HomeMy WebLinkAboutPermit Electrical 2009-9-15
225 Fifth Street. Springfield, OR 9747U PH(541)726-3753. FAX(541)726-3689
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Electrical Permit Application
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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.
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I Zoning ~pprovalverified? DYes "D No , I
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[4~:denti;l '~ID~o~er:;e~;~--'[Q~~=;:~~~"1 Residential, per unit, service included: I
r~~~:::~:~'~~:=Z~~~@1 i i~;~~~:~::II~~O(:~. ft or portion :1:::::: I
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L/ /IT) '-..../ h..I? ~..-( .lJ..-l..-e.- . . v I I Services or feeders: installation, alteration, relocation I
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I Addres~ ~ I I 60] to 1,000 amps (2) $205.00 $ I
.1 City: ~ I~ 1 ZIP: I I Over 1,000 amps or volts (2) $469.00 $ I
1 Phone: ~ 1 Fax: I 1 Reconnect only (2) $ 63.00 $ 1
I E-mail: /" ~ I I Temporary services or feeders: installation, alteration, relocation .1
This insta auon is being made on residentia farm property .1 200 amps or less (2) $ 63.00 $ I
own y me or a member of my immediate fam' . This I 201 to 400 amps (2) $ 87.00 $ 1
. pr erty is not intended for sale, exchange, lease, 0 rent. OAR I
; 479.540(1) and 479.560(i)., 401 to 600 amps (2) $126.00 $ 1
, Signature: lOver 600 amps or 1,000 volts, see services or feeders section above I
~~.~1llllC'0J\lm~!'iJ1L0BI\l!II'l~iIf4'~l!~1l(~N~\'i;~~1 I Branch circuits: new, alteration, ""tension per panel 1
I Business name:, L~.AJ.AJ' S f/f~T n;{ __ ! J a. Fee for branch circuits with purchase ofa service or feeder fee: I
1 Address: 13r>'/. ~ I I Each branch circuit I I $ 6.00 I $ I
I City: filrl/ CIZ'is k.. 1 State: bIZ. I ZIP: 91'1 gf!> lib. Fee for branch circuits without purchase ofa service or feeder fee: I
I Phone: ,S"'sl!-'1zt.-'7A'1S'J Fax:SW_"7<1f-..,'Z~-z.-. I First branch circuit (2) 1 $ 55.00 $ I
I E-mail: b.i.fold /ufS 2 r.. (i2 /kslV . I" d'WI . I Each additional branch circuit I $ 6.00 $ 1
I CCB license no.: 8/1'1.1,} ~ 1 BCD license no.: Zo-nl-G 1 Miscellaneous fees: service or feeder not included 1
1 Signing supervisor's license no.; :J sS 1. $ I Each pump or irrigation circle (2) $ 63.00 $ 1
1 Print name of signing supervisor: ~.J p. ~ I Each sign or outline lighting (2) $ 63.00 $ I
'I Signature of signing supervisor: ' /) I A I Signal circuit or a limited-energy panel, $ 63 00 I $ I
. r y~ alteration. or extensIOn (2) .
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(A) Enter SUbtOtal, ofabove fees '/ (:-0
(Minimum Permit Fee $58.00) $ g . .-
1 (B) Enter 12% surcharge (.12 x [AD $ ~ -u ;
I (C) Technology Fee (5% of[AD $ ~
1 TOTAL fees and surcharges (A through C): $ q'1. I /7
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440-2584-J (9/08/COM)
Status
Iss u ed
225 Fifth Street, Spriugfield, OR
541-726-3753 Phoue
541- 726-3676 Fax
541-726-3769 Inspectiou Liue
SITE ADDRESS: 5738 CAMELLIA ST
ASSESSOR'S PARCEL NO.: 1702334401203
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01229
ISSUED: 09/15/2009
APPLIED: 08/2112009
EXPIRES: 03/15/2010
VALUE: $ 12,500.00
Springfield TYPE OF WORK: Siugle Family Residence
PROJECT DESCRIPTION: Install Solar Modules
Owuer:
Address:
