HomeMy WebLinkAboutPermit Electrical 2008-7-14
CITY OF SPRIN\Jl'lJ'.,LD
Building/Combination Permit
PERMIT NO' COM2008-01045
ISSUED: 07/14/2008
APPLIED: 07/14/2008
EXPIRES' 01114/2009
VALUE'
Status
Issued
225 Fifth Street, Sprmgfie1d. OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspechon Lme
SITE ADDRESS 1355 WATER ST
ASSESSOR'S PARCEL NO 1703274407200
SpTlngfield TYPE OF WORK ElectTlcal Work Only
PROJECT DESCRIPTION RewIre house and temp power
TYPE OF USE RepaIr
ReSIdentIal
Owner DALLAS VANCE
Address 1355 WATER ST
SPRINGFIELD OR 97477
I CONTRACTORINFO~MATlON I
Contractor Type
ElectTlcal
Contractor
JEM ELECTRIC INC
License
161235
# of UUlts
PTlmary Occupancy Group
Secondary Occupancy Group
PTlmary ConstrnctlOn Type
Secondary ConstructIOn Type
# of Bedrooms
I BUILDING INFORMATION I
ATTENTIOrw .qr~9aJaw requires you to
R!llllow rulesH~e!ilfA\f~~~egon Utility
-N'oliflcatlon CjlQb~~rr Pi t?~ rules are setforth
In,OAR 952..CJWfR tough OAR 952..CJ01-
0090. You m'Wa~ 9: pies of the rules by
calling the ~n.ll ~e: the telephone
number for 1\' IDllY~NotJficatl"'"
Cent PIS ~!2S44).""'" a
I DEVELOPMENT INFORMATION I
Frontyard Setback
S,de 1 Setback
SIde 2 Setback
Rearyard Sethack
Solar Setback.
Overlay ~Dlst.
# Street Trees Rqd
Paved Dnve Rqd
% 01 Lot Coverage
...-......
Phone Number 541-
ExpiratIon Date
09/07/2008
Phone
541-729-1074
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
REQUIRED PARKING
Total
Handicapped
Compact
Street Improvements
Storm Sewer Available
Special InstructIOn
IPUBLIC IMPROVEME~TS I
NL III..". __oS d II> T e
THIS PERMIT SHAll EXPIRE IF THE woAK yp
AUTHORIZED UNDER THIS PERMlTqS"tfM"utsIDrams
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes
I ValuatIOn DescriDtlOn I
DescriptIOn
$ Per Sq Ft
or mult'pher
Square Footage
or BId Amount
Tvpe of ConstructJon
Page 1 of2
Value
Date Calculated
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED,
APPLIED:
EXPIRES,
VALUE:
COM2008-01045
07/14/2008
07/1412008
01/14/2009
225 FIfth Street, Sprmgfield, OR
541-726-3753 PhODe
541-726-3676 FdX
541-726-3769 InspectIOn Lme
Total Value of Project
Fees Paid I
Fee DescriptIOn
+ 10% AdmmlstratJve Fee
+ 12% State Surcharge
+ 5% Technology Fee
ReSIdence Wmng 1000 Sq Ft
ReSIdence Wmng Ea Addtl 500
Temp Power 200 amps or less
AmouDt PaId
Date PaId
$1930
$23 16
$965
$11700
$21 00
$55 00
7/14/08
7/14/08
7/14/08
7/14/08
7/14/08
7/14108
Receipt Number
1200800000000000769
1200800000000000769
1200800000000000769
1200800000000000769
1200800000000000769
1200800000000000769
Total Amount PaId
$245 II
I Plan Reviews I
To Request an mspectlOn call the 24 hour recordmg at 726-3769, All mspectlOns requested before 7:00
a.m will be made the same workmg day, inspectIOns requested after 7:00 a,m will be made the followmg
work day,
I Reo,~nred ~ ~~recho~s I
Temporary Electnc Approval reqUIred pnor to UhlIty Company energlzmg pole
Rough Electnc Prior to Cover
Electnc Service Approval reqUIred pnor to uhlIty company energIZIng servIce.
