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Home My WebLink AboutPermit Electrical 2008-7-23 ZON '1fl\fL, INlTIA~' DATE ",~~.~ SOURCE lA. ~tz..- \ 9PRfNO".CU.D 1 l8&: ., 22S FIFTH STRE~T . SPRINGFIELD, OR 97477 . PH (541)726-37S3 . FAX (541)726-3689 ELECTRICAL PEflMIT APPI;IPATION City Job Number (\ ~ I 1. \C:C\I ( Service Included lOB DESCRIPTION 1000 sq ft or less Md ~Pr- + :) cJ ((siD eJi3f- ~~~~o~~~~~~~ 500 sq ft or Permits are non-transferable and expire .fwork IS '1"ftMihaCh Manufact'd Home or Dot started wlthm 180 days of Issuance or If work .r- Modular Dwelling SeIVlce or Suspended for 180 days Feeder / 7hol Supervisor License Nl r C r Te~p;;;';~ Se~~~ o;F;d;;'; "" A Ofr-:", 'O~...J11 latt I 'dyu;, as you to \ ~ h -- E t D t follo,w les adopted by the Oregon Utl~mtallalIon AlteratIOn or Relocation xplralon ae .. '" . ~, TI I ~ ' ..Ov I"cm ""'mo.'. -,J36 ru 8S are set In;OAR 952 1-0010 through OAR 952- _ Amps or less Constr Contr Nu~b90. the rules2Bt Amps to 400 Amps ; / calling the ce er, (Note the telephon@1 Amps to 600 Amps ExpiratIOn Date number for the oon Uhlltv Notlflcatlt>n 600 A 1000 V It "BOO b is, C t 1~' 03322 uver mpsor 0 ssee a ove en er IS - - - 344). Slgn/ature 0 SuperviSing Electnclan D "Branch CIrCUits New Alteration or ExtenSIOn Per Panel One CirCUIt Each AdditIOnal CirCUit or with Servlce or Feeder Penmt P.JJQ<tUHi~tlOn $ 55 00 SI~tpmMll'rIMlAL.1 $ 55 00 Ll%.I.djfmr~"tftiMt~ EXPIKE IF TI!E$tVSlflJK L~w:effW5'If~~I~THIS I-'tRMIT fUJ@([ MIDlm~D/'J:tt~~mfflj~~~PJ.lIME8IStiiOO- Surcharges ~;: t~::M~N\ -;i ~.~ 4 :~UB7'C!!.AL O~~~l!E , CX\OO.~ ( i I \!:..J - 12% State Surcharge ~ ( '-- - 10% AdmmlStratlveFee ~.O~ 6\C~ ~ -- 5% Technology Fee A.,. InspeclIon Request 726-3769 ^ A1 A " oJ TOTAL \ \ A... . . . ~.~ Shared Dnve(T )/BUlldmg FonnslElcctncal Pennll Appl","wn 1-08 doc -to ~ ~\J)t1l~ 8{\D(Dfl 1 LOCATION OF INSTALLATION: 3 - - \'hrf6 - '33m:-~~ L\~m~~4 D\1(')\ 2 "---=-~~ '=.,. "'..,.~ CONTRAClORINSTAiJ;ATION ONLYd 1 1 x_~~_ '" _ J ~ ~:=--~ Address City o:ners Name~'N'u\c. 'v~~ Address ~MO(-o.. ~-t City ~1(\<l'\t'dQhone ~.9jda~ OWNER INSTALLATION The mstallatlOn IS bemg made on property I own which IS not mtended for sale, lease or rent Date '" ~ - - '" ~ ~ COMPLETEFEE SCHEDULE BEWW A r - , - - ~--~ ~-- ~~~ ~ New ResldenlIal- Single or Multi-FamIly per dwelling umt , 1 1 _ ..,~_ $1]700 $ 2100 $55 00 [- -~---, -- ~- - B , Servic~ or Feeders ,-;- l~stallatlOn, Alte~t~~ns or ,Relocation: $ 70 00 iDFO $ 83 00 $13800 $18000 $41300 $ 55 00 200 Amps or less 20] Amps to 400 Amps 40] Amps to 600 Amps 60] Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 55 00 $ 76 00 $110 00 n $ 48 00 $ 400 QDP:> E : MIScellaneous (Service/feeder not Included) -Each lnstallahon '- - ~, ~ ~~ ~ -~ ~ ~ - ~ ~ ~ -'P_..'