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Home My WebLink AboutPermit Electrical 2009-3-30 225 Fifth Street. Springfield, OR 97477+PH(541)726-3753' FAX(541)726-3689 '~~f~\~':'''~''';'1-"..q~'1'':i!oh1i'fuJ'i:k,,::_~;;:r~*Jf4Jt*=-i!i';;-~-'''''':'1 ~~~;P,~.~!1~LtJ1!~;'M'!:!~",<w'~. I Electrical Permit Application COWlz,oO '7 -OO'-!Z.J Permit no.: I Date: ;'/30., This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permit~ expire if work is not started within 180 days of issuance or if work is suspended for 180 days. I~""~, .'~ ~_''''' '.l!,_'0-0A,._'_l!'~l:;,',.U.v, ER, 1\1. -,M.' ENm,. 7tfi._\e~_=R. 0,' ,V.,' ,A.. I!!_-,,;"~. .'''''..'''' ,~"'~=, ."."''''1 I"-*"~-'''-''%-'''E"E!AS" -"''"EmD~ 'i"\E'_""""S'IL__~" "wl JKf~~,.",,_ __~__ __~ _ _______.__~__....~________;;':~~~~ !WffV_i~t..~.&ti;}.';;l~->.:~iW:t;t~!:i_____iY~~~r;L_:__\J_~__N-i~~~~7tf~~ 1 Zoning approval verified? 0 Yes 0 No I II"fi!I.I:+~m.~7>.'~I~~J!i>1jl,.~""r-ll:1~~I;"~ljlfll:r€~0~st=I!"'Im;1;0-=t"1"'1 ;',Number: of;mspectlons,per:Jtem';(~,)~:~; oQ- h.,;': ,w;.,~jO._- _ - }~,,--_a~~ I_JIiU:<lt'~ . i!i''<J'''''",f,''''"Y."-___ii&l'''-i<i;,,,,,,, _'';'J~ i!l,,*,,ea~,, ~ost~ E~4~;;G~'TiI:~t=>'RYdi\O~0:QNSJr;~\'J(jy'11IQI\I~~~ o~"<,,'M ""~, - - n,~" -->-, " ,~ 1~~];~~I:r[EiJIN~~~~~m';~;AI\IDJ~~~;iN;~~1 ~~~~::ti:I,:,~:s:n(:; service included: $134.00 $ I 1 Job site address: (, (j '?- 0 I ~~~~oafdditional 500 sq. ft. or ponion $ 25.00 $ .1 City: _\PI',h~k7 IState:o/l. IZIP:f)t~/r I Limited energy (2) $32.00 $ S,ubdiv~i~~: 1I03.:S~~~_m ,.ILotno.:O!8'OD Each manufactured home or modular $ 63.00 $ ~~'Il!ll[)E:S.GB.mml!:l/ll!IL!:lF.1\W0F.lJ<'!I~~~~ dwellmg service or feeder (2) . I C. J . A / Ai /\ 1 '- I Services or feeders: installation, alteration.. relocation . _ /.r..-U{/l.v?____ ,p~ (,c.,tflJt.. t./Jtt.t..{/A/'A'/ ~~~~Av~:R9RE:~m;(~4.0WHE~~~f,Si~~~}~~~~I,~:I,~~~~;::: ;~~ '. I: ::::: : &-1 I Name: /YJo,w f bl'oud~u/'J'r. _<)o~\~~\'(\e~~~~401J,'l-6f0~PS(2) $158.00 $ I Address: "d)~.o 5ti-PP c-...\n~.~~~;\e~~ose\:;;~C~~ktP)):~l{<bampS(2) $205.00 $ City: .-I2/,,(;.(.J,~ d. I Stal@.\\~ ~e't~JI~t,,~~; ~s\ :~~~~fl9!l:~PS or volts (2) $469.00 $ PhoneA/j~- '1SV 2 I F,ix9~~<ii\O\ _'0'0Y :o\'O.\\\~o\'l'.\\\~&t\R~~c(only(2) . . $ 63.00 I $ ,,\\ 0/ .\ 0 . \ 10~ ~.~), , I E-mail: eh.eGTb{)L~IJ~b.....t-_.u.~ve\..\.6\.e9p\.().~.tJ.f.mporary services or feeders: installation, alteration, relocation /M, ,US- . \A~,O ,_pC; ('II _~" This installation is being made on resid~);),~i',(\fa '~: "'e\'!iY\-U 200 amps or less (2) $ 63.00 $ owned by. me or. a member of my immediali!"fMllllY I 201 to 400 amp (2) 8700 property IS not mtended for sale, exchange;,!'oiiIse, oifent. OAR s $. $ 479.540(1) and 479.560(1). 401 to 600 amps (2) $126.00 $ ~=~~~~~N~~j~~~1 I ~:::::~i:~:S~rn~:O~I~e:::;::ee:::::::e:e;:::sJ section above Business name: c;J W N~ 1 I a. ,Fee for branch circuits with purchase of a service or feeder fee: I AddresS! I 1 Each branch circuit 1 \.$ 6.00 1 $ I City: .1 State; I ZIP: I I b. Fee for branch circuits without purchase ofa service or feeder fee: I Pbone: 1 Fax: I 1 First branch circuit (2) tk $ 55.00 $ I E-mail: 1 I Each additional branch circuit . _ $ 6.00 $ [., I CCB license no.: I BCD license no.; I I Miscellaneous fees: service or feeder#'(~ - d I I Signing supervisor's license no.: 1 ' Each pump or irrigation circle (~'\:.~ ~J>. $ 63.00 $ 1../ / 1 Print name of signing supervisor: I Each sign or outline lighti~'\ilr ,,~<t~{< \'< $ 63.00 $ 1 / I S. f . I I Signal. circuit or a limo ~k1'~k. '&r.~ $ 63.00 $ II 'lgnalure 0 sIgning supervisor: .<""\,~-:",,, alteratIon, or exte~ ~ ' _ \'.'~ i 1 Each.r"'l~itio,~'ll!~r.~~Jj I $58.00 $ 1 1~~~<!o~_~f;\.~~}iif~i!J,SET,~I1o~~1 I ();r.,;E:fit~r'sillii~tRl<~Jl~* fees .,,' .