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Home My WebLink AboutPermit Electrical 2009-5-15 225 Fifth Street. Springfield, OR 97477tPH(54t)726-3753t FAX(541)726-3689 I~~J-~"'_""""'''n~'w"~,,,,,,,,,,,,,,,,,,,,,,,,,,,."~. I i;;,:f' ,DEPcARTMENJ;cUSE'ONl!:Y( ,cI~ ','Ol.t. '. ~_,' '''''.' ....e..,'~''-O''".'''"....._1't''''f>~.=._.,.l'_.,........~..:'''-''-=.o.., .=~ _.._ _"".,~ ,.,-.-,. '.'_."_.""""'" ~_~""",_,.,=,-,-- _,,","'c,"""_'''''.. 'A . t-w' I c.c"""e.oc)' -00.5701 ~ ,iil1l Permit no.: . I Dale.. . S- -( J -0 7 I Electliical Permit Application D This permit is issued Ilnder 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. Ili!ii~:ilf0:C~1.-11G0VERNMEN;r,oi~~~eROy.A~~" 1~~~~~~~I;I:E:ls.e:;l7!EIDl:JIEE~~f~~. I Zoning approval verified? 0 Yes 0 No 1~"'.1!M-"',oI~~"'iW&1"':'~~~~.. .-i>l?""'t"'fl1I:.""t!\lI~;' '€.os..f~l~t..o-t.al~1 ::,Numberiofmspechons:per.lltemlNif.f.F.' Q!Y; ,~'-~4\t;: ~~~.---t'eSf ~~J.<\l;l:(.6it#~;:''''~SfrlJMllt~~';, ~~~)..!;Y-h,~w<-~,,: ~~ ~ ~::~t;~~ ;'-$~J';o_s~ 1~l!':~~GA;fEGORYG1,OF..Wc(jNS.1;R(tCJjloN~J\'l!.\1l.t~~ I Residential, per unit, service included: I I.GYResidential I 0 Government I 0 Commercial 1~'\!i\'tJOB'I!SliT,EJlINI'i.(jRM/?ffij(;)N'ANDll!!0G1:X'JjloNI~€\!';ji! 11,000 sq ft. or less (4) $134.00 $ I I Job site address: I ..J. / ~ .3 (J+'-'. ~ I ~~~~:ritional 500 sq ft. or portion $ 25.00 $ I I City: ""'i n;;~ j State: oR- I zIPt1i Y 73 I Limited energy (2) I $ 32.00 $ I 1~;~~~~cR~~~~~~1iwJ~~~~~~;[ I ~~~~I~:ns~~~1~~~~~e~~~r(~)odular / 1(63.00])$ bJ I I --'l \ ^........ L-_ I I Services or feeders: instal/ation, alteration, relocation I <fr" R rAyj\ ..L-V Dfj,N\ -() To 1~~il'i\~I~~~~P.~Op.I:~Y~~~~E~~~~'Jitl~~~~Will ~:~ ::~oo:::: ;~~ [ I I : ::::: : ~/. t I Name: ~,N\,~flr.-< I 1401 to 600 amps (2) I $158.00 $ I I Address: ,,\,a '" ~JZ{J:) "5. b +L.. ~ t- I I 601 to .1,~QO,ilWP~~) I $205.00 $ I I City: ST>Ph r State. cYL_.).~W'.r~7~(i'7d7~ ~2Ifg~'rfi;'~QP~~p,s~gl!~hS(2) I $469.00 $ I I Phone. - I Fax: ~;\~;. ru\es_a~~~,'~1 ~J$r~n~~~~t(2,J.M~ . I. I $ 63.00 $. I I E-mail: .' NotHiCat\on v'" -00; (j t\l~'(JlempoI.afx~~r~.I~es\Or feeders: Instal/atlOn, alteratIOn, relocatIOn I - . I .\~I :=?_no; . II (J',Cioo-;v ~.s ot lessl(~)e I I This installation is being made onresidentialro.[~W9.,P&?Pet;YOOu, \lkc'.~. wm t~,~ '.. ~ ,.~n . $ 63.00 $ owned b;: me or a member of my tmmedlatermmtlX,,t;n.\~e center., ,htfQJIiB\40b~~p';;(2) $ 87.00 $ I. property IS not mtended for sale, exchange, leaseilor ren\o9~-R Ot ,Q,I'i4ffi~-W1 .j. I 479.540(1) and 479.560(1). oumbetcenter is 1.8'1' 0 amps (2) $126.00 $ Signature: I! lOver 600 amps or 1,000 volts, see services or feeders section above I i~::=:~~~Nrt~C~1\~~tA~~d~~If[,~~Jl1 :r;::~o:i::::S~ :i::~i::t:~~::r:~:~~~na~:~::e~r feeder fee I I Address. p. o. &71-::; ii I I ~ branch circuit I I $ 6.00 I $ I I City: I "J;, i..kv ^ ,.,..M.x, I Sta((') 'G? I ZIrLi:! t./J'iJ -(;jb 1!