The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2009-9-30 Efectrical Permit Application I," "","cU"',",,,, ,',' ,'.-"'" ',' ",.",,, I 'f'DERARTMENT:l:JSE,ONLY;,; " c.. ",J n'.. _":. -i. ~",;":_,_ ,\ ,. < . ' _ '. ,_ . n.;" ' . :. '.' "I, _ ... . I Permit no. m - I LI '5L\ I I Date: q - ,4.:> - LA I 225 Fifth Stceet+Springfield, OR 97477+PH(S41)726-37S3HAX(S41)726.3689 !' 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 ]80 days. ' 1.,;,C:;;'l'iil""'~"""""','iFEE"'SCH EDU"El!f'i'''-'''"'''-''':;~R':;Afi"1 f""~i'iYd:'A~$Y1~',-<~'}l;!'i'f/,!;\':~., Co' ... _C;l;. . .' _'. L:: _,~~;<Jfi"j\0~,;:i":;i;iWf.tio-~,,;g I"., . c_ ",.' "; '--\'"':":-':'..', . '/~',v'" ""'-":1";;' 'I'" Cos!"";: I "Total:' I -,Number'of.,ms ectlOns; er,Jtem\ -,' "\::~" t ,',":;." -'i"'~': _'::','" ~.,. ,V'~l.-'_ ~~-:.r,'il ,'-f.:r:",!,,~',_~ _~'~.;,If\:g-~.;:w "":\k.t.~~~,'i~'\, .fl."r,. ),l';.~;e_~. tL". ,:,< "(" .c.~st:',. '\:, 1 I 1 1 I I 1 I I I I I I I I I I 1 I I I I 1 I I 1 I I 1'1"""" " ::"""O'CAL'''GOV'' ER N'MENT"A' 'PP'R' 0V A"':~''''''''ffi'''':'''1 ' ~,". ~., ,- 11 ': ""T'L:, .' _' .:,;, _ ..,' __ _ _ ,'; .< " "',, ,Li-'::>-i:;r::;;;I~,"l" ~';_i' 5;';;}) 1 Zoning approval verified? 0 Yes 0 No 1 1%;~:!j,li:,,~,t:~~NCATEGORXij0FJiG()NSTRUCT:ION~~};~:i'i;)i,;,'ij';:, &Residential ,I 0 Government. I 0 Commercial .' ~~~~::ti;I,:,el:S:n(:; service included, m%iI'fJ0Bj;,SI[(;E~\INEjD~IVi,..:r,IOf\lfjAN[)!iil!O.CA'r:ION!;f,.I0'~~1 /? -;r; I I Each additional 500 sq. ft. or portion -job site aqdress: / K/ '1 b , ') /1f'1l:: 7 , thereof $ 25.00 $ I City,:::;/.Jp' //?_ L:~/I State: 0,('6--1 ZIP: 97 </17 I I Limited energy (2) $ 32.00 $ I Refere,~C;:"\~~O~00F:.V\,IJ;~~i~~~~\h"'!."\;:;~!i;\"!~ I ~~~I~:ns~~~~~r~~ ~~~:r (~)odular $ 63.00 $ /.J I Services or feeders: installation, alteration, relocation l. :'/1'oYJh/_ C?L/ 7' ",,/4/14/ff.,wft5e/C't//c& ;0 / ,/ 200 amps or less (2) V $ 81 00 $'-'\ '?.0n Xz>>?.p~i//C::L.-/'t"",g/7d~pl!k"'-/'5;9-:r(.., ^ . 0\ I -- ,",' ;/:PROp-ERTY,OWNER", " " I 1201 to 400 amps (2) $ 95.00 $ I Name: d/L--7'::n ~/Pt/ ).,-:;;;/ d' 1 401 to 600 amps (2) $156.00 $ 1 Addres'!!..nq h S 7<d-- -j, . I 601 to 1,000 amps (2) $205.00 $ I,' ,If I I u71 I lOver 1,000 amps or volts (2) $469.00 $ City: , )'h.n' Me. /J.~ /,J ,State<Yre:- ZIP: "11 7 I Phone: 1 _ _ / "/' - . I Fax: _ I 1 Reconnect only (2) $ 63.00 $ r E-mail: J Temporary services or feeders: installation, alteration, relocation This installation is being made' on residential Or farm property I 200 amps or less (2) $ 63.00 I $ owned by me or a member of my immediate family, This, 1 201 to 400 amps (2) $ 87,00 $ property!s not intended for sale, exchange, lease, or rent. OAR 479.540(1),ai'ia''LI'7n60(:1))regon law requires you to I 401 to 600 amps (2) $126.00 $ Si nature: foHow rules adopted by the Oregon Utility lOver 600 amps or 1,000 volts. see services or feeders section above g .J."'\h.J......"j..