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Home My WebLink AboutPermit Electrical 2009-1-14 225 Fifth StreeitSpringfield, OR 97477+PH(541)726-J75HFAX(541)726-J689 1~~~~_"h'<";'f';Y~1~;'Jf.~"""~~~~~.~i. '_ '~I i~dD.E;~Jl.f.l..JiME!!:rl!YSE'0N[2.Y; ,~ 'i''f:'',1>;Ji".;..~c...''i~;;__";,;;.;.,,,-,,)~.,L..__.AA'._..,,~:T .'~~_'i.,. - CO",", ZOO/:?- J / I. Permit no.: 000 t='~ ID.~ I Electrical Permit Application This permit is issued under OAR 918"309-0000. Permits are nontransferable, Permits expire if work is not started within 180 days of issuance'or if work is suspended for 180 days, 1!!..U&"IJliIIlfGl_G:A\~.<3J5ME:BNME;f\lilIr~~~I:{GlM.6:~~4;,~~' I Zoning approval verified? DYes DNa 1~~~MEGQr{YllQFJ)!;:Qf\l$mBlIJQmIGlNr~li I I 0 Residential I 0 Government I 0 Commercial 1:~~~;Ss~T'~N6~5m'jj;~~~m~~~rNJ~W, :1:::::: 1 I cityh V} f 1 :14 ) I State: I ZIP:' I $ 32,00 $ I !~~~ii~:~pwJ~~i '''.00: ! 1~~~ItRGlJ~.E;R:];i;l0..wNEI;l.i/~i~~~~111i~1 201 to 400 amps (2) $ I I Namel) 01 YllJ 01 ac> r';) T 017f J ; I I 401 to 600 amps (2) $ I I Address:J II I 601 to 1,000 amps (2) $ I I City: I State: I ZIP: . : I I Over'I,OOO amps or volts (2) $469.00 $1 I Ph . I Fax', < 'il7', , I Reconnect only (2) $ 63,00 $ I one. . 'O/I~ ,!\t. I E-mail:;, .'VO!it.~~v!~"tt~ l~eil1l!.orary services or feeders: installation, alteration, relocation I In,... IC~J , 'r. 'OJ'" I This instanation is being made onreside,;tial or farm P#5B1& 9~:1/ ~Q&~P~8~~SS (2) $63.00 $ owned b~ me or a member of my ImmedIate family. Th'e"",: Yo/; < -OJ 71J1,1O 4'OO'~~~~ ' $ 87,00 $ I property IS not mtended for sale, exchange, lease, or r~. ryJ\i~ ~ Iq' ,f(n Jf./"'. ''In 'iV//:. I I 479,540(1) and 479.560(1).. 06er fol}e ;:/:~{"-^tX,!:P.!~'2(J)r~, eS"E . $126,00. $ Signature: . _ C"": t 'e l!;l/yeW~l/!bffiiwf'eF,@9-~\laI~I~Jo;ervIces or feeders sectIOn above I 1~:ral!~,GlN1f~Cil1c:;j~If\l$ML!L!'~QN~hl_~~gaV.s r:B:~!li'~i~~ftsry~@gfl.a~xtension per panel I I Business tjaVle: ~]V r (Y II , () r 0 ..) I I g~;.~l>18;~~~,~lI?e0t.ll.urchase ofa service or feeder fee I I Addres~: I ~a X (A 7 _ _ ~ , I EaCht~if~11Zl/e 'Y I I $ 6,00 I $ I I City: V: frVJf.L11 State~ y l ZIP!1 J~~~ I b. Fee for branch circUlB?vithout purchase ofa service or feeder fee: I I Phone: 7 y. Fax: "1 'i-'f ,I () ~ 7, I First brancb cirCUIt (2) I $ 55.00 $ I .1 E-mail: _ _ I . I Each additIOnal branch circuit 1 $ 6.00 $ I : ::;:~=1..dJ}:::," "" ""O~ ,ql ;~~~::"::;::::~;::: ~;'" ""u.".,': ".00' i I Print name of signing superv{sor:, , ~ Each SIgn or outline lighting (2) $ 63.00 $ I. f" ,Lu J ,,' ,Z PE,R I l'sTgnal CIrcuit or a limIted-energy panel, I $ I SIgnature 0 slgnmg supervts"-l /'fU'TI,J{) , '!VII'" '"', ! alteration, or extenSion (2) 63,00 $ CO~'E.~lf{J~~All Ex~!. ~ Each additional inspection: (I) I I $58.00 I $ _ ANy 7 O:tpCfItJ 'rJ 'fR fI.'Z 'R ;UR:,,,,,jj,""'l'~~'I*&'APFH:!iGANif,J!!l'.ISE"'-"''':;[''''~l''~~''!'~ DA " IS '7. S F "'""'I.''f....,''".~''',' ~ '". ._mr_",,,,,,,!li'1Ils y PERIO ABANDO' f?A:lrf?~"r~~al of above fees I 'D. ,) ~i!'}ii!:uI1iOjl!rmit Fee $58,00) $ I .") I I (B)E;!erI2%surcharge(.12x[A]) $ I I (C) Technology Fee (6% of[A]) $ I TOTAL fees and surcharges (A through C): $ ~~.J!i\T~F,E"E[sc8EbJfiL@E~~~~~!Il1 ~"~i""l~~"':~:;ji!;"2ii1i!;i;~t!ji<"c<!ff1i;I[~I)1l;J€Os't~'f. ~1!61iFora-~I!"'1 ,.Numher.of)mspectlOnS\PIT;!j~J:n:(')~ffi'p: Q(y, lt~ea"'~'! :~~c--os-t ~~;'i:fi;>'3f,*'@ti&iffi.J{Y>~"$:g!hil..~~'ii:,ifcl~"l:.