The URL can be used to link to this page

Home My WebLink AboutPermit Correction Notice 2008-7-28 ZON \ 11,,( _ INITIALS ,n fY\ ~,'.- ~ DATE'i -,7 tj .-0(( 225 FIFTH bTREET 0 SPRINGFIELD, OR 97477 0 PH (541)726-37'B 0 FAX (541)726-3689 ~ 'IjiI" SOURCE m~~~ ELECTRICAL PERMIT APPLICATION / / City Job Number I""OuA7-00 g--O 078Z Date 7/Zc5/cJY 1 LOCATION eJF INSTALLATION,.------ 3' COMPLETE FEE sCm6iULitJELOW "3') S i - ~A~ r1e:c--- fZ..J--- L__ -. -." ~_H_~_ ___u__ - ---- LEGAL DESCRIPTION 0 18oZ- Ob/~ o 'BOO Service Included New Residential;- Smgle or Multi-FamIly per dwelling uniL ~ ~~~~~~~~~~~~_ _,,,,- ~_~~ '"' ~.c ~1..j.,'~ New AlteratIOn or ExtenslOD Per Panel //0 One CrrcUlt ( $ 48 00 7 v (' Each AddItIOnal CIrCUIt or WIth 6> ., rl ~ rN Service or Feeder Penmt $ 400 c,... T ~, OTlCE: ~__ _ ____ _..--. ______ S~ , J~~1~~~~~rrl~~~r~PMr,rr~~e~;R~t IDcI~ded) .Each InstallatIOn 72 7~ ~MENC u ~~r1'ERM'T IS NOT $ 55 00 ANY 180 DA I (S1.AB-A/\lOO\l4ED FOR $ 55 00 WmrgylResldentIaI $ 28 00 Lmuted Energy/CommercIal $ 50 00 MlDlmnm Electric Perm.t InspectIOn Fee IS $50 00 + Surcharges 1- ~- --'" , ~ 4 : SUBTOTAL-OFABOVE ' A JOB DESCRIPTION Ad<i I r (t'"L_--;~h: 1000 sq ft or less Each dddlhonal 500 sq ft or portIOn thereof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder Permits are non-transferable and expire .fwork IS not started wlthm 180 days oflssnance or ,fwork IS Suspended for 180 days ~ ~ ~ 4 " - -~-~-~----~-- ~- 1 ~ r" ~ 2 CONTJfACTOR INS'/(ALLATION ONLY Electncal Contractor 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps " ,'T(;Ol\Amps to 1000 Amps "'-1/"" v,p~ I"I/,-,co, OvepclgOO f,sWelts.u '''/0' r> iJl' h;" '''''1 IreS m "Iii' gc _;ReCOnl1.l)Ct mY the Ore You 1(' /~ Yo~~-OOI-~OI0th~serulesa~on /jtlh~ ,:Jt. / Ca.lllng 5i~~fi~~I~R~~~. /~ ' ~rnber for t~e;rer (Not~/~S of the ru~-o01. 1 Cent1R'ltq,~ ~n~.tftlam1b~oP.MlOn 0" 200 ".1~qQ,i3ri2s~~~lJficauo~ 201 Amps to 400 Am]1so , 401 Amps to 600 Amps Address I CIty Phone Supervisor LIcense Number ExprratlOn Date Constr Contr Number ExprratlOn Date Over 600 Amps or I 000 Volts see "B" above D Branch C1rc;nlS SIgnature of Supervlsmg ElectriCIan Owners Name ().f'fiY1f 7 Address 0 7 c; (0 G~ CIty ~ I.lj. Phone OWNER INST ALLA nON The mstallatlOn IS bemg made on property 1 own which IS not mtended for sale, lease or rent 7g::-- ~ ~ ~~ ~ ~~_ ~~ ~~~~_~~~~ M 12% State Surcharge 10% Admmlstrallve Fee 5% Technology Fee InspectIOn Request 726-3769 TOTAL Shared Dnve(T )/Butldmg FonnslElectncal Permlt Apphcatlon 1-08 doc $117 00 $2] 00 $55 00 $ 70 00 $ 83 00 $13800 $18000 $41300 $ 55 00 $ 55 00 $ 76 00 $110 00 7Z B~ 7Z!=> ., 60 9/fL -~~ Status Issued U 1 i' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00782 ISSUED. 07/1012008 APPLIED 06/0312008 EXPIRES. 