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Home My WebLink AboutPermit Electrical 2007-8-6 CITY OF SPRINGFIELD, OREGON llu-YJ ZON ,n U0 INITIALS N}'VI DATE 5(--(... .- CY1 SOURCE ~j 'l J CJ fo f O~ 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726.3689 ELECTRICAL PERMIT APPLICATION City Job Number COW{ ZOO (- 00 fl b Date 1. LOCATION OF INSTALLATION: q!1 S sf {<)n0~ ~ (Jr. LEGAL DESCRIPTION:). t7~1 2623 ' 0 (DC ( JOB DESCRiPTION: 1-I-c)oA. ~~' 3. COMPWIB .l'lili SCHEDULE BELOW A. New Residential- Single or Multi-Family per dwelling unit. k (;wi- ILfC Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder l $117.00 /J7 $ 21.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. $55.00 2. CONTRAL:J VR INSTALLATION ONLY B. Services or Feeders -Installation, Alterations or Relocation: Address (~~ 9--f GoOl I St: IN\ p( E'c!-.r0G, 200 Amps or less reQU\t9I ru~ $ 70.00 20~1-.~S&,~~ e Otegon z. ,ei!! $ 83.00 .Jo.srW- e~. ~11I~~J~ecl\lttU\eSafe~~~ $138.00 ~. rAo\\.0SnUlt9o~~9"0~\\ e-t-U\es't11$180.00 Phone 7J9 -/07Ytto. ~_~t\1~9\eso1~~\t'P"ot\e $413.00 \nO wa~; lNo\e~ \"e NoHt\Ca\\Ol\$ 55.00 / /7CXO <: ~,,\t\9 \l\8 :,,~~e~~~~~~344). '7 II -..) ~~dOfwl:lilf~-eeoers 1\\11""- cen\et /0-/-07 /0(;J.3~- 9- 7-0'1< Installation, Alteration or Relocation 200 Amps. or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 55.00 $ 76.00 $110.00 Electrical Contractor City Supervisor License Number Expiration Date Constr. Contr. Number Expiration Date Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits S;gnat"re ~~"';';ng EI"tridao of).::: kL- Address 9 Z S SPF-~ 5-.o-~ 5>+ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with . Service or Feeder Permit I $ 48.00 $ 4.00 E. Miscellaneous (Service/feeder not included) ~Each Installation OWNER INST ALLA nON Pump or irrigation"',; $ 55.00 ; Sign/Outline Lighting',; $ 55.00 " Limited EnergylResiderttiaL, $ 28.00 The installation is being made on property I own which Limited Energy/~mmercial . $ 50.00 i, not intended foe "Ie, 1e""e ne rent . M:;;i~:~:tinn Fee ;, $50.00 + snn:b.ege,S I 7 Owners Signature: ~'{f\"W ~~ ~\r.,t::. ~"f\\.\.. "\,,\%~\~:~ti~rge '1;tb .e'f3J""" \\6\ ~",,\J\~ 'U"t\'Of,~ ~~~~inistrative Fee J j 70 ,,,\S ~()",,\t~'O O~ \CO ~ 5% Technology Fee S8:) ...f, 8 r ~ ~~"\~ ~Ct'O t~\O~. ,/ Inspection Request: 726-3769 CO~~'e 'O~ V TOTAL flfJ - ~~'t \ CO~ Shared Drive(T:)/Building FormslElectrical Permit Application 7-07.doc Phone City CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00816 ISSUED: 08/06/2007 APPLIED: 06/0612007 EXPIRES: 02/06/2008 VALUE: $ 2,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line SITE ADDRESS: 92 S ST ASSESSOR'S PARCEL NO.: 1703262301001 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential Sidewalk Type: Downspouts/Drains: it NotlCE: o.P\1\E \f 1l\~ 'NOR ,.\-\\S PERMIT St\~i~ 1''''\S PERMIT \5 NOt AUT\-\OR\ZEO UN \5 ABANDONED FOR. OMMENCEO OR ~NY 180 DAY PER\OD. PROJECT DESCRIPTION: Fire Damage Owner: SNOOK SHERMAN L & MEISHA L Address: 92 S ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMA nON I Contractor Type General Electrical Mechanical Plumbing License 109867 161235 109867 176395 Contractor XXLINC JEM ELECTRIC INC XXLINC DENNY SPENCER HARRINGTON BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure: Secondary Occupancy Group: Type of He~: Primary Construction Type VB adli~--i~\w Secondary Construction Type: 0 eoon \,,'#1 t;~8~tt 'ot\n # of Bedrooms: ~O"'~ d~9\8d tI'I \"e~ !~O'\- ~,~..... tU,... -'et. 1'\058 t . ~ 'l~~g: n/a 'U'i~\I:- ..L'...., eel'" . ..M"'f(')U _,,"'e tL - ~0U\~.- $'-uO~ ~ '~l'J ':' ,rnH'l- o~9St ......0'0 ~ ~RMATION \C\ 'IOU tn., -'I .~ ~. \\'\8 ee'" ;890" U\\ _ $44). oe.\""9 'Of \t\8 0 ,\~~e1jay Dist: _tnb&' cen\eI \8 # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pal!:e 1 of3 Expiration Date 06/26/2009 09/0712008 11/09/2008 OS/2912009 Phone 541-729-1074 541-747-5413 (541) 689-3839 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: v~. ,. \~: Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00816 ISSUED: 08/06/2007 APPLIED: 06/06/2007 EXPIRES: 02/06/2008 VALUE: $ 2,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Valuation Description I Estimate Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 2,000.00 Value Date Calculated Description Type of Construction Total Value of Project $2,000.00 $2,000.00 07/18/2007 ~ Fee Description Amount Paid Date Paid Receipt Number ~Mechanical Issuance Fee~ $10.00 7/18/07 1200700000000000936 + 10% Administrative Fee $14.60 7/18/07 1200700000000000936 + 5% Technology Fee $7.30 7/18/07 1200700000000000936 + 8% State Surcharge $11.68 7/18/07 1200700000000000936 Building Permit $45.00 7/18/07 1200700000000000936 Exhaust Hoods $9.00 7/18/07 1200700000000000936 Fixture $56.00 7/18/07 1200700000000000936 Minimum/Adjustment Mechanical $24.00 7/18/07 1200700000000000936 Vent Fan $12.00 7/18/07 1200700000000000936 + 10% Administrative Fee $11.70 8/6/07 1200700000000001003 + 5% Technology Fee $5.85 8/6/07 1200700000000001003 + 8% State Surcharge $9.36 8/6/07 1200700000000001003 Residence Wiring 1000 Sq Ft $117.00 8/6/07 1200700000000001003 Total Amount Paid $333.49 I. 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. will be made the following work day. ~eouiredJnsnections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Pa2e 2 of 3 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: COM2007-00816 ISSUED: 08/06/2007 APPLIED: 06/06/2007 EXPIRES: 02/0612008 VALUE: $ 2,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work 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 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 Pal!:e 3 of 3 . ' . 225 Flfth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00816 COM2007-00816 COM2007-00816 COM2007-00816 Payments: Type of Payment Cred itCard cReceint I RECEIPT #: Description Residence Wiring 1000 Sq Ft + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JEM ELECTRIC City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001003 Date: 08/06/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 844268 In Person Payment Total: Page 1 of 1 8:32:15AM Amount Due 117.00 5.85 9.36 11.70 $143.91 Amount Paid $143.91 $143.91 8/6/2007