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Home My WebLink AboutPermit Electrical 2007-1-22 'I'~ ",., u.JI. !iJ.~1 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City Job Number ~ "Z.~07- 60090 ,... LflW- 0"" S.P.R INJ.. ""~~-: .... L~~IiIt'.~ " \ '~.:, " ,; .". .' '-"r, ., .~:il" '1 . \:t'1,,~ . I' Z'l-c;.c>c::., r:;s'?~'~~ ~"'.~~__.,..,...> ~_","""'~"'" '-, ,_,o:-,~a7~ 1. \i'LOCATIONOEINSTALI:ATION- .C'~" m-"'7.{ 3o/Z?':"\~~"o/;';;":~ ,..,-,~ " , LEGAL DESCRIPTION /70 z.. ><J"1 t( o 8"60 ( JOB DESCRIPTION ~~Lk"-t?' PM.le"( Permits are non-transferable and expire if work is ;, not started within 180 days of issuance or if work is Suspended for 180 days. . %ONTRA.'crOR'mSTAD:ArioN'OM;yj 2. 1.".:..,.'1;~ -c~;'~-~?l' -tt. "_":-'"","':"_~.~"..~ ''''.' _.--.'~. ';,-7"': ,',Jl'.':, Electrical Contractor Address t/J.9 :';0[;,.1. 1 City Supervisor License Number Expiration Date City Phone OWNER INST ALLA nON The installation is being made on property [ own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Date 3. ~~CO.MPljfj:E'FEE~s"CHEDi:.iIif1JELo'w.:\>:'?'::'\,?:~:t,,'jI;"l'-'1 ~~,,_._.,.......,. -""'~""""""",,,,,,,,,,,"--,'~~~.u;'...;.~.<::".'~ ,.., '"'. ,'- A. ~~~1~t~ijl'~;!~W~!~flThli1~.ij~i;;~~li~~~;l Service Included 1000 sq. fl or less Each additional 500 sq. fl or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder S106.00 S 19.00 S50.00 / B. [~ttyj~~2~~~!.~~.~r;':~i!~~~!~tim.;'~:~,;r~~i'~t~.s~r.'~~~~l~~::" \ i b> S 63.00 S 75.00 S125,00 S163.00 S375.OO $ 50,00 .' S 50.00 $ 69.00 SIOO.oo Pump or inigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial S 50,00 S 50.00 S 25.00 S 45.00 "- T r lJVt 200 Amps or less 20 I Amps to 4oo,Amp~,C .' ~ 7~l1.cl 401 Amps t0600~ps , ,", II' , . -'. - 601:tunPs to 1000' ~pS'l' , . ' Phone 71C"./07y', Over.IOOOAm~~~lts~.l'~~" . . .......Rec~nncct,Oril),..., .~ r: P.\\.;;;,.. 1.....~,,1J, ... . .~~.),1.1\_ ~ ...,~ --,. I. ._ ,..,../J \ ., .....1: . - ......."j,.~\)1\l.,. L/ 7 O<d~', '~~ I 'c..~~r;.ii9tatfs~iXic.!s.,~r.1F~e~~'l:s" r, oJ. ,-,\p. . 'f'.' J. .'" '.i' If) -I -07 . ,,:i'\~"'Ins;~'~;ttion,Aj'te;';~i~norRelocation ,"1 - . " ~'" . 200 Amps or less Constr. Contr. Number 0.'0 - 5 a 7 C 201 Amps to 400 Amps 9 71 ~ 40 I Amps to 600 Amps Expiration Date - - 0 ~ Over 600 Amps or 1000 Volts see "B" above. :' rr.:.:E~e~~::~:~}irrl3t~:.~~:,~'~l~~:"~: r .... 'II-IIS I'r6~~\\c'u;~i~DtR \r\l~ r~~:~;.; tOR S 43.00 /.-I'Y C<'"'I\'IJIII' I\\';\rl\l\v-rU {IN':'?~t"' 1.;~4..J S;~1:~~~::i'" ;,""~J ~:",~",,'''iq $ ~~ '-' 4 ~S1mTOTfl'\j~b~i""':i ':f3' :~ ,&, :.'!1 . k.,-..\.,'~; :~{':.:r.:""';;J""'~:r;.~.~'r~,~ .'i:.:'~""'~ _~;J , ~ 8>/0 State Surcharge . ~~~ 10% Administrative Fee <\' ", ~'~ ':\tJ9JlcHAL~rar ~ ~ ~, Shared Drivc(T:VBuilding formslEle<:tric.1 Permit Application 1~3,doc Minimum Electric Permit Inspection Fee is 545.00 + Surcharges ,'." I \ C,.'" .' ~.,. .',,', ::':'.i1 b'J .,;00( f,70 l'r . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00090 ISSUED: 01/22/2007 APPLIED: 01/22/2007 EXPIRES: 07/22/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3425 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1702303408601 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Replace damaged panel Owner: HAMILTON ROBERT R ETAL Address: PO BOX 52 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor JEM ELECTRIC INC License 161235 Expiration Date 0910712008 Phone 541-729-1074 BUILDING INFORMATION I ~.~ . ,~ , # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: . 'I, . _ .' .-, \el '. ' ., ':~'" # of Stories: '--',' . _ _ . ~'_ I~"-"" Lot Si1ie:1=-' ~':( -.~, I ~". Height ofStrncture,.: . '."". ,,,;;1, "Sq Ft 1st Floor: l,'..'".. ..... I...J..... ,",'1'.,.11"\". '-p1k1S- Type of Heat: ::,.",>':':. .i,0\.OlJ "Sq_FI,~n9.F,loor: ,- ,,- Water Type: :)~\,-\ ,,::.<:. \c .)>.,-"Sq'Ft,~asem~rit:p"un~ , \' 11'\' } , r.... I". _ ...}'of' Range Type: I' . . J. .." '\ ,\;r.Sq'!Ft Garage/carport v'" . " ::a r\J I "'l\~' \ ....~ Ene,rgy Path:. . cal\\I ,I I" -:'e C',r~S("~t.91,~e~:~^",) Spnnkled BUlldmg:\\(11')21 'nla ' _ 1 ,Occupant Load: rf.)n,~t'''' I DEVELOPMENT INFORMATION I REQUIRED PARKING Street Improvements: Storm Sewer Available: Special Instruction: Total: Handicapped: "'\l'f;:' Compact: ~\\t WOR\( NO u "'~' EXP\Rt If- \ , 1H\S PER\'.\\I SHI\l\ 1HIS P[RMII IS NO ' ._"cn IIMllfR _~ cnO I PUBLIC IMPROVEMENTS I:'U \ r~~'NCt.D DR IS I\I3F\NUU'H,W ' vOM. _ . ,.,CO\OO, I\N'{SI~.t,w!!lklType: DownspoutslDrains: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Notes: I Valuation DescriDtion I Description Type of Constructiou $ Per Sq Ft or multiplier Sq uare Footage or Bid Amount Value Date Calculated Paee I of2 . .ITY OF I:ln~l1'1'-'I'IELD Building/Combination Permit PERMIT NO: COM2007-00090 ISSUED: 01122/2007 APPLIED: 01122/2007 EXPIRES: 07/22/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees ~ $6.30 $3.15 $5.Q4 $63.00 1/22/07 1/22/07 1/22/07 1/22/07 Receipt Numher 1200700000000000049 1200700000000000049 1200700000000000049 1200700000000000049 Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State,Surcharge Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Total Amount Paid $77.49 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. ~eouired \n~oer.~ Electric Service, Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify tbat 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 descrihed 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 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 Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .-~ ~ _.......~..".....,"". -'" Cilillitif Springfield Official Receipt D.pment Services Department Public Works Department Job/Journal Number COM2007,00090 COM2007,00090 COM2007-00090 COM2007-00090 Payments: I Type of Payment Cred ilCard cReccint I RECEIPT #: 1200700000000000049 Date: 01122/2007 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JEM ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 735200 In Person Payment Total: Pagelofl 8:24:36AM Amount Due 63,00 3,15 5.Q4 6.30 $77.49 Amount Paid $77.49 $77.49 "\ 1/22/2007