The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2009-5-11 f~:it>\\'''''''''';-.;''~iO''O'''';''''';;;;~i.~~~_l~~;)o!;,"'''''''''",CI l~i~l~;.e,~~..~!;l,]J~1~~JJJ!,~~~9l1,~~. I CO-z.co,-oObCf'l I PennJt no:, I Date: S//1/0 C; I . . 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. 1~:=~~:~~~~~;EB~M~rt;.~g~R9~~ ~~~mIOG~0R~<;tQJli!;)J~]\j$m~ti.Gii)[QJ'l1i!T~lk~\fi~ I Residential, per unit, service included: I ~esidential 1 0 Government I 0 Commercial I 1~"!JP61l!$[m.E~II\IF,.QB.M~lliiQNI'Ai'lDlIlliQQ~iiIQtilIlfIll-0'.(~ill 1,000 sq. ft. or less (4) $134.00 $ I Job site address: "SI r'l . C 'So t I ~~~~oaritio~al 500 sq, ft. or portion $ 25.00 $ I City: s1>r=-'I-. I State: oIL I ZIP: "57'(?t I ,Limited energy (2) $ 32.00 $ ;:~~diV~;~G~l~~~I~NkQf~W~~:=~~' 1 ~~~~I:~s~~~~r~~ R~~:r (~)odular I' $ 63.00 $ I SeA (~. {JANeL' 2. Lf elli ii'/!.,~it~t;"3fjo~~ tob~~~i~:S or fe,eders: installation, alte~ation, relocation I I u090' , 'W!'D ~'!fer. /,dlt30,'~,~'p'S~9fJ~s~ (2) I I I $ 81.00 $ B I IL~~liIl~!fS:~BBQR~R~i/J.Q'wN.E;Jgi~ii~~~jt,.~ th1'.~OI<l9X66',iiI!lP,~f,~j.to I I $ 95.00 $ I I Name: I2.AL. rH f.\UN,~'a-lorcif:nte;""~ ,Cc ;f~!jo:~qQ:2'Ps:(~;:t I I $158.00 $ I I r- - .1..::e- u .-Jh601 t"1/009ur_"r17l' I I Address: ~ I ::> L( t oS J - nter i rego" '. ,;,~o. " ,!J!1Psc, $205.00 $ I City: >~f"'i::,. I State: DfL I ZIP: "~~'3.~;0yerv!7@o'hu.J!P'~61J\,0ItS(2) $469.00 $ I I Phone:S~\ 7'Zb Ol( B~ Fax: I R1!toil}.e~tc6'rlljv.i)2) $ 63.00 $ I I E-mail: I Temporary services or feeders: installation. alteration, relocation \ Th" II' . b . d 'd' I Ii - I 200 amps or less (2) I $ 63 00 $ I IS msta atlOTI IS emg rna e on reSl entia or arm property . oWned bjl me 0; a member of my immediate family. This I 201 t0400 amps.(2) I $ 87.00 $ I property IS not mtended for sale, exchange, lease, or rent. OAR I I I I 479.540(1) and 479.560(1). 401 to 600 amps (2) . $126.00 $ Signature: lOver 600 amps or 1,000 volts, see services or feeders section above I 1~~P.QNif~~iIiQR!\If\lSmJ:mlEP,;mIQN~"iJ~i{::!;\tlm I Branch circuits: new, alteration, oxtension per panel I I Business name; lJt ':f.-ly'1i; ~1'C- ~k~ L1~;c-2;,--l1 a. Fee for branch circUIts With purchase of a service or feeder fee: I I Address' ~?!If!!i!;t/1MJtif, --64 ..( </c.-;.~ . I Eachbranch circUIt. I I $ 6.00 I $ I I City<..9..(;)(J]~~ ~ f I ZIP: 9" 7'/ ,.J, ifl b. Fee for branch ClfCUltS Without purchase ofa service or feeder fee: I I Phon&/,~;;P~c:. ill ,6'-0296/1 I First branch circuit (2) $ 55.001 $ I I E-mail: 60/"..0'4. v . . ~~1f(; ~M Each additional b,anch Clfcuit 1/ $ 6.00 I $ zll I I CCB'licen~e no.: / '7 9"',1/ ~t n' !t~~Ji!JI9/fts,;.:Jjt; If I Miscellaneous fees: semee or feeder not Included I I Signing supervisor's license no.: ?/71 "YO"'=-!:9r 'VTI I Each pump or ilTlgation clfcle (2)' I I $ 63.00 I $ I I Print name.of signing supervisor::z:.~: ~e h7 . ~~h~~S1gn or outlme hghtmg (2) $ 63.00 $ I I Signature of signing supervisor: "- /"""'pP",#"-:;:: I I SlgnalClfcUltor a hmlte.d,energy panel, $ 63.00 $ I ~ '/it!JrY'/.A'..4'4._ ?- I 1 alterat\on, or extenslOn (2) . ' i;7 '. . . I Each additioual inspection: (1) . $58.00 $ I I~_,":!l'_",~~,y,""""""'~",-",.,--~",="~".,.".,,,,,,,,, "'" ",,"_~"'l!!~'\lE'AeeUI.(!;'AN11..1&1iJ.S.!5:~~':'J!;i.!i~~ (A) , ~nter subtotal of above fees $ . ....1 (Mlntmum Permit Fee $58.00) IDS I (B) Enter 12% surcharge (.12 x [AJ) $ 126'1 I (C) Technology Fee (5% of[AJ) $ SZ~I I TOTAL fees and surcharges (A through C): $ I Z Z e~ Electrical Permit Application 225 Fifth Stroot+Spriugfidd, OR 97477+PH(541)726-3753+FAX(541)726,3689 .