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Home My WebLink AboutPermit Electrical 2004-05-20Building/Combination Permit Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00604ISSUED: 0512012004APPLIEDz 0512012004 EXPIRESz 0410712005 VALUE: SITEADDRESS: 9314THST ASSESSOR'S PARCEL NO.: 1703352107600 PROJECT DESCRIPTION: Install new panel and misc. OWNCT: ULBRICHT JEANNIE E Address: 931N 4TH ST SPRINGFIELD OR 97477 Springfield TYPE OF WORIC Single Family Residence Contractor Type Electrical Contractor JB ELECTRIC Expiration Date 03n412008 to ti$esidential Phone 541-687-5770 torth in OAR 952-001 0090. You may obtain coples of the rules bY ter.ote: th e telePhone e r is 1-800-332 -2344\ License 104929 m # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains DEVELOPMENT INFORMATION Description Type of Construction Total Value of Project Value Date Calculated t-ul LLl you Those are sub-panel in Valuation Description I N01 Building/Combination Permit Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00604ISSUED: 0512012004APPLIEDz 0512012004 EXPIRESz 0410712005 VALUE: Fee Description + l0o Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + l0oh Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical + l0o/o Administrative Fee + 7Yo State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $7.s0 $s.25 $12.00 $63.00 $4.s0 $3.1s $43.00 $2.00 $6.30 $4.41 $63.00 $214.1r Date Paid st20t04 5t20t04 5t20t04 st20t04 7t9t04 7t9104 7t9t04 7t9t04 t0t7t04 t0t7l04 t0t7t04 Receipt Number 2200400000000000618 2200400000000000618 2200400000000000618 2200400000000000618 1200400000000001062 1200400000000001062 1200400000000001062 1200400000000001062 2200400000000001255 22004000000000012ss 2200400000000001255 Plan Reviews To Request an inspection call the24 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 Electric Service: Approval required prior to utility company energizing service. 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 70f .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 Pase2 of2 Date R F ees raro I Keourreo lnsDecuons 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Oflicial Receipt .velopment Services Department Public Works Department RECEIPT #: 2200400000000001255 Date: 1010712004 tz24z49PM Job/Journal Number coM2004-00604 coM2004-00604 coM2004-00604 Description Perm ServlFdr 200 amps or less + 7% St^te Surcharge + l0% Adminishative Fee Amount Due 63.00 4.41 6.30 Item Total:$73.71 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check JB ELECTRIC ddk 14762 In Person $73.71 Payment Total: -5737 10t7t2004 Page I of I rI rfa rI Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00604ISSUED: 0512012004APPLIED: 0512012004EXPIRESz 1112012004 VALUE: SITE ADDRESS: 931 4TH ST ASSESSOR'S PARCEL NO.: 1703352107600 PROJECT DESCRIPTION: Install new panel and misc. wiring. Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential OWNCT: ULBRICHT JEANNIE E Address: 931N 4TH ST SPRINGFIELD OR 97477 Contractor Type Electrical Contractor JB ELECTRIC Expiration Date 03n4t2008 Phone 541-687-5770 \o License 104929lrl CONTRACTOR INFORMATION # of Units: Primary Occupancy Secondary Primary Construction Secondary # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: gi Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Type: nla $ Per Sq Ft or multiplier \t Square Footage or Bid Amount REQUIRED PARIflNG Total: Handicapped: Compact: Total Value of Project DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Page I Value Date Calculated EIts 101 gte Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00604ISSUED: 0512012004 APPLIEDz 0512012004EXPIRES: 1112012004 VALUE: Fee Description + l0oh Administrative Fee + 7%o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + lOoh Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Minimum/Adj ustment Electrical Total Amount Paid Amount Paid $7.s0 $s.25 $12.00 $63.00 $4.s0 $3.15 $43.00 $2.00 $r40.40 Date Paid 5t20t04 5t20104 st20t04 st20t04 7t9t04 7t9t04 7t9t04 7t9t04 Receipt Number 2200400000000000618 2200400000000000618 2200400000000000618 2200400000000000618 1200400000000001062 1200400000000001062 1200400000000001062 1200400000000001062 Plan Reviews To Request an inspection call the24 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 Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Insnections 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 Pase2 of2 Date \ _r ees raro I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Jity of Springfield Oflicial Receipt Development Services Department Public Works Department RECEIPT #: 1200400000000001062 Date: 0710912004 9:39:18AM Job/Journal Number coM2004-00604 coM2004-00604 coM2004-00604 coM2004-00604 Description + 7o/o State Surcharge + l0% Administrative Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Due 3.l s 4.50 43.00 2.00 Item Total:$52.65 Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check JB ELECTRTC djb 14396 In Person $52.65 PaymentTotat: ffi 71912004 Page I of 1 sPntta&t gl-o 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-37 69 OFFICE: 726-3759 I. LOCATION OF INSTALLATION 931 4th St. LEGAL DESCRIPTION JOB DESCRIPTION sub-panel in garage Permits are non-transferable and expire if work is not started within 180 days ofissuance or ifwork is suspended for 180 days. 2. CONTRASTOR INSTALLATION ONLY Electrical Contractor JB ELECTRI c. rNc. Address 4685 lsabelle St. City Eusene, OR 97402 Phone 5415875220_ SupervisorlicenseNumber L1 Og-}. Expiration Date o- CCB Constr Contr. Number 37587C 104929 Expiration Date 711t06 3t14t08 Signature of Supervising Electrician % 3. COMPLETE FEE A. New Residential-Single or Multi-Familyper Service lncluded: 1000 sq. ft.. