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Home My WebLink AboutPermit Electrical 2009-1-23 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-001II ISSUED: 01/23/2009 APPLIED: 01/23/2009 EXPIRES: 07/23/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 281 22ND ST ASSESSOR'S PARCEL NO.: 1703361302300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Upgrading service and adding circuits to existing shop Residential Owner: BROMLEY EDWIN C & DIANE L Address: 281 W 22ND ST SPRINGFIELD OR 97477 I. CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor OWNER License Expiration Date Phone BUILDING INFORMATION) # of Units: Primary Occupancy Croup: 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: Lot Size: . Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq FtOther: Occupant Load: nla I DEVELOPMENT IN~ORMATION , REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: \~~~. \J'\~ ~S' Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Sidewalk Type: Storm Sewer !\Yi'il;ll>Jr.:. . Special InstruJl\bb\ IlIt: ' THIS PERMIT SHALL EXPIRE IF THE WORK Notes: AUTHORIZED UNDER THIS PERMIT IS NOT r.nMMFMr.m OR 1$ ABANDONED FOR ANY 180 DAY PERIOD. I I . _____ ,'Valuation Descrip,tion Description Tvpe of Construction $ Per Sq Ft or multiplier Downspouts/Drains: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility , Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- UUliU. you may omall' GUjJl"" UI U '" I UI"" uy calling the center. (Note: the telephone number for the Oregon Utility Notification Square Footage Center is 1-600-332-2344). B'd A t Value Date Calculated or I moun Pal!e 1 of2 Status Issued CITY OF SPRINtJJ:<lJ!.LD Building/Combination Permit PERMIT NO: COM2009-001l1 ISSUED: 01/23/2009 APPLIED: 01/23/2009 EXPIRES: 07/23/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541,726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I II I 1 Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $15.48 $6.45 $48.00 $81.00 1/23/09 1/23/09 1/23/09 1/23/09 2200900000000000089 2200900000000000089 2200900000000000089 2200900000000000089 Total Amount,Paid $150.93 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 Reauired I ns"ectio"s , Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined tbe 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 auy structure without permission of the Community Services Division, Building Safety. 1 fnrther certify that only contractors and employees who are'in compliance with ORS 701.005 will be used on this project. I further agree to ensnre 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 ofthe property, and the approved set of plans will remain on the site at all times duri construction. . /723 Dare of' o~rorcont~e Pa!!e 2 of2 225 Fifth Street. Springfield, OR 97477.PH(541)726-3753+FAX(541)726-3689 1:~~~t.ij.-."'!i"1i"i;~J'.~""'-',~,?w.~~):illy"A1Y~.~~1 l~'l;~is!\l~Ji1~~I~~~l~~,m.~1lli:~ I Permit no:C'_Y - I I I I I Date: I \ 2- ~ I OCl I Elect'rical 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 snspended for 180 days. ~~~iig!iI;E:[sj:;8E:[jJ.'leE~~~~~1 !!~~~&m!