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Home My WebLink AboutPermit Electrical 2009-3-23 Electrical Permit Application ,crTVOF S-f~IN6Fi'E[;~, ~)Rf2G0N ,-" 225 Fifth Street+Springfield, OR 97477+PH(541)726-3753.FAX(541)726-3689 \ '-. SPR'NGI'I'!LD I' DEPARTMENT USE ONL Y Ua....:. AJ I /7/J "'J/ L / B.:.-~, Permitno.:Ly - u<r--r-- I Dale: 0'/23/0 7 This permit is issued under OAR '918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is s.uspended for 180 days. . I LOCAL GOVERNMENT APPROVAL I Zoning approval verified? 0 Yes 0 No I CATEGORY OF CONSTRUCTION I KJ Residential I 0 Government I 0 Commercial JOB SITE INFORMA T10NAND tOCA TION - I Job site address: 4162 Forsvthia St. City: Springfield I State: OR I ZIP: 97478 Subdivision: I Lot no.: ""DESCRIPTION'OF WORK' I [Install generator & alter circnit~ I I I-Name: Oregon Rehabiliation I Address: 1655 25th St. SE I City: Salem I State: OR I ZIP: 97302 I Phone:503-585-3337 I Fax: 5e3~585-3722 I E-mail: This installation is being made on residential or 'fann property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1), . , PROPERTY OWNER Signature: I CONTRACTOR INSTALLATION I Business name: Jimco Electrical Contracting, I Address: 1100 Airway R,L ~-" I City: Lebanon I S;"te: OR [ZIP: 97355 I Phone:54}-2S8-611-1 I Fax: 541-258-6292 I E-mail: iimcoele@yahoo.com I CCB license no.': 1466 I,BCD license no,: 22-10C I Signing sup~rvisor'slicense no.: 30688 I Print name of signing supervisof:) ~11en Whitmire I Signatureofsigningsupeivisor:', ~--4/~~.4/?j. ~Z~~~?P~~~ ' '.,. 2?J;;;),:3.tQ.9':::"~i;;;<)~"::'''~:' I, .'." ~..: :~.,': ,~~' . . ; .' ',d"'C,J.,. ,.~'"'' '~'_~~:~~ :""A," - '1' , ....~'.. __h' hn.' ..' _. __ :ilf\~-'O - , ;':'''''": 1 J b'" 'O-" - - ! -" '...." '~~Q.-- ~ 440-2584-J (9/08/COM) '. I Total 1 cost I Residential, per unit, service included: I 11,000 sq, ft, or less (4) $134.00 $ I I ~~~~;fdilional 500 sq, ft, or portion, $ 25.00 $ I I I Limited energy (2) $ 32.00 $ I I Each manufactured home or modular I _, I ' dwelling service or,feeder,(2)" $ 63.00 $ ~ _ I I Services or feeders: installation, alteration, relocation I I I 200 amps or less (2) 1 $81.001$81.0d I I 201 In 400 amps (2) $ 95.00 I $ I I I 40 I 10 600 amps (2) $158.00 I $ I I I 601101,000 amps (2) $205.00 I $ I [ lOver, 1,000 amps or volts (2) $469.00 $ I I I Reconneclonly(2),'.,' -, :', - $ 63,00 $ -I; I Temporary services or fe~ders: l~stallation, alteratloii,'relocatlon 1 n'l I 1401_loc~QOamps(2) '- ':', , " H", $126.00 $ .on.\ I, 9ver'600 amps'oi':I,OOO volts; see services or feeders section above 1 I 1 .Branch,circuits: new,.alteration, extension per panel 1 rrlc.1 a ~ee'f~r branch circl.lits with'purchase ofa service or feeder fee: I I I Each branch circuit j 6 I $ 6.00 I 196.001 I I~. Fee f~r b~anch. ~ircuits without purc~ase of a service or feeder fee: I I I Firsl branch circuit (2) I $ 5500 I $ I 1 Each additional branch circuit \ '$ 6.00 \ $ \ 1 Miscellaneous fees: service or feeder I!ot included 1 I Each p.ump or irrigation circle (2) $ 63.00 $ \ I Each sign or outline lighting (2) $ 63.00 $ I I Signal circuit or a limitcd~encrgy Panel, $ 63.00 I $ I ,alteration, or extension (2) ... I,Ea~h ad.!iit!~n~1 inspection: (I) $58.00 I $ I I 'I"~ . , APPLICANT USE .'" ,- I 'I (A) . Enter s'ubtotal.'ofabove fees .. L ~_ ; ~~/;;:-',- -~ - .-- . ~I . :iMininiu";-p.'-r~il Fee$58.00j "-, - I." ,':,,) ~-~;77; 00 (8) Enter, 12%-snr~ha;ge(ii',z[~]),;~,~", ' . ,,;,;, ~$",,'ii .,iiil (e) Tc;;h;;~logyt~;; (So/';of[,-i.])- --- '-----: ': -,\. __$_ 8;'85\ I TOTAL fees a~d surcharges (A through C): ," - $ i07 . 091 FEE SCHEDULE IQty.1 Cost ea. Number of inspections per item ( ) I: 200 amps oC--j-ess-(Z). . ,~ . .:;' 1"~~" .<- ,- .- ," .,'-' "i ""\"(,_1,'" I' 20116400 amps'(2)",'''' ,,~' '" $ -63.00 '$ $ $ 87.00 I h-{. ^ '&J.~ . l' ~ . 