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Home My WebLink AboutPermit Electrical 2009-9-11 225 Fifth Street+Springfield"OR 97477+PH(541)726-3753+ FAX(541)726~3689 I..,-"..,..'C,y.....,c~.....,........'''... ....,.. I ,p...::OER'ARTMENT USE.ONL Y," ',' ,'. ','. .",..'. ".' . ,. . .". .- . ~ SPRINGFIELD '"..i'_h." '''-~'."".,.''' '.'. ",'.'. ....,.... '.' I, ' ' I. l '. '. . ,,',.ICOr,-tAl.ocr-o l~sz..1 .k ~ A'~" Permit no.: ': "'!'~, . I Date: '7-11-0 '7 Electrical Permit Application 8 D This permit is issued under 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. I "'~110CAL\:'G0VER~N1ENTifAF1~R0yAIJ]ji:'~i~'~t'i;ftinT~;1 1~\;,;.w~~~;;\'i~!t1\'5ii~\\\!i\~EElfSCHEO.lJ~Elit~,\~i\ji!'iK\~~i~~j;1 I Zoning approval verified? 0 Ves 0 No 1;~uinhe~'i;'r'in~pe~M;;;pt~~1i~i:/(S;:(I'QW.1 "',s6~r:":1 ':!otal.'I 18. ;~I~~"'~':~;'-~CA:rEGbR.y;<"(jf,~?cbNSTRlJC:rfON!6'l-:-;J:O~~'~.'/ ,,~"~'~-"'~,I'" '.'<r,",.~>: ".','; .:./ \';"'...+"'i<'.,~';~:'''''''~!'' ~ .;~s>~ :.",\..,J,i t ea.~~ :\ '1." co~tu: I~:~~::~:~~al I D"~o~:~ment . I 0 C~:~:~~~;:l "'1 I Residential, per unit, service included: I . 1~~~OB<1s(:rEi'lINEORMA'fION"ANbllIIOCA'li10N~:lij!!~'"1 I 1,000 sq. ft. or less (4) $134.00 $ I I~'~:te add~ess: I();'i 'L,',.;~; t~ '" ,r,;rM"I' 1 ~~~~:ri(iOnaI500 sq ft or portion $ 25.00 $ I I City:,)Pv/~.c.I,:drl I State: Oil I ZIP: 97iJ78 II Limited energy (2) $ 32.00 $ I 1,~.e,~:;;e?ce'::'~{~E~r~,~~~~.wJ;~~;~:'i~i~;~~ I ~~~~I~~nS~~~~~r~~ Pe~~~r (~)odUlar $ 63.00 $ 1 I L.l p~ .sLt/ L. 0,'-1' G-~ I 1 Services or feeders: installation, alteration, relocation ~ I I I I 200 amps or less (2) r $ B1.00 $ ~ II I :PROPERTy'.,OWNER .,,' .' .'." '. I I 201 to 400 amps (2) $ 95.00 $ I I Name'J)o",~nle. ",)4"1>0"; /Je.-~O;,) I 1401 to 600 amps (2) $15B.00 $ I Address: /O;;S t../N;,q. t../lM/c "... ~e" t1iQt,t1J,r~QR\\,~mpS(2) $205.00 $ I City: 5eJ/ ,'I./j j.; J / I State:OIl....,.\I-~!P<171~la Itle ( ;'~~":'?\9,~QI~~~s or volts (2) $469.00 $ I Phone:5W-7~f 2'15"9 I Fa~~~:,~~u\"s_a.o~~~:;\nos~I;~: ',R,<,!;?rn~~:t~lr,{,2) $ 63.00 $ I E-mail: \U":-\\Ca\\O\l v'""~~OO'\ IJ \\ "oJl \p:) 'temp~_r~r):)~~rvices or feeders: Installallon, alteratIOn, relocatIOn "tnlt _,,,,rlO . -,~ r,O) I' ,~'~r SS\ .. r."\.... ~ - .. mJ\'" . \.200 aInPS or Ie 2) ThiS mstallatlOn IS bemg made on resHientla! Ov farmlpropeJ1)l ~t-\O .e. . . "").,"~~ $ 63.00 $ owned by me or a member of my immediate fan'Iily.€This\t~"ogor \.l'I"20htQ'4Il0 amps (2) $ B700 $ property is not intended for sale, excha,;'geu'leiise} OrNQt.EOAReoC -3'T"-"~ . 