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Home My WebLink AboutPermit Electrical 2009-9-16 Electrical Permit Application D I,Wi~(~'DElfAiITMEt'l;l~U:SEroNIl:'y;~fl1 "1:i".-!x'/.".r,;:~;-""".:<.;;;;,_;:t..,.,~:,:;;,j~~r~~"4>(;.~~~~ I P~~~.~oc~-O(2f71 I Date: 9 - (b -0 1 I 225 F;[th Street. Springfield, OR 97477+PH(541)726~3753.FAX(541)726-3689 This permit is issued under OAR 918~309-0000. Permits are uontrausferable. Permits expire if work is uot started within 180 days of issuauce or if work is suspended for 180 days. '1_~~I!G:(CA~G(j].(ERNMI;NiT:f~~ea(:)MA~~..1 !;.eis~Iilt=~.l!JI~J;~' 1~~~~~~~~~(f~~lc:~N~iRl!Jc]jL(j~~~~1 ~llIilll~ I Residential, per unit, service included: ~;]~~~~jiflt:!ilfii~~R~i~;~;~N~i~~~~~';~;~)~~ 11,000 sq. ft. or less (4) . $134.00 $ I 60 Cl f3 '" - I Each additional 500 sq. ft. or portion' $ 25.00 $ Job site address: tl . I - / } . thereof . I City: '5 f' f t.... D I, State: 0(( I ZIP: '17 y 7 S I Limited energy(2) . I $ 32.00 $ 1~~~~,i(:)~FJlWJ.~~~~'11 ~~~~I::::"S~~~~r~~ fe~~:r (~)odular I $ 63.00 $ I H b 0 /< vifJ H f- ^ T P lJ /J1 r I Services or feeders: installation, alteration, relocation 1B".oi:I!'~~ii~~~t:R~~AWNER'g1~~~.l~~;f~r(iit l~:~ ::~Oo::: ::: I : ::::: I Name:. tf'()-(l.W\;\-r..,. c..iA h"t~~.L6N: ?re,fl~~,lla\' 401]tii'600 ~pst(2) $158.00 I J /' c:::. t! - Ullun .....'...~ ......"'''''I'-','-'....:y 116niJtleiJboouulIl.'h) $205.00 Address: ""I:::' r I n <;: "tiflcation Center. Th IS( ""0000.'0 oo'\"1P,~,,,, I City: S t:> r-- '" I State: o(tQAllI Zw. 'fJj't',,-,g.i roIJ~e[)l\OOQ~Pj;(l>t.volts (2) $469.00 I Phone" _ I Fax" uu,:v'. ~uu IlIay UUli:1111 'l,vIIIR~~~h~~ ?~ly~?~Y $ 63.00 . . ("'l~III1"!n tho f"'ontpr ft-, at:, .. ,..... .'-"'-'/"'. ''-'I'.... . . I E-mail: ' . number for the Gregc n ! IfTi~roP'qut~(~EfX3ffs or feeders: installation, alteration, relocation This installatiou is being made on residential or farhil?p'Hfper1y !-tju J~~3~OQ~pi.or less (2) I $ 63.00 $ owned b~me or a member of my immediate family. This I 201 to 400 amps (2) I $ 87.00 $ property IS not mtended for sale, exchange, lease, or rent. OAR I I I 479.540(1) and 479.560(1). 401 to 600 amps (2) $126.00 $ SignatUre: lOver 600 amps or 1,000 volts, se~ services or feeders section above ) E1l\Iil:~l::(:)fijiTiBA:CjfiQB1IN$i1.;A;li!I!AmlpN~"i;~11';);\ii~'1 I Branch circuits: new, alteration, extension per panel I I Business name: E AS rSI DE EL(c. T R. Ie I I a. Fee for branch circuits with purchase ofa service or feededee: I I Address: '3 'OJ.. S' 3,. g05C A G- E v^~E: I I Each branch circuit I $ 6.00 I $ I . I City: 5 fJ~ LD I State: ofl... I ZIP: '17 Y 7'iJ' I I b. Fee for branch circuits without purchase ofa service or feeder fee: I I Phone: - 7 Y (. I V 91 I Fax: ~7 36- Y % 0 I I First branch circuit (2) I $ 55.00 $ S"($" I. E~mai1: R ICK ~ AS T 5/0 E. C(i) "0 N ()() . cJ:\IDT{CS: I Each additional branch circuit $ 6.00 $ I I CCB license no.: II 7 7 70 I BCD license no.: :2 0 LltjlS ~ Ii f Mf~Alppe9'l1rfees: sr!y'ce or feeder not Included I . I tlu h -- _I,. "l~,.lr I.HI- WORK I Signing supervisor's license no.: 47.1 7 s nn! .