06~ CITY OF SPRINGFIELD Building/Combination Permit Status In Reyiew PERMIT NO: COM2009-00364 ISSUED: APPLIED: EXPIRES: VALUE: 03/19/2009 08/23/2009 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4162 FORSYTHIA ST ASSESSOR'S PARCEL NO.: 1802052200404 Springtield TYPE OF WORK: Miscellaneous TYPE OF USE: Remodel Residential PROJECT DESCRIPTION: Fire Alarm System Owner: MAINSTREAM HOUSING INC Address: 180 E 18TH AVE EUGENE OR 97401-4160 I CONTRACTOR INFORMATION. Contractor Type Electrical Fire Contractor Contractor License JIMCO ELECTRICAL CONTRACTING INC 1466 OMLID & SWINNEY FIRE PROTECTION 62730 , BUILDING INFORMATION I Expiration Date 06/30/2009 12/15/2011 Phone 541-258-6111 541-741-1775 # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Typ(' Secondary Construction Type: # of Bedrooms: # of Stories: Height of Strncture Type of Heat: Water Type: Range Typc: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basemcnt: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Sular Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKJNG Total: Handicapped: Compact: I PUBLIC I~PROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: . Notfl-ilS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR. ANY 180 DAY PERIOD. Sidewalk Type: Downspouts/Drains: ATTENTION' Ore I follow rules ~do ?on aw regtlires you to Nolificalion cenltr,e1h by the uregol1 Utility in OAR 952-001-0010 'hose I ules are set forth 0090. You ma ob . l lough cpAR 952-001- calling the c~nte~al(~of'.e~ ot the rules by number for Ihe 0' 0 e., t.'le, telephone C I . regon Utility Notification en er IS 1-800-332-2344). Pa2e 1 of 3 Status In Review 225 Fifth Street, Springfield, OR 541-726-3753 Ph'one 541-726'3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Descriotion $ Per Sq Ft or mnltiplier ,Square Footage or Bid Amount Tvpe of Construction Total Valne of Project ~rrp~ P~irlJ Fee Description + ]2% State Snrcharge + 5% Tcchnology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amonnt Paid Date Paid $21.24 $8.85 $96.00 $81.00 3/23/09 3/23/09 3/23/09 3/23/09 Total Amonnt Paid $207.09 I Plan Reviews I Fire Department Review 03/19/2009 Initial R('view 03/19/2009 APP LLH 03/19/2009 CITY OF SPRINGFIELD Building/Combination Permit 0;, PERMIT NO: COM2009-00364 ISSUED: APPLIED: EXPIRES: VALUE: 03/19/2009 08/2312009 Valne Date Calcnlated Receipt Nnmber 3200900000000000178 3200900000000000]78 3200900000000000178 3200900000000000178 Plans submitted by Omlid and Swinney for Fire Alarm and Access Control System. Replace existing security panel and keypod Plans submitted by Om lid and Swinney for Fire Alarm and Access Control System. Replace existing security panel and keypod. Plans forwarded to Gilbert Gordon. 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. ~rp,1In...,nections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, Electric Service: Approval required prio~ to utility company energizing service. Page 2 of 3 Status In Review 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00364 ISSUED: APPLIED: EXPIRES: VALUE: 03/19/2009 08/23/2009 By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is trne and correct, and I fnrther 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 strnctnre withont 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 eusnre that all reqnired inspections are requested at the proper time, that each address is readable from the 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 Signature Page 3 of 3 Date 225 Fifth Street Springfield, Orcgon 97477 541-726-3759 Phone City of Springficld Official Reccipt Development Scrvices Departmcnt Public Works Dcpartment Job/Journal Number COM2009-00364 COM2009-00364 COM2009-00364 COM2009-00364 Payments: Type of Payment Check cReceinL\ RECEIPT #: 3200900000000000178 Date: 03/23/2009 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Cire Ea Add + 5% Technology Fee + 12% State Surcharge Paid By JlMCO ELECTRIC Item Total: Check Number Authorization Received ,By Batch Number Number How Received nJm 41 ]65 By Mail Payment Total: Page I of] 7:37:15AM Amount Due 81.00 96,00 8,85 21.24 $207.09 Amount Paid $207.09 $207.09 3/2312009