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Home My WebLink AboutPermit Electrical 2007-4-16 ZON (Dl(Z..J INITIALU" A DATE " A-. t~O'1 SOURCE +-\ y~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C-J.co~O /6 / '7 Date 1. . {OCATIOiv'OFiNSTALLATION:'?'>"7';' " .."". ....' .'. ..., '....:.,,. ,". .',.. "'''''''',,:-/> 27g' S~'7~c:.--'S+-' LEGAL DESCRIPTI9N: \70z.. 'Jb~O 3. ::;'COMPLETE FEESCHEVtiE BELOW ~~^' ',_, ~'>.;>;'" ..<_ <'. . .. .;,fi;L :~~h.",..,; ,_ ,^v " . . . . ., , ,._ ~.,'~ ,':,^' _.._.'~;A~~ .<>: '_ ~.~. .^. c. '/"'_ . '<-'., ~#.,';'~- ,"':"S'"' ':."_" '-~~''-;:;''"->-'';:;:;:'':~:""<-'"''i~T,'~''_:.:.._.'~'>''.'',,>,:: '''~'. ' A. ~"NewResideiitial.2...SingleorMulti~F~mily p~'rdv\'ellingunjt. "".$,,,,~.":..'w>"<_! :.:~;:',<:..:." ...,,:',-,,_, "", ,,:_:..~.: .;.~.,-..,,,: ,._.......;...,J..c:..~.__,..,._..;..:.:. '" O(lor Service Included JOB DESCRIPTION: I 1000 sq. ft, or less 71",,'" rft \lL 1/.".1. Each additional 500 sq. ft. or 10 c::> ~ ,... '1 c..l t' c..1lo4' r-.; portion thereof Permits are non-transferable and (xpire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder $106.00 $ 19.00 $50.00 ".,>, ,,,,. ~"v~,...~.:..,..,c." <~-"._P,,-"," ,CONTRACTOR"'INSTALLATION..ONLY:; 2. ' ' ' '''''.;;;.;:;.'...iC'','"'.'''>'' ,....;, , ,:>..,.t, B.,;Services.orfeeders:-. JnStallation, Alterations or Relocation: . >::'::.-_ ,>._':,:...;.;'<\"'~ ,_>;'.:"'_,"'; .:~:j:L,..;..j;:-.;' <.'.\,"''; ';':.- .:~ :,.:'.:-,,' ,;- i"';'. City 200 Amps or less J!l'r,:;;\ 201 Amps to 400 Amps r ' ,bli::JIfiJ;7'V !;\::.,~o'l<.<\~~PS ,t9, 60,0 Amps I '\,'{) f;{1 , . .", ('co,.~, . " d '. , , '.!Cf:~{;'t;.'J ,y''';,60IfAHYpsloJl.OOO Amps-.)~ l;j P:<\:;5) , ''''=!1(Q .~, "",~"q)!(j::\ .' Phone ~ Ih~)~ ;', 85/:.: .nr.~vel10000~:P3P'su;y~lt!dJ::;n . ,;. , 'V~' " \,'V ~(lrl1f1 I .~"-~,'" .. -, '-'. ~""II ectinneet19.nlx' .;) <e:f€l :?^ j ~ "., '11 ':1~I!'lf'J' VU''ihr'A", "'lioJ, ....81"fnr.. ,', .. l, -JI~'!"l ../~ ,'~ Y;,,!, --;' HJ.,'~ , ~ "-' !t;~ '~"~1t' ,,~.,Jnd?""~' ..,-,,,~.~('tr,. Supervisor License Number 0 I .:i.;I'/1;)~; i-..,'~'t~." .rem'P9I}a~'.~f~jcig~j)I{";.Ij',~eders .,-" '.'~ :!)_ I, ',L",.,rf'!4f."~ . . ~.-o~ \ '_ ....r'tnQ'" I p '~'l' ~,'::~('I3. () '\" ~ 'W ,. ! !~. !,." l _., '" . I tAilU' ~ . :,~r :OnO , ". 'Instalfation,.~.t~rlltUi.1l?,Or~erocation ~ - \/ d-_,tC. 2:;;(1 .. v -'~~~1(}17; 200 Amps or less.- "'4; 201 Amps to 400 Amps 401 Amps to 600 Amps / $ 63.00 b3 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 . , Electrical Contractor Address Expiration Date Constr. Contr. Number ". $ 50.00 $ 69.00 $100.00 Expiration Date NOTICE: Ov~r.600 Amps or 1000 Volts s~~ "B" above. THIS PER D. ,;Branch '; . MIT'-- .. AUTHORIZED SHA/N..e-etPm;ation or Extension Per Panel ColVi/VIf:.A/r'I~ U/lJDE<flnrfiif,cuff IF THE 1M '$ 43.00 ANY 180 'Dvl.D OR ISWAA'?iJ?{f~fi~d9"ith L( $ 3.00 Owners Name :f~ol ..4Je/.50i'l flY PERIOD. rllll9>OffEffFQO OT "'/0., ','K'. '''',., '.Y)' ." .""OJ."" '... """.,..".;,;."".. ',. .c......,..,";, ','" .. "'0'-, ..., " Address J 7R ~ 71 >f- E. 