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Home My WebLink AboutPermit Electrical 2009-5-28 .,' , ZON INITIALS DATE SOURCE 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CCM~c9~o074 ~ Daie ~ -Zs -0'1 I. r~~?lff@~Qf1!~~fl'A1T~~![q~~ 3. (<tQMl'~~1f.ffiEE~~WJi1gE~ '$ S'f s. b7' ?L ~"'~$"ek~MiDl'~~i:"t"\1tSf't"!10'~0k~'P.:0'~'''~~~"'''!;~~~~U'c.:;~ A. ~fjj:iBe~siil.el!tj~,!,i;:llijJg!~!:~~1ilmI';,a!"i1YlP~~ml'Y,el.1irIg;'tnit:~ LEGAL DESCRIPTION, 1762..:3 S31 o ((cD Service Included 1000 sq, ft, or less Each additional 500 sq, ft, or portion thereof Each Manufact'a Home or Modular Dwelling Service or Feeder JOB DESCRIPTION, *JI CrrCLA.:-'+ $117,00 $ 21.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, $55:00 'jj:&'@f$fi'4.'@if@'ji,1NS!F!Jfll.fiZiiI,t"@N'rNb't"~ B 2 -, "'~~'-$Cli-Jt~ii'~~~"':!,;:t1';'r;;f",""""=>.c""'1.""""''''''''-'=-'+%'''~~ . . ",,, --'"" . "-"'....,,, - "_ -- Zi2% ," __-'_"'''_'''_"",.,,,,~_,__,,,-_W'_.,,~,,," , 200 Amps or less $ 70,00 201 Amps to 400 Amps $ 83,00 401 Amps to 600 Amps $138,00 601 Amps to 1000 Amps $180,00 Over 1000 AmpslVolts $413,00 NOTICE' Reconnect Only WORK $ 55 00 . -"71.Q3 _ STHIS PERMI1~~~~~1:~~.\WA':i!r.~~~~Ti 7.7 ( .'\~:HIJRIZEu\:JNI?!=-~~~'iE1TFOIf"'-~AJ!it~~'> - ~ , OMMENCED OR IS ABANDul~ liJ '- 0 I - 20 \ cfW 1:0 DAY ~~'!\'I8l'1!on, AlteratIOn or RelocatIOn . I AI 200 Amps or less Constr. Contr. Number SfolO cr 7 20 I Amps'to 400 Amps 5 -II - - "0 I 0 40 I Amps to 600 Amps Expiration Date 19 L.; Over 600 Amps or 1000 Volts see "B" D. Electrical Contra<l1VEWIRE ELF=r.TRIr. INC." P.O. BOX 11706 EUGENE OR 97440 Address City Phone S'upervisor Li~ense Number Expiration Date $ 55 00 $ 76,00 $110,00 "~.",o"~mr~ Owners Name It;p tffSA-J Address S'~'( S b 1+-1..... ~i>?D New Alteration or Extension Per One Circuit Each Additional Circuit or with Service or Feeder Permit Sf $At,OO $ 4,00 sS- " , ~;b~~~~";,l(,",~~k3Eg'~!~~T0~''1t;;'"...t~~~~~"'~ E. !~~~!!~)i~7~~~;J~~J;~i{!ft~~~~~~;~Lg4t~~!),~~~~~1!.~_!t!.U~!J~~ fL City Phone Pump or irrigation Sign/Outline Lighting OWNER INST ALLA TION ATTENTJ!.fj1ri11ieglf1\1,?~JR1!s\~alli~7s you, to , '" . follow rulp,s ,adooteabov the ureqon Util;,y The mstallatlon IS bemg made on property I own whichNotificaticlr\~Iin\&.'el?~Prm,'S';,jM set fMth _ $ 50,00 IS not mtended for sale, lease, or rent. in OM\r(jtj(l'\!l)llIOCtftttf',~IJI!1j}hI(j);p""!lt).!J~IJ~~ jS'$~O + Surcharges 0090, YO~,."""w5.."'~-~'; jr;;:,t'o.'$'''''''~~m, 'I~_,\f ~.- - S'b "'~ llf.tj11\U1i-- -..Ul'!A'7Wl.:JlJI/.t5; . .-~>,JL" ' ~ ,calltng: ' 'Geht@:l!i -' - ~tejm&fte~, -;' ,,' number liW4lS!il@rS.'1)'9\1atgelity Notification L fb O&~Ii,*~9'lil-tiSfifltg~-f-S44). ' 5% Technology Fee $ 55,00 $ 55,00 $ 28,00 Owners Signature: . a)) "I\Q\~' .\.'0 UJV S.,,,, V ~ Inspection Request: 726-3769 \Sj~ ~~ ~~ '71'0 b7F!.:- TOTAL Shared Drive(T:)/Bllilding FonnsJEJectrical'Permit Application l-Q8.doc Status Issued CITY OF SPRINGFIELD I! Building/Chmbination Permit I! PERMIT NO: eOM2009-00748 ISSUED: OS/28/2009 APPLIED: OS/28/2009 EXPIRES: 1'1/28/2009 , VALUE: $ 2,500.00 I' ,I Ii 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 354 S 69TH PL ASSESSOR'S PARCEL NO,: 1702353301100 , Springfield TYPE OF WORK: Single Family Residence II , TYPE OF USE:, Residential PROJECT DESCRIPTION: Adding Gas Pipi'NO'tTtf.New Water Heaters and Adding One E~~ctrical Circuit. t. II , TIll: rZ:il,v," "HALL EXPIRE ' PRASAD MICHAEL C & URMI!CllNHORIZED UNDER THI IF THE WORK Ii 354 S 69TH PL GOMME S PERMIT IS NOT SPRINGFIELD OR 97478 ANY 1 NGED OR IS ABANDONED FOR Rn nAv"fr.IX. I CONTRACTORINFORMATION ~ O\vner: Address: Contractor Type General Electrical Plumbing Contractor License HENIGES CONSTRUCTION LLC 168529 LIVEWIRE ELECTRIC INC 56697 PRICE RITE ROOTER & PLUMBING 159330 I, BUILDING INFORMATION' , " Expiration Date , 02lq/20 1 0 05/16/2010 03/3Q/2010 Phone 541-988,9032 541-344-4928 541-221-3212 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Con~truction Type: # of Bedrooms: R3 # of Stories: Lot Sii,e: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: ~l1g[IIl~: Oregon law requires y~~,9arage/Carport IfuJ:WgyllO!lt!; adopted by the Oregon l:l1ll1t~9ther: ~ptifuJdeiM~([ll:llil1g; Those rLJIoo are se!i>Ps/lflant Load: :... ,,"",^n ':'~~_ 7':<1 ,:,.