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Home My WebLink AboutPermit Electrical 2009-6-9 II l:tE{::~~ffe;~f~cENf.;U"~'E;ON.tX', I III · /1/1" I 'Permit no:: l->1' - nd--. III . " ibate: 0 -- q,... 07 I II This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits exp,ire if work is not started within 180 days of issuance or if work is suspended for 180 days. I' ,I l~ttZ;li:r-~;f~~:0:~~]fi'~~~~f&I;~E~S~cHJ:,[j..Ql!1E!~~~if~~G;~'~l;~ht11 1~~R'ci lri~be~.:;~ri~i~~itig~'~f~l~7:i;~'~';"(X.~'!.1):1 ;Q;tf~l:- "~..$91!;: j~~~'I::;~':~1:~'tar "1 ,'~':'\";"',~,~~~-;;Cr:,iY':';~,::,.,""';';:';:""":\!r''h'-'.'-h;;ji-:,'~tf-,\ i't.:t~",; i:.., \, ,- .,I_i'~,,~~_':i_'. '. ';. (:PS(\~ti ) Residential, per unitj se~,~jce included: I I 1,000 sq. ft. or less (4) II $134.00 $ 1 I Each additional 500 sq. ft,ll or portion ,i $ I thereof II $ 25.00 1 Limited energy (2) II $ 32.00 $ I . I Each manufactured homellor modular,' I dwelling service or feede~i(2) .. $ 63,00 $ I Services or feeders: instq!'ation, a/terali,on, relocation I 1 200 amps or less (2) Ii $ 81.00 $ I I 20 I to 400 amps (2) i! $ 95.00 $ I I 401 to 600 amps (2) $158.00 $ I 1 601 to 1,000 amps (2) ) $205.00 $ I lOver 1,000 amps or voits:(2) $469.00 $ 1 1 Reconnect only (2)11 I , $ 63.00 $ 0 31. 0.::> Temporary services or f~eders: installation, alteration, relocation I 200 amps or less (2) . 1 $.63.00 $ I 1.201 to 400 amps (2) 1 $ 87.00 $ I I 401 to 600 amps (2):1 I $126.00 $ I lOver 600 amps or I ,000 ~plts, see services or feeders section above I . .--r I Branch circuits: new, altfrarion, extension per panel > I I I a. Fee for branch circuits ~'ith purchase of a service or feeder fee: I I 1 Each branch circuit I $ 6.00 1 $ I I b. Fee for branch circuits;~ithout pur,chase of a service or feeder fee: I First branch circuit (2)][ I $ 55.00 $ I I Each additional branch~fircuit \ $ 6.00 $ ,I I Miscellaneous fees: servl}e or [eede~' ':lot included I I Each pump or irrigation c:;rcle (2) $ 63.00 1 I Each sign or outline lightipg (2) $ 63.00 I I Signal circuit or a Jimited~energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspecti:~n: (I) $58.00 $ I ~t~}~~~~][~f~~Imt~VA-R-~t:i'C~~N1t~tJSE~~:if~~ft&JI~fK~l{;;..( . ---r- - (A) Enter subtotal of above fees ;yO (Minimum Permit Fee ~58.00) $ C; 3. ' .1 (B) Enter 12% surcharge (.12 x [A]).': . $ 7.b (,P 1 (C) Technology Fee (5%:;f [A]) $ g j '-.:> 1 TOTAL fees and surch'arges (A through C): $ 73 . -171 I! , Electrical Permit Application 225 Fifth Streett Springfield, OR 97477+PH(541)726-3753+ FAX(54 1)726-3689 I ;':"',,,,,, '!'~lli0C/!..L:::G0VERNMENT'!AP.pJ~O,VAlf~?i~\Wl~('~I;:~(1 _Zoning approval verified?,D Yes 0 No I ~\{~i!:0i;;;'i;d\:"(~,C/!. IE Go.RXi':iOf;JJCON~'11RUCTION!K~y;.';:\,(ir,T;~\1 _ [;i1 Residential 1 0 Government .1 0 Commercial I ~1t!l1'!J.o{3}i$Im.EilINEQRM.MiIQN!VAND~I!.(j(;AmIONf~}#i~~'l:11 Job site address: \ 'I \Q'l\ Uj" vJ V\ 'f I" d <j .(( Gu<l- . 'f.QIy _S fC\.c\ 'State efLJ ZIP:Y' 7Li:71 Reference: \ J Taxlot.: I v', .ii,:''1': ., :>.:,:"''''ESC'R I"'T.10N'"0F::WORK.::)'ii::,:~':":::\:'1P!"\:"':i1 . - - __ -',' __ - 1.:1 _ I'':" _ ___ .~. _ - .' _ _ . -~~,-t.i.,,_,,"_::':;c:;,-;d:',-t.,; ';,'.-, 1 '{' ECOV\ {)p Q....t p \" -e..G-\- \r \ C\ t-'-1 I 1 - . I I '. . iPROPoERTY:'OWNER' ,,: {,:: " ,.' 'I I Name: (1l.i (\ to1\ ,\- \(,p l' {~~\,l S "I I Address: \'1 I? I( I 0 (,uv\'V'1 ~ "i.st.. I I City:C, ~ ~( d 1 State:(lV(i I ZIP: ~7,+)]1 I Phone: - - I Fax: I I E-mail: I This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not inlended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). _) Signature: k11 J\..~~ 4\h)\J,JJ ;" i, CONTRActOR' INSTALt!ATI0N ,:~ . I Business name: ..;;- \'Address: ./ I City: ~ I State: /1 ZIP: I Phone: . - ~ I J,ai: ~ CCB license no.: ./ 1 BcD'lic~se no.: Signing supervis.9r.z(iicense no,; ~ Print name -or;'igning supervisor: E-mail: Signature of signing supervisor: 440.2584-J (9/08/COM) $ $ II " il SPRINGFIELD, I 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 www.ci.springfield.or.us June 10, 2009 Clinton and Kerry Harris 1768 Lawnridge Springfield, Oregon 97477 Dear Mr. and Ms. Harris: " !I II " , Enclosed is the original electrical permit application for an electrical 'service reconnect at your residence location at 1768 Lawnridge Avenue, Springfield, Oregon. When you obtained your permit, we neglected to have the permit signed, statrn.g the installation is being made on residential or farm property owned by you or a meo/ber o(your immediate . family. This form also requires you to sign stating that this property is not intended for sale, exchange, lease or rent. . Iii II , In order to have a valid electrical p~rmit, this application must be sighed and returned to us as soon as possible. I am enclosing a prestamped envelope for your coqvenience. I Thank you, and if you have any questions, please feel free to phone me at 726-3790. , . Sincerely, ~~ ~ Lisa Hopper Co=unity Services Building Safety. ) I' I' " i" Ir I: I' . 