\ Fedor branch circuits without purchase of a service or feeder fee:. I I Phone. - - I Fax: I I First branch circuit (2) I I $ 55.00 I $ I I E-mail: .II _ I I Each additional branch circuit I $ 6.00 $ I I CCB license no.:7" '3 0 if ~ I BCD Ii ense po.: ,7~7'4 ':'1) I Miscellaneous fees: service or feeder not included I I Signing supervisor's license no.: . "' ().^_ro...~' - I Each pump or irrigation circle (2) . $ 63.00 I $ I I Print name of signing supervisor. (,..J~:-'i't' , ~.C'.f)I"'I-A~hslgnoroutlmehghting(2)~ $ 63.00 $ I I S. . f... 1I\T\~C' I I Signal clrs;.4jl,!>rrol1Hilfl:i~~anel $ 6300 $ I 19nature 0 slgnmg superVISor: lkAA ~~ t C'lil!.",~at\!i)ttllrel<~h~t9~:z.,); .NO"f' . (' 1\1\5 r ~ D ; ~tlJ'ltii41ll;inr,;F-~ibcpw.(I) $58.00 $ I . ~I.I l A\J1\10~~~tD ~R~\8t~1.?!~~~gl~I~l!-ICANit~t:lS'E~~1 , CONlMBO DAY ~\i3rOersubtotalofabovdees 17 I\.~~ .A ~Y 1 (Minimum Permit Fee $58.00) $ b ~ '\!5Y, 2Y\. '$St'\ n..,~ I (8) Enter 12% surcharge ( 12 x [A]) $ 7 S'" ~O-:. -<;J'\V I (C) Technology Fee (5% off A]) $ '3 (~ ~~ I TOTAL fees and surcharges (A through C): $ 73_71 ~ 440-2584-) (9/08/COM) 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: C'OM2009-00570 ISSUED: 04/28/2009 APPLIED: 04/28/2009 EXPIRES: 11/15/2009 VALUE: SITE ADDRESS: 1215b6TH ST ASSESSOR'S PARCEL NO,: 1702304302200, , Springlield TYPE OF WORK: Electrical Work Only TYPE OF USE; New Residential PROJECT DESCRIPTION; Mobile home service BROWN JULIANA M 1215 36TH ST:: SPRINGFIELD OR 97478 'jou \0" !I _~\il(6S _ \ 1\1\1\,. ir ....l"\ \'3.'f4.' ~ (}~e~v' ,..p\. \0\"';' , . . 0. OI\I'CONTRJ\G'fOR.'IN.1lJ'}RM;\ T10N I i: ,,"r\\O.0'\~s.a-o.oc I ,\\0-- u<;1\\ vr'''6 IUI'" ~. Cont~acto'i- I'Cel'W Q\G\\\tO \6Sol,\\e?\\Ol' ~icense W A1i-im~j;~.~NNO~.)\a-II'~~~e.. \\\6 ~,o\II,ICa-\I076304 Ii II' u;;. .'{ou ~~~cl~IB?IL~rN~G~JNEOR'MA T10N I GO ca-\\\I'<;1 \01 \\ws \_'OVv - I'Uli\'o6C C61'WI I # of Storie~: Height of Strncture Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Owner: Address: Contractor Type Electrical # of Units: II Primary Occupancy Grou~,: Secondary Occupancy Group: P. C . T II nmary onstructwn ype. Secondary Construction T;pe: # of Bedrooms: II Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Expiration Date 09109/2009 Phone 541-747-0959 n/a Lot Size; I Sq Ft I st Floor: Sq Ft ind Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq FtOther: Occupant Load: I DEVELOPMENT INFORMA T10N I .. REQUIRED PARKING Total: Handicapped: :. Compact: Overlay Dist: # Street Trees Rqd: . Paved Drive Rqd: If,. % of Lot Coverage: f ,\-\'C. 'tJO?< :'i -"'Jr..' 1"' \ 'C.~\'I?