HomeMy WebLinkAboutPermit Electrical 2002-10-4
the \0110Wi09 . ~
roject as S\,lb~itt:de~~~c land use (\ fYY'\Q!'tO -0'\ IT;
225 FIFTH STREET 1ne'0110W~~9J'oes oot requIte P . ELECTRICAL PERHI~~C~:fo'N '\\
SPRINGFIELD, OREGON 97477tonll\g a lS)V -
INSPECTION REQUEST: 726_jV\','~.a\ 1.0ni09 _, ~ _ 0 ,t _~'V~: '~J. ob Nwnber (;E.L:.....-~::.. 0-~ I 00
OFFICE: 726-3759 !\v' "\ --~ _
Dale ~ :J.; ~FJ.Il r r.r. SCHEDULE BELOY
1 r j.OC!lJION)IF INSIALLATIQ~.iA'L.u Slgoeture
'JI.3/1s' Jajpf3t#L- LYIJ' . A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
JQB DESC,R.I}'TION ~ . ) 1000 sq. ft. or less
f11'-W 5 e~ v:ce "-lkk1. +jl~:rf.'I1~/ Each additional,500
, ( sq. ft or portlon
Permi ts are non- transferable and expireq;. thereof
if work is not started within 180 days:,/;. lk:i,.Each Manuf'd Home. or
of issuance or if work is suspended/\f9,rO!~ru~' '..Modular Dwelling
180 days. I,'O./OqIIO E'sqSeri,;ice or Feeder
, '., 0090 1y9s.~'I}C&/;.~0/J/e<:,c/.q/A
2. CONTRACTOR INSTALLATION ONLY C'q' You ~B70, Servi'ces/~or€>J'eeders
, 1'\/01 / ("71 //i~,; 0q -o]!l,sf~'1Jt,!i:%!~IIA~terations
Electncal Contractor!/-/!5:::L1 5 ~e.t.1e/~:o('?Ji (Re,tOCa'~JJ>nEol/'oUto
11 1A. n v7 C orlll 'l}1&t:. noor}'91t() qr&n Uli/i I
Address ..y, 0 D (}.L .;1. S "/ 'D. / S,)!s' & 0..; 200oi~,mi>1'i gr1If~~S'! In~
. , , r is, ~'20l amps Oto/&400?amps,
Ci ty t.u.~e..n-e.. Phone 9 (JS'" ;J/S'iJ '8(~9iUai;1Jp.~ Iltg ~'OQSfrips
U 601""amps/otoV'100'0 tamps
C 7<> .s ~ f/,/ ',:':J ~
Supervisor License Number A'- Over 1000 amps/volts
Date 10 /..4. Reconnecl Oni}?/)
Expiration .....J
~ C. Temporary Services or Feeders
Constr Contr. Number /iJ '/.'. Installation. Alteration or Relocation
~ ~.
Expiration Date-1,IO 3i:a(j''''%~4flrr/' 200 amps' 'OT less
AA' ~4f,l: <C:Q~/JQl 201 amps to 400 amps
Signature of supervisinga'~:W;~~~ 'DEli fJ(pllil),ver 401 to 600 amps
tfJ /7 _;.-- h 'f/(} b"y 'Ii 1$ ''''1$ A r:/II'fi.t. 600 amps or 1000
~ I- c~~ PFlf.1 ~8AAI^ 1~~4fI rcl1'1), .
Owners Name U S I1) VeJ.) . ~u. ~rJ.IOIVfb1o.'I9IVo~Ui ts
5'-91 J r I' ,/lIi/1 New. lilteration or Extension Per Panel
Address IV "7 lo/~ew U V.I
~ity 5, P .f1iN/j9 Phone!l9f' j!JJ1
OllNER INSTALLATION
LEGAL DESCRIPTION
I <J.Oz. OS Z. Lf
eb606,
~The installation is being made on
property I own which is not intended
Q.. Qi.or sale. lease or ren t.
~ ~ Owners Signature:
~ --------------------------~y~p1 ---
~ :~~~fl.: ';;,~
~ RECEIVED BY: Y
One Circuit
Each Additional
Circuit or with Servic~
or Feeder Permi t -.l.{!- $ 1.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
Items
Cost
Sum
$ 85.00
$ 15.00
.$ 40.00
$ w: UJ/
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
.-
$ 35.00
'/
1k
$
$
$
$
~I
!>67
b4f'
<1'S~
40.00
40.00
20.00
36.00
.
Status:
Issued
225 Fifth Street, Springfield. OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 43t8 JASPER RD
ASSESSOR'S PARCEL NO.: 1802052406600
PROJECT DESCRIPTION:
Addition and Remodel Residence
Owner: LESTER M TOVEY
Address: 4318 JASPER ROAD SPRINGFIELD OR 97478
Contractor Type
Electrical
Contractor
PHANTOM INC
LESTER TOVEY
# of Buildings:
Primary Occupancy Group: R-3
Secondary Occupancy Group:
Primary Construction Type VNSpr
Secondary Construction Type:
# of Bedrooms:
.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01174
ISSUED: 10/04/2002
APPLIED: 10/02/2002
EXPIRES: 04/04/2003
VALUE: $ 41,927.00
TYPE OF WORK Bedroom
TYPE OF USE: Addition
Phone Number: 541-98-3314
Contractor Information I
License
109864
, , tlUILUlNli IN~UKMAnUN I
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Expiration Date
01/14/2003
Phone
541-935-2154
541-98-3314
2
23.00
Wan Heat
Path 1
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
89,734
495
SETBACKS
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Bid Amount
Dwellines
Type of Construction
Use Bid Amount
V Wood Frame
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
~ PUBLIC IMPROVEMENTS I
I Valuation Description I
$ Per Sq Ft Square Footage
$1.00 5,000.00
$74.60 495.00
Page 1 of 2
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
Value
$5,000.00
$36,927.00
Date Calculated
10/02/2002
10/02/2002
.
I
I
I
""'~:
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: COM2002-01l74
ISSUED: 10/04/2002
APPLIED: 10/0212002
EXPIRES: 04/04/2003
VALUE: $ 41,927.00
SITE ADDRESS: 4318 JASPER RD
ASSESSOR'S PARCEL NO.: 1802052406600
PROJECT DESCRIPTION:
TYPE OF WORK Bedroom
TYPE OF USE: Addition
Addition and Remodel Residence
Owner: LESTER M TOVEY
Address: 4318 JASPER ROAD SPRINGFIELD OR 97478
Contractor Type
Electrical
Contractor
PHANTOM INC
LESTER TOVEY
# of Bnildings:
Primary Occupancy Group: R-3
Secondary Occupancy Group:
Primary Construction Type VNSpr
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Bid Amount
Dwellin~s
Type of Construction
Use Bid Amount
V Wood Frame
Phone Number: 541-98-3314
Contractor Information I
License
109864
Expiration Date
01/14/2003
Phone
541-935-2154
541-98-3314
I 8UILUlNl,; IN~UKMAnUN I
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
2
23.00
Wall Heat
Path I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
89.734,
495
I DEVELOPMENT INFORMATION I
REQmRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspoutsmroins:
I Valuation Description I
$ Per Sq Ft Square Footage
$1.00 5,000.00
$74.60 495.00
Value
$5,000.00
$36,927.00
Date Calculated
10/0212002
10/0212002
Page I of2