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling B Over 1000 amps/volts Reconnect Only $ $1 $37s.00 $ - $50.00 $ - $50.00 $6e.00 $100.00 $50.00 $s0.00 63.00 4.41 6.30 coM2004-00604 a %eo Sprinqfield, OR Phone C. Temporary Services or Feeders 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see B above D. E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sigrr/Outline Lighting _ Limited Energy/Res Limited Enerry/Comm 5. SUBTOTALOFABOVE ilrNrtut 7Yo State Surcharge l0% Administrative Fee $45.m $ $ $ Branch Circuits New, Alteration or Extension Per Panel One Circuit 543.00 Each Additional Circuit or with S*ri""- or Feeder Permit S3.00 A*AU*A $ Owners Name: Address City $ $OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: s $ $2s.00 s $4s.00 $ JB Job #TOTAL s 73.71 ELECTRICALPERMIT 9LICATION City Job Number: ADD TO W 63.00 $- $- $- cityJobNumber ?f i'' | -O? "/ ,u" 1. rtEAT:IOtt OF tNgtettxro.lv 225 FIFTH STREET r SPRINGFIELD, OR91477 o PE:(541 ELE CTRI CAL PE RM IT APPLI CATT ON roval cZoning A. New Residentid - 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 3. )72G37s3 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpWolts Reconnect Only Each Additional Circuit or with Service or Feeder Permit . FADe,(r{r*llefffiga zontng, and does not s submitted has the following require specific lan d use $106.00 $s0.00 LEGAL DESCRIPTION JOB DESCRIPTION Address '-+bgS asclbe.j\e St City L.. o .'^€- Phone bXf -51] O $ 19.00 B. Seivicer or Feeder* - Installation, Alterations or Relocation: 63,@/$ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00---t- Supervisor License Number SBta-s'C. Temporary Seruicm or Feeders Expiration Date Expiration Date 3-rq. Signature of Owners Name Address City il,H 7 Phoneu/r. OWNER INSTALLATION \t0 Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. Branch Circuits New Alteration or Extension Per Panel One Circuit $ 43.00 D. 4 $3oo not included) iEach 'L.a€ Pump or irrigation $ 50.00 law 50.00 25.00 made on property I ownwhich J+pited&+ggr/&rnlhuddrulm ars rd b&s.oo lease or rent.tr+ ALL EXP 0090,. You,m o Owners Signature.PERMIT IS NOT 4.talgDt.pnt qo ITJ{frfl[rff;l::il: Ti]i5 PEfri,lIT SH THE WORK E. lVliscellaneous (Service/feeder number for the Oregon Utility Notilicatlon 7% Statqfu 6$p4sq €00-332-2340! l0% Administrative Fee TOTAL ABANDONED FOR 2r Request: 72G3769 fo Jb JdoF sy'26o Surcharges ?r ,(4fu2 <aytoi ,czzre, Wraut< Permits are non-transferable and expire if work is not started within 1E0 days of issuance or if work is Suspended for 180 days. ElectricalContractor 5B f te.:$f , C Signature to- [-(3({ Constr. Contr. Number i O'-{ q, q ^?, OF Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 lnspection Line Building/C ombination Permit PERMIT NO: COM2004-00604ISSUED: 0512012004APPLIED: 05/2012004 EXPIRESz 1112012004 VALUE: SITE ADDRESS: 9314TH ST ASSESSORTSPARCELNO.: 1703352107600 PROJECT DESCRIPTION: Install new panel and misc. wiring Springfield TYPE OF WORI(: Single Family Residence TYPE OF USE: Repair Residential OwneT: ULBRICHT JEANNIE E Address: 931 N 4TH ST SPRINGFIELD OR 97477 Contractor Type Electrical Contractor JB ELECTRIC Expiration Date 03n4t2008 Phone 541-687-5770 License 104929 BUILDING INFORM, # of Units: Primary Occupancy Group: Secondary Occupancy Group : Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Vo ofluot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla REQUIRED PARJ(NG Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Sidewalk Type: Downspouts/Drains: ATTENTI ON:Oregon taw requtrel }otJb follow rul es adoPted bY the Oregon Uttlity $ Per Sq Ft or multiplier DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Valuation I Description Type of Construction Total Value of Project r. Those rules are 36t lortt L L 'l -:r Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00604ISSUED: 0512012004APPLIED: 05/2012004 EXPIRESz 1112012004 VALUE: Fee Description + 10o/o Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv8dr 200 amps or less Total Amount Paid Amount Paid $7.s0 $s.25 $12.00 $63.00 $87.7s Date Paid st20t04 5t20t04 5t20t04 st20t04 Receipt Number 2200400000000000618 2200400000000000618 2200400000000000618 2200400000000000618 Plan Reviews To Request an inspection call the24 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. I Rough Electric: Prior to Cover 2 Electric Service: Approval required prior to utility company energizing service. 3 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 card is located at the front of the property, and the approved set of plans will remain on the site at all times during Owner Date Pase2 of2 t(equrreo lnsDecuons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone city of Springfield Official Receipt -velopment Services Department Public Works Department RECEIPT #: 2200400000000000618 Date: 0512012004 3:10:27PM Job/Journal Number coM2004-00604 coM2004-00604 coM2004-00604 coM2004-00604 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7oh Stzte Surcharge + l0% Administrative Fee Amount Due 63.00 12.00 5.25 7.50 Item Total:$87.7s Payments: Type ofPayment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check JB ELECTRIC INC dlm 14221 In Person $87.75 Payment Total: -558 5/2012004 Page I of I ryl ffi