-u..,~ 0i";cj;,,"t< ia~_,"..;k{rA.;;, 1;ti:i:,t... 1 Residential, per unit, service included: .11,000 sq. ft. or less (4) I Each additional 500 sq. ft. or portion thereof I Limited energy (2) I Each manufactured home'or modular dwelling service or feeder (2) I.Services or feeders: installation, alteration, relocation 200 amps or less (2) / $ 81,00 $ 95.00 $158.00 $205.00 440-2584-J (9/08/COM) ~~~ ~~ ~y 77 I,' Status Issued CITY OF SPRINGFIELD Building/COInbination Permit PERMIT NO: COM2!)09-00066 ISSUED: 01/14/2009 APPLIED: 01/14/2009 EXPIRES: 07/14/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541~726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5335 MAIN ST 241 ASSESSOR'S PARCEL NO,: 1702330001300 SPRINGFIETYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Pedestal swap out Contractor Type Electrical "~ SANTIAGO EST A TES ASSOCIATES LLC 11211 GOLD COUNTRY DR STE 100 GOLD RIVER CA 95670 .,~:)~-;-;v.. uregon I .. follow rules a'd aMf,if{w rp.'!'!'!;~J'~;^F-'otl,;;"ATION I "tf-Uwulill """ '" . .;.If' Notification Centlil ) II'" · f . "I in OAR 952-00 . ose ru es are setforth . C'llWd!cffiroi 1-O01~ through OAR 952.001Llcense BUlm!ijMr 1fM~~.i'&~lffR~~stFNe:ru/es by136446 numOer for the, 41rmliiil1rl,{{ INI!@ltM'A.'rION I . Center IS l-ouU-;;Kl2'2344). # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled B~i1ding:. . Expiration Date 08/20/2009 Phone 541-747-2724 Owner: Address: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 n/a I DEVELOPMENT INFORMATION' Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dih: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: , Handicapped: Compact: Street Improvements: Storm, Sewer Available: Special Instruction: UCTI"'~. T"HIS Pi-RthPilJfj,mL[Nl. RR@~ElK1I~.. OtlTI\ . ,11 ". lJl ',I r '1 .1 ,'T ' tt\ n v r... 111111 I .. AUTHORIZED UN . NDONEO' FOR Sidewalk Type: OMMENCED OR IS ABA C 00' Downspouts/Drains: ANY 180 DAY PERI . Notes: I Valuation Des,criDtion I DescrJption Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of2 Status Iss u ed 225 Fifth Street, Springfield, OR 54 I -726-3753 Phone 541-726'3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee. Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $9,72 $4,05 $81.00 $94,77 Total Value of Project Fees Paid I Date Paid 1/14/09 1/14/09 . 1/14/09 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00066 ISSUED: 01114/2009 APPLIED: 01114/2009 EXPIRES: 07/14/2009 VALUE: Receipt Number 2200900000000000053 2200900000000000053 2200900000000000053 To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will he made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I, ~e?"ir,ed In~~ec!i~ns I Electric Service: Approval required prior to utility company energiziug service. By signature, 1 state and agree, that I have carefully examiued 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 shan be done in accordance with the Ordinances ofthe 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 Page 2 of2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009"00066 COM2009-00066 COM2009.00066 Payments: Type of Payment CreditCard . cReceintl RECEIPT #: Date: 01/14/2009 2200900000000000053 Description Penn Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge .. Paid By JOSHUA BURRELL Item Total: Check Number Authorization Received By Batch Number Number How Received djb 045l6b In Person Payment Total: Page I of I 1:45:07PM Amount Due 81.00 4.05 9.72 $94.77 Amount Paid $94.77 $94,77 1/14/2009