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Home My WebLink AboutPermit Electrical 2007-8-17 . '': ~ ZON L r:Y2- INITIALS t-ll'v\ DATE f(' --'Z.o-- ~., SOURCE VV\,I~ < 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION ,.- City Job Number Ldw1 ZOD 7 - 0 (Z. 0 ~ Date "8 Jill 01 r ---_._-._--~ ------.-- - -------,.--------------.----- ------, 1. i LOCATION OF INSTALLAttON: 3. I COMPLETEFEE SCHEDULE BELOW J L____ _._.,_____'_ _~~..__.___..___.:.....___~_..___.___ i~._____ ._._.~~___'__.._..._ ._,. .._~__._..._ ____,.______.~_ Zc::>O b :;:. ~ t- 200 Amps or less 201 Amps to 400 Amps / 401 Amps to 600 Amps / 601 Amps to 1000 Amps Over 1000 AmpsNolts _ ^ / Reconnect Only .~~ , f~u\resyou;t~--.-----._----- ---- Supervisor License Number tJ'TlON: Ore~:: b~~e-Ofe~~lJf~!c~s~!.!.eed!l"S- ___ _____ J nOW ll'~'el adOP Those rules are S8 Expiration Date '_ \..K. ~rillfioation ce~t~r. othrO~~~tion or Relocation V \.1 OAR 952-UU I-:~\n COpbfl)~' ~~;: Constr. Contr. Number 0090. You ~~nte" (Not~~lt~ps J' ca"'b"g \~or IIhe Oregon ~~~! to 600 Amps num Sf u' -800--~. 'tit,maUI 1 Over 600 Amps or 1000 Volts see "B" above. D. [~;;;;h!=i~~~~~_~-- __=~==-~~___~-=~=.-~~-----] New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit LEGAL DESCRIPTION: 17D3Sb( Z- 01 foO JOB DESCRIPTION: Fc~~ 42 S(lvLS- I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2 r~CONrRACiOR INSTAiLATiON ONLY 1 . T ...___ _..__---. _ __~_..J Electrical Contractor Address City Phone Expiration Date Signature of Supervising Electrician Owners Name ~_ (. s:::e....- 1> v-k u nnnl9 r. S\- CitycLpn'~~c\ Phone r5~ I) q I?--clcto;z.. OWNER INSTALLATION Address r--~'--- _. ----.-'.-- - ~-- ~._------ -..----,--. ---------, A. !New Residential-Single 01. Multi-'Fanlily per dwelling unit" i L _ ___ ..._~_._.~.___.____ _.c,'_____~__.__ __ ___.___~ 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 $117.00 $ 21.00 $55.00 1______ -..----- -------. -._- -.-. -.-.---. ----- -'-1 B. I Services or Feeders -Installation, Alterations or Relocation: I "________.____ _ .__.________._.___.____._ ___. _ ._ . __ '___ _ _ _ __J .3 $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 .J.IO , j _ 1 $ 55.00 $ 76.00 $110.00 $ 48.00 $ 4.00 ;:~'z'?"'~->;,-.-"_; . ',',-"'J,">,_.:,,"""_',h' -~,~,("_'-:"-"':J_ " ___ . _'-',_ :; .... " " ,"1 'if,: E. [;'M!.~fti~~OI"s.~~~,rYiC~IJ"~,~~~E?~.~i~fl ~~_e~)'!"JJ:ac~J~stallation i Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited EnergylResidential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges r-'-'--- ~-_._-- -- ---"---- ---- ---------~.---l Owners Sia::e: Q~ 4. L:r;::::h~;~OVE- ______uu ___ I Z ( fao J\ V 10% Administrative Fee "'21 MOll'nC\E: 5o/2.Th'i~Fee /6,.-0 U'<I M1T SHAlt EXP\RE If I Me g 7. Inspection Request: 726-37ift\\S PER ER TH\S pEmJl\US Not Z s- - AUTHOR\ZED UND ABANDONED FGAred Drive(T:)IBuilding FormslElectrical Permit Application 7-07.doc COMMENCED OR \5 . - ANY 180 DAY PER\OD. The installation is being made on property I own which is not intended for sale, lease or rent. " . '" Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2006 I ST ASSESSOR'S PARCEL NO,: 1703361201800 Springfield PROJECT DESCRIPTION: Replace existing roof with trusses Owner: PRICE JESSE Address: 2006 I ST SPRINGFIELD OR 97477 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01205 ISSUED: 08/15/2007 APPLIED: 08/15/2007 EXPIRES: 02/17/2008 VALUE: $ 3,500.00 TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential Phone Number: 541-912-0061 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Contractor DEL J INC OWNER OWNER BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: R-3 VB License 40432 Phone 541-476-1387 Expiration Date 09/0212007 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I 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 IMPROVEMENTS I Street Improvements: Storm Sewer Available: ,:,;;;eNTfON: Oregon law requIres you t Special Instruction: Notifi~a:~~doPted by the Oregon Utll~ In OAR 952-00F-~~;OThthOSroe ruh,eOs are set forth Notes: 0090. You may obt I ~g AR 952-001. calling the center.a (Ncgf'e~ of the rules by number for the Or~gon ~~iln: ~e'~hone Center ;s 1-800..s32_23~~ifioatlon Pal!e 1 of 3 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: NOTICE: ~g~~E: ~~~~~5!E~:r~~Zg: ANY 180 DAY PERIOD. NED FOR Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Heat Pump Minimum/Adjustment Electrical Minimum/Adjustment Mechanical + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Structural Review 08/1512007 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01205 ISSUED: 08/15/2007 APPLIED: 08/15/2007 EXPIRES: 02/17/2008 VALUE: $ 3,500.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 3,500,00 Value Date Calculated Total Value of Project $3,500.00 $3,500.00 08/1512007 ~ Amount Paid Date Paid Receipt Number 2200700000000001295 2200700000000001295 2200700000000001295 2200700000000001295 2200700000000001297 2200700000000001297 2200700000000001297 2200700000000001297 2200700000000001297 2200700000000001297 2200700000000001297 2200700000000001297 2200700000000001306 2200700000000001306 2200700000000001306 2200700000000001306 $6.72 $3.36 $5.37 $67.16 $20.00 $10.00 $5,00 $8,00 $48.00 $14,00 $2.00 $36,00 $21.00 $10.50 $16,80 $210.00 8/15/07 8/15/07 8/15/07 8/15/07 8/16/07 8/16/07 8/16/07 8/16/07 8/16/07 8/16/07 8/16/07 8/16/07 8/17/07 8/17/07 8/17/07 8/17/07 $483,91 I Plan Reviews I 08/15/2007 DON DJB engineered trusses / roof replace 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. Framing Inspection: Prior to cover and after aU rough in inspections have been approved, Final Building: After aU required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Final Mechanical: When aU mechanical work is complete. Pae:e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01205 ISSUED: 08/15/2007 APPLIED: 08/15/2007 EXPIRES: 02/17/2008 VALUE: $ 3,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 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. ;I(~ ;JMJ g //7 /07 Owner or Contractors Signature Date Pal!e 3 of 3 225 fifth- Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-0 1205 COM2007-01205 COM2007 -01205 COM2007-01205 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 2200700000000001306 Date: 08/17/2007 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By KRISTIE PRICE Item Total: Check Number Authorization Received By Batch Number Number How Received djb 995908 In Person Payment Total: Page 1 of I 1:20:31PM Amount Due 210.00 10.50 16.80 21.00 $258.30 Amount Paid $258.30 $258.30 8/17/2007