~1f'III WiL' CITY OF SPRINGFlELIJ . Building/Combination Permit Status use In IlIals PERMIT NO ISSUED. APPLIED, EXPIRES. VALUE: COM2007-01097 08/10/2007 07/25/2007 01/23/2009 $ 65,920.00 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 1373 33RD ST ASSESSOR'S PARCEL NO 1702303407201 Springfield TYPE OF WORK Smgle FamIly Residence TYPE OF USE AddItIOn Residential PROJECT DESCRIPTION AddItIOn with storage above Owner JONATHAN JACKSON Address 1373 33RD ST SPRINGFIELD OR 97478 Phone Number 541-556-2612 I CONTRACTOR INFORMATION ~ Contractor Type General Electncal Plumbmg Contractor OWNER OWNER OWNER LIcense ExpIratIOn Date Phone BUILDING INFORMA TION ~ VB # of Stones Height of Structure Type of Heat Water Type Range Type Energy Path Sprinkled BUlldmg 2400 Wall Heat Electnc Electnc Pdlhl nla Lot Size Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupdnt Load 640 # of Umts Pnmary Occupancy Group Secondary Occupancy Group Pnmary Construction Type Secondary ConstructIOn Type # of Bedrooms 1 R-3 I DEVELOPMENT INFORMATION I Frontyard Setback Side 1 Setback S,de 2 Setbdck Rearya, d Setback Solar Setbacks 1400 Overlay DlSt # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage REQUIRED PARKING Totdl Handicapped Compdct 3300 1750 2290 I PUBLIC IMPROVEMENTS ~ Street Improvements Storm Sewer AvaIlable Special InstructIOn Sidewalk Type Downspouts/DI ams Notes Storm water drams to eXIstmg eaves. Paee 1 of 4 I Plan Reviews I 07/26/2007 07/27/2007 APP TSS Storm water drams to eXlstlOg eaves 07/26/2007 08101/2007 APP NJM Imtlall eVlew conducted on July 26, but dJte not m compute. to be acknowledged as completed 07/26/2007 08/03/2007 APP TAJ Status use mltIals 225 Fifth Street, Sprmglield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme DescriptIon Tvpe of ConstructIOn Dwelhnes V Wood Frame Fee DescrlplIon Plan Review Res.denl1al + 10% Adnllmstrat.ve Fee + 5% Technology Fee + 8% State Surchdrge Add, Alter, Extend C1rc Add, Alter, Extend CIrC Ea Add BUlldmg Permit FII e SF Fee - ReSldenlIal Plan Review Mmor - Plannmg SDC SdmtarylStorm Admm Storm Dramage ImpervlOns Area Storm Sewer - 1st 50 Feet + 100/u AdmlOlstrahve Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less + 100/0 AdmlOlstratIve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend CIrC Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Pubhc Works ReView Iml1al ReVieW Planmne ReView CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01097 ISSUED: 08/10/2007 APPLIED' 07/2512007 EXPIRES' 01/23/2009 VALUE' $ 65,92000 I V~luatIon DescrmtlOn I $ Per Sq Ft or mull1pher $10300 Square Footdge or B.d Amount 640 00 Value Date Calculated Total Value of Project $65,920 00 $65,920 00 07/25/2007 Fpp<. P1WJ Amount Paid Date Pdld Receipt N umher $310 04 $6110 $34 75 $46 32 $48 00 $400 $47698 $32 00 $11600 $12 46 $249 22 $50 00 $700 $350 $560 $70 00 $900 $10 80 $450 $20 00 $70 00 7/25/07 8/10/07 8/10/07 8/10/07 8/10/07 8/10/07 8/10/07 8/10/07 8/10/07 8/10/07 8/10/07 8/10/07 9/4107 9/4/07 914/07 9/4/07 7/24/08 7/24/08 7/24/08 7/24/08 7/24/08 1200700000000000961 2200700000000001279 2200700000000001279 2200700000000001279 2200700000000001279 2200700000000001279 2200700000000001279 2200700000000001279 2200700000000001279 2200700000000001279 2200700000000001279 2200700000000001279 1200700000000001147 1200700000000001147 1200700000000001147 1200700000000001147 2200800000000001143 2200800000000001143 2200800000000001143 2200800000000001143 2200800000000001143 $1,64127 P dee 2 of 4 Status use mltlals CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2007-01097 