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Home My WebLink AboutPermit Electrical 2009-5-11 ;;;~~';:;~lY~~t._~~_R'lt:I(~FtE ,I2i' Q~~c?~~>\~~~ S~:-;-4ij w, \ ~ ! '. INITIALS 1..1"" ~ A!. DATE '"5>,_\.\-CJ"'\ . ~ SO~CE ~~~ , , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ELECTRICAL PE-KM..l.T AfPUr:'A'TTD"( City Job Number ~q -\, _ I-f 2- 5;_.5 Date I. ~IQ<::Atli:iN 9.E;jNS't./iLJA...JJ61V:~~ jj 3. kCOMPt.Eiij}'J;;E;Scii,Eii{[IJit1JEi,Q:W;';~. \ OD\ ~ 5\'\ee:f LEGAL DESCRIPTION: \ rJ ~"? '?--. cna "\ () f;IECC:> JOB DESCRIPTION: Add 'L ~~ Permits are non-transferable and expire if work is Dot started within 180 days of issuance or if work is Suspended for 180 days. 2. ~O~~cmi,1JYsr~"ITQ,yl~~g;~ City Expiration Date / Constr. Contr_Nu ber ~ - i A. l:N;>tReSi&enii~I-::si~~I~orM'ulti~F.fuiiyp;["-welling:Unit. Service Included 1000 sq. ft, or less Each additional 500 sq. ft. or , portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $121.00 $ 22,00 $57.00 B. ~~~EY!rrto'~iJ!,;!d1~'~11r~.ltino:~~'~jt~r~!i~n~1;R~it~!ip'i1:'1~W~ Over 600 Amps or 1000 Volts see "B" above, D. t:Br~tf~~"tt:ir(:~'iis_, New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 73.00 $ 86,00 $143,00 $186.00 $426.00 $ 57.00 $ 57.00 $ 79,00 $114.00 i $ 50.00 I , S, ,~OO 6 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60l,Amps to WOO Amps b ::'IllIrec:: \IOU Phone _ _I~"'. nrpnon law I' OVer rOOO,AmpsNolts . - l' "- h nrAouil u ~'" J '\ I C" , i ~ ~ adopted by t €Reconllect,Op,lyth lollow ru e Center. Those rules are ;;?-Ofl.1- Notlllcatlon 10thrO"gtO,a,II" --",,' ~.. ,~, ..., , ^^D Q~2-001-00 c. ,:I'~mp,ir;i'ry;.".;fviceS,or.FeederS '0090, YOu-may ODl<lid c~f~~ the telephone ~Qllina the center. (N U\lnstallationi!AIl'i1ration or Relocation e ~I\cgon lI"J,..';~\ number lor In , 1 800-32200-Amps or less Center IS - 201 Amps to 400 Amps 40 I Amps to 600 Amps Owne~Name ~\ru ~("t'UCi'fOct Address I n(J-'\ b ~t- E.I~Mlit~I~'rii9~!(~;~i;r;;!i~m~r~~~m~~j:@~~);fuii~!ifI~~t~[~;i!"ij~ City ~ 1'Yl.c:;~ \.~. 4; SDz...-Pump or irrigation $ 57.00 \ - "'\\" Sign/Outline Lighlinli-, If l\-1t \NUIi" $ 57.00 OWNER INSTALLATION MOi\CG:~rt''t~,\k1R~d\;'~~R\IJ\'' IS NU \ $ 29,00 The installation is being made on property I own which 1\-1\:, Ptl3i~\5"Jjq~dli\1~~~~t\) FOR $ 52,00 IS not Intended for sale, lease or rent. ~~~~~1!m\cllle~h~~s~~t.io:=e,~,i:~~+,surcharges ;\ 11[~~~ '.~- ~~~..~~!~:~!;~g~ ~~;,&. ,~_,,,',i~ ~ 72 J.O ,t. .amtnls....u.... . ,,"" Inspection Request: 726-3769 5% Technology Fee TOTAL . ?D Shared Drive(T:)lBuilding Fonns/Electrical Permit Application 7-08.doc 7. Oz. _~P,,'A.IN...~...r;.'..I.IilLD.'..ji.'...'. '. "....:... "'..,j , " Iit- ,I ..,......,.,......:_."j CITY OF SPRINGFIELD' Building/Combination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2009-00425 ISSUED: 03/30/2009 APPLIED: 03/3012009 EXPIRES: 09/30/2009 VALUE: Sta tus Issued SITE ADDRESS: 607 D ST ASSESSOR'S PARCEL NO.: 1703352408800 Sprillgfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Change panel in garage TYPE OF USE: Repair Residential Owner: MARY BROADHURST Address: 607 D ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION. Contractor Type Electrical Contractor OWNER License BUILDING INFORMATION I "Oil to # of Units: , # ,0f.5tor;eS': ' utilit" V",\l'1 ,,", . . ~'i'(\' Primary Occupancy Group: . __ ,_' --V:, 0.