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Home My WebLink AboutPermit Electrical 2009-1-27 ZON \~~ . INITIALS M D. ATE \~21QlM SOURCE -' / / / :z../& 1" 225 FIFTH STREET - SPRINGFIELD, OR 97477 _ PH,(541)726-3753 _FAX, (541)726-3689 ELECTRICAL PEIJ.fI/l APPLICATIlfl( City Job Number l ~<1- riJ]A.( ) .1. ~~T:~~~l~~~1Yl_ 3. aap;:- , ~.f\ b Date LE\~h~~~:~ 0 \4f2X) JOB DESCRIPTION: A. Service Included ;J aAl 1000 sq. ft. or less Each additional 500 sq. ft. or portion Ihereof $121.00 ItoJ?"7]Itq1~Jf_l>:JT1.JJil5 ~ ~'" P/tA:rJn..J W/tU-- Permits are non~transferable and expire if work is Each Manufact'd Home or not started within 180'days ofissuanceor if work is Modular Dwelling Service or Susp~Dded for 180 days. Feeder :~~~~~;~~~~- AddreSS~ folloW ~~!~~r. Those rules a~~l\Wl'Ito 600 Amps ~ ~o~~R9~'-OO 1-001 0 thrOUge~ ~ft\li@h~flij>PtJ, 1.000 Amps In obtaIn COpl ~""'" City . gO~n aU may "13te" t"",p.'HI"" AmpsNol1s C mg the cen"", \' . Nilil:ililiifleffiJiily umber for the. . center IS $ 22.00 $57.00 Expiration Date $ 73.00 $ 86.00 $143.00 $] 86.00 $426.00 $ 57.00 , Installation, Alteration or Relocation "'-. 200 Amps or less $ 57.00 "'-. 201 Amps to 400 Amps $ 79.00 ~ 401 Amps to 600 Amps $114.00 ~O~;;'600 Amps ~~OO,~ol1s see "B" above. 1""BA",q~~\tJT~'~II!!!lIll!" -~.~~"' .,' i!illil!'''' Signature of Supervising ElectriciCl!1 . D. i!ll!~f . ~~ _ _J~irlR~: ~-~ -:- ~il2A#g@~_~~lf"U;~~~~g=Zlillrg~ / "01\C~. ~ S~~.\.\: ~ft.~~o\Sol>\Q eosioo Per Panel ...,..~ c{) I 'A\~ PERWI\ DER ~ ~~'fOR J ~ r1..). . 1~'1.l1\-\Q"'lltU U~O IS ",1:llli~All~l1>onal Circuit or with . 1"~.,,~,l:~D 0" 0" Service or FeederPerrmt Owners Name [,JIlL/AI'( <?-'KA-f'7f'l>\1ll<lY'- RI IJ. . - Il Address 8"'?2. JM>>E.7J1i:. ~ 1'0 E. City 5tf'6iJ...J6niU./J PhoD(S~)'{5"4 -C>t:bo $ 5 00 ~.. ~ .Signatu~~ -------.A;;;//. c:7 -:z=. Pump or irrigation $ 57.00 Sign/Outline Lighting $ 57.00 Limited EnergylResidential $.29.00 Limiled Energy/Commercial $ 52.00 . ..- MiOi,:,o,:,~~I:~~~~~~~~:~!=~~on F~e is~sur~es c0 4. me""'*\~i!~,Q-!i~2,~~~' L-O. 12% State Surcharge ~~ 10% Administrative Fee ~ 5% Technology Fee J.; 'rU TOTAL 01 ~ Shared Drive(T:)IBuilding Fonns/Electrical Permit Application 7-08.doc OWNER INSTALLATION The installation is being made on property I own which is not intended fOT sale, lease or rent. Inspectioo Request: 726-3769 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00040 ISSUED: 01/26/2009 APPLIED: 01/12/2009 EXPIRES: 07/26/2009 VALUE: $ 1,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 832 JANNETTE CT ASSESSOR'S PARCEL NO.: 1703342401428 Springtield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration 'Residential PROJECT DESCRIPTION: Partition area in garage for wood shop. Owner: . Address: WILLIAM B II & KATHRYN G JENSEN FAM 832 JANNETTE CRT SPRINGFIELD OR 97477 Phone Number: 541-654-0660 . ..'.-:~ Contractor Type General Contractor .1 CONTRACTOR INFORI\]'~TION I , e6,I}\~~eJ\lt\\\~t \e'tlL'le99.. \Me se . legO~ \n~ Q-il~B~' ~Q"~: OWNER ...n('l~. 0 _.,,6'0'1 _ ,\\\12? --q C\&'2.'''~\'1'' p.'t\~" u\~~-J\'iI'ifuB~N~~~Rti<fI(r- ~' \o\\o'/l t . II~-=-! OJ I ';:"V" """ ~ ~O\i~\Ca,~~'2.'OO'~- il\ :'\;':~nll ~;;~\li9~~~ \1' Op.~ 'Iou tlIa,'I'....~, !0~l,)~~\'1 ~A~). 0090.. \~e ~~,~~.g: , J ca,\\\1\9 lot ~~ ~_OOt:- (lutll'Oet Cel\w!.~er Type: Range Type: Energy Path: Sprinkled Building: Expiration Date . Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a 1 DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback': Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: ComlWOt: '\N()"''' vc/.~\~t.~~ \S~Q't I PUBLIC IMPR,@~~T~l ~;~t.~ ,\\\';~()~t.Q tV , ,\\\'0 \\O~\lt.\) o~I#il~Type: [>.\}~\SI\SIt.~Ct.~ ~1d~poutS/Drains: C l'{"\'O(}\) [>.~ . Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Stre~t Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated , Page 101"2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate Fee Description + 12% State Surcharge .. + 5% Technology Fee Add, Alter, Extend Circ Building Permit Minimum/Adjnstment Electrical Plan Review Residential Total Amount Paid Initial Review 01/07/2009 Structural Review 01/1212009 ......,., $1.00 Total Value of Project Fees Paid I Amount Paid Date Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00040 ISSUED: 01/26/2009 APPLIED: 01/12/2009 EXPIRES: 07/26/2009 VALUE: $ 1,000.00 1,000.00 01/12/2009 $13.92 $5.80 . $55.00 $58.00 $3.00 $37.70 1/26/09 1/26/09 1/26/09 1/26/09 1/26/09 1/26/09 $1,000.00 $1,000.00 Receipt Number 1200900000000000048 1200900000000000048 1200900000000000048 1200900000000000048 1200900000000000048 1200900000000000048 As noted in conditions letter 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. $173.42 I Plan Reviews I 01/12/2009 APP LLH Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required in.pec.tions have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 01/21/2009 APP CJC 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 tbe 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 Si~ I Reruired T~~r~ct.ion~ I ,~ Page 2 of2 .1,h6 ~9 Datel /' '-' . City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Spri'ngfi"eld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00040 COM2009-00040 COM2009-00040 COM2009-00040 COM2009-00040 COM2009-00040 Payments: Type of Payment CreditCard cReceintl RECEIPT #: . 1200900000000000048 Date: 01126/2009 2:31:I3PM Description Plan Review Residential Add, Alter,. Extend Circ Minimum/Adjustment Electrical Building Permit + 5% Technology Fee + 12% State Surcharge Amount Due 37.70 55.00 3.00 58.00 5.80 13.92 $173.42 Paid By WILLIAM JENSEN Item Total: Check Number Authorization" Received'By Batch Number Number How Received djb 61620B In Person Payment Total: $173.42 $173.42 Amount Paid '" .., i,,: " \ Page I of I 1/26/2009