ISSUED' 08/10/2007 APPLIED 07/25/2007 EXPIRES 01123/2009 VALUE: $ 65,920,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Plan Review Comments 08/0912007 08/09/2007 10 LLH Owner called to check on statu; of plan review I told hIm all reviews were complete and approved except structural I found the pldn on Don's desk I gave the owner Dons phone number and asked hIm to check III With him later Storage attic above IS to remalll unfinIShed and unheated AddllIonal permits are required If the attic IS to be fimshed See documents for Plan review comments Structural Review 07/26/2007 08109/2007 APP DLM To Request an inspection call the 24 hour recordmg at 726-3769, All inspectIOns requested before 7'00 a m WIll be made the same workmg day, mspectlOns requested after 7:00 a.m. wIll be made the followmg work day Rp'l'/'r~~pW'l"I~ I Footmg After trenches are excavated FoundalIon Alter forms are erected but pnor to conCI ete placement Post and Beam Pnor to floor msulalIon or deckmg Floor InsulatIOn Prior to deckmg Frammg Inspection Pnor to cover and after all rough m mspectlOns have been approved Wall InsulatIOn Prior to cover Celhng InsulatIOn Prior to cover Fmal BUlldmg After all reqUIred IIIspeclIons have been requested and apploved and the bUlldmg IS complete Storm Sewer Lme Pllor to tillIng trench Rough EleclI IC Prior to Cover Fmal Electnc When all electrical work IS complete Paee3of4 Status use mllIals CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO. COM2007-01097 ISSUED' 08/10/2007 APPLIED. 07/25/2007 EXPIRES: 01/23/2009 VALUE $ 65,920 00 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIon Lme By signature, I stdte dnd dgree, that I have carefully examined the completed apphcatIon and do hereby certIfy that all mformatlOn 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 01 Oregon pertamIng to the work descnbed herein, and that NO OCCUPANCY wIll be mdde 01 any structure Without permissIOn of the ComInumty Services DIVIsIOn, BUlldmg Safety I further certIfy that only contractors and employees who are In comphance With ORS 701 005 WIll be used on thiS project I further agree to ensure thdt all reqUIred mspectlOns are requested at the proper tIme, that each dddress IS readdble from the street, that the permit card IS located at the front of the propel ty, and the approved set of plans WIll remam on the site at all times dunng constructIOn Owner or Contractors Signature Date Paee 4 of 4 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone 7~~;jIj -.: CIty of Sprmgfield OffiCIal ReceIpt Development Services Department PublIc Works Department Job/Journal Number COM2007-0 I 097 COM2007-01097 COM2007 -0 I 097 COM2007-01097 COM2007-0 I 097 Payments Type of Payment CredltCard cRecclOt 1 RECEIPT #, 2200800000000001143 Date' 07/24/2008 DescriptIOn Perm Serv/Fdr 200 amps or less Add, Alter, Extend CIrC Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmlUlStratlve Fee Paid By JONATHAN JACKSON Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received LLH 09454b Phone Payment Total Page 1 of I 1031 27AM Amount Due 7000 2000 450 1080 900 $114 30 Amount Paid $11430 $11430 7/24/2008