<,'0~ <~'!J',,'ii) $ 87 (Mi~H~u~;I,t\O~l'l.IQJ<ee $58.00) I (B)E~teJ')~~~harge(.]2x[A]) $ lol.t~1 I (C) Techn'5!';;gy Fee (5% of[A]) $ '-I 3 S- 1 TOTAL fees and surcharges (A through C).: $ to I 71_ ~ \Sl ~\,d\ ~.U ;tV . \\~. ~ 440-2584-1 (9/08/COM) CITY OF SPRINGFIELD Building/Combination Permit Status ' Issued 225 Fifth Street, Springlield, OR 54 I -726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2009-00425 ISSUED: 03/30/2009 APPLIED: 03/30/2009 EXPIRES: 09/30/2009 VALUE: SITE ADDRESS: 607 D ST . ASSESSOR'S PARCEL NO.: 1703352408800 Springlield TYPE OF WORK: Electrical Work Ouly PROJECT DESCRIPTION: Change panel in garage TYPE OF USE: Repair Residential Owner: Address: MARY BROADHURST 607 D ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical License Contractor OWNER ...' # of Uuits: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDING INFORMA TlO~ I # of Stories: \reS ~ou to U. Hejght\(\f-s't'tfl~tu!leJ" l.l\i1itt 1'\' 0'<'.\'\' 'I,p U'~~ t lor", ,-[\::1'\1\0 . d Tr~!!P..ldf'Heat: eS are se 00'1- ~B-N ~uleS a ~V~tl\I\'liypJP~ Oi'-R 952- "", \o~U . cep},'" " ,~1\9" rules \JJ \'lo\i\iGat\O~_oO'l~W!W (I1Yg~fe5 0\ t\le \lone . Oi'-R 95 JvUS1;gy. F,a\h: t\le tele>: lIO" 10"090 '/ou l1\a'SJJnjpkl~drB~Hdjng:,ot\\\Ga nla . ,he Cij~h .... U\,\\'" A' J,~_N \' ......,,"n()\l ~,.,1IL>.1. \,.ov,.' - '..-~""" - --" ...~~ ...- t\UI1'!DD:YELOPoMENT INFORMATION' Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-746~4502 Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: CE W'l'1W'1l,1/6aKains: ~~\~'rE~M\T SH{l.~~ ~~~~ERMIT \S NOT {l.\J1HORIlED \J~~ IS {l.\3{l.NDONED fOR ~",nMFNCED _ 0''' I v~IIlliIOhlj~~:C~i~~i:i' Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Page I 01'2 Value Date Calculated Status Issued CITY OF ~rKll~GFIELD Building/Combination Permit PERMIT NO: COM2009-00425 ISSUED: 03/30/2009 APPLIED: 03/30/2009 EXPIRES: 09/30/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- ';726-3676 Fax 54f-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amouut Paid Date Paid Receipt Number $10.44 $4.35 $6.00 $81.00 . 3/30/09 3/30/09 3/30/09 3/30/09 1200900000000000226 1200900000000000226 1200900000000000226 1200900000000000226 Total Amount Paid $101.79 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 ReolJired InSl1ections I 1,I1Ii. , Electric Service: Approval required prior to utility company energizing service. Ruugh Electric: Prior to Cover 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] 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 Oregou pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permissiou of the Community Services Division, 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 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 of the property, and the approved set of plans will remain 011 the site at all times during construction. 'MrNJ E----~ ~ <~a./ 56/2-00 9- Date Owner ur Contractors Signature Page 2 of 2 225 Fifth Street Spritigfi~ld, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00425 COM2009-00425 COM2009-00425 COM2009-00425 Payments: Type of Payment Cash CreditCard Job/Journal Number COM2009-00425 COM2009-00425 COM2009-00425 COM2009-00425 Payments: Type of Payment Cash CreditCard . cRcccintl RECEIPT #: Date: 03/30/2009 1200900000000000226 Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By MARY BROADHURST MARY BROADHURST Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person 019767 In Person Payment Total: Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology .Fee + 12% State Surcharge Paid By MARY BROADHURST MARY BROADHURST Item Total: <"':heck Number AuthoriZ~ltion Received By Batch. Number Number How Received djb djb In Person 019767 In Person Payment Total: Page I of I 3:03:00PM Amount Due 81.00 6.00 4.35 10.44 $101.79 Amount Paid $42.00 $59.79 $101.79 Amount Due 81.00 6.00 4.35 10.44 $101.79 Amount Paid $42.00 $59.79 $101.79 3/30/2009