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Home My WebLink AboutPermit Electrical 2009-2-13 . , This permit is issued under OAR 918-309-0000. Permits are nontransferable.' Permits expire if work is not started within Hio, days of issuauce or if work is suspended for 180 days.' '" IIfillll'i:!f~[0J.:;;a;I!IG(:)YERNME~iTi~fl~RO:y~~r~' ~~~Jif.~IiI;ElS~f!lE:D.U[!!E:ilIIl~~~1 . I Zoning approval verified? DYes D No 1i!:"N"'^"'''biifl.~.' 'f;ffi;',:r,'iilf~:;;.~;m.,~I!i.<""~~.!li.I'~~IIiA!'€Ost!i!. . .~.itota~{;; ;{!~_~~,er$&Ilnsp~ctIo~,~iP~e!1iltem;(1)if.#i~_~ty.': ~'~-'-~7fi ,", -:"-dt",ifW 1-!.~"€AmEG0R~4!'OFWcbNSmRl!JemloN~"~8"\l """,..""",..z..2?''''''''__.~€~iG"""",."..Nk'.i "',~<'" ",,=e,~'~.;'j ,L CO_S,"", ~~~- ---,~, -.. ---','{~~----~~-'--------'--'--- - "A_.\____;_~~ti,~4_~~ 1 Residential, per unit, service included: l~~:~~~liE:~INk~R~~~7:~~P;ND1il~c~;~;~~~~...~11 11.000 sq, ft. or less (4) $134.00 $ I r;::~te ad;ess ~(;,. ~4 '1v."J 1/1 Ii .- ...... . -~'I I ~~~~oafdditionaI500 sq ft. or portion $ 25.00 $ I I City\.'Jf?,fANfjFfPf J~ r State: O~ I ZIP:C)7"177 I I Limited energy (2) $ 32,00 $ I I Subdivi~ion:' I Lot no.: I I Each ~~nufa~turedhome or modular $ I dwellmg service or feeder (2)' $ 63,00 I Services or feeders: installation, alte~ation, relocation I I 200 amps or less (2) \ $ 81.00 $ ~ \ I I 20 I to 400 amps (2) $ 95.00 $ I 401 to 600 amps (2) $158.00 $ I 601 to 1,000 amps (2) $205.00 $ I lOver 1,000 amps or volts (2) $469.00 $ I. I Reconnect only (2) . $ 63.00 $ I I Temporar'y services or feeders: installation, alteration, relocation I I 200 amps or less (2) $ 63.00 $ I 201 to 400 amps (2) $ 87,00 $ I 401 to 600 amps (2) $126.00 $ I I Over ~OO amps or 1,000 volts, see services or feeders section above j Branch circuits: new, alteration, extension per panel I a. Fee for branch circuits with purchase of a service or feeder fee: _ I I ' Each branch circuit 110 I $ 6.00 I $Id) ~c;t) ! I b, Fee for branch circuits without purchase of a service or feeder fee: I I I First branch circuit (2) I I $ 55.00 I $ I I I Each additional branch circuit $ . 6.00 $ I I I Miscell~neous fees: service or feeder not included I I I Each pump or irrigation circle (2) $ 63.00 $ I I I Each sign or outline lighting (2) $ 63,00 $ I I. 'I Signal circuit or a limited-energy panel, $ 63.00 $ I alteration, or extension (2) I Each additional inspection: (1) I $58.00 I $ I 1_ffi'_~~!lilJf]'-"'''''' '7"-"'-~;:_'''~~'1IPl>Q''",- ~\"",~,."~'im:~.Pne.I!I!'l~NiI",,,US.Eillr""~l~~,. ~~i,,~1 , . . cry (A) Enter subtotal of above fees . /'Lj f (Minimnm Permit Fee $58.00) . $, . __ l' { I (B) Enter 12% surcharge (.12 x [AD $ /. .1 (C) Technology Fee (5% of[AD $ ;'1<> ' r) 2- I TOTAL fees and surcharges (A throngh C): $/& --(".17 7 'Electrical Permit Application 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753t FAX(541)726.3689 I I I 1~.?"t1'M"""jitl""4l!1"'R"0" 'riER;rV.lM0. W' N' ER'iili""'<S"''''''h-''''''~'iil''l'l :&~l!,\l;'~i:~,);f!%%mKtgitts:;::Jx,,_ ._Iii..____,j!0_1f1&) .,___,_____,_,~~~:gif!':~,.,;l~ I Name:DAl/ln ~ A"IA k'OiJAt::.,E: I I Address: / & <;'.<./ ;.,;, /(0 fil - I I City:,-SPlLlfI16P1Ftf'J I State: De... I ZIP: '77-'1'771 Phone:<:;11-SI)'5'b5(;" I Fax: ""_c~ . E-mail: 919.IIIDICoOp..e.re:€f.euK.ef..- (!Oltj This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent OAR 479.54OQ-~d419.160(l) \ \ n' n ~ Signature: ,~, ~~ \\Lrr-..A~j l~tl1!!~01~"i~~ClTl(:)RiiiINSjMl!I!~mIO~_"~~ I Busine~a,p;}, lY/.L.Y?..J I Addre5S~ - I City: ~, I Phone: - ~. ~ I E-mail: ;;><...... I CCB license no;/ IlfNl.,[icense no.: I Signing ~u~isor's license no.: ~ I Pfinrr;;;me of signing supervisor: .""" I Signature of signing supervisor: " I State: --- ............rZIP: UJrn2o-vtf ~ OO.;l/-Y' ~Jig/07 h/h ~\"\t ~~ . 