01/2812009 VALUE $ 10,00000 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 3791 JASPER RD ASSESSOR'S PARCEL NO 1802061309800 Sprmgfield TYPE OF WORK Smgle FamIly ReSIdence TYPE OF VSE AddItIOn ReSIdentIal PROJECT DESCRIPTION Dormel addItIon and remodel Owner JENNIFER COVERT Address 3791 JASPER RD SPRINGFIELD OR 97478 Phone Number 541-729-1649 I CONTRACTOR INFORMA TlON . Contractor Type General Electncal Mechamcal Plumbmg Contractor OW.NElR~TION Oregon law reqUires you to OWNBRrules adopted by the Oregon Ulility dWNERtlon Center, Those rules are set forth OWNER952-001-0010 through OAR 952-001- X;~lIn\ith'~'~;t~iNi\~\\R~ION . number for the Oregon Utl/tty Not/tlcallon Center IS 1-800~~ R-3 HeIght of Structure Type 01 Heat Water Type Range Type Energy Path Spnnkled Bmldmg LIcense ExpiratIOn Date Phone # of VOltS Pnmary Occupdncy Group Secondary Occupdncy Group Pnmary ConstructIOn Type Seconddry ConstI uctlOn Type # of Bedrooms VB Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Gdrage/Carport Sq Ft Other Occupant Load 70 n/a I DEVELOPMENT INFO~MATlON . Frontyard Setbdck S,de I Setback SIde 2 Setback Rearyard Setback Solar Sethacks Overlay Dlst ~,5l!'fet Trees Rqd NO 1i>!fflllollf._1 EXPIRE IF THE WORK THIS%>ij~lYlIt N a~THIS PERMIT IS NOT AUTHORIZED t FOR ;f,l"rJ~~n~~n nil I~ ABANDONED ~JWIi'~tllll;rsl REQUIRED PARKING Total HandIcapped Compact Street Improvements Storm Sewer AvaIlable SpecldllnstJ uctJOn Sidewalk Type DownspoutsmraIns Notes Storm drams to eXlstmg system Paee I of 3 Status Issued 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme DescrmtlOn Tvpe of ConstructIOn EstImate EstImate Fee DescriPtIOn Plan RevIew ResIdentIal -Mech Iss 2+ Apphances- + 10% AdmmlStratIve Fee + 12% State Surcharge + 5% Technology Fee I Bath One & Two FamIly Bmldmg PermIt Fire SF Fee - Residential Miscellaneous Mechamcal Samtary Sewer - 1st 50 Feet Samtary Sewer - Improvement Samtary Sewer - Reimbursement SDC Samtary/Storm Admm Water Lme - 1st 50 Feet + 10% AdmlmstratIve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Clrc Add, Alter, Extend C1rc Ea Add Total Amount PaId CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2008-00782 ISSUED. 07/10/2008 APPLIED: 06/03/2008 EXPIRES: 01/28/2009 VALUE: $ 10,000,00 I Valuation nescrlOtI~n I $ Per Sq Ft or multIpher $100 Square Footage or B,d Amount 10,000 00 Value Date Calculated $10,00000 $10,00000 06/03/2008 Total Value of Project Fp,>" pql~ I Amount PaId Date PaId ReceIpt Number $77 12 $40 00 $4321 $5144 $2143 $16000 $11864 $350 $50 00 $50 00 $14283 $18783 $1653 $50 00 $720 $864 $360 $48 00 $24 00 6/3/08 7/10/08 7/10/08 7/10/08 7/10/08 7/10/08 7!1 0/08 7/10/08 7/10/08 7/10/08 7/10/08 7/10/08 7/10/08 7/10/08 7/28/08 7/28/08 7/28/08 7/28/08 7/28/08 1200800000000000585 1200800000000000760 1200800000000000760 1200800000000000760 1200800000000000760 1200800000000000760 1200800000000000760 1200800000000000760 1200800000000000760 1200800000000000760 1200800000000000760 1200800000000000760 1200800000000000760 1200800000000000760 1200800000000000821 1200800000000000821 1200800000000000821 1200800000000000821 1200800000000000821 $1,103 97 I Plan ReViews t Imtl3l ReView 06/03/2008 06/03/2008 APP NJM Planmn2 ReVIew 06/03/2008 06/05/2008 APP TAJ No Planmng ISsues Pubhc Works ReVIew 06/03/2008 06/05/2008 APP LKW Storm to eXlStmg system/ Now new surface area/Flxtures only Structm al ReVIew 06/03/2008 07/09/2008 APP RWC To Request an IOspechon call the 24 hour recordmg at 726-3769 All inspections