The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2009-7-22 This permit is issued under OAR 918-309-0000~ Permits are nontransferable. Permits expire if work is not started within 180 days ofissuance or if work is suspended for 180 days. II 11ii~~i!:~.GP,;!!iGcClVJ:@I\ni:tiI;f1f~e&g.O,9AL.~~~~ .'~ffil;i::Is:t;Iili:p.l!f,ll 1~~~iL~~~~;dtGl:ilt;~N~i~\!Jt;1iIQ~~~ I~esidential " lDGovenunent I 0 Commercial 1_.OB"S[mE~INFiORM)\;ml~l,jWAf;H"tlIl0cG'Ai!10N""'-~i I Job site~d:e~s: "'/Li 'i~{L;-~J~.;~'L '.~F~ I City: SPF:O I State: cYL I ZIP: 77'-(77 Subdivisio~: /70.:> Zl{ 3'-( , ',',' " I Lot no.: oC/Z!oo ~~~DI:St;R!~ml(:jri!tl'oI;,WiWJ,:jBK~~~~ I eYre7\/l) .-L c , Lc..v- ,- ~ Residential, per unit, service includ'ed: '. . 11,000 sq, ft, or less (4) !I I Each additional 500 sq. ft. or portion II thereof I Limited energy (2) II Each manufactured home or modula.fi dwelling service or feeder (2) II $ 63.00 $ I Services or feeders: installation, alt~ration, ~elocation I 200 amps or less (2) ,I $ 81.00 $ "'!!'--"""-riR'~O,.riE"R. ""'f!ii"'W" N'E-RL""'''''~.ilji\i\''L."".,,,<i I 201 to 400 amp's (2) II, $ 95.00 $ ~~s:I~~",${V%t1\8:~_G. __: ,rm_;~!.\tl_~;!;\;;Ic_--___~.c._:s",~l};&;,~-, , -~ _ - ~~~~..wf~~ - Name: .12-&& LL-C I 401 to 600 amps (2) II $158.00 $ !Address: ?o gDX 5:5:78 I 601 to 1,000 amps (2) $205.00 $ I City:F--=-_.~b.Gl State: otL. I ZIP: 97lf05-1 Over 1,000 amps or volts (2) $469.00 $ I Phone: _ _ 7 I Fax: _ _ I Reconnect only (2) $ 63.00 $ I E-mail: I I Temporary service~ or feeders: ins~'flllation, alteration, relocation' Th.. II' . b . d .d. I < I 200 amps or less (2)' ' $ I $ IS lIlsta atI,on IS emg ma e on reSl entIa or larm property. 63.00 owned bX me or a member of my immediate family. This I_2m.!\! '\,09J$ps (2) $ 87.00 $ property IS not mtended for sale, exchange, lease, or rent. OA~ laV '''1''-' 'hJ'''tv 479540(1) and 479.560(1). T.-:NTION: Olegod b" \1d ~9Mp:60u ~e~p) , $126.00 $ . , /'.T 10 dopte'.1 ^ 0',," ~'" ,~..., . SIgnature: .f()\\Owru\es.....~...tor -rhoS ~ r~I\0!e[ ~unt..~~p~o,r~1.000 volts, seeser;vlces or feeders s~ction above IIfuj'\Bjio"'d0NitMGm0J~1IN$jfr~~~ltlQ"~1\Qjl1!i"Ui~,'jl~~~~~;Ck~tlits?'hew. alteration. ext~nsion per panel I Business name: J[ LA..{ . f"t.fl/:J,'.t::.i;',~Y obtail\\~~ fer~"gee;f6f;'€'a1)f~rfircuits with purchase ofa service or feeder fee: I Address: 3'i5tlY ,Tr....:>hr y~\lil\g t~e ?:~\l~~.eqol Ulii:it~~?!h~;~~h circuit, I I $ 6.00 I $ I City: ,C;;. OS:,-l, e State: cJ1llmge~~~t~rUf~ -.:) 'j;, Fee for branch circuits without pu\chase of a service or feeder fee: I I Phone' / -541 7,.Jq-!o74 I Fax:, / 8f/- ]fIb oJ,n I First branch circuit (2) . I f $ 55.00 $"551 I E-mail: I Each additional branch circuit I $ 6.00 $ I I CCB license no.: I t:./tJ.?:; s-I BCD license no.: ;}tJ ~<) d. 7c. I Miscellaneous fees: service or feede~ not included I .1 Signing supervisor's license no.: . 7" 700-5 ,I I Each pump or irrigation circle (2) ,j $ 63.00 1 $ I I Print name of signing supervisor: ()r' /1 i)0r" fJ;?_T~.\ I I Each sign or outline lighting (2) ii $ 63.00 I $ I I Signature of signing supervisor: I I SIgnal CIrCUlt or a lImited-energy panel, $ 63 00 I $ I . . # - --ralteratlOn, or extensIOn (2) \t . / f: I Each addit!!>,yi\\ji!Pl\<t'lihl!:d\i0\~1 $58.00 I $ ~Oi\C . ~~t~!ll,fAIm~l\1I~~~~~l!J_S~R_~~. V II-\\S ?t~1. :U'-)J!Blrl~11 bt:l\*~~Pfre~ \ II - 'S' p..~~3tW~~IY@Itn~~P.rmitFee$58.00) I $ 55 I\'b'~ '{ ~ '00 b(j1)j R'Jilr'l'i~;surcharge (12 x [AD II $ {,'6 t\.v~ p..N I I' . \ (C) Technology Fee (5% of [AD ,i $ 'Z"O ~ I TOTAL fees and surcbarges (A through C): $ b 7 ~ ~ Electrical Permit Application J 'i'- ~. It 225 Fifth Street. Springfield, OR 97477+PH(541)726.3753.FAX(541)726-3689 >SJ~. ~~~~- 440-2584') (9/08/COM) I' I' 1~"'~\t;if'"-''_c':;''''~;:'~_'f.;-'~''0;~~~,",~~''' ,,--..;: -~'''1 ~li;,:J;DEPARTI\I[EN1WSE!'OIll,""Y; .,~ "'!h-,:,_f_-",-;-;:";>:"_';~_',"':i,i":;:"~""-'~z;,~~~-~~~._, '2:;' ~ft~0~60 ?