0~ -fA ~~ V" I! \9'f;3 . . ~ Ene!. ii II I' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax ",,541-726-3769 Inspection Line SITE ADDRESS: 1768 LA WNRIDGE AVE ASSESSOR'S PARCEL NO.: 1703252106900 Springfield PROJECT DESCRIPTION: Electrical Reconnect Owner: HARRIS CLINTON L & KERRYD Address: 1768 LA WNRIDGE SPRINGFIELD OR 97477 Contractor Type Electrical Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Typc: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Street Improvements: Ii CITY OF SYKl~\.Jl'lJ<.:LD . I' ii Building/Combination Permit Ii ,. -PERMIT NO: COM2009-00822 ISSUEDl 06/09/2009 APPLIED: 06/09/2009 EXPIRES: 12/09/2009 VALVE! ' Ii " ]1 " TYPE OF WORK: Electrical Work Only I ,. TYPE OF USE: Alteration Residential !i ' ,I i I CONTRACTOR INFORMATION' II License Expiration Date Phone il .. I. BUILDING INFORMATION' # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a I DEVELOPMENT INFORMA nON I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lut Coverage: ., Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft qarage/Carport Sq Ft Other: Occup~nt Load: REQUIRED PARKING Total: Handicapped: 'j Compact: II I PUBLIC IMPROVEMENTS IATTENTIOf\j: dore(er; ~Y"~h':6-;~~~~U1iiity iollow rules a op t I '\ 'S'd Ik'~ .Those I ule3 arA se. on) Notll!.!. e.wa ," ype. , --,' ,-" 1 , n QS2-001-001 o.through \;Af1 "V,.." - In OADownsp.outs/Drains:'pies ofthe full.-, :)y 0090 You I,'~Y uu,"'". ov li'n the center. (Note: Hle tel8r: -,~".J ca Ib~r lor the Oregon Utility 1'!fJtil\,~....~n num Center is 1-800-332.2344). Storm Sewer Available: ,U" , "'t:' Special Instruction :'" , THIS PERMIT SHALL EXPIRE IF THE WORK Notes: .~U fHORIZED UNDER THIS PERMIT IS NOT r:r.,,,'IMnlr.r::n nR Ie: I\RI\~lnnw:n mR t,NY 180 DAY PERIOD, Description Type of Construction I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Page 1 of2 Value Date Calculated K , CITY OF SPRINGFIELD. Status Issued " " Building/Combination Permit II :, " PERMIT NO: COM2009-00822 ISSUED'; 06/09/2009 APPLIE:D: 06/09/2009 EXPIRES: 12/09/2009 VALUE! II 225 Fifth Street, Sprin'gtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project .ii II " , II "If Fee., Paid I $7.56 $3.15 $63.00 6/9109 6/9/09 6/9/09 Receipt Number 3200900000000000435 3200900000000000435 3200900000000000435 Fee Description + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid Date Paid Total Amount Paid $73.71 I Plan Reviews I if Ii To Request an, inspection call the 24 hour recording at 726-3769. All inspJctions r~quesied before 7:00 a.m. will be made the same working day, inspections requested after 7:00 ~.m. wilIl:be made the following I . work day. Ii : I: II I Re?uired Tn.snections Iii Electric Service: Approval required prior to utility company energizing service. " By signature, 1 st3le and agree, that I have carefully examined the completed apPlicationland do h~reby certify that all . information hereon is, true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City (}f 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 withuut permission of the CommuJ.ity Servi~es Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 71h.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 0'" plans wilI remain on the site at all times during construction. ;1 ~~-ULG~ Owner or Contractors Signature (17 .-; q ~6cr Date II II. )1 Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00822 COM2009-00822 COM2009-00822 Payments: Type of Payment Check cReceintl RECEIPT #: Description Service Reconnect + 5% Technology Fee + 12% State Surcharge Paid By CLINTON HARRIS ~;. City of Springfield Official Receipt Development Services Department " Public Works Department 3200900000000000435 Date: 06/09/2009 " 3:08:23PM Item Total: <":heck Number Authorization Received By Batch Number Numb~'r How Received Amount Due 63,00 3.15 7.56 $73.71 Amount Paid njm $73.71 $73.71 7187 In Person Payment Total: Page I of I 6/9/2009