\e(:on 'o!;'~,ighf)Of ~l[gtt~r.etn Secondary Occupallcy Group:-" - . .. ar~op"8c\ T.ype:of'Heatil52-00~- Primary Construction Type , .', vii, enter. \~~'Y~;ej;Yf.W~\ rules b~ Secondary Construction Type:,\;:,,}".i~~ v001-001O Ra~ieSTYl1tglennone " f\ 9,,~- btlJ,ln v~, '1- ~ '''l y '(\ # of Bedrooms: in O{>; 'Iou mlJ,~ 0 ~!,-er~~"r.~1~6ti\iClJ,tIO 0090, tne center. Spr.i'nl(led Buildillg' II/a . ....';:1\\\"'9 ~hO Ote\J ':" 1)r:t?~'l~Lt""fJ' numbeIC~;ll\DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: . Paved Drive Rqd: % of Lot Coverage: Phone Numher: 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: Halldicllpped: Compact: Street Improvements: Storm Sewer Avail:.ble: Special Instruction: I PUBLIC 1l\1I'AVlVEMENTS I IF 1\'1E WORK ,'tV' '-E-RN\I1 S\-Ifl,LL E)lJ)~L.1Jt\Ty~e~01 1\'11S P NOEl', 1\-11b -no'" nR fl,Ul\'10RIZED UOR IS fl,\3fl,~Q}eN~fsmrains: CON\N\EONCD~~ PERIOD. p,NY 18 Notes: I Valuation DescrilJtion I Description Type of Construction $ Per Sq Ft or multiplier Squllre footage or Bid Amount , PlIce I 01'2 Value Date Calculated ' Status Issued CITY OF SPRINGFIELD' 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 541-726-3769 Inspection Line Totnl Value of Project Fees Paid. Fee Description + 12% State SlIrcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Amount Pnid Date Paid Receipt Number $10.44 $4.35 $6.00 $81.00 $0.72 $0,30 $6.00 3/30/09 3/30/09 3/30/09 3/30/09 5/22/09 5/22/09 5/22/09 1200900000000000226 1200900000000000226 1200900000000000226 1200900000000000226 1200900000000000523 1200900000000000523 1200900000000000523 Totnl Amonnt Paid $108.81 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 Reo~ired In,snections I Electric Service: Approval required prior to utility company energizillg service. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signnture, I state and agree, that I have carefully examined the completed application and do hereby certify that nil information hereon is true and correct, and I further certif)' that an)' and all work performed shall be done in accordance \'rith 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 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, alld the approved set of plans will remain 011 the site at all times during construction. -----)1/ P'-t <::: Dat:!7<j 67 OWller or CJntractors Signature Pnee 2 01'2 225 Fifth Street Springfield; Oregon 97477 541-726-3759 Phone i(~ City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00425 COM2009-00425 COM2009-00425 Payments: Type of Payment Check cReceintl RECEIPT #: Date: 05/22/2009 1200900000000000523 Des'cription + 5% Technology Fee + 12% State Surcharge Add, Alter, Extend Circ Ea Add Paid By MARY BROADHURST Item Total: <"::heck Number Authorization Received By Batch Number Number How Received djb 2356 In Person Payment Total: Page 1 of 1 II :27:04AM Amount Due 0,30 0,72 6,00 $7.02 Amount Paid $7,02 $7.02 5/22/2009