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Home My WebLink AboutPermit Electrical 2009-3-11 1'~~~"'ffti'~HK'~if)I~"~\i("Y}5<<4:;'+'J\;$Gi~~Jf'i'?~i.~' ", I ~,):i~)i[).~~,J.I;~, ]l~Jitlj!l%;\.!,~!;lQ~Y~\f," .2'''''."","''I~~ _.",..<~,.. ..J.<t,..c__._,.<,..~V,,~~...-r..1J2:.. " !permitno: [29-;2'7/1 I'Date: "3/" !t/i I f ( This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire irwork is not started witbin 180 days of issuance or if work is suspended for 180 days. Electrical Permit Application "~ . 225 Fifth Streett Springfield, OR 97477 tPH(541)726-3753' FAX(541)726-3689 1~~[0Q~l!I.G0YI:BNMENiff~~e~0V~l.i!iIt"!'&~1 1 Zoning approval verified? 0 Yes 0 No I 1"'~€A;J:I:G0Ry.OJi{c:0Ns_mRtI,qi1110N~'~I!li!'~illl'R-~_!to\\ll ~~~~~~~,ml:~'N~g~G~imr;~;~N0)1~~C~;r:~~~#,~,jj I Job site address: 30 s:- 2/ [I . "~ I City: I State: 0"-- I ZIP: I Subdivision: I Lot no,: I 1~~jJ[<<0I:SGRIBjjn~N(QJi{W.Q~R~~~iifi~~$1 I 1 1 ,... 1 I 1 I I 1 I Name: Address: 1 State: I Fax: 1 ZIP: City: 1 Pbone: 1 E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, Tbis property is not intended/or sale, exchange, lease, or rent. OAR 479,540(1) and 479,560(1), Signature: 1~.Jl.C.0NmR:<<QiliQR~INsML!If.{l.mIQN~~:~)}\\l ,I Business name: 'l)m \-\ ~)i(C'T1Z. \ c <k:,. I Add""" 7f;> "i> ".,.,.51-" ~ I City~ 5~,j"I' 'I ~tate: OR I ZI~: i..{7 B I Pbon~:~-t)I~.-~t;':.'1 Fax73b - I _' 1 E-maIl:, "'~ ' 1 1 CCB license no,: 1 BCD license no,: 2o~i.f5f1 f' 1 I Signing supervisor's license no,: ~ 4L7t:jijt; I 1 Printnameofsign,ingsupervisor: :l:bi"\ m. \-\Og;r"O,J 1 Sign,ature of signing supervisorS\_~... "1, I\. t- ~ ~tv~\ ~~~, ~ 440-2584-J (9/08/COM) , ~N"'~?j;':'.,;%i:5~~"f' """'-,"'t~' 're~ftlJj;:'~t ' >)l')'t'il"'''' ',',I~'h'1l, ;1~~Il€'ostlil','I""I'1ti'it.I''',' ~ umUeriO }IDspec IOnSTP.~!P ern;\c: ~ ,i:l~J/ It. ,,,"~-~"T~ 7>.............t'Rt." .'9iiiill~i;:~'f,i;0~}2.!ll1i'!i~..g,g,,"f%Jj&11M~i,{d~iL'9' q;;J\';~ ~,.;;~_f}J~.~j:t 'f9_s~.~ Residential, per unit, service included: I I 1 1 I 1 1 1 I 1 1 I 1 .1 1 1 I I I 1 1,000 sq, ft, or less (4) lEach additional 500 sq. ft. or portion thereof 'I Limited energy (2) lEach manufactured home or modular dwelling service or feeder (2) I Services or feeders: installation, alteration, relocation I 200 amps or less (2) $ 81.00 $ I 20l,to 400 amps (2) $ 95,00 $ 1 401 to 600 amps (2) $158.00 $ 1 60 I to 1,000 ~mps (2) $205,00 $ lOver 1 ,000 amps or volts (2) $469,00 $ 1 Reconnect only (2) $ 63.00 $ I Temporary_s~rvices or feeders: installation, alteration, relocation I 200 amps or less (2) $ 63.00 $ I 201 to 400 amps (2) , $ 87,00 $ 1 401 to 600 anips (2) 1 $126,00 $ lOver 600 amps or 1,000 volts, see services or feeders section above I. Branch cir~uits: new, alteration, exten;ion per panel I a. Fee for branc~ circu,its witt} purchase of a service or fee~er fee: I Each branch circuit I ,$6,00 I $ I ~,Fee for branch circuits without purchase of a service or feeder fee: I First branch circuit (2) V' $ 55,00 $ << I Each additional branch circuit t'l $ 6,00 $ 's,~ .. I Miscellaneous fees: service orfeeder not included I 1 Each pump or irrigation circle (2) $ 63,00 $ . -I 1 Each sign or outline lighting (2) 1 $ 63.0Q $ I I Signal circuit ora limited-energy panel, I $ 63.00 $ I' alteration, or exte!1sion (2) , I Each additional inspec~ion; (I) I $134,.00 $ $ 25,00 $ $ 32.00 $ $ 63.00 $ $58,00 $ (A) Enter subtotal of above fees (Minimnm Permit Fee $58.00) (B) Enter 12% surcharge (,12 x [A]) (C)Technology Fee (5% of[A]) 1 TOTAL fees and surcharges (A through C): ${;)7 $/?g,E ,~ $ 5 '1~. $ /2'7~ , Building/Combination Permit PERMIT NO: COM2009-00271 ISSUED: 02/26/2009 APPLIED: 02/26/2009 EXPIRES: 09/1112009 VALUE: Sta tus Issued, 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541:726,3769 Inspection Line CITY OF ~r-Klj~\Jl'lt<.LD SITE ADDRESS: 305 21ST ST ASSESSOR'S PARCEL NO.: 1703361305500 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Fixtures TYPE OF USE: New Residential Owner: Address: WILLIAMS CONSTRQGTlON:C0C: 'aragon law requlr~, YlOll,~ PO BOX 2158 fo'li~; rules adopted by tile Q,,,gOJ\ U\t,tW . JASPER OR 97438 Notilicatio~) ~:~t;~.. ~t,l~.s^~,~~e~:~e:;~,~~;~ III V/"'\[l ;,:Iv<- v~-. ~ :~........i.... ....nniAc::; flftha fuH~$ OSI 0090, Yv I 'CONTRACTOR INFORMA'flON,,1 calling t, '. ",' f the Oregon Utility NOlllI\;<l\'Vn Contractopumberc~~ter is 1_800-332-2344). License DONALD MARVIN HORTON '116021 OWNER Contractor Type Electrical Plumbing I BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 Heigbt of Structure 'Secondary Occupancy Group: .' Type of Heat: Primary Construction Type NOTICE. ~af!Xg(~\F THE WORK Secondary Construction Type: THIS PERMIT SHA~a,~t xYip'):RMIT IS NOT # of Bedrooms: AUTHORIZED UNDEfkrg~\Path: m FOR COMMENCED OR spli1i'~W~lti1lg n/a I-\I~Y I QU 'rilE'JIi[3\;"MENT INFORMATION I Front yard Setback: Side 1 Setback: , Side 2 .setback: Rearyard Setback: Solar Sctbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROV~MENTS' Street Improvements: Storm Sewer Available: Special Instruction: Pbone Number: 541-937-4215 Expiration Date 07/25/2009 Phone 541-726-9021 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Otbcr: Occupant Load: REQUIRED PARKING Total: , Handicapped:, Compact: Sidewalk Type: Downspouts/Drains: Notes: Paee 1 of 3 CITY OF ;:o,YKll"lJl'lJ!.LD Status Issued Building/Combination Permit PERMIT NO: COM2009-00271 ISSUED: 02/26/2009 , APPLIED: 02/26/2009 EXPIRES: 09/11/2009 VALUE: 225 Fiftb Street, Springfield, OR 54 t-726-3753 Pbone 541-726.3676 Fax 541-726-3769 Inspection Line I Valu~tion Descrir,tion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount, Value Date Calculated Total Value of Project Fpp~ r.1~,1U Fee Description + t2% State Surcbarge + 5% Tecbnology Fee Fixture Minimum/Adjustment Plumbing + 12% State Surcbarge + 5%-Technology Fee Add, Alter, Extend Circ ' Add, Alter, Extend Circ Ea Add Fixture Amount Paid Date Paid $6.96 $2.90 $38.00 $20.00 $22.20 $9.25 $55.00 $54.00 $76.00 2126/09 2/26/09 2126/09 2126/09 3/11/09 3/11/09 3/11109 3/11109 3/11109 Receipt Number 1200900000000000134 1200900000000000134 1200900000000000134 1200900000000000134 1200900000000000178 1200900000000000178 1200900000000000178 1200900000000000178 1200900000000000178 Total Amount Paid $284,31 Plan Reviews ,I To Request an inspection call the 24 hour rec!,rding 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 ~r,j}viJP~ r\w~rti'}m'l Rougb Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rougb Electric: Prior to Cover Final Electric: When all electrical work is complete, Paee 2 of 3 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: COM2009:00271 ISSUED: 02/26/2009 APPLIED: 02/26/2009 EXPIRES: 09/1112009 VALUE: By signature, I state and agree, tbat I bave carefully examined tbe completed application and do hereby certify that all information bereon is true and correct, and I furtbe.' certify tbat any and all work performed sball be done in accordance witb ' the Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to the work described berein, and tbat NO OCCUPANCY will be made of any structure witbout permission of the Community Services Division, Building Safety. I furtber certify tbat only contractors and employees wbo are in compliance witb ORS 701.005 will be used on this project. I further agree to ensure. that all required inspections ar~ requested at the proper time, that each address is readable from the street, tyat!he\pe'JPit.-C{Ird is' loc.t~ed Jil)tbe front of tbe property, and the approved set of plans will remain on' tbe site at all times(t:ng )~tC7;' J / ) / , "'-',,)\1 UY. ~--(/-01 Own~ontractors Signature Date Page 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0027I COM2009-0027I COM2009-00271 COM2009-00271 COM2009-00271 Payments: l)peof Payment Check cReceiiltl RECEIPT #: City of Springfield Official Re,ceipt Development Services Department Public Works Department 1200900000000000178 Date: 03/11/2009 Description Fixture Add, Alter, Extend Cire Add, Alter, Extend Cire Ea Add + 5%Technology Fee + 12% State Surcharge Paid By WILLIAMS CONST Item Total: Check Number Authorization Received By Batch Number Number How Received ejc 4671 In Person Payment Total: Page I of I I :42:23PM Amount Due 76,00 55,00 54,00 9,25 22,20 $216.45 Amount Paid $216.45 $216.45 3/11/2009