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Home My WebLink AboutPermit Electrical 2009-1-21 225 Fifth S'm'.Spdngfield, OR 97477+PH(541)726-3753+FAX(541)726-3689 IWJ~p\R\4~M"lUaiillt;\~;~1w\'~F~~~~~JjI _s>a~~~~JI~*~!=i~~lbY,~_ I Permil no.: C. '7 -00 a ? z I I Dale: / - Z I -0 f I Eledrical Permit Application ~1:Ty'b'F'.SPRINGFfELri '@REG'ON. :,L, ~t,(, ...~ '""',." ~. .' - - " 'I - ,~~. ~ ~ / This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not start.ed within 180 days ofissuan~e or if work is suspended for 180 days. r;;,*"",H-~l!OC"l:;"'G'0\ZERrilMEN"'"''''''''R'O''' V"""1V,""lM'f!~1 Ir:~~tw.~;^ ^....~';,~~.,j.__ _ __ ":ltrXl':\f7jfE;,.',, l:\&;{e~*I}J}Aflirg.- I Zoning approval verified? DYes D No 1 =::;,::~mE<3i~~~~::~:~mRW{~O~:':~~~111 Residential, per unit, service included: 1 ~:~:~;~;:'I;T;E~2~~him:A~:l!Of~ION!~[ I i~;;01:i:O:~II:S;0(:~ ft. or portion :1::.::: I I, I City: S1>t"J) I State: brL I ZIP: 7"Jlfn Limited energy (2)' $ 32.00 $ I I Subdivision: 1703.3 b '3> I I LOI no.: 0 S ~ , Each manufactured home or modular I 1\~\iIl._1Ii!llbg$~~Il~;lIloNlI'.ol'iiWl1JiRK'i1,1il!r:lii8il!l!lllJ1i!1I! dwelling service or feeder (2) . $ 63.00 $ I - H (Z,~ p~€ _- I I Services or feeders: installation, alteration, relocation I I I z...... c.rVC,"",,~ I 1 200 amps or less (2) $ 81.00 $ I 1~1lJ1~~~~'1t_J1;!R~~RER:rlY:ij(:)WNER~1Il'Ii,\)~11~~ 1201 to 400 amps (2) $ 95.00 $ I I Name: bt7\-N 6tlA-C;/ E'Yl. I I 401 to 600 amps (2) $158.00 $ I I Address: I bb '{ ~N S I I I 601 to 1,000 amps (2) $205.00 $ 1 I City: s? PJ) I State: 0Vl...1 ZIP: '771{771 1 Overl,OOO amps ~r volts (2) $469.00 $ I I Phone: 1 Fax: I I Rcconnect only (2) $ 63.00 $ I I E.mail' . 1_~~~Ill\.'CIry services or feeders: instaflation. alteration, relocation I I Tim Installation is bemg made on residenlial or farm'prCpe'ify' \ v~ '\eJ;;~AC\3'11'p~r less (2) I . ' $ 63.00 $ I owned b~ me or a member ofmYI.iP''1'_~diii(e''fa~q~~J\I:,hlsbV ,lie \ ~ $oo:tQ), ilNn~""ps (2) $ 87.00 $ I property IS nol mtended for sale, exc_hang,,;1Iease1 or re'\.d~~RtU E" r ~ ~::,;: ~n 479.540(1) and 479.560(1). lotIO" ;\\On Gentet. otliroUgli Cl ' Z',f\\g2,iJG1'Ps (2) $126.00 $ I '.ot\IICd. 0' 00' . 50\ II... 1 Signature. : _ nt.H 952-0 ~f"\h'a\n cop\e, ~.!rl~'AQQ"Snps or 1,000 volts, see services or feeders sectIOn above 1~~<<0!D~' em0RJltIISlPft.il!~~ml'(!jN:riJJ!ll,~\1!l5a~~~l:~ N\J'ilfi<lfll,\PJ~its: new, alteraMn, extension per panel I I )'. II II' lV-V ":~ gO\\- v,r 'fAil'" BUSIness name: I... fJ Y r...::::LL ca '. '~~ ,(lh~ .ote ....1"\(\.~32-'2.' 'fl"'tQee for branch circuits With purchase ofa servIce or feeder fee I I Address:.f) 0 h r; )I, (,t&)' "center \5 ,-J- - Each branch CIrcull I 1 $ 600 I $ I I City:W 'r1J-fj (\1')' J If I State': 6 Lf J ZIPq () I I b. Fee for branch circuits without purchase ofa service or feeder fee; I Phone: 14-7 ') 11'1 LFax:.f 0 I First branch circuit (2) II I $ 55.00 I $ 5 S I E-mail:hvvwbyOSP/nNar~0t1I.n1.C6.rl1 Each additional hranch circuit /(1 $ 6.00 $ 6~ I eeB lic~nse no.:J'?Y( ()tJ4.f.A ' I ~e no.:;J().- tfLJ. ~t I Miscellaneo'us fees: service or feeder not included I I Signing supervis~r's li~en;e -no.:l _47;2 J 5- I 'Each pump or irrigation circle (2) I $ 63.00 $ I I Print name of signing superviso :tJ tir;h-1/ FI V y r i' J. 1 Each sign o~ outline lightin~i2,):l~~\t I $ 63.00 $ I I Signature of signing supervis . ) \\~ \ . ~rmt~~KklS~1{ I $ 63.00 $ I v. V j S \-.11' ~Effill\l\1@1tid.nlr~~ [1~".J I $58.00 $ I ~1j\\10R C~~Jl~_e-a~J(SWNmJlifSE:~~~_ COtJ\MENA~)~\GD,.otal of above fees I ~N'i '\ 80 ( '1Minimum Permit Fee $58.00) $ I z.- \ I (8) Enler 12% surcharge (.12 x [A]) $ 11.{5 'i 1 (e) Technology Fee (5% of[A]) $ b -.rl I TOTAL fees and snrcharges (A thrnugh C): $ /4/ SJZ CVAi\ r~~ t.