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Home My WebLink AboutPermit Electrical 2006-03-07Status Issued 225 Fifth Street, SPringfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 InsPection Line SITE ADDRESS: 176 S 38TH ST ASSESSOR'S PARCEL NO.: 1702314207001 PROJECT DESCRIPTION: Add 2 Circuits for heaters Building/Combination Permit PERMIT NO: COM2006-00272ISSUED: 0310712006 APPLIEDz 0310712006 EXPTRES| 0910712006 VALUE: Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Residential Phone Number: 541-7474199Owncr: Addrcss: DON JACOBSON 176 S.38TH ST SPRINGFIELD OR 97478 Contractor Type Electrical Contractor J C ELECTRICAL SERVICES License 148166 Expiration Date 0612812007 Phone 541-988-6466 ge o.tL. Building:nlz Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: g\ $u( Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Strect Improvements: Storrn Sewer Available: Special Instruction: Notcs Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: REQUIRED PARI(NG Total: Handicapped: Compact: ts$ $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Tvpe of Construction Pase 1 of2 Value Date Calculated r-t ]^t # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Secondary Construction # of Bedrooms: b.I o \$( S'a'l \(\orn .{oU $e o\ os Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-36768ax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00272ISSUED: 0310712006APPLIEDz 0310712006 EXPIRESz 0910712006 VALUE: Fee Description + l0o Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + l0o Administrative Fee + 8(% State Surcharge Add, Alter, Extend Circ Ea Add Amount Paid Total Value of Project Date Paid 317106 3t7t06 3t7t06 3t7t06 3t28t06 3128t06 3t28t06 Receipt Number 12006000000000002s9 12006000000000002s9 1200600000000000259 r200600000000000259 1200600000000000356 1200600000000000356 1200600000000000356 $4.60 $3.68 $43.00 $3.00 $1.80 $1.44 $18.00 Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Reouired I By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all '*information hereon is true and correct, and I further certify that any anO atl work performed shall be done in accordance with" the Ordinances of the City of Springfield and the Laws of ihe State of Oregon pertaining to the work described herein, andthat No oCCUPANCY will be made of any structure without permission of tn" Co--u-nity Services Division, Building Safety.r further certify that only contractors and employees who are in compliance with oRs 701.00s will be used on this project.I further agree to ensure that all required in-spections are requestea at ttre proper time, that each address is readable from thestreet, that the permit card is located at the front of the property, and the appioved sei of plans will remain on the site at alltimes during construction. Owner or Contractors Signature Pas,e 2 of 2 Date ..:.:.ii]i-$ ; r ees raro I Total Amount Paid $75.52 225 Fifth Street Springfielrl, Oregon 97 47 7 541-726-3759 Phone 'ity of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 1200600000000000356 Date: 0312812006 11:23:49AM Job/Journal Number coM2006-00272 coM2006-00272 coM2006-00272 Description Add, Alter, Extend Circ Ea Add + 8% State Surcharge + l0% Administrative Fee Amount Due 18.00 1.44 1.80 Item Total:s21.24 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Cash Change JC ELECTzuCAL SERVICES JC ELECTRICAL SERVICES djb djb In Person In Person Payment Total: $21.2s ($o.ol) $2r.24 Jqb/Journal Number Description Add, Alter, Extend Circ Ea Add + 8% State Surcharge + l0% Administrative Fee coM2006-002 ibuzooo-ooz,.} ctoM2006-002 72 72 72 Amount Due 18.00 t.44 1.80 Item Total:$21.24 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Cash Change JC ELECTRICAL SERVICES JC ELECTzuCAL SERVICES djb djb In Person In Person Payment Total: $2t.2s ($o.ol) $21.24 3128/2006 Page I of I SPETHOTIILII 225FIFTHSTREET o SPRINGFIELD,OR97477 o PH:(541)726-3753 oFAX:(541X26-3689 ELE CTRI CAL PERMIT APPLICATION h, City Job Number Csut-t Z>C,A (> OZTL Date 3 I. LOCAruON OF INSTALIATION 3. COMPLETE FEE SCHEDULE BELO'II S 4L LEGAL DESCRIPTIONlzoz sl ctz oToo( JOB DESCRIPTION ,Ad[ 5 Lurc*{4 l.-.a SPFI'hlcF]ELE!ZON INITIALS DATE SOURCE z o 6 A. New Residential - Single or Multi-Family per dwelling unit' Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $ 106.00 SFr + Permits are and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ) Electrical Contractor Address ,*,4 JL Phone 200 Amps or less 201 Amps to 400 AmPs 401 Amps to600 AmPs 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only C. Temporarl'Services or l'eeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 V D. Branch $ 19.00 $50.00 coNTRAC:toR INSTALIATIONONLy B. sen,ices or Feeders - lnstallatiou. Alterations or Relocation: $ 63.00 s 7s.00 $ 125.00 $ 163.00 $375.00 $ 50.00 Supervisor License Number Expiration Date 0 Constr. Contr. Number o-q77L -o ownersN*")r-- (coLS*- Address t"6 3gtL^E. ciry >+F} Phone 7'17 - qi ? OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. q-l-- .00& E ( New Pump or irrigation Sign/Outline Lighting Limited Energy/Residential s 43.00 tg -Each Installationnot included) $ s0.00 $ 25.00 $ s0.00 Owners Siggatqre:Lw^\rr,qt Yfu,4. suBrorALoFABow , lPI! 8% State Surcharge ^L.X l.