requested before 7 00 a m will be made the same workmg day, mspechons requested after 7:00 a m. will be made the following work day. Pa2e 2 of 3 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO ISSUED APPLIED EXPIRES. VALUE' CO M2008-00782 07/10/2008 06/03/2008 01/28/2009 $ 10,000.00 225 F,lth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme ReQUIred l~snectlOns I Footmg After trenches are excavated FoundatIOn After forms are erected but pnor to concrete placement Post and Beam PrIOr to floor msulahon or deckmg Floor InsulatIOn Pnor to deckmg Shear Wall NaIlmg Before covenug sheathmg WIth fiUlsh matenals Frammg InspectIOn Pnor to cover and after all rough 10 mspechous have been approved Wall InsulatIOn Pnor to cover CeIlmg Insulahou Pnor to cover Drywall Pnor to tdpmg Fmal BUlldmg After all reqUIred mspectlOus have been requested and approved and the buIldmg .s complete Penmeter FoundatIOn Drams After gravel aud filter cloth IS mstalled but pnor to bdCkfill Underfloor Plumbmg Pnor to msnlatlOn or deckmg Underfloor Dram Pnor to cover or placement of concrete Rough Plumbmg Pnor to cover and mcludmg reqUIred testmg Shower Pau Pnor to covermg aud mcludmg reqUIred testmg Water Lme Pnor to filhng trench and mcludmg requIred testmg SaUltary Sewer Lme Pnor to filhng trench and mcludmg reqUIred testmg Fmal Plumbmg Wheu all plumbmg work IS complete Rough MechaUlcal. Pno. to Cover Fmal MechaUlcal When all mechaUlcal work .s complete Rough Electnc, Pnor to Cover Fmdl Electnc When all electncal work IS complete By sIgnature, I state and agree, that I have carefully eummed the completed apphcahou and do hereby cerhly thdt all mformatlOu hereon IS true and correct, aud I further cerhfy that any aud all work performed shall be doue 10 accordance w.th the Ordmances 01 the C.ty of Sprmgfield aud the Laws of the State of Oregon pertammg to the work descnbed herem, dnd that NO OCCUPANCY WIll be made of any structure w.thout permissIOn of the CommuUlty ServIces DIVISIOn, BUlldmg Safety I furthe. cerhfy that only contractors and employees who dre m comphance w.th ORS 701 005 w.1I be used ou th.s project I further agree to ensure that all reqUIred mspecllOns are requesled at the proper hme, Ihat each address .s readable from the street, that the perm.t cdrd .s located at the front of the property, and the approved set of plans w.1I remam on the s.te at all times unng constructIOn 7~ 2-fr- 08' Owner or Contractors SIgnature Dale Page 3 of 3 225 FIfth St~eet Sprmgfield, Oregon 97477 541-726-3759 Phone ~ CIty of Sprmgfield OffiCIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-00782 COM2008-00782 COM2008-00782 COM2008-00782 COM2008-00782 Payments Type of Payment CredltCard LRecunl] RECEIPT #. 1200800000000000821 Date' 07/28/2008 Descnptlon Add, Aller, Extend CIfC Add, Aller, Extend ClfC Ea Add + 5% Technology Fee + 12% Slate Surcharge + 10% Admmlstrallve Fee PaId By DENNIS COVERT Item Tot.l) Check Number AuthoTlzatJOD Received By Batch Number Number How Received dJb 08784C In Person Payment Total Page I of I 2 45 lOPM Amount Due 4800 2400 360 864 720 $9144 Amount Paid $9144 $9144 7/28/2008