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Home My WebLink AboutPermit Electrical 2009-1-30 225 Fifth Street. Springfield, OR 97477+PH(541)726-37S3+FAX(541)726.3689 It~DEP.ARTMENj~'UWON~~1 l~ift;c);;:,-r_'t";;l"A-;:';;"~!:~~;V";;:;G";r;Z~~i'i>i&;.;:a;-~~";imt!,. I c.owl~~C>C;- I' ~.':~ Penn it no.: 00/47 , 'I Date //3010 9 I / ( 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, II~z"~0:n~I".n'g'a~p::pl!r'00'v'CaAI'v'~e"l!n"Gfit'.eodV?,.EBNiII'IEDNmy'~!e'f!.s'P.R.ROVAD"'Il'N~O~",'J~II~ZS;~~~~f'.,E:E:jS:CHED,l:JlfE~~if,:, 1~'Y"/'(;~'*""'''~';J\~Oli,''~'''"'''I''~I~'''€-''~I%'. c", 'f; ~Number'of;inspectfODS;per.:item'(~)- ~ Qty; ~-,..9~~ l~.!~Lt.~J~~ 1~~1[CAmEG'i:lBY&.i:lF,il[g.oN~i1iRl!JcJili:lN_t~~al !iiil>";"""",t""-':l>I&"~.i",,,,,t"''''-'';,j~'J!~ l-,,~;e; _jilt~,ai"'R' ""4,COS.!~ ~ I I I Residential, per unit, service included: I 1~~~~:~~~TE~j~~GM;~~~~~~~~7~~;~~~11 ~~;~:;d:i:~::II:S~o(:~, ft. or portion :1:::::: I I City: c;. l' )t./.v" He-"Z.,Aprl:Siat~IQ,z-,-1 ZIP: I I Limited energy (2) $ 32,00 $ I ......"uvv rUJ I-~vl/ law I Subdi:>ision: n_ _. . Notifiro",,_,el!. a~o )k'1\ ~~,:./e9U;res I(rlu JQEach manufactured home or modular $ 63.00 fr:~'.'?"'~!"~;''4'i'''''''''''''DES'CRlalilt;\N''0F*W0RKArSf'&)~i':U"!!ROQ!(1't.1, ~wellmg service or feeder (2), $ ~E~,l?J;~~ ,. , ,__. \.""','1_ "...' ' .,. :1.09(:1;;,,,. ,:~---".......'1 IllV: " J 00 If po mo.:.t4'eJ~ l:~g~i ~en~:t foJi~ervices or feeders: installation, alteration, relocation I ' I~.~~;~~~~~:~l( t: C~k~~~~i;;;;r~~:J~~ :~~:~ :::00:;: ~:; ,i f: : ::::: : g / I I Name: PV"/JiA?/41M;J;;z.'l;itplWJ/~i234~~l/TlCatiJnI40It0600amps(2) I 1$158.00 $ I I Address:' p.(), I!> 0 )C.. 7q"7 'f- . ,. I 601 to 1,000 amps (2) $205.00 $ I I City: f;:{vIJi':'7VI?, I State: OJ[, I zIP:97'!O) lOver 1,000 amps or volts (2) $469,00 $ I I Phonet:;'fr - 71ft ~ ~6 I Fax: I Reconnect only (2) I $ 63,00 I $ I I E-mail: I Temporary services or feeders: installation, alteration, relocation I Th" II' 'b' d 'd' I C 200 amps or less (2) $ $ I IS msta atlOnls emg ma e on resl entIa or ,arm property 63,00 owned by me or a member of my immediate family, This 201 to 400 amps (2) $ 87.00 $ property is not intended for sale. exchange. lease, or rent. OAR 479,540(1) and 479,56p.jtinc ,', I 401 to 600 amps (2) $126,00 $ S t TEl Over 600 amps or 1,000 volts, see services or feeders section above igna ure: }lIcc f' '. 1~~C,0Ni11~;,,~r~"S~~~~1 I Branch eircuits: new, alteration, extension per panel I Business name:, ~i ~ ~ lIit IF THE tYnR~' Fee for branch circuits with purchase ofa service or feeder fee: I Address: f.6'~lR RISAB4fm. ,r:..IV}/TlSflolr Each branch circuit I { I $ 6.00 1$ G I City: [::?'V/.? t:::J-'1?', St~e:t~1J, I ZIP:~7't/tt.)4!3 I b. Fec for branch circuits without purchase ofa service or feeder fee: I Phon6'W - 6sf RjCJ" I Fax: I First branch circuit (2) I $ 55.00 $ I E-mail: I Each additional branch circuit I $ 6.00 $ I CCB license no,: t; '17 II!? I BCD license no.