The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2009-8-19 .J"-- 225 Fiftb Strect+Spriogiitld, OR 974n+PH(541)726-3753+FAX(541)726-3689 ~-;ts.:'~~,"';'" 'rj"'r!-:..,l':>"!I.~~-~~-iT'f'':~;'<'-;;l~~.-';'E--~~l ''',;'i;:DI;:PARrMEN'R;1!JSI:',ONli-Y4;;t;~ "t';"'::':~"__~"c . ':., ,...t;.~__:~,;:_~<t.:;t<-~<-'!oa~~liA,':~_'15ff~;:' Electrical Permit Application D Permit no,: C0 -j2df Dale:? II '7/{) '/ I ' This permit is issued"under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started ;"ithin 180 ' . days of issuance or if work is suspended for 180 days. ' l~jLi.(j:Gt~~GQ\lIiBNJIJt~N1r~~gRlr!:lV~!ft,li~!~' 1~~~;;:;;~~;~~C~~t~U1~1!JQ~1.il~~l~~~ f&;l~~=Uf~I~~~;;A;~~P;t'lQJlb~~~::'~~11 :':::~~,:.~:.:~~~serviceincJuded: $134.00 I $ I Job site address:::' h ';". ~ ':;. p",=,;-.J s-r :i."~o"fditiOnal 500 sq, ft. or portion $ 25,00 I $, ~~i~11~~~~~~~~~~~ 1;~;;;;:;~~~{~jOdUI~ .: :::: I : .....-1 _ ~..., I Services ,or feeders: installation. alteration. relocation C kA-rlO.D. ft\JL , i.JL6.Ah'.f ~)P-R. ' , \ 'J ' , I 200 amps orless (2) 2- $ 81,00 ~'1;~;llt'~Bt{(lt:.t:~-'iy;[(jWNER~~~--r~\~:fi,~ I 201 to 400 amps (2) $ 95,00 Name: Kd 13 /;;r-r ,rr rrSo rJ I 401 to 600 amps (2) $158,00 Address: S-YS' rT5 PcV I 601 to 1,000 amps (2) $205.00 City: I State: I ZIP: lOver I ;000 amps or volts (2) I $469,00 I Phone: ,))~ )"6,'-/0 I Fax: I Recoonectonly(2) , I $ 63,00 I E-mail: I Temporary services or feeders: fnstallation. alteration, relocation This installation is being made on residential or fann property I 200 amps or less (2) S 63,00 S owned by me or a member of my immediate family, This I 201 to 400 amps (2) $ 87,00 $ 1-" vl-'",.j is uot intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(\), " 401 to 600 amps (2) $126,00 $ Signature: , Over 600 amps or 1,000 volts, see services or feed"" section above ~CP:I'f~Gm:l:iI{~INSJr->>:lEl!li:tlPfk~.;lit\@m'F&f\';~i:'!i~j Branch eircuits: new,alteration. exte",ion per panel I Business name: ('A r\fl\f{'j(\j <; \,,0.(' k " a. Fee for branch circuits with purchase ofa service Ot feeder ree: I Address: Po Ct, L < " Each branch circuit I I $ 6,00 I $ I City: (,Jc.I+p.-R,/Vlk 'I State: Ot: I ZTP:07'-/b1I1~ I b,Feeforbranchcircuitswithoutpurchaseofaserviceorfeederfee: I Phone: -71.t7d1~'?1 Fax: - d!t,L.4>' I First branch circuit (2) , $ 55.00 $ I E-mail:, I Eacb additional brancb circuit $ 6,00 $ I CCB license no,71o '3 'Z) Lj I BCD license no,:.7 D - 3D~ 4 MiseeUanenns fees: service or feeder not indutkd I Signing supervisor's license no,: 3-;7 q - 5 I Each pump or irrigation circle (2i ' $ 63,00 I Print name of signing supervisor: vJ~' Tf~ -S. CJi rJfI/O jj Each sign or outline lighting (2) $ 63,00 I Signature of signing supervisor' v.J ,'1' I Signal,circuit ora Ihnited-energy pane~ $ 6,3,00 $ , alterabon, or extensIOn (2) , , I Each additional inspection: (1) I $58,00 I $ ,?J.. ',.' z,lt ll:i>JSNJilitUs.e " ,,' '-I.'l'!'. ~ ~ ' ^ {'i I (A) Enter subtotal of above fees ' , ~~ <0' \Y ~ (Minimnm Permit Fee 558.00) $ I b~ 1\ J' .\ \ ~ (B) Enter 12% surcharge (,12x [A]) $"1 ~ '-'\ JV\ . ~ (C) Tecbn~logy Fee (5"/0 of [A]) S lj,l};.