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Home My WebLink AboutPermit Electrical 2004-9-7 Date 1. 'ff':i!OCATIONti:fF!jj,isTJ,'T'fT!!;rllOM~'Iiif~ ~~.N'il:ii,,'1.'r"i~f"""i~"""')""""'~i.'--"'~%~~ 'L-f bl b :fAsP8'L. Q.A LEGAL DESCRIPTION igOZ-OSI3 04301 JOB DESCRIPTION b Cl 'lZ-c.....,\"'1\ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. , ~~:;~~~mvS:Dl'rrr1,f.TION?ONEY.~~ 2. ~~'.i"':H",~~~;r4!'i;l'J'i:';\"M}j 1000 sq. ft. or less , Each additional 500 sq. ft. or portion thereof Each Manufacf d Home or Modular Dwelling Service or Feeder $106,00 $19.00 $50.00 ~.~~y.~\!:~";i,:&:.~~Jt~;.~~,~,~~\t>;.~~~;:.t*~~; B. ~$~r,vic"~s:or~F,!eders~...:~ . .c t~~,~ti~~~~H9~Jk~eJ.o<;atiop':~ Electrical Contractor E A 573 Wt r C~r(l/(/( 200 Amps orless " ' " lVI \'C,. 201 Amps to 400 Amps Address "3, 'g.;>.$' 3 BOSGA GEHI~~fN6v1IT SHAL1w~>A%~f.tlf60bf~p~RK tlU I m.iMlLtU UNDElfuT!:till ~~81~ob1i J{lJ1~n Phone 7 f.9!vYf'fsED OR 1~~M~~~lliAhciU: ,,,,, IOU UtlY PERI~connect Only 'f), _ JJ' _ New Alteration or Extension Per Panel I'd J'<jq/-1 f(Jrr(iJ One Circuit ' ' ',$ 43.00 Lf :3 , ATTENTI~lui-El~ircuitp'rwith ~ .-- ~ I . _ follow rule~".lli6I'.P~o'B'9'it'pl?,l;Wyes yo~ ~ .> $ 3,00 / ) f1f/JIL~ \--1).,,,,^!r':1 ~l^"f" 'I-' Yln.Ore O~Utl _.llcatlon ~r~<lQS9'f) ,._, ,;, '~~~l~ Address \fl-f b T,As~ vUaOAR95~'d_~gn"O~-y' "..=\I"fgl.jfJ!,S.fJ.!~~,~l!':I,92~ __ -...., _ 0090. You m1!-Y- obtaij . ~-ul)l- ~,:::D. Phone "<oiling thI8I1W,t,~r 1 '~2Rl~S of the rules bv $ 50.00 -.. number for>iR~b'i[lr e el~~~g telephone $ 50,00 OWNER INSTALLATION .' Cerfuwjll'~~~~YliCation $ 25,00 The installation is being made on property I own which ' Limited Energy/Comme~ial $ 45.00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Owners Signature: 4.' :'St'B~TM;;~"",e'0 c B ;~!M~';"'~~~~f1;"*",';;"4"~ ../ ~ 7% State Surcharge If of:, 5[:jD ~. :>.? ~::::-",,,f~ 67% ~tx2 Shared Dnve(T:)/Building FonnslElectrical Pennit Application 1-03,doc City SffW Supervisor License Number 47J7s Expiration Date ) D .. 0 I - 0 y Constr. Contr. Number } I '7 7 70 Expiration Date J 0 ~ 0 J .. 0 l/ Signature of Supervising Electrician Owners Name City Inspectlon Request: 726-3769 $ 63,00 $ 75.00 $125.00 $163.00 $375.00 S 50.00 ~~JltUtJJ.~f)",~i::$l':"~$;;;:'~'~,' "~,,'-',,",'~~;}"~,'" ~~,': "', """,'" ..~,m'~ ""~;g~'-, C. ~1~~iL}~c,~~~;2r.:f~~~~~~~~~ Installation, Alteration or Relocatlon 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. n. ra'~1i~1t@lWNi~-~]'f}fJ,',~" 'ir,f , ,''1>] . -",- a9'--~~"~~'=~ $ 50.00 $ 69.00 $100,00 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01093 ISSUED: 09/03/2004 APPLIED: 08/31/2004 EXPIRES: 03/03/2005 VALUE: $ 2,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 4616 JASPER RD ASSESSOR'S PARCEL NO.: 1802051304301 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: BWOP Alteration of attic space (work not completed) Alteration Residential Owner: MARK FOUNTAIN Address: 4616 JASPER RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumhing Contractor License Expiration Date DAVIS BROS GENERAL CONTRACTORS IN63275\MG~~ 03/31/2006 EASTSIDE ELECTRIC INC ~"'Y:iO' G\ 10/04/2005 DAVIS BROS GENERAL CONTRA<tWRtt: ~'1r.1$\":) ~ 03/31/2006 BERNARD PF;p!~.I~~ c.,~t>,\.