~~~.~~:.~~...;I~ ':.'.~.~ ::: ??~ ;~. I DEVEIlIID'Mi'JOOJl1JNfORMiiUlIl)'Ns I>f the rules by! J"rr~rJlrr~t6dr~r. \"u,t!, ",'!J telephone ': REQUIRED PARKING number fpr the Oregon Utility Notification II Overlay ~IlWer is 1,800,332-2344). , # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: VB Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: " i Downspouts/Dr~ins: , " Notes: Page 1 Of 3 Status Iss u ed CITY OF SPRINGFIELD Building/Cbmbination Permit II " PERMIT NO: eOM2009-00748 ISSUED: OS/28/2009 APPLIED: OS/28/2009 EXPIRES: 11/28/2009 VALUE: $ 2,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541,726.3769 Inspection Line I V a!uation Des~~inti~n ,I Descriptio~ Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value , Date Calculated Total Value of Project FPlrl<' P:WU $23.40 $9.75 $79.00 $55.00 $38.00 $3,00 $20.00 5/28/09 5128109 5128/09 5/28/09 5/28/09 5/28/09 5128109 Receipt Number Ii 1209900000000000558 1200900000000000558 12~0900000000000558 1200900000000000558 1200900000000000558 1200900000000000558 " 12~0900000000000558 " Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Add, Alter, Extend Circ Fixture Minimum/Adjustment Electrical Minimum/Adjustment Plumbing Amount Paid Date Paid Total Amount Paid $228.15 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections ~equested 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 J;'P(lIlU I"f<rrmcth~[,:~ I Rough Gas: After line is installed alld required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete, ,Final Mechanical: When all mechanical work is complete, , Rough Electric: Prior to Coyer Final Electric: When all electrical work is complete, Pa2e 2 01'3 CITY OF SPRINGFIELD ,Building/C~mbination Permit " Status Issued " PERMIT NO: COM2009-00748 ISSUED: 65128/2009 APPLIED: 65/28/2009 EXPIRES: 11128/2009 VALUE: $ 2,500.00 !I 225 Fifth Street, Springtield, OR 541,726-3753 Phone 541-726-3676 Fax 541.726-3769 Inspection Line If By signature, I state and agree, that I have carefully examined the completed application and do h'ereby certify that all information hereon is true and correct, and I further certify that any and all work performed shail be done in accordance with the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the w~rk 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 wiil be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each ~ddress 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 duri constrU(."tion. _ :i ~~~ ;I&Vlh~I a'ZJ~C(C '0r4 Owner or con~~ture ' Date ) Pace 3 of 3 225 Fiftl.t..Street Sp~illgittld, Or,egon 97477 541-726-3759 Phone Job/Journal Number COM2009-00748 COM2009.00748 COM2009-00748 COM2009-00748 COM2009-00748 COM2009-00748 COM2009-00748 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200900000000000558, Description I st Appliance Fixture Minimum/Adjustment Plumbing Add, Alter, Extend Cire Minimum/Adjustment Electrical + 5% Technology Fee + 12% State Surcharge Paid By RICHARD L HENIGES Check Number Batch Number Received By Page J of J City of Springfield Official Receipt Developm~nt Services Department pJ'blic Works Department I ~ ,I ' , Date: 0512812009 , II :40:46AM Item Total: Authorization Number Amount Due 79,00 38,00 20,00 55,00 3,00 9,75 23 AO $228,]5 , How:. Received " Amount Paid 003492 In Person Paym~nt Total: $228, J 5 $228,15 11 Ii " .!r " " " " " " 5/28/2009