HOWES DANIEL L & LINDA L
5738 CAMELLIA ST .
SPRINGFIELD OR 97478
TYPE OF USE: Additiou
Residential
I CONT~CTOR INFO~ATI()N I
Contractor Type
General
Electrical
Contractor
NEWTON HANS LOKEN
LYNNS ELECTRIC
License
103371
102316
Expiration Date
01105/2011
10/14/2011
Phone
541-338-4957
541-726-7895
BUILDING INFORMATION I
# of Uuils:
Primary Occupancy Group:
Secoudary Occupaucy Group:
Primary Coustruclion Type
Secondary Coustrucliou Type:
# of Bedrooms:
# of Slories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Euergy Palh,
Spriukled Building:
u/a
Lol Size:
Sq Ft 1st Floor:
Sq FI 2ud Floor:
Sq FI Basemeut:
Sq FI Garage/Carport
Sq FI Other:
Occupaul Load:
I DEVELOPMENT INFORMATION I
I PUBLIC IMPROVEMENTS I . YOLl to
'_."". ",coon law reqUires U'Tt
' ATTE'Sidewalk'Typ,e: by the Oregon c\ I Yh
folloW rules adOI""~h ",00 rules are set jort
N t'j'cDowusf!outsffirams: "OAR 952,001-
o \ I ,,,'V" - ' througH'
in OAR 952'001'OO~n copies of the rules by
0090. You may obt Note: the telephone
. calling the center. ( n Utility NotHicatlon
number for the. 0~eggO'332-2344).
Center IS ,-
Frontyard Setback:
Side I Selback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Streel Trees Rqd:
Paved Drive Rqd:
% of Lol Coverage:
Street Improvemeuts:
Storm Sewer Available:
Special Instructiou:
Notes:
NonCE: .
THIS PERMIT SHALL EXPIREIFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee 1 of 3
REQUIRED PARKING
Tolal:
Haudicapped:
Compacl:
,
Status
Issued
CITY OF SrKmlJFIELD
Building/Combination Permit
PERMIT NO: COM2009-01229'
ISSUED: 09/15/2009
APPLIED: 08121/2009
EXPIRES: 03/15/2010
. VALUE: $ 12,500.00
225 Fifth Street, Spriugfield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-3769 Inspectiou Liue
I Valuation Descrintion I
Description Tvpe of Constructiou
Bid Amouut. Use Bid Amouut
$ Per Sq Ft
or multiplier
. $1.00
Square Footage
or Bid Amouut
12,500.00
Value
Date Calculated
Total Value of Project
$12,500.00
$12,500.00
08/21/2009
l.Fp~, P~ilU
Fee Descriplion
+ 12% State Surcharge
+ 5% Techuology Fee
Building Permit
Piau Review Resideutial
+ 12% State Surcharge
+ 5% Techuology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$19.83
$8.26
$165.25
$107.41
$9.72
$4.05
$81.00
9/8/09
9/8/09
9/8/09
9/8/09
9/15/09
9/15/09
9/15/09
1200900000000001036
1200900000000001036
1200900000000001036
1200900000000001036
3200900000000000652
3200900000000000652
3200900000000000652
Total Amount Paid
$395.52
I Pl~n Reviews ,
Structural Review
08/28/2009
08/28/2009
WE CJC
No gravity or wind loading
information included with
application. Contacted applican
8/28/09 aud lefl voice mail.
Structural Review
09/02/2009
09/02/2009
APP CJC
As noted on plans
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.
I RpolI[,r~~ Tn'!.'.l:~tions I
Framiug Tuspection: Prior to cover aud afler all rough iu iuspeclions have beeu approved.
Final Buildiug: Afler all required iuspectious have beeu requested and approved aud tbe buildiug is complele.
Rougb Electric: Prior to Cover
Final Electric: Wheu all electrical work is complele.
Electric Service: Approval required prior to ulility compauy euergiziug'service.
Paee 2 of 3
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Status
Issued
225 Fiflh Street, Springfield, OR
541-726-3753 Pboue
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01229
ISSUED: 09/15/2009
APPLIED: 08/21/2009
EXPIRES: 03/15/2010
VALUE: $ 12,500.00
By siguature, I state aud agree, that I have carefully examined the completed application aud do hereby certify that all
iuformation bereou is true aud correct, and I further certify that auy and all work performed shall be doue i~ accordauce witb
Ibe Ordiuauces of tbe City of Springfield aud tbe Laws of Ibe State of Oregon pertaiuiug to tbe work described hereiu, and
that NO OCCUPANCY will be made of any structure witbout permissiou of tbe Commuuity Services Division, Buildiug Safely.
I further certify that only contractors and employees who are iu compliance with ORS 701.005 will be used ou this project.
I further agree to eusure thai all required inspectious are requested at Ibe proper time, Ihat each address is readable from tbe
slreet, that the permit card is Incated al the front of Ihe property, and the approved set of plaus will remain ou Ihe site al all
times during construction.
Owuer or Contraclors Signature
Pal!e 3 of 3
Dale
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1229
COM2009-01229
COM2009-01229
Payments:
Type of Payment
CreditCard
cReceiotl
RECEIPT #:
City 'of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000652
Date: 09/15/2009
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
LYNN MOORE/LYNN'S
ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM 942764 Online
Payment Tolal:
Page 1 of I
3:00:47PM
Amount Due
81.00
4.05
9.72
$94.77
Amount Paid
$94.77
$94.77
9115/2009