\._ -n\\'2> ~ _ iJi!.6i-G~ 0812312007 '~~\'j (B1}iI;rll~INFOwWXfiON I , \...o,U! III' '! .. t>,1J\ ",~~~lC ~\l ~~tl..\G\)' c,G~"'<;.jI'o l~~rles:' R-3 t>,~'l '\ ~e ght of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Phone 541-683-9309 541-915-9828 541-683-9309 541-343-9339 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION' ~~IRED PARKING '~e~ '1=~~ Overlay Dist: leo.~~ 0 b~ # Street Trees Rqd: O{\ \'il-~ ~e oleg ~ ~ped: Paved Drive Rqd: ~. oleg eO '0'1 ~ I~\e~ 01"'~~~$~'l % of Lot Covera~~::\O 'il-oo'\>'I ,,'{\o~e Q'{\ 0 ~e {'.) e e "'~~~~ I~~e: ee{\\~~\ 0 \'{\~~~\e~,O: ~e\e'\>:'~~ot\ I PUBLIC IMPROvij\f~~.T~-\)~i o'o\'il-~:' ~o\~~\\\'I ~~~: \{\ v '{~~ {{\ ~\e Idr~';;"-"''l:'Z.~' . 0090. . {\Q\'{\e \'{\~'I!Jo-:R.W"- c'<>>\\ :oel '01)~ii1l~outs/Drains: {\~{{\ ee';'; Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee 1 00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 2,000.00 Bid Amount Use Bid Amount Total Value of Project Fpp< PiilLI Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Fixture Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Penalty Fee - BWOP Building Penalty Fee - BWOP Mechanical Penalty Fee - BWOP Plumbing Vent Fan + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Penalty Fee - BWOP Electrical Amount Paid Date Paid $10.00 $13.50 $9.45 $45.00 $42.00 $39.00 $3.00 $45.00 $45.00 $45.00 $6.00 $5.80 $4.06 $43.00 $15.00 $58.00 9/3/04 9/3/04 9/3/04 9/3/04 9/3/04 9/3/04 9/3/04 9/3/04 9/3/04 9/3/04 9/3/04 9/7/04 9/7/04 9/7/04 9/7/04 9/7/04 Total Amount Paid $428.81 , Plan Reviews I . LI1 f OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01093 ISSUED: 09/03/2004 APPLIED: 08/31/2004 EXPIRES: 03/0312005 VALUE: $ 2,000.00 Value Date Calculated $2,000.00 $2,000.00 09/03/2004 Receipt Number 2200400000000001124 2200400000000001124 2200400000000001124 2200400000000001124 2200400000000001124 2200400000000001124 2200400000000001124 2200400000000001124 2200400000000001124 2200400000000001124 2200400000000001124 2200400000000001126 2200400000000001126 2200400000000001126 2200400000000001126 2200400000000001126 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. ~rI Tn~nections I Wail Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywail: Prior to taping. Final Building: After all requircd inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When ail plumbing work is complete. Paee 2 of3 . . CITY OF SPRIr~t.,1<lJ!,LJJ - Building/Combination Permit PERMIT NO: COM2004-01093 ISSUED: 09/03/2004 APPLIED: 08/31/2004 EXPIRES: 03/03/2005 VALUE: $ 2,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone , . a~~'_A!~,~~~~, w_,."c". ~.,:, ~ 'i '.. " ,. ""n_ ,,'._ ~ " .. \ _."f . )' JiiMy of Springfield Official Receipt "elopment Services Department Public Works Department Job/Journal Number COM2004-0 1093 COM2004-01093 COM2004-0 I 093 COM2004-0 [093 COM2004-0 I 093 Payments: Type of Payment CreditCard 9/7/2004 RECEIPT #: 2200400000000001126 Date: 09/07/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Penalty Fee - BWOP Electrical Paid By JAMES NOTTAGE Item Total: Check Number Authorization Received By Batch Numher Number How Received djb 828987 In Person Payment Total: Page I of I 8:52:19AM Amount Due 43,00 15,00 4.06 5.80 58,00 $125.86 Amount Paid. $125.86 $125.86