~~HI !EI-'~llJfI1~n:ij'\L"n Ci_fSte ~") $ 63.00 $ I Print name of signing supervisor: r<O G- E'I( I( K~:;q'~~Vf'~CE~ 'iW'A'Rm\iM~IAWbi+8~ IVU I $ 63.00 $ I IS' f...... .1)"--.. ,) '- uu f\r:Rgn\i~Bi9~it or a limlted-enetgy panel, $ 63.00 $ 19nature 0 slgnmg supervIsor. """'^" VI ~ alteration, or extension (2) $ $ $ $ $ $ ~~ ~ A..~ \0 ~\L- q .~fl.lJ\ ~<J(~ ~ Each additional. inspection: (1) . $58.00 I $ ~~g~gi!iG~Nifili!i[~E~'5.~'f41 I (A) Enter subtotal of abov sf{ (Minimum Permit e $58.00) $ I (B) Enter 12% SUTch ~[A]) $ b 7t8 I (C) Technology Fee (5% o[[A]) $ 2 1c.) I TOTAL fees and surcharges (A througb C): $67 B(; 440-2584'J (9/08/COM) -~~!~~,~:,~:t!,,>,,~~ '''!!' '.'..';c.."':;: i , ~L"fl L- if-<- '^ 0" .,,(/1 ',') - \V' 'p~17 -, ,- V r{\ (Y CITY OF I'lr.KlNGFIELD Building/Combination Permit PERMIT NO: COM2009-0I287 ISSUED: 09/16/2009 APPLIED: 09/01/2009 EXPIRES: 03/16/2010 VALUE: Status Iss u ed 225 Fifth Street, SpriIigfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-37691nspectiou Liue SITE ADDRESS: 6699 B ST ASSESSOR'S PARCEL NO.: 1702344104200 Spriugfield TYPE OF WORK: Mechauical Ouly TYPE OF USE: New Resideutial PROJECT DESCRIPTION: Three zoue miui-splil Owner: CHAPPELlE NORMAN A Address: 6699 B ST SPRINGFIELD OR 97478 Phone Number: 541-747-1073 I CONTRAC~OR.1NE?~ATlON , 1a:,J; leC\\.l1l u~n Ijtilit~ Contract~ri"\' Oll?gon h\l ti\e 0le9 se\ 10lti\ License EASTSlb~:~~~CTiU~(~~G (\.l~e~t~~ 9S2-00~-117770 EUGENE H.1'A;1'1N~:~, 1':9PUlNQ ,,,e (Ules ~'1149452 \: J~:;B 9;j2'\J~:,';I~Bl'JlLDiNG\INFCjRMA!inON I \11. ....'0'1 \Del' . , 090. ,v e(\\8I. ,. Ij\\\\l~ ,_. . 0 . 9 tile C ONna(\ _ ,'''AI\). # of Umts:. call$\ _ \ (ti\e #[oJ-~IJmes': Primary Occupaucy Group: (\u((\tR!t~(\tel is ~ 'Weighl of Slructure Secoudary Occupancy Group: Type of Heat: Primary Constructiou Type VB Waler Type: Secondary Construction Type: Rauge Type: # of Bedrooms: Energy Path: Sprinkled Building: Expiration Date 10/0412009 10/2212009 Phone 541-915-9828 541-726-7654 Contractor Type Electrical Mechanical Lot Size: Sq Fllst Floor: Sq Ft 2nd Floor: Sq Ft Basemeut: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: u/a Fronryard Setback: Side 1 Selback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION' ~'\J'f-..~ Overlay Dist: \v.t. ~'\J\ . # Slreel Trees Rqd:j..I'W,t. \'i- ~\\ \'S P~"f.~d Driv~ 1\.'l...1t '€ L\~S I't.~ c~ 'i-'\J'f-.. \\Q\v..Of~~l\a,\J~~:\" ;A~\J~\. ~\\:~ ~~~\1~$ .~~Q \~. ~~~ I PUBm~l!V'-PRq,Y,aMENTS , "v' 'Q\Jv' \'.