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Home My WebLink AboutPermit Electrical 2008-8-26 1 ,tOCA?1i5NOiiitsrXLLATIO~: ' 2 '3> ~ 1.( Loc.t.... boiL ~~ ~ ~ =S ~~'rYf> , ~ SOURCE ~rV Date r2~;'t Ie .." . "' "~'" ~~"~"""."". ," x"""""' ""~"" "1 3 f#r;9M!'~~_J[EE,~~rt~~^,~EhPW~f2~,_~~,,^,~~j~l1;~~~:)~_ '- ,I "', <7;'~~:',~CfI.X~ O~\ SlZ~,qF!ELD, ,OREGQN., ' 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION -- CIty Job Number C" IA^ ZC>O f' - 0 ( Z-l ~ LEGAL DESCRlPTION 17D32Sl1 JM~A:~ b 01500 A ~:N~'~~~d~~tIar !~Irigfe ~~,~Ul~~F~fu~!YP~r~~~ji~;~~;t:" Semce Included L< rc.........ts 1000 sq ft or less Each add1tIonal 500 sq ft or portIOn thereof $10600 $ 1900 I PermIts are Don-transferable and expIre If work IS Each Manufact'd Home or not started Wlthm 180 days of ISsuance or If work IS Modular Dwellmg ServIce or Suspended for 180 days Feeder r 1 ~, "' -, , -- ". ~." ~n "'] B ~r'.'~~.'-~& ~.'iE~d~r~3iIn.~:~.--~_~~;U.-~~~o~.}Aitk."~-~ti2~~~_~~~j"e1.':~~1io1!,:..:t;~ 2 'SC11ff1Y:;!,~~I!lS1:AfLATI6N C1N:r. '1 ... , .. , "" ""' ~ """ " . ""' A Electncal Contractor _J t:. CM. [{-e()./J~ 200 Amps or less $ 63 00 , 20IAmpst0400~~youto $7500 Address ~~L( ,'fr=6/1~ ('" 0--~NTlON' e1lli~~nUtl'\t'f $12500 (' I I _ ~ ;;\~.;; ~'esa~P ~i\~8'\II'Il$etforth $16300 CIty 2\n-l-c' Pbone ~Ion Ce!'Wt,,\\l~ ~ 952-001- $37500 , J f " In OAR 952-00~~cb&{Jlls of the rules bY $ 50 00 t/J('X 00903a"lln'(gO~~YO ,~I9'r3'_~hetel~~.""_""F~'T ""'1i;' ,"."""".' ";S:,'N~"C'~'"s Supe-nsorLlcenseNumber .....iit .~ 1....:......... :~ el"S'~X::JI"F\ j 'ill"!' '~"J;;rii ",fA iF"',,'; I ... ,.-, J\UII.J;,el' for 1...181~~ :'~' N'" ,".",," . ."$ ""-"" , 10 - I - I 0 Cen\fnstallauon, A1terauon or Relocauon / _ 200 Amps or less Constr Contr Number /(0 I '3. ~ 5 201 Amps to 400 Amps q - 07 - 0 K 401 Amps to 600 Amps Over 600 _Slgn.ature olt)ervJsm ,Electnclan_ D New A1terauon or ExtenSIon Per Panel I r 0 J One CrrcUlt 000 I . . \..../ / Each Add1tlOna] Crrcult or WIth -c- ~ O'Q!s olI1e -..;,d! 0-1 \y... ~+ ~;:::::,::e~.e:::t'~'Y"k$""+'-;~'%:::':*"~f,Vi.~~lj Address V\3,P' L{ LOC.'--.NU~E: E il:~I\S~~lJ'!,1'!!,U,~iimr'6i'~t!'!~I'!.!!e,!ll~li!'J1;!~t3:!!.l'tiw5 CIty ~ "? r- ~ Phone T~'S oERMIT __\.rQ2.~ Mil IS NOT $ 50 00 . AUTHORIZED l3$EBtittll~ Ii ~. fOR $ 50 00 OWNER INST ALLA TION COMMENCED :01iU18J1I IrPntIaT $ 25 00 The mstallatlOn IS bemg made on property I o~lt 80 DAY ~\QQf1ergy/Commerclal q" $ 45 00 IS not Intended for sale, lease or rent MInl~~:.,~~~~~: ~:~~~.~~~"e~:~ F~:..~~_~~ + Surcharges Owners Signature 4. t~m!~Q~!:;,Q;F,Mq~~,,_~ .,,. 8% State Surcharge '1 <>0 10% Ad1mrnstratlve Fee /Yo 5% Technology Fee .5' , $50 00 ExprratlOn Date $ 50 00 $ 69 00 $10000 ExprratIon Date so ZS- Inspe<:uon Request: 726-3769 TOTAL Shared Dnve(T )/Bwldmg FonnsIEIectncal Penmt Apphcal10n 8-06 doc 9jr~ -Wii~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO, COM2008-01215 ISSUED. 08/14/2008 APPLIED, 08/14/2008 EXPIRES' 02121/2009 VALUE: 225 F,fth Street, SprlDgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspechon Lme SITE ADDRESS 2384 LOCH DR ASSESSOR'S PARCEL NO 1703251101300 Spnngfield TYPE OF WORK Smgle FamIly Residence TYPE OF VSE New PROJECT DESCRIPTION Install propane fireplace with gas p.pmg to fireplace and barbeqne Resldent..1 Owner BRONSON LIVING TRUST Address 2384 LOCH DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type Electncal Mechamcal Contractor JEM ELECTRIC INC MARSHALLS INC License 161235 25790 ExpIration Date 09/07/2008 1212312009 Phone 541-729-1074 541-747-7445 VB I BUILDING INFORMATION I , ~~ ~ eS '10 ~<<i # of Stones 'Il ~eo.l.Il 9;Ofl \.l\~ol\~ot Size Height of S\{~\!l; \\\e Ole ele se\ .QQ'fiiq Ft 1st Floor 'J'~f..~Jll,\'{1,eo '0'1 Se II.I\e~f>.?> 9J'6~\ev, ~ Ft 2nd Floor f>."'i"'i\W3~~li~~~~1 ,\\0101.19;\\ 0\ \~e ~~Ofl\Sq Ft Basement \O\\oR>>~QQ\ Q \'(\ coQ1eS );Ie \e\eQ oe.