'l\1i~~~n.~n~~u~ fS~~Yic~{feedernit !l1ciuded)':..:iachihstalt'ation ",..".,.,*",l;~k.."r:W'h . ,..,..;"""';^",,.,......-_.., "/..:,.~,_,,,.': ,,/-.,,-,-,.,.', c _,.._- .::-.. ," ,_.: .~;,...M,_..'" ....""~."""...".,..._--,,.--- .."....~..'~ . ... ,.. --, - ... ...<. .. ~ > , City S/("~!:<e()l Signature of Supervising Electrician 12- Phone q5'Cf~/5'5Y Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 . Minimum Electric Permit InspeCtion Fee is $45.00 + Surcharges r,'>S'''';'UB:'''' ~O:T.~T.."O'-','fF':'.AB.? 0" "VE:"~;"'?~\X" 7 c.- 4. :;":'::':"';""" :,,~', _"~;~1,<:;::;:"'~:~.,.,,.~ ",;,;,..,: '_'<:.'3.-__::::_.-?, ,.:;'/~,:.~;~,-~,',>', ~ 8% State Surcharge bC:>o 10% Administrative Fee 7 ~o 5% Technology Fee '3 '? Q' 'j2't~ TOTAL OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. ~Jt;: 7" , Inspection Request: 726-3769 Shared Drive{T:)/Building FOIms/Electrical Pennit Application 8-06.doc CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01017 ISSUED: 09/28/2006 APPLIED: 08/08/2006 EXPIRES: 10/11/2007 VALUE: $ 12,480.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 278 S 79TH ST ASSESSOR'S PARCEL NO.: 1702363001701 Springfield TYPE OF WORK: Garage PROJECT DESCRIPTION: Attached garage TYPE OF USE: New Residential I DEVELOPMENT INFORMATION' ' Overlay Dist: . U{{\~~ #.Street Trees R~\~t. W :-'\ \S ~\)\ ~01\CWave~%'N\.!\q'ij. \S \'t.~~\ O~ . \S \,~\lf\l,ot~'O~'ftlg~ \)\)~t.\J r 1'4.90 \~r\"\-\a~\lt.~ f'\P. \S ~~~~ (I<~~~~~~TS I G~~~l Sidewalk Type: Owner: JAROD ANDERSON Address: 278 S 79TH ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION' Contractor Type General Electrical Contractor OWNER OWNER License ~\{@i '! . 8699 ...1\1 ~~\,~ . Q~ I I :I .'\,3.;, "",..Q\6 dall .- "J\'r.\.B-uii:DING;lNR~RMiii~N~''J , ~~,~ \1 ~ Q.~Y~J ~ 'iW'ji=!"" ~ O~,". U\e~ \ # of Units:, ~~\O\N ~U\~ ce"\~#'ol~tPfi~\~~~ 0\ ~:r~e ~t\O(\C Primary Occupancy Group: ~O.' '\l\P@~\O"~' Aft'\ i~.eight QJJS'fructute._::"e~,.. o::.~\O\\ \~\"'''' .a,: oyY .J."'\1!~\t\ .\\v.> -',\"'~' Secondary Occupancy Group: ~~"" ~~ ~g a\'ll'~pe <tHl:eJ!'t:. \t~ t\O\\ ,... Primary ConstriIctio.n Type \X\ OtJ.~~"(O\j,~~ ~\aWlt~~.'(~,~:j\\~~~LV.). Secondary Construction Type: 00'\1. ~\\\'~ "'~:,('1.,\~a~~ .Tr~~e$'3(.; # of Bedrooms: e~1,b~~ \'-"_..E;.p~glPath: t\\J. Ce\ ~~prinkled Building: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 56.00 30.00 20.00 Street Improvements: Storm Sewer Available: Special Instruction: No Notes: Storm drainage to street side ditch. Pal!e 1 of 3 Phone Number: 541-954-1554 Expiration Date Phone 12/18/2010 n/a Lot Size: . Sq Ft 1st Floor:. Sq Ft 2nd Floor: Sq FrBasement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 480 REQUIRED PARKING Total:' Handicapped: Compact: Downspouts/Drains: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Garal!:e Garal!:e Fee Description Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Fire