Fmal Electnc When all electncal work IS complete
By sIgnature, I state and agree, that I have carefully exammed the completed applIcatIOn and do herehy certify that all
mformahon hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance WIth
the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structure Without permiSSIOn of the Commumty ServIces DIVIsIOn, BuIldmg Safety
I further certJfy that only contractors dnd employees who are 10 complIance WIth ORS 701 005 wIll he used on thIS project
I further agree to eDsure that all reqUIred mspectJons are, equested at the proper tIme, that each address IS readable from the
street, thdt the permIt card IS located at the front of the property, and the approved set of plans WIll remam on the site at all
times dunng constructIon
Owner or Contractors SIgnature
Date
Page 2 of2
ZON \d.-N
INITIALS N r>----'
DATEI-\ '--l-OlS
225 FlFTII STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 SOURCEf)'l ~~..,)
ELECTRICAL PERMIT APPLICATION
CltyJobNumber {"OWl ZOO 2s' - 0(04 S- Date ,--/4 -0 &;
I gQCA:fiONOFWSTALfA7tO~,i 3 ~:C;qMyLE'IJ1~fjfESc;i{~iJ'oJ;.EBEt{j(V.,=
/3SS w/tTefL ST"
LEGAL DESCRIPTION A l:N~R~ld~n~~!.rSI~gie 9;" ~-"lpJi'a';'Jitpefd~~lli~g\in;r<tl
IID~27l(l( o7ZC>C:> Service Included 117
JOB DESCRIPTION 1000 sq ft or less I ~ 00
,I J Eacb addItJonal 500 sq ft or I - ( I
NT; V- ~ f!" r .Il .1R' l , ~t441' porlion thereof $)'l 00
Permits are non-transferable abd expire If work IS Each Manufact'd Home or
not started W1thm 180 days of Issuance or If work IS Modular Dwellmg Service or
Suspended for 180 days Feeder
2 ~..4Co.~~~. "~~P _:~~. '%.1, p.-'Ji :m." .. ~.'.'1:.-- jj..,r.4TI,O. ~Q!NL.".. ?~ r; / " - '-'V R0"'zt'?' 't" --f> -J~'* '''' ';,*,U~;"i"J'b" A:""~'::"'0'*,!"''''h'100 "4- 'I
7, _~'" ~ ~._~_ ~~, _ _ ~ _ _ ___.,_ .co. _w_r~ ~~ B l:~SeM~~or: ~~~!!5,::'~s~~~~~t~~_~~~,,?'r: ~~~~~P?~r =~'_
....) t:.Uv\. E:f-e'ct-JC 200 Amps or less $6300
201 Amps to 400 Amps $ 75 00
Address ~')~TT~~~ ~. 401 Amps to 600 Amps $12500
N~;7W rUles ado~~ IV req':!!s yoU~1 Amps to 1000 Amps $16300
Clty"VIL1Nc:!lf'Ca.!'~Qooter/!llfiil~J'Ol'r,eon Util!lr 1000 AmpsNolts $37500
~ -OOl-0010throughQ reSelfdijijonnectOnly $5000
callmgO~~~~bt inico le.s..Of~~ ~r-OOl,..0''l ,.'.Hiff". .,','" iff..... .... ...".....".."'j,,~"'..'v';-". ;-'d4ZffI,"1fhV."it"..'''''~
SupervIsor LlcensllllllJ:ilimrtor ttJ . _ ~ I('Ie h _'lf~mp>orarySemc^~s pr ~F,eei!~rs~0012r"i{'k t~~1~~?H~~~;&>'~qs~Y ':j
CeAter ~ n tlllty NOlie one
Exprral10D Date IU - r 1-~2-2344). catIoItnstallatJon, A1terallon or Re10catJon .-r
200 Amps or less I $)dOO Sf"
201 Amps to 400 Amps $ 69 00
401 Amps to 600 Amps $100 00
,'", ''''~ ':cCr:r:Y.OF, Sl'RINyFIELD, OREGON,
. . '" ~ . ,,",u .
(17
zl
$50 00
Electncal CODtractor
Constr CODtr Number
/fo I 'J. ~S-
Q-07-0X-
Over 600 Amps or 1000 Volts see "B" above
D '
Exprral10n Date
New A1teratJon or ExtenSIon Per Panel
(t ~:h <:::~onal CrrcUlt or With
SeTVlce or Feeder Penmt
~NalDe .
'dress I /- O/:U7~~~ ~'\!:IS;U: IF 'ft.", 1dW;.ii~u~;;;:;~}i(S~~lf~~dr.:r.rti~J:drd) !E";,a:i:lli'ftallalio~ ,ij
Q( \ :rr~_~~~~TpE 'nli:"~~l"'~-~Y"'-f!\6"l~#w'~""'~",,~=-'>ilM.a:)","';"A~~""~ ~"'~ '"
S'? r~Y uuJ~:~ IS ABANIJ1JJJ~~/~JSJW1or lTTlgal10n $ 50 00
r- en/vu. I~;;;;~utlme LIgbling $ 50 00
Lmllted EnergylResldeDtJaI $ 25 00
LlIDlted Energy/Commercial $ 45 00
Minlmnm E1ectnc Permit InspectJon Fee IS ~ 00 + Surcharges
4, fljSUBTo~oFAliow~:0~~~-.p~4 7?
~":f~"4A~l'$'".!'''~_'''T,.:-%,,_~,*,,_<;~nr4~~ /...:>
,zflo State Surcharge 23''''
10% AdnllD1strallve Fee I"~
5% Technology Fee '76>r
Zl/S.!!-
$ 43 00
$ 300
CIty
OWNER INSTALLATION
The mstallatJon IS bemg made on property I own which
IS not Intended for sale, lease or rent
Owners SIgnature
InspectIOn Request 726-3769
TOTAL
Shared Dnve(T )/Buildmg FormslElectncal PeronI Apphcanon 8-06 doc
225 Fifth Street
Sprmgfield, Orcgon 97477
541-726-3759 Phone
".;..;i~~
.0.:
City of Sprmgfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-01045
COM2008-01045
COM2008-0 1 045
COM2008-0 1 045
COM2008-0 1 045
COM2008-0 1 045
Payments
Type of Payment
CredltCard
cRLcemtl
RECEIPT #:
1200800000000000769
Date: 07/14/2008
DescnptIon
ReSIdence Wmng 1000 Sq Ft
ReSidence WmDg Ea Addtl 500
Temp Power 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstrallve Fee
PaId By
JEM ELECTRIC
item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 020276 In Person
Payment Total
Page 1 of 1
9 01 33AM
Amount Due
11700
2100
5500
965
23 16
1930
$245 11
Amount Paid
$245 11
$245 11
7/14/2008