~. ~ ~ ~& r:v^-,O \'.' v . ~.\\,Q\ ~~o/ ~ 440-2584-J (9/08/COM) $~QBr=D.I!JJ'!I:~~~. . s't~llIl'~~!~~ ea]i,,'llli! ~'<;Qg~ I I I I I CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00644 ISSUED: 05/11/2009 APPLIED: 05/11/2009 EXPIRES: 11/11/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541,726-3769 Inspection Line SITE ADDRESS: 5154 E ST ASSESSOR'S PARCEL NO,: 1702332402000 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Sub panel and 4 circuits TYPE OF USE: New Residential Owner: HUNTOON RALPH & JANIE L Address: 5154 E ST SPRINGFIELD OR 97478 I, CONTRACTOR INFORMATION ~ Contractor Type Electrical License 179416 Contractor FIRST LIGHT ELECTRIC INC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedro'oms: ;-1 BUILDING INFORMATION' f ,- II'JN' n I ,.(\W ru,#.o{St,m.es',n law requ' vo~.,-;. -..... aqon.....,-/ l... tres R-3. '1l/CFlliolHcight of'Slructii"e Or you to In OA'" . -'. ..e' Th." egon U . 00 11 95,Type of HeaeSe rUles tllity VN 90. You Iw~;~~+y~~?rough OA~e Set forth n caliing thIR;~lge;fWe':opjes of the 952-001_ umber fOIEh~r~y':l'ath?te: the tel rUles by C -, e""n 'a"" ephonA enSpri.!l~I.ed_Buil iug: Noti'J'c t:nla OUU~3.i?-,,)<"').... IJ a fon O.'l I DEVELOPMENT INFORMATION' Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC 1MPROVEMEN!S , Street Improvements: Storm Sewer Available: Special Instruction: Expiration Date 1112712009 Phone 541-726-2961 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Fluor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: . Occupant Load: REQUIRED PARKING Total: ':.'andicapped: Compact: Sidewalk Type: Downspoutsffirains; N.OTlCE: ;~~~~6~~~~ J~~~~ ~~~~R~E':n~~EI~~~~ ANV~~~QA~~~~i~~~~1tEDFOR Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Page 1 on Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00644 ISSUED: 05/11/2009 APPLIED: 05/11/2009 EXPIRES: 11/11/2009 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valuc of Project Fees Paid I. Fee Description + 12% State Surcharge + 5% Technology Fcc Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $12.60 $5.25 $24.00 $81.00 5/11/09 5/11/09 5/11109 5/11109 2200900000000000508 2200900000000000508 2200900000000000508 2200900000000000508 Total Amount Paid $122.85 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. t'ollowing work day, Retl,:,iredlnsllection~ I Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When ,111 electrical work is complete. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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, aud that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only cuntractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 further agree to ensure that all required inspectionx 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 on the site at all times during construction. Owner or Contractors Signature Date Page 2 of 2 225 Fifth Strect Springfield, Orego~ 97477 541- 726-3759 Phone. City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00644 COM2009,00644 COM2009,00644 COM2009,00644 Payments: Type of Payment CreditCard cReceioll RECEIPT #: 2200900000000000508 Date: 05/1112009 Description Perin Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By RALPH HUNTOON Item Total: Check Number Authorization Received By Batch Number Number How Received djb 042812 In Person Payment Total: Page I of I IO:46:52AM Amollnt Due 81.00 24.00 5.25 12.60 $122.H5 Amount Paid $122.85 $122.H5 51] 1/2009