SF Fee - Residential Garage/Carport Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Initial Review Planninl!: Review Public Works Review Structural Review CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01017 ISSUED: 09/28/2006 APPLIED: 08/08/2006 EXPIRES: 10/1112007 VALUE: $ 12,480.00 I Valuation Description I $ Per Sq Ft or multiplier $26.00 Square Footage or Bid Amount 480.00 Value Date Calculated Total Value of Project $12,480.00 $12,480.00 08/08/2006 ~ Amount Paid Date Paid Receipt Number $85.02 8/8/06 1200600000000001222 $15.48 9/28/06 1200600000000001458 $12.14 9/28/06 1200600000000001458 $10.46 9/28/06 1200600000000001458 $24.00 9/28/06 1200600000000001458 $130.80 9/28/06 1200600000000001458 $112.00 9/28/06 1200600000000001458 $8.46 9/28/06 1200600000000001458 $169.15 9/28/06 1200600000000001458 $7.50 4/11/07 1200700000000000397 $3.75 4/11/07 1200700000000000397 $6.00 4/11/07 1200700000000000397 $12.00 4/11/07 1200700000000000397 $63.00 4/11/07 1200700000000000397 $659.76 I Plan Reviews I 08/10/2006 08/10/2006 08/10/2006 08/10/2006 08/10/2006 08/23/2006 08/14/2006 09/13/2006 APP SKG APP T AJ APP JLP APP RJB Storm Drainage to street side ditch. 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. ~eouiredJnsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Pal!:e 2 of 3 Status Issued .ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01017 ISSUED: 09/28/2006 APPLIED: 08/08/2006 EXPIRES: 10/11/2007 VALUE: $ 12,480.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Foundation: After forms are erected but prior to concrete placement. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Firewall: Located and constructed according to plans. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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 ofany 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. r21/d ' ~--//-cJ? Or'e-r or Contractors Signature Date Paee 3 of3 225 Fifth, Street Springfield, Oregon 97477 541-726-3759 Phone Citu of Springfield Official Receipt n .opment Services Department Public Works Department Job/Journal Number COM2006-0 1 0 17 COM2006-0 1 0 17 COM2006-0 1 0 17 COM2006-0 1 0 17 COM2006-0 1 0 17 Payments: Type of Payment Cash Change Job/Journal Number COM2006-0 1 0 17 COM2006-0 1 0 17 COM2006-01017 COM2006-0 1 0 17 COM2006-0 1 0 17 Payments: Type of Payment Cash Change cReceintl RECEIPT #: 1200700000000000397 Date: 04/11/2007 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JAROD ANDERSON JAROD ANDERSON Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person In Person Payment Total: Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JAROD ANDERSON JAROD ANDERSON Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person In Person Payment Total: Page 1 of 1 1:19:00PM Amount Due 63.00 12.00 3.75 6.00 7.50 $92.25 Amount Paid $100.00 ($7.75) $92.25 Amount Due 63.00 12.00 3.75 6.00 7.50 $92.25 Amount Paid $100.00 ($7.75) $92.25 4/11/2007