<~~p.WlI' IS ~O ~Vd ~\;!flrXrc i'~inwJt;N\mml~ yur. ,\-\1, I ''r"...l!l ;oj i r'~ lJ''''' JI,\)''i\-\O ~C'C.O O?< :, 0 Sidewalk Type: CO\'J\\'J\'CC) OJl,'/ \,'C.?<IO . Downspouts/Drains: JI,~'/ ,'0 I Valuation .Descriotion I $ Per Sq Ft or muitiplie; Square Footage or Bid Amount Description Type of <Construction Valne, Date Calculated Pa2e I of 2 _SeRtN9F;1~.I.Q. .~ . ji Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: GOM2009-00570 ISSUED: 04/28/2009 APPLIED: 04/28/2009 EXPIRES: 11/15/2009 VALUE: ., 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Li~e Total Value of Project Fees Pair! I Fee Description + 12% State Surcharge + 5% Technology Fee. 'I Manufactured Home Sel"Vi~e + 12% State Surcharge + 5% Technology Fee Manufactured Home Feeder Amount Paid Date Paid Receipt Number $7.56 $3.15 $63.00 $7.56 $3.15 $63.00 4/28/09 4/28/09 4128/09 5/15/09 5/15/09 5/15/09 3200900000000000279 3200900000000000279 3200900000000000279 1200900000000000458 1200900000000000458 1200900000000000458 Total Amoullt P~id , $147.42 I Plan Reviews ~ 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 Reo,;,irer!lnsnectionsl II MH Service: Approval required ,prior to utility company energizing service. L MH Electric: When:blocking, setup, and plumbing inspections have been approved and the home is connected to the panel. I' , By signature, I state and agJee, that I have carefully examined the completed application and do h~rebY certify that all information hereon is true ~nd correct, and I further certify that any and all work performed shall be done in accordance with ., the Ordinances of the CityM Springlield and the Laws of the State of Oregon pertainillg to the work described herein,and that NO OCCUPANCY will be made ofany structure without permission of the Commnnity Servic,es 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 thJt all required inspections are requested at the proper time, that each address is readable from the street, that the permit card j.s located a!the front of the property, .and the approved set of plans will remain on the site at all times during construction. ;j - Owner or Contractors Sign~ture I Date Paee 2 of 2 225 Fifth Street Sprlngfidd, Oregon 97477 541-726-3759 Phone City of Springfield Official Reccipt Dcvclopmcht Services Departmcnt Public Works Department Job/Journal Number COM2009-00570 COM2009-00570 COM2009-00570 Payments: Type of Payment Check ''-" " cRcceintl RECEIPT #: 1200900000000000458 Date: 05/15/2009 Description Manufactured Home Feeder + 5% Technology fee + 12%:: State Surcharge Po id By WALTER <CANNON Item Total: Check Number Authorization Received By Batch Number Number How:Received djb 22627 In Person Paym~nt Total: II ."h Page 1 of 1 10:55:00AM Amount Due 63.00 3.15 7.56 $73.71 Amount Paid $73.71 $73.71 5/1512009