--., to% Administrative Fee ,nt- g4,f*:? rorAl, *t 6of Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges /g tq( loo Inspection Request: 726-3769 Shared Drive(T:)/Building Forms/Electdcal Pennit Application I -06.doc -!ITY OF OREGON Each Service One TlzL LD?- use 225 FIFTH STREET ' SPRINGFIELD, OR 97477 ' PH"(541)726'3753 r FAX:rs69?I#3kas Zoning ELECTRICAL APPLICATION ?-t-e City Job Number l.3. COMPLETEFEESCHEDULELOCAT I ON O F IN ST ALLAT IO N ,C'L 1 LEGAL DESCRIPTION D JOB DESCRIPTION 2 laf s Fnn-rtT ft Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. 2. coNTRAC:roRrNSrALr,ATroN0NLY Electrical contractor .5( [irr- + '.; a Address A.NewResidential_SingleorMu|ti.Familyperdrvellingunit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or pot{0,TlBEf E JfilfibPJ?fiSfl E &HAtrL E X P MAililf# ORIIEE IH{,Offi T H I s PERMIT ls ft0foF€@MMENCED OR Relocation:B. Date 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 AmPs 601 Amps to 1000 AmPs Over 1000 AmPs/Volts Reconnect OnlY Pump or irrigation Sign/Outline Lighting Limited Energy/Residential 8% State Surcharge l0% Administrative Fee TOTAL $106.00 $ 19.00 IRE IF THE WORK n 0 ci.y 1r.+*.r:J4- Ph""" 776' t \lb b Supervisor License Number ,+ Expiration Date o Constr. Contr. Number Expiration Date Electrician Owners Name / C. Tentporarl'Sen'ices or Feeders lnstallation, Alteration or Relocation 200 Amps.or less -...*;+ $ 50'0q t 201 Amps to 400 AmPs $ 69'00 401 Amps to 600 AmPs $100'00 Over 600 Amps or 1000 Volts see "B'' above' D. Branch Circuits New Alteration or Extension Per Pang| One Circuit +$ 43.00 tt3.e'O 33*,*'."T,;:::::;:'*1i'*-n .at $300 '3,Oo E. f{iscellaneous (Sen'icelfeeder not inctuded) -Each Installation $ 63.00 $ 75.00 $ 125.00 $ 163.00 $375.00 $ 50.00 $ s0.00 s 50.00 $ 25.00 Address dr City Phone -( OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ti I Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. suBrorAL oF ABovE /+L CD 3lo$ 4-(oA 54,2{Inspection Request: 726-3769 Shared Drive(T:)/Building Forms/Electrical Permit Application l-06.doc CITY OF SPRINGFIELD,ORE,GON hot BELOW Zc-cl -'= " (- Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 Inspection Line Building/Combin ation Permit PERMIT NO: COM2006-0027 2ISSUED: 0310712006APPLIED: 0310712006E)?IREST 0910712006 VALUE: F SITE ADDRE$S: 176 S 38TH ST ASSESSOR'S PARCEL NO.: 1702314207001 PROJECT DESCRIPTION: Add 2 Circuits for heaters Springfield TYPE OF TYPE OF USE: Electrical Work Only Residential Owner: Address: Contractor Tvpe Electrical DON JACOBSON 176 S. 38f,H ST SPRINGFIELD OR 97478 NUTI THIS PE AUTHOR IZED UNDER THI nutr sunlL EXP tRE lF THf$f,gRNumber: s4r-74741ee i prnutr ls NoT Contractor J C ELECTRICAL SERVICES INC License 148r66 Expiration Date 06t2812007 Phone 541-988-6466 DEVELOPMENT # of Units: Primary Occupancy Group: Secondary Occupancy Prim ary Construction Type Secondary Construction # of Bedrooms: Frontlard Setbaclc Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacls: Street Storm Sewer Available: Special Instruction: Notes: # ofStories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: nla 0ccupant Load: Sidewalk Type: Downspouts/Drains REQUIRED PARI(NG Total: Handicapped: Compact: $ Per Sq Ft or muftip[er Square Footage or Bftl Amount PUBLIC IMPROVEMENTS Description Type of Construction lof2 Value Date Calculated Valuation Description I Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 Inspection Line Building/Combin ation Permit PERMIT NO: COM2006-00272ISSUED: 0310712006 APPLIEDz 0310712006 E)GIRESz 0910712006 VALUE: Fee Description + l0o/o Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Amount Paid $4.60 $3.68 $43.00 $3.00 $s4.28 Total Value of Project Date Paid 317106 3t7t06 3t7106 3t7t06 Receipt Number 1200600000000000259 12006000000000002s9 12006000000000002s9 1200600000000000259 ees Paid Plan Reviews To Request an inspection call the24 hour recording at 72G3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rennired fnsneet By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all , information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCI PAIICY will be made of any structure without permission of the Community Services Division, Building Safety. I further certiff that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. - I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction Owner or Contractors Signature 2of2 Date \ 225Eifth Street Springfield, Oregon 97 477 541:72G3759 Phone City of Springfield Official Receipt -revelopm ent Services Departm ent Public Works Department RECEIPT#: 1200600000000000259 Date: 0310712006 10:20:05AM Job/Journal Number coM2006-00272 coM2006-00272 coM2006-00272 coM2006-00272 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + l0o/o Administrative Fee Amount Due 43.00 3.00 3.68 4.60 Item Total:$s4.28 Payments: Type ot Payment Paid By Received By Check Number Bdch Number Authorization Number How Received Amount Paid Cash DON JACOBSON ddk In Person $54.28 Payment Total: ---53i76- I't. 'I 't ii' 3/7/2006 lofl alrtrllaiD