-O(Obfl I Date: I :7~zz-09 $134.00 $ $ 25.00 $ $ 32.00 $ CITYit OF SPRINGFIELD B 'ld' Ie II b' 't'.p 't Ul mg om ma IOn erml ]~ 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax . 541-726-37691nspection Line PERMIT NO: C'OM2009-01061 ISSUED: 07/2212009 APPLIED: 07/22/2009 EXPIRES: 0112212010 VALUE: Status Issued SITE ADDRESS: 1891 KING HENRY CT ASSESSOR'S PARCEL NO.: 1703243404800 " Springlield TYPE OF WORK: Electrical Work Only II. . PROJECT DESCRIPTION: Extend single circuit TYPE OF USE: Alteration Residential Owner: RGG LLC Address: PO BOX 5578 EUGENE OR 97405 , CONTRACTOR 1,r.:FORMATJON , Contractor Type Electrical Contractor JEM ELECTRIC INC License 161235 I ~UlLDlNG INF?~MATlON I #..' , ,'_. .'..C~ yOU to of UOlts: . 0 egon 1/!',of,StorIes: Ut.\lity -.-"T'~'l r , ,...".-~nn Primary Occupancy Gro, up:,p,-. ,-.", R-3. lopted tHeight-o, f.Structureth . . . 'eO: ac. J I.... - ~rp S~lIV' Secondary Occupancy Group:',lW, ~ .~r ,'ter. TI1cTypeJof.Heat:52_001- . C . I'. 'o\1Ci~ ,E,I, , -l::\ C\AK '" PrImary onstructlOn Type.'<lo 1<''-''' V.~'01-001 0 nWater Type: rules by S C . T. "AM 95)-v . .-,osT~' ,11\3 econdary onstructlOn ype:'" I - ~ay oblam Range Yl'1e;ephone 090 You '" \'" '0' Hl'- ,H # of Bedrooms: 0., the center. 'ICiiergy Path: ',",cation \\109 1 h.\,tv I\lVl \ ca lor the oregSprinkled3Building: n/a . rHlmber "_ ~ Qrm~:-\3c.~~ "t"T" ,,''''Oli'DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROV~ME~TS' Street Improvements: Storm Sewer A vaHable: Special Instruction: Expirati6n Date 09/07/2010 Phone 541-729-1074 Lot Size: 11 Sq Ft 1st Floor: !I Sq Ft 2nd Floor: Sq Ft B'asement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: ' REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: NOTICE: XPIRE II' W!EwM1)&'d\slDrains: T\-\IS PERMIT S\-\A~~ ;\-\IS PERMIT IS NOT , AUT\-\ORIZEO UNO S ABANDONED FOR COMMEN~~~ O~D\nn .. , "'''.'' I"" ",<.I r_ I, V~iuati'on Descr.il]tion I Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Pa2e 1 of2 Value Date Calculated Status Issued CITY; OF SPRINGFIELD I, , ~i Building/Combination Permit I PERMIT NO: COM2009-01061 ISSUED: . 07/22/2009 APPLIED: 07/22/2009 EXPIRES: Oi/22/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid m Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid Receipt Number $6.96 $2.90 $55.00 $3.00 7/22/09 7/22/09 7/22/09 7/22/09 1200900000000000825 1200900000000000825 1200900000000000825 " 1200900000000000825 Total Amount Paid $67.86 Plan Reviews 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. willIbe made. the following work day. I ~~flu,ired rns,ll~,~!ion,s,,1 Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. , " By signature, [ state and agree, that [ have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and [ further certify that'any and all work performed shall'fb'e 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 Servi~es Division, Building Safety. [ further certify tbat only contractors and employees who are in compliance with ORS 701.005 wi/Ii be used on this project. , [ further agree to ensure that all required 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 wii'1 remain on the site at all times during construction. . . .. ~~ Owner or Cont~actors Signature 'Date I , II II Page 2 of 2 225,Fifth Street Springfield, Oregon 97477 541-726-3759 Phone II City of Sprihgfield Official Receipt Developmerlt Services Department II. PublIc Works Department Job/Journal Number COM2009-01061 COM2009-0106! COM2009-0! 061 COM2009-0 1 061 Payments: Type of Payment CreditCard cReccintl RECEIPT #: 1200900000000000825 ,c Date: 07/2p2009 2:40:55PM Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 12% State Surcharge Amount Due' 55.00 3.00 2,90 6,96 $67.86 Paid By JEM ELECTRIC Item Total: Check Number Authorization l Batch Number Number How Received' 392797 In Person I' paymei't Total: $67,86 $67.86 Amount Paid Received By djb Page 1 of 1 7/22/2009