- ~ I TOTAL fees and surcharges (A through C): S i [,7 ~ __ $ $ Status Issued CITY OF SPRIN(jJ11ELD Building/Combination Permit PERMIT NO: COM2009-01204 ISSUED: 08/1912009 APPLIED: 08/19/2009 EXPIRES: 02/19/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 588 ASPEN ST ASSESSOR'S PARCEL NO.: 1703342300502 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Replace two panels Contractor Type Electrical A,TTFN-IIUN: UrequTI laW IC'YUIICiv yv..... ',~ MASON RQIJ~,~lI&;I..~ifJ<i'.~J '1oj the Oregon Utility 588 ASPE!:t~~;'c8t;nn r.p.nter. Those rules are set forth SPRINGFM'.sRR<?'~h?J~77J01 0 through OAR 95~-0~1- 008U, YOU may UUlctlll vUtJlI;'~ VI...:..... ';:':-_=- _- J , calling the center, (I'CONTRJl:C:rORINFORMATION I number for the Oregl... - '" C t ('Mtto, is 1,800,332-2344), L' on rac or lcense W ALTER J CANNON 76304 Expiration Date 09/09/2009 Phone 541-747-0959 Owner: Address: BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction :,)YJifICE:, VB Water Type: Secondary ConstructiO?KirynRMIT SHALL EXPI~!!'igefIfyjie:VORK # of Bedrooms: AUTHORIZED UNDER THI5Ep~~!P)1!'i'%,N9T r.nMMFMf~Fn OR IS ABANW6\q~~'1=~'I{ldmg: ANY 180 DAY rtKlib"EVELOPMENT INFORMATION I Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: ' Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I V aI~ation Descriotion I Description Tvpe of Construction , $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of 2 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2009-01204 ISSUED: 08/19/2009 APPLIED: 08/19/2009 EXPIRES: 02/19'2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax , 541-726-3769 Inspection Line Total Valne of Project Pees P~id . Fee Description + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Numher $19.44 $8.10 $162,00 8/19/09 8/19/09 8/19/09 2200900000000000931 2200900000000000931 2200900000000000931 Total Amount Paid $189,54 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, ,R~,9.~ir~d In,sne~tions" Underground Electric: Prior to cover Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service, Final Electric: When all electrical work is complete, By signature, I state and agree, that I have carefully examined the completed application and do,herehy certify that all information hereon is true and correct, and I further certify that any aodall 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 descrihed 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 a ree to ensnre that all required inspections are requested at the proper time, that each address is readable from the stree , that tli ' card is located at ;, V"7" the property, and the approved set of plans will remain on the site at all tim s nons uctio " , ffi !)K~/9-o9 V Date / Paee 2 of2 225 Fifth Street Springfield; Oregon 97477 54V726-3759 Phone City of Springfield Official Receipt Development Services Department , Public Works Department Job/Journal Number COM2009-0] 204 COM2009"0 1204 COM2009-0 1204 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Date: 08/19/2009 2200900000000000931 Description Penn Serv/Fdr 200 amps or less + S% Technology Fee + ] 2% State Surcharge Paid By ROBERT MASON, Item Total: Check Number Authorization Received By Batch Number ,Number How Received cjc 493641 In Person Payment Total: Page 1 of 1 8:50:09AM Amount Due 162,00 8,10 19.44 $189,54 Amount Paid $189.54 $189.54 8/19/2009