The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2009-9-18 Electrical Permit Application , 225 FiCth Street. Springfield, OR 97477tPH(541)726-3753t FAX(541)726-3689 1,~~;.':'D-EPARTiv{ENf:iuSE:ON'tY.;: ':\1 "";-.;,c:,,-,,_~,,;,,,'..">;";i':.'~ "} ,,r'.,, -.._~. .:,).~".,~. ,", _" "1,__ ~.' permitno{]9-/.382 I Date: '7!rY/07 I 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.. 't\,'1Q0(;AL;!,!30'11EJ~rljMENmii~eI:\ROVAID;\!;~\'~~fn1t;',1 1 Zoning approval verified? 0 Yes '0 No 1 IN:~:V~~:tiihd:1~~~tCAT;E <3_0 Ry~'o~l1iCQ NS-]RIJGJrI(jN~~&}~~f?~~~ij;':;; :.';,,~;~I iE~~i~~~~~~Il!E'iUN~g~~;~~;N~ANEl~~~G~t7~~~~w{{tll I Job site address: 5"t "i>( TIf(,f~~ Pf> I I City: SPFL..C I State: I ZIP: 1 I Reference: ~~('11~~1... I Taxlot.:CXY2.CO I . "',;;;";7;D~R'P'rION;:OF:',WbRK~1~\\~:ij"1!;~,).Y:'f~ll Ily~r I I I I.. . .;PROpER'Ty.::owNER, ,.'''1 I Name:-lDJ../ FI#./~ I Address: l;"I"r1 71+1A'<'..~..., f::.~ I City: I State: I ZIP: I 7:;/; .,~ ')If I Fax I I Phone: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, This property is not intended for sale, exchange, lease, or rent. OAR 479,540(1) and 479,560(1), d Signature~ _ /1-- I,.,",' :iiGClNTRAGJ;OR' I H'ArloN\ ; l;-~:, I Business name: 1 Address: I City: 1 Phone: I E-mail: 1 CCB license no,': I BCD license no,: ! 'Signing supervisor's license no.: I Print name of signing supervisor: I Signature of signing supervisor: I State: I Fax: I ZIP: ~~ (\~Q/ ~ 440-2584-) (9/08/COM) . ]~~~t~~j}~?~1f~]~~ri'~'r~~ifi'f'F:J;_~iS'~RE"O..Q~_l;tll~~~~~~~:~~~I 1{~.~,~mi~"b;i~~\~rB~'~ir~~~,?e'~J;J~~~}:~\~'~;til;2!riI.Ji~~~r;~;j;I,'~~~~~~t:::)l I I Residential, per unit, service included: 11,000 sq. ft. or less (4) I Each additional 500 sq, ft, or portion thereof 1 Limited energy (2) I Each manufactured home or m-odular dwelling service or feeder (2) I Services or feeders: installation, alteration, relocation I 200 amps or less (2) $ 81.00 $ 1 201 to 400 amps (2) $ 95.00 $ 1 401 to 600 amps (2) $158,00 $ I 601 to 1,000 amps(2) $205,00 $ lOver 1,000 amps or volts (2) $469,00 $ 1 Reconnect only (2) $ 63,00 $ I Temporary services or feeders: installation, alteration, relocation i 200 amps or less (2) $ 63,00 $ 20 I to 400 amps (2) $ 87,00 $ 40 I to 600 amps (2) $126,00 $ $134,00 $ $ 25,00 $ $ 32,00 $ $ 63,00 $, First branch circuit (2) Each additional branch circuit ( I I I I I I I $ .rs-I $ 1 I I I I I Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a se'rvice or feeder fee: Each branch circuit I $ 6.00 I $ b. Fee for branch circuits without purchase of a service or feeder fee: $ 55.00 $ 6,00 Miscellaneous fees: service or feeder ~ot included Each pump or irrigation citcle (2) Each sign or outline lighting (2) I Signal circuit or a limited-energy panel, alteration, or extension (2) I Each additional inspection: (1) $ $ $ 63,00 $ 63.00 $ 63,00 $ $58,00 $ (A) Enter subtotal of above fees (Minimnm Permi! Fee $58,00) ,I (B) Enter 12% surcharge (.12 x [A]) I (C) Technology Fee (5% of[A]) 1 TOTAL fees and surcharges (A through C): $ S-i".- $ tP""!:!