440.2584-) (9/08/COM) 1..;~";l!:~:".'M.'_~'iie.f'1~"'.~'V:;j;#::;:;~.... 6~~~",~.,~,"'~-:1.!I.'-'.'1 j~"t!i)DEI?ARliMENi[~USE,0N~:V;"'~' , ~\,;,r.:~€:",:Ji,;"'#-"'y';;.~1:'6:oi;.;~\!hM;il~II&::~~~s_~" i I . /I/J, - 00;].) 4\ Penmt no.: L':"/ ( I Date: :2-/ I ~ lo{ I I>>t- }Jyr\ 100 g~cP(fY CITY OF ~rlUl"'tiNELD Building/Combination Permit PERMIT NO: COM2009-00214 ISSUED: 02/13/2009 APPLIED: 02/13/2009 EXPIRES: 08/13/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Liue SITE ADDRESS: 1654 16TH ST ASSESSOR'S PARCEL NO.: 1703253101200 Springfield TYPE OF WORK: Electrical Work Only . TYPE OF USE: New Residential PROJECT DESCRIPTION: Relocate panel & add circuits Owner: Address: RODARTE DAVID F & ANA B 777S47PL, SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION' Contractor Type Electrical Contractor OWNER License Expiration Date Phone BUILDING INFORMATIONI # of Uuits: Primary Occupaucy 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: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Froutyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd:' Paved Drive Rqd:. % of Lot Coverage: Total: Handicapped: COl)1pact: Street Improvements: "', , I PUBLIC IMPROVEMEN'fs 'I~ IIUI'l: uregon law rBqUli'eS YOU,IO Ti'1 rules adopted by the Oregon UlIlity Notificationsldewalk Tiype: rules are set forth in OAR 952-001-0010 throuah OAR 952-001- , 0090, YourR8rll~lI..ml't!'!?~~Jgs~f the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Storm Sewer Available: , ~I"'", Speciallnstruction~GE: No;es: THIS PERMIT SHALL EXPIRE IF THE WORK ~~T,~?~~~~~~ ~NDER THIS PERMIT IS f\1nT - .....-..v~u un h) I-\Jjf\'~UT"~:- --- flNY i 80 DAY PE I'.....L.J run I ' ,RIOD, V~luation Descriotion . Description Type of Coustruction $ Per Sq Ft or multiplier, Square Footage or Bid Amount Value Date Calculated Pa2e 1 of2 Status .. Issued 225 Fifth Street, Spriugfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00214 ISSUED: 02/13/2009 APPLIED: 02/13/2009 EXPIRES: 08/1312009 VALUE: Total Value of Project Fees PaidJ Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Exteud Circ Ea Add . Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $16.92 $7.05 $60.00 $81.00 2/13/09 2/13/09 2/13/09 . 2/13/09 2200900000000000176 2200900000000000176 2200900000000000176 2200900000000000176 Total Amount Paid $164.97 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 Reoll; -I'd T nsnl'etions . II I.. Rough Electric: Prior to Cover Final Electric: When aU electrical work is complete. Electric Service: Approval required prior to utility company energizing service. By signature, I state aud agree, that I have carefuUy examined the completed applicatiou and do hereby certify that aU informatio~ hereon is truJ and correct, and I further certify that any and aU work performed shaU be done iu 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 Commuuity Services Divisiou, 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 aU required inspections are requested at the proper time, that each address is readable from tbe 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 aU times during construction. . Owner or Contractors Signature Date Page 2 of 2 225 Fifth Street ( , Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00214 COM2009-00214 COM2009"00214 COM2009-00214 RECEIPT #: 2200900000000000176 Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge City of Springfield Official Receipt Development Services Department Public Works Department Date: 02/13/2009 12:52:52PM Amount Due 81.00 60,00 7.05 16,92 $164.97 Payments: Type of Payment. Paid By Item Total: Check,Number Authorization Received By Batch Number Number How Received Check cReceint 1 DAVID RODARTE nJm Page 1 of 1 1046 Amount Paid In Person . Payment Total: $164.97 $164.97 2/1312009