~ 440.2584.) (9108ICOM) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00092 ISSUED: 01/21/2009 APPLIED: 01/21/2009 EXPIRES: 07121/2009 VALUE:. SITE ADDRESS: 1664 MAIN ST ASSESSOR'S PARCEL NO.: 1703363103301 Springfield TYPE OF WORK: Fire Damage I,C~,NTRACTOR INFORMATION.I Contractor ,,\ W lequileS '10~tii~'1 License EHk'~~~YSt'R~~T~d*~oregol1 ellorth04231 B~~Mfl;R@S("~N1ilt&~IS'ES ~52_001-136446 COW\~R.(),MJ5lWf1kiWffilOU9h O{>.. e lules byII0075 D(,i~Nf.~l.Im'R~k~~JfMB:IIWf:;Lct~\"p'\1Ol1e 185065 0090 i\i~~~h~-jel]l9tu\U)I~ifi1N'F<'ik1\il BON I ca 'or the J, - Y 332-l,,~-\J. numbel' . 1-BOO- centellS 71 of Stories: . R-3 Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: PROJECT DESCRIPTION: Fire damage Owner: GRAZIER DEAN STEW ART Address: 1664 MAIN ST SPRINGFIELD OR 97477 Contractor Type General Electrical Mechanical Plumbing . # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: . # of Bedrooms: VB TYPE OF USE: Repair Residential Expiration Date 11119/2010 08/20/2009 12/18/2009 01108/2011 Phone 541-689-6177 541-747-2724 541-461-4821 541-556-5629 n/a Lot Size: Sq Ft 1st Floor: Sq Ft)nd.Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFO~M,ATION I Overlay Dist: # Street Trees Rqd:... . Paved Drive Rqd: _ . % of Lot Coverage: i\.l~ 'NOt'-t . . P\?~ \f II "01 ~,!,1\C1:.. i ~\,"" \.. fj. - n"'Q~\i \S I P~~fNf~~~~T'ii'~UG"~lJ rlJl'\ ~1'1 \ nuL{. 01". '" '.t ,...\J "t.~Ct.O ,\,\ OlJ Sidewalk Type: CO\lJ\w'''Q I)fl-'{ pt.?1 . . fl-~'{ IV . Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee I 00 REQUIRED PARKING Total: Handicapped: Compact: Downspouts/Drains: _~~_'~~~~.;i-'-:;_i_~, ~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00092 . ISSUED: 01/21/2009 APPLIED: 01/21/2009 EXPIRES: 07/21/2009 VALUE: 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ...., I Valuation Oescription I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project FfP~' PJWJ Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Fixture Amount Paid Date Paid $23.64 $9.85 $55.00 $66.00 $76.00 . 1/21/09 1121/09 1/21/09 1/21/09 1/21/09 Receipt Number 1200900000000000027 1200900000000000027 1200900000000000027 1200900000000000027 1200900000000000027 Total Amount Paid $230.49 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. I Rp?"jr~" Insnections I Rough Plumbing: Prior to cover and incl~ding required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Palle 2 of3 _G~'!!!.~!~I'.?J _ , ~.. -.. . ' . _. -..' -.i ,,' Status Iss u ed 225 Fifth Street, Springfield, OR. 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00092 ISSUED: 01/21/2009 APPLIED: 01/21/2009 EXPIRES: 07/21/2009 VALUE: 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 furtber certify tbat any and all work performed shall be done in accordance with the Ordinances ofthe City of Springfield and th.e Laws of the State of Oregon pertaining to the work described berein, and that NO OCCUPANCY will be made of any structure without permission of tbe Commuuity Services Division, Building Safety. I further certify that only contractors and employees who are in compliance witb ORS 701.005 will be used on this project. I further agree to e~sure that ~II 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. (2...J2- ::J ,'~ '" Owner or Contractors Signature Paee 3 01'3 I <2..i .. 04 Date 225 Fifth Street Springfi.eld, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number C0M2009-00092 COM2009-00092 COM2009-00092 COM2009-00092 COM2009-00092 Payments: Type oCPayment Check cRcceintl RECEIPT #: 1200900000000000027 Date: 01121/2009 Description - Fixture Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By EHLERS CONSTRUCTION INC Item Total: t:heck Number Authorization Received By Batch Number Number How Received djb 5330 In Person Payment Total: Page I of I II :24: lOAM Amount Due 76.00 55.00 66.00 9.85 23.64 $230.49 Amount Paid $230.49 $230.49 . 1/21/2009