479.540~79.560(1) c27 ~4~' (llel is '\- 401 to 600 amps (2) $126.00 $ Signature: ). .bu, d ~ 'l ~ ~ lOver 600 amps or 1,000 volts, see services or feeders sectIon above I :", ~ ',_;:C-ONTRACl;OR:' STA[LAfiON "'" I Branch circuits: new, alleratlOn, extensIOn per panel I Busin~ss name: 0 L./ N cVL. I I a. Fee for branch circuits with purchase of a service or feeder fee: I Address: I I Each branch circuit I $ 6.00 I $ I City: I State: I ZIP: I I b, Fee for branch circuits without purchase of a service or feeder fee: I Phone: I Fax: I I' First branch circuit (2) I I $ 55.00 I $ I E-mail: 1 I Each additional branch circuit $ 6;00 $ I CCB license no.: I BCD license no.: I I Miscellaneous fe~s.: s..!{:fipe or feeder ,:ot incfuded I Signing supervisor's license no.: N01\li~..:...'T' C:\.lt).~' IF9~~:PiirJ,\i dr\tf~~it.~f*cle (2) I $ 63.00 $ I 1U\" n:n"" , - ~_I 'P..,"';: D\-.KI\Il\II"~J:'h-' (2) I $ $ Print name of signing supervisor: 1\~",..nI7Cf) \\N.OrcH !-'f'-AlU,SJgn-a:T;:oo l~~g tmg 63.00 I f\U llIV' ,,-- ~S I'''' ''),M,Jd~if;) . r . d I Signature of signing supervisor: .'CeD OR twgn. I or a 'mite -energy panel, $ 63.00 $ ,...,nf\^I\Al=l\l r... \ r{l.lteratlOn, or extenSIOn (2) v~.. ^':{ f'tl'l C\..' , ANY 1 BO 0" I Each additional inspection: (1) 1.1 $5B.00 $ I ~~ i~~~~=:::::~~~~~:gNTtiUSE~(f;~%ffb~l~jri~;~1 \--l6r .1 (~~;~::~;':~::a:;: ;~~.:O:A]) $ 97~ ~ . ~ I (C) Technology Fee (5% of[A]) $ l('O ~ I TOTAL rees and surcharges (A through C): $ 7 ~7 440-2584.) (9108/COM) _~~~'~,~~~~we!l.,~!I:!!,~,j,~\~t"r"I,'!, ,m' , ", \, ~ '" ,L~,:'l"=:;W;= Status 'Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspecti~n Line SITE ADDRESS: lOSS LINDA LN ASSESSOR'S PARCEL NO.: 1802030000506 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01352 ISSUED: 09/1112009 APPLIED: 09/11/2009 EXPIRES: 03/1112010 VALUE: Springfield TVPE OF WORK: Electrical Work Only TVPE OF USE: Repair Residential PROJECT DESCRIPTION: Upgrade service on garage \. II '. Owner: NELSON KELLIE Address: 1055 LINDA LN SPRINGFIELD OR 97477 Contractor Type Electrical Contractor OWNER # of Units: Primary Occupancy Group: R-3 Secondary Occupancy::Group: Primary ConstructiomType VB Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: , Notes: Description Type of Construction I. C~NT~CTOR INFORMATION I Licens/O\.l \0. Expiration Date Phone _"o.,-ille"'_~ 1j\1\\\~.", 1 BUILDING ,INFORMA,l')()N~~le "'~~~aO\- t:\,\\\V~-.eoa\l\~~\\a",e '~l\ O~?- 9 ,\.l\e'" \:>'1 . ~" # ot;'Stories:el. ",\\,a\.l9 0 0.\ \\\e "'allELot Size: \' 0\1<1 ,- I..J\";" - (\"\ v \. \e... \e'9\'. rcn. \0.'\ "Heigh! of-Stfuctureca\l \",e \6 ."'ICe-\I."" Ft 1st Floor: ~,,'\Jv' .-::1') \;Y' "",,\'3-\\\ ~e' p "-'O\.\l \,\0. I T~pe:of tteat:'" . ~\,\a, ;\\\\\'1 P " Sq Ft 2nd Floor: . OJ..