\\lllt-Ft GaragelCarport ~o\(lIfu"li o'o\'3-lfI ~o\e \\\'1 ~O\~l Sq Ft Other \\1 ~~b~~!ic l\1.~fe~o~ ~~'2:~It,). Occupant Lo~d I DEVE~MiiN<f'INf\')Ri\iATION I (.., U. REQUIRED PARKING # 01 VOlts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms R-3 Front yard Setback Side I Setback Side 2 Setback Rearyard Setback Solar Setbacks Overlay Dlst # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage Total Handicapped Compact I PUBLIC IMPROVEMENTS I Sidewalk Type ~~ \folO~~ D ~\~ ~~\S~ \\O't\tf.', ~\1 S~~i~\i'\i~~~o fO? i\"\\'O ?~~\l~O U~~ \S p..'ot>.~o t>.Ui~\-J\~~CcO ~~?\OO. CQ ~ ,\'01:) O~ t>.~, Street Improvements Storm Sewer A v aIlable Spec..llnstructlOn Notes P a2e I of 3 Status Issued 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlDe DescriptIOn Tvpe of ConstructIOn Fee DeSCrIPtIOn -MechaDlcallssuance Fee- + 10% AdmlDlsll alive Fee + 12% State Surcharge + 5% Technology Fee FIreplace (LISted) Gas Outlets 1-4 Mmlmum/AdJustment Mechamcal + 100/0 AdmlRlstratlve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend CIrc Add, Alter, Extend CIrc Ea Add Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01215 ISSUED, 08/1412008 APPLIED: 08/1412008 EXPIRES: 02121/2009 VALUE' I ValuatIOn DescrlOtion , $ Per Sq Ft or multIpher Square Footage or Bid Amount Value Date Calculated Total Value 01 ProJect FpP~. P.1IlLI Amount Paid Date Paid Receipt Number $2100 $520 $624 $260 $1800 $600 $28 00 $750 $900 $375 $50 00 $25 00 8/14/08 8/14/08 8/14/08 8/14/08 8/14/08 8/14/08 8/14/08 8/21108 8121/08 8/21108 8/21/08 8121/08 3200800000000000562 3200800000000000562 3200800000000000562 3200800000000000562 3200800000000000562 3200800000000000562 3200800000000000562 2200800000000001274 2200800000000001274 2200800000000001274 2200800000000001274 2200800000000001274 $18229 I Plan ReYlews I To Request an InspectIOn call the 24 hour recordIng at 726-3769 All InspectIOns 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 ~n,,\,prtIOW Rough Gas Alter hne IS mstalled and reqUIred testmg and capped II not attached to an apphance Rough Meehamcal PrIor to Cover Fmal Gas When all gas work IS complete Rough ElectrIC PrIor to Cover FlDal Electnc When all electncal WOI k IS complete Pa2e 2 of 3 _.........,,~ iiiI WI.= '" Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01215 ISSUED' 08/14/2008 APPLIED' 08/14/2008 EXPIRES 02121/2009 VALUE: 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme By signature, I state and agree, that I have carelully examlDed the eompleted apphcatlOn and do hereby certIfy that all mformahon hereon IS true and correct, and I further certIfy that any and all work performed shall be done ID accol dance with the OrdlDances of the City of Sprmgfield and the Laws ofthe State of Oregon pel tamlDg to the work desenbed herelD, and that NO OCCUPANCY wIll be made of any structure without permISsIOn of the Commumty Servlees DIVIsIOn, BUlldlDg Safety I further certIfy that only contractors and employees who are ID comphance With ORS 701 005 wIll be used on thIS proJect I fUl ther agree to ensure that all reqUIred mspectlOns are requested at the proper time, that each addl ess IS readable from the street, that 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 durmg constructIOn Owner or Conti actors Signature Date Page 3 of3 225 FIfth Street SprIngfield, Oregon 97477 541-726-3759 Phone 6~ * CIty of SprIngfield Official ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-0 1215 COM2008-01215 COM2008-0 1215 COM2008-01215 COM2008-0l215 Payments Type of Payment CredltCard cRecelOtl RECEIPT #. 2200800000000001274 Date 08/2112008 DescriptIOn Add, Alter, Extend ClrC Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% Slate Surcharge + 10% Administrative Fee PaId By JEM Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received cJc 161846 In Person Payment Total Pa2e 1 of 1 I 1402PM Amount Due 5000 2500 375 900 750 $95 25 Amount Paid $95 25 $95 25 8/2112008