<?O -z. ~c:::, I Miscellaneous fees: service oifeeder not included i Signing supervisor's license no.: ~ >535 I Each pump or irrigation circle (2) $ 63,00 $ I Print name of signing supervisor:, /lJ /./ fI /LoTJ./ I Each sign or outline lighting (2) . $ 63,00 $ I Signature of signing supervisor: / /- . / / ~ ," I Signal circuit or a limited-energy panel, $ 63,00 $ . '1f l tOd/ 'fi.;' aiteration, nr extension (2) (/ I Each additional inspection; (1) I $58,00 $ I 1~~~"1W~-~~i!Ic::}i:&if~OSE!J;'t~~iltB~1 I (A) Enter subtotai of above fees I $ 1, I (Minimum Permit Fe. $58,00) <ir I (B) Enter 12% surcharge (.12 x [A]) I $ Ie iff-{ (C) Technology Fee (5% of[A]) I $ {7r" I TOTAL fees and surcharges (A through C); I $ I () ( !jZ.-. ~Yl\ .Q~ ~'a: ~ \'-: 440-2584-) (9/0S/COM) Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00147 ISSUED: 01/30/2009 APPLIED: 01/30/2009 EXPIRES: 07/30/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 750 S 28TH ST ASSESSOR'S PARCEL NO.: 1803010000100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Service and circuit Owner: Address: HARRAL CHARLES W PO BOX 127 SPRINGFIELD OR 97477 "'f\l. "11', ..OrerrQ , ,<:" -d <i 11 law r I. I._ '. _ q ODten t... eOuirot'o. . ..j l.,..i;'-IH D=,~ ,~"""r='/[er. n..;'J <11f;j Uren,....': -;.'-!. to 0090.1 80NTRAG1:0RJNFORMATION"ity Cillling Ih -, uUfain C ~ ".. vliR 952 '~, Ih Contractor nUmber fo el~enler, (No~Ples Ofll1ictns~OI. TONY KOTH Ce:lpr ~_Oregon &i';~:. ~(59il4~~~ by I BU1LDIN6' iN~o'RM~~loKFltiOf) Expiration Date 05/04/2010 Phone 541-688-8996 Contractor Type Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Strnctnre 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 Garage/Carport Sq Ft Other: Occupant Load: n/a Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I D:ElVlOO6fMENTINFORMATlON I THIS PERMIT SHALL EXPIRE IF THE WORK . AUTf-Rm'I;!&!ttmIR THIS PERMIT IS NOT , COM~1tfe~f1 iftSANDONED FOR ANY ~'bM ~~ Qe: . , REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsffirains: Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Squ~re Footage or Bid Amonnt Value Date Calculated Paee 1 of2 Status Issued CITY OF SPRINGFIELD Building/Corpbination Permit PERMIT NO: COM2009-00147 ISSUED: 01/30/2009 APPLIED: 01/3012009 EXPIRES: 07/30/2009 VALUE: . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pai,~ I 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 ReceiptlNumber $10.44 $4.35 $6.00 $81.00 1/30/09 1/30/09 ' 1/30/09 1/30/09 2200900000000000120 2200900000000000120 2200900000000000120 2200900000000000120 Total Amount Paid $10L79 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. ' Rellllired I nsnections I 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 fnrther 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 70L005 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. ' Owner or Contractors Signature . Date Paee 2 of 2 225.Fiftb Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000000120 Date: 01130/2009 1:31:45PM Job/Journal'Number ' COM2009-00147 COM2009-00147 COM2009-00147 COM2009-00147 Description . Perm Serv/Fdr 200 amps or less Add; Alter, Extend Circ Ea A'dd , + 5% Technology Fee + 12% State Surcharge , Amount Due 81.00 6,00 4.35 ,10.44 $101.79 Payments: Type of Payment Check Paid By LITE ELECTRIC SERVICE Item Total: Check Number Authorization Received By Batch Number . Number How Received Amount Paid djb 6859 In Person Paymen! Total: $101.79 $101.79 cReceintl Page 1 of I 1/30/2009