&11il1;~l~JIIlt~~.IIl~~tll I Residential, per ~nit, service included: I 11,000 sq, ft, orless (4) $134,00 $; 71' I I Each additional 500 sq. ft. or portion $ 25,00 $ I thereof I Limited energy (2) $ 32,00 $ I I Each"manufactured home or modular I dwelling service or feeder (2) $ 63,00 $ I Services or feeders: installation, alteration, relocation I I 200 amps or less (2) J $ 81,00 $ 'i: I I I 20 I to 400 amps (2) $ 95,00 $ I I Name: E /} n Aoilt L;J:.,Y I 401 to 600 amps (2) $158,00 $ I I Address: J tf./ AI, t'f.vi f.~r I 601 to 1,000 amps (2) $205,00 $ I I City: 1;1 A/,,'JV I ;zt',;{/ I State: t? If! I ZIP: ~ 7'177 I Over 1,000 amps or volts (2) $469,00 $ I It;" /'/ /J I I Reconnect only (2) $ 63.00 $ I Phone: . - ~ it) ~ '" '. 7:i/ Fax: 1 E-mail: I Temporary services or feeders: installation, alteration, relocation I This installation is being made on residential or farm property I 200 amps or less (2) $ 63,00 $ I owned by me or a member of my immediate family, This I 201 'to 400 amps (2) $ 87.00 $ I property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) aild 479,560(1), I 401 to 600 amps (2) $126,00 $ I Signature: lOver 600 amps or 1,000 volts, see services or feeders section above I 1~::::~~Nj1j~CJI1~RiINSmft,:I!l!Aml~N~~_~~1 : :r;::~o:i~::~:~ ~i::~~:t:~~::r:::s:s:na::~::e~r feeder fee I I Address: I I Each branch circuit I 9? I $ 6.00 I $ 'f % I I City: I State: I ZIP: I I b. Fee for bnl'ft~w'liforJ~~_ffM'fl!!!fll1lies'Yoo4g feei I I Phone: NUIIGE: I Fax: I I First branf6II:o'tM~'S_ adopte~ b I ~n_e U~~lib tlM2'h I IE-mail: IHI~Pl:HMITSHAllEXPIREIFTHEWORKIEachadf.~~IIh:%_RffHho.1r\~h ~~;; 6MI.~ -&i1~ ! I CCB licen ';UTHuIiILCU UI~U~~dD'I~.fu!i.KM,U I~ NUl I Miscel1ane~~s!{ooviflalf!l5bltai/lloo]liestill the rules by I I ,. ".:C1K'fM[N,cm OR ABANDONED fOn I Each pump o.GII1~!i\ll,A'l-\}B~:t!r. \Nj.te:,ln~ \!lllilill J~" Slgmng SU1lllINlS~6lhh"<m~<HJQ,;,,...~. ~ lit I. ~ 'l+ .j.QIJ 1oIf\r'l"Ef\l\i_ I ....\" ..' lor th rag: ' -.' ,~ I Print name of signing supervisor: Each sign or out IDe li~W!s 1-80 -332 ,2tl4i4l'lO $ I Sig. nature of signing supervisor: I Signal. circuit or a li~ited-energy panel,' $ 63.00 $ I alteratIOn, or extenSIOn (2) . Each additional inspeCtion: (I) $58,00 $ I ,-IG"i'lj"n_-", _', ,. '''~~'n'''_-<:'''I 1~~;~~~~~~~~i;~;ERNM~rr;.~RB8J~Y6~NO'h\~;~~~1 la~CAmE(3bRY;{ol7lc::c:>NS.mRl'.fGlI1IQN~~I, II2ll Residential I D Government I D Commercial l~lJOJ31$litEinNF"bRMAm.IQNlANPJ1I!:(;fGA"'I<:>.N~~mf1l I Job site address: 2. ~ J AI, t fJM '1 /, - I City: I)' JJA ;'1/1 Ft,yJP I State: t3J1? I ZIP: 911{ 77 I Subdi~ision: I Lot no,: ~~~~ilJA~;[jE$ntRIHmIONF00E&\WbRK&mi?r~~["'~~4 ".'.=fu.~.~';;4G;='m'.~......... ..' _, ;L..'_., .'.'_... ~_'. ."_ _., ....~~$'r:..a"",.""'l'f0'_;t'J.#i"....,.,"'<, I Ifp/t11 Wp/Mf'fJIit',rJ t//l~4HJtL I I (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) '. I (B) Enter 12% surcharge (.12 x [AD I (C) Technology F~e (5% of [AD I TOTAL fees and surcharges (A through C): $,/!::9:9 $ \~.4%1 $ lP,t-is I $ r51!.9~ 440-2584-J (9/08ICOM) / 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00111 COM2009-00111 COM2009-0011l COM2009-00 III Payments: Type of Payment Check cReceiotl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000089 Date: 01/23/2009 1J:29:31AM Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Tecltnology Fee + 12% State Surcharge Paid By UNDERPASS MINISTRIES Amount Due 81.00 . 48.00 6.45 15.48 $150.93 Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid kr 0224 $150,93 $150.93 In Person Payment Total: Page 1 of I 1123/2009