-- $:l~ $~" lJaI! ". Status Issued 225 Fifth Street, Springfield, OR , 541-726-3753 Phone I 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01382 ISSUED: 09/18/2009 APPLIED: 09/1812009 EXPIRES: 03/1812010 VALUE: SITE ADDRESS: 5981 THURSTON RD ASSESSOR'S PARCEL NO.: 1702342200200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: PROJECT DESCRIPTION: PERMIT FOR WIRING INSTALL BY PREVIOUS OWNER Owner: Address: FINE JON R 5981 THURSTON RD SPRINGFIELD OR 97478 FINE TIM D 5981 THURSTON RD SPRINGFIELD OR 97478 Owner: Address: Contractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type 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: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling me cemer. ll~Ole: me lelepnone nUITCON'FRWeT0RHNFORMNIJIONlll)n Vt:'lll\j"1 Ii) J-uvv-....v"'-'-V"'T,J. License Expiration Date Phone . BUILDING INFORMATION I # of Stories: Lot Size: Height of Structure Sq'Ft 1st Floor: NOTlC:!J:'pe of Heat: Sq Ft 2nd Floor: THIS pF:~rv1fr 1;~fALL EXPIRE IF THE WORKSq Ft Basement: j,UTHO~,~~~f 1i~P,~i:R THIS PERMIT IS NOTSq Ft Garage/Carport _Energ/Path: n Sq Ft Other: C:OMfV1tSv.:fn"lrl'B\iildi~~,NDONED J'/a R Occupant Load: .'.Ir>,IV 1Qn n^v D[:Dlnn I DEVELOPMENTINFORMATION I ' REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Co.verage: I ~UBLIC IMPROVEMENTS' Sidewalk Type: Downspouts/Drains: Page I of2 ell l' UJ' ~rKll~"'J'lELD Status Issued Building/Combination Permit PERMIT NO: COM2009-01382 ISSUED: 09/18/2009 APPLIED: 09/18/2009 EXPIRES: 03/18/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-37691nspection Line Iy aluation DescriDtio~ I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Valne Date Calculated Total Value of Project ~ees Pai,rl , Fee Description + 12% State Surcharge + 5% Techuology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date'Paid Receipt Number $6.96 $2.90 $55.00 $3.00 9118/09 9/18/09 9/18/09 9/18/09 2200900000000001062 2200900000000001062 2200900000000001062 2200900000000001062 Total Amount Paid $67.86 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. I Rellui,r,~rl 1 ";snectillns I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 further certify that auy and all work performed shall he doue iu accordance with the 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, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will he 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 of plans will remain on the site at all tqJLctiO~~ /' V Owner or Contractors Signature t/;rtJ()7 Dati t Pae:e 2 01'2 To Whom It May Concern; This Letter is to inform you that I Jonathan Fine, purchased the hOIlle1ocated on 5981 Thurston Rd Springfield, OR 97478 on 6/22/09. All structures were exi~ting prior to purchase of home, including house and front porch. Thank you, Jonathan Fine ~ 7?~c/~ 5"'jgl1h'""'-sk I2.d.. Spr\,,-") ~"tl~ 01<- 7 T<t-:r~ L \,' 09-18-09 Al1:36 IN , Sc.-A-N 11/6 j), / frfTrtC..If -= I) TO TI DC/Vl ~/::- Zjifi/O '7 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01382 COM2009-01382 COM2009-0 1382 ' COM2009-0 1382 Payments: Type of Payment Check cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000001062 Date: 09/18/2009 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 12% State Surcharge Paid By JON FINE Item Total: Check Number Authorization Received By Batch Number Number How Received CJC 1261 In Person Payment Total: -' Page 1 of 1 II :45:03AM Amount Due 55,00 3,00 2,90 6,96 $67.86 Amount Paid $67,86 $67.86 9/18/2009