>,,,. ,,' ~\V-l \e{. {\ v '31\'"'1)' III nWater'X~J'~:)1I 0le9a ?,?''I.:'I:. Sq Ft Basement: , OO:B-JHlge 'f,yp,e,)\e. '" \-'000- Sq Ft Garage/Carport j:;J.~i:gy ~'it.\li31 I Sq Ft Other: Sprinklea Building: n/a Occupant Load: I. DEVELOPMENT INFORMA TlO~ I REQUIRED PARKING Total: Handicapped: Compact; Overlay Dist: O?'f.. # Street Trees Rqd: W ,\'It 'N ~ P~rf<!:.,!rive Ra~\ \. t'/..'P\?-'t WI'" \'0 ~O ~(O;., of r:o\~W1vgrage:p. ,\'I\S 'Pt? \:\) fOR i\\~, ~~~l\:Q \}~~~c. f>,~f>,~\)O~ ,......' ...... .. .... - 1 PUBLI~IIMP.R0V.E~"N\f.s-1 ,"" I .\~I '\ I)'" W' If"'" Sidewalk Type: DownspoutslDraiiJs: , Valuation Descriotion I $Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee lof2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01352 ISSUED: 09/11/2009 APPLIED: 09/11/2009 EXPIRES: 03/11/2010 VALUE: 225 Fifth Street, Spri~gfield, OR 541-726-3753 Phone: 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project F~~;1 Paid I $9.72 $4.05 $81.00 9/11109 9/11109 9/11109 Receipt Number 2200900000000001037 2200900000000001037 2200900000000001037 Fee Description + 12% State Surcharge + 5% Technology Fe<!' Perm ServlFdr 200 amps or less Amount Paid Date Paid Total Amount Paid $94.77 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. Rp'(lu'i1red Tnsuections I 111'1 III I .;.1 Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is 'true and correct, and I furtber certify tbat any and all work performed shall be done in accordance with tbe 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, Buildiug Safety. I further certify that "rily contractors and employees wbo are in compliance with ORS 701.005 wili be used on this project. I further agree to ensure that all required inspections are requested at the, proper time, that eacb address is readable from the street, that the permiti'card is located at the fro of the property, and the approved set of plans will remain on the site at all ~:~~C2n'J~ ~ - ,"L "//' ~ Dat;'e}; 61 Owner or ContractorrignatljfO I~ Pa2e 2 of2 225 F.ifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1352 COM2009-0 1352 COM2009-0 1352 Payments: Type of Payment CreditCard cReceintl RECEIPT #: . ri~~~:.'" .... ;.';.. 111:, Ii . - , . "~"". .,,,.:.,., "c. ._". .--.,.........'.......,.." . City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000001037 Date: 09/11/2009 Description Penn ServlFdr 200 amps or less + 5% Technology Fee + 12% State Surcharge Paid By DONALDE NELSON Item Total: Check Number Authorization Received By Batch Number Number How Received djb 619872 In Person Payment Total: Page I of 1 2:24:30PM Amount Due 81.00 4.05 9.72 $94.77 Amount Paid $94.77 $94.77 9/11/2009