~'l '\ REQUIRED PARKING Total: Handicapped: Compact: ,Street Improvemeuts: Storm Sewer Available: Speciallnstructiou: Sidewalk Type: Downspouts/Draius: Notes: Pa~e 1 of 3 Status Iss u ed 225 Fifth Street, Spriugfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspectiou Liue I Valuation Descriotion I Descriptiou $ Per Sq Ft or multiplier Tvpe of Constructiou Square Footage or Bid Amouut Total Value of Project 1f,"'Jf P1ilU Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handliug Uuit Up to 10,000 Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Exteud Circ Miuimum/Adjuslmeut Electrical Amouut Paid $15.60 $6.50 $79.00 $34.00 $17.00 $6.96 $2.90 $55.00 $3.00 Total Amouut Paid $219.96 Plan Reviews ,I Date Paid 9/1/09 9/1/09 9/1/09 9/1/09 9/1/09 9/16/09 9/16/09 9/16/09 '9/16109 CITY OF SPKll'\ilJFIELD Building/Combination Permit PERMIT NO: COM2009-01287 ISSUED: 09/16/2009 APPLIED: 09/01/2009 EXPIRES: 03/16/2010 VALUE: Value , Date Calculated Receipt Number 3200900000000000619 3200900000000000619 3200900000000000619 3200900000000000619 3200900000000000619 1200900000000001068 1200900000000001068 1200900000000001068 1200900000000001068 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. ~eolliw Ir?Pl'fi(l!\~J Rougb Electric: Prior to Cover Fiual Electric: When all electrical work is complele. Rougb Mechauical: Prior to Cover Fiual Mechauical: When all mecbanical work is complete. Pal!e 2 01'3 _~~~"'~I~!'!.!ii ", "i), Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01287 ISSUED: 09/16/2009' APPLIED: 09/01/2009 EXPIRES: 03/16/2010 VALUE: 225 Fiflh Street, Spriugfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-3769 Iuspectiou Liue By signature, I stale and agree, tbat I have carefully examined the completed applicalion and do hereby certify thai all informatiou bereon is true aud correct, aud 1 further certify Ihat any aud all work performed shall be doue io accordauce witb Ihe Ordiuauces of Ihe City of Springfield aud Ihe Laws ofthe Stale of Oregou pertaiuing to the work described hereiu, and that NO OCCUPANCY will be made of any structure witbout permissiou of the Community Services Division, Building Safety. I further certify tbat ouly coutractors and employees who are in compliauce wilh ORS 701.005 will be used ou this project. I further agree to ensure that all required inspectious are requesled at the proper lime, Ihal each address is readable from Ihe streel, that Ihe permit card is localed at the frout of Ihe property, aud the approved set of pia us will remain ou tbe sile at all times during construction. Owuer or Contractors Siguature Date ^ Paee 3 of 3 225 Fifth Street Spripgfidd, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-01287 COM2009-0 1287 COM2009~0 1287 COM2009-0 1287 Paymeuts: Type of Payment CreditCard cReceintl RECEIPT #: 1200900000000001068 Date: 09/16/2009 Description Add, Alter, Extend Circ . Minimum! Adjustment Electrical + 5% Technology Fee + 12% State Surcharge Paid By EASTSIDE ELECTRIC Item Total: Chec~ Number Authorization Received By Batch Number Number How Received djb 072934 In Person Payment Total: Page 1 of 1 11 :43:51AM Amount Due 55.00 3.00 2.90 6.96 $67.86 Amount Paid $67.86 $67.86 9/1612009