $50.00 F;xc).OO lr.,.J<Jt;.).,~~. ,~.~;"~~".Io.,~:...",,.., '.", ',~. 'i"!i....."','~.~"'.;..".~"'..'. '....".j Supervisor License Number 4 0 9 4 S c. ~T,~~p"~.~;try,~~9:'!.~~r/f~~~d~rs)J,~~'>:it;"?i~tt..~(1j;:,r~~~~i.:~:: Constr. Contr. Number 20-474 C Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. *f~c~iei~Gits~~~~~~,~~~'" ',"l' ~', -" ,'-LI('.......~._-.~._.,.._,.-" ~~~.:PJ",.~-..""'..,. .,."" $ 50.00 $ 69.00 $100.00 Expiration Date 10/1/04 Expiration Date 1 0 / 1 / 0 4 Signa~::e~~ing ~ectriCian ~()n~ 'Z-S -{ - Owners Name Lott.:, I~JR..''-'-\c s "- Address 4{'-/"- -;S-""S fCS'f'L (2.0, City SPr0. . Phone New Alteration or Extension Per Panel qne Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. kfi\lli~~ii~~'~~(S~I~~)fe~m1;~t/ffia~~r~imI~~1aiiitit;t . ~".~,_~.,..,.~"..,;';'-'l,\4;_""~;~''''''-:1"~''''''N_r..r.>.r.':.t""U ,(!...... . W'. n_ . OWNER INST ALLA nON Pump or inigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is 545.00 + Surcharges 4. rliSUBTOTAL'OFABm_ r~'",""}i""!~.i&;;tfi:4:'" '..' ", c:::::n.f1:J 3,SD <==).00 ~~.cz:-n 7% Stale Surcharge 10%' Administrative Fee The installation is being made on ~'V~--'J I own which is not intended Cor sale, lease or rent Owners Signature: Inspection Request: 726-3769 TOTAL Shared Drive(T,)lBuilding FonnslElc:clrical Permit Application 1~3.doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00844 COM2003-00844 COM2003-00844 Payments: Type of Payment Check 4!.~t...~,~~._,_,__,". IIE.....,....'...".~,.;... .~~; , "_ 1 ',." ...._, .' """'-"'- "',' Receipt #: 2200200000000001509 Description + 7% State Surcharge + 10% Administrative Fee Service Reconnect Paid By MURPHY-HARRIS COMPANY Received By njm Check Number Batcb Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department. Date: 09/11/2003 1 :02:24PM Amount Paid Item Total: 3.50 5.00 50.00 S58.50 How Received In Person Payment Total: Amount Paid S58.50 S58.50 . .