~~ r'\_._~~__', ......,.. _ I. . '-"""~.;~i;,:S~:0:N'JiRAGfoR\;~Ir:~fS:tA~Il~tioN~~tlt!~U~~~rv' . -I ' I Branch 7~[f~!t~;.rz.:~, alteration, extension per panel I Business"name:, v V/ ';~~/':,'l'-ij /' '_-/.bt"~a,u~p-8.~~~~:.fu '~~~~~n'\f' I I' a, Fee for_'branch"'c'ircuits with p'urchase of,a service or feeder fee: ~~fI!';y;~ ("/?~. ~Y.i1"/;f.l- 11-11....: UI_DhIlITC'II^r I r\Ir.'lIn,....J~~I'''":'.-'!.........l. 1 Address', S,a, ~)I;;','~,.l\i,'';i('~ ,~~nt;,,:,... .(Not,e":,,l,h, e.t,ele,p. hone' I E h b h' I 'j- ~ 'J. vf1'""'I. ~h.l.. lj1't) ~,._ ac <~~~f-119Irg~;Ji'~'n 1~~;~'~_O,~. ~W.".~lru,'- _D,'"rIi.", ".',P'9,?: kll~,T, LJ City~ QA' ~;.'~ ~;0?i~~;Ti];r~t,;;~,a~\'I'zfp'U9'" 9'1J I b. Fee fq~2r,~~Ii,~f:~l';'glril\!{'~~'P't[j'faj~l~fi'r.1~I{i'i"t~Ve'eaer fee Phon/:' - /. _721-CjjMI Fax: - - 1 Firstb'ranchci?cui[(2)' PERIOD. $ 55.00 $ I E-mail:' I' Each additional branch circuit $ 6.00 $ I CCB license nO':c5s-t Sf I BCp license no.: I Miscellaneous fees: service or feeder ':lot included I Signing supervisor's license no,: ~/ 2tJ/,s/1 I Each pump or irrigation c,ircie (2) $ 63.00 I Print name of signing supervisor: ,~/ Zi K. K (PI' I . I Each sign or outhne hghtmg (2) $ 63.00 I S. " '. ;0//~ /. C' I I Signal circuit or a limited-energy panel, Ignature of slgnmg supervtsor, . /J / ) ~r alteration, or extension (2) $ 63,00 $ ~ ' , Each additional inspection, (I) $58.00 $ (\~ ~ A"'"') \ t'.\-"~a--- (A) Enter subtotal of above fees (;\),.J ''''' \Y A/ (Minimum Permit Fee $58.00) . ~.0' ~'-a<i::. ,I (B) Enter 12% surcharge ()2 x [A]) .....y.. 1 (C) Technology Fee (5% of [A]) I TOTAL fees and surcharges (A through C): $134,00 $ $ $ $~,rl $ ,\O~'-\ $ Lt.3"5 I $\0\:1"11 440-2584,J (9/08/COM) Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01454 ISSUED: 09/30/2009 APPLIED: 09/30(2009 EXPIRES: 03/30/2010 VALUE: . 225 Fifth Street, Springfield,'OR 541-726-3753 Phone ' 541-726-3676 Fax - 541-726-3769 Inspection Line , SITE ADDRESS: 1879 G ST ASSESSOR'S PARCEL NO.: 1703362115200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Change ont 100amp service to 200amp service panel meter base Residential " F, Owner: EILEEN M KIDD REVOCABLE LIVING TRUS Address: 1879 G ST . SPRINGFIELD I, OR 97477 I CONTRACTOR INFORMATION' Contractor Type Electrical Contractor KIDD ELECTRIC INC License 154009 Expiration Date 01/27/2011 Phone 541-942-\352 BUILDING INFORMATION I # of Units: Primary Occnpancy Gronp: Secondary Occupancy Group: Primary Construction Type .. Secondary Construction Type: # of Bedrooms: ' # of Stories: Height of Structure Type of Heat: Waier Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: ." -n.!t: \NORK N011\.C.'MIT SHALL [)\\-'\\'\PERN\\T IS Nlr DEVELOPMENT INFORMATIONTIEN'fION: Orego~,Ia\::_~e;J,~~~s !~~};~" THIS \'ER"cD UNDER THIS ONED FOR tOllOW, rules adoptEREQtTIRED-PARKING ^ \ \II-\ORIL.'- '" \S ABAND Notification Center. Those rules are SellO! In '!!:~?tr.\!r,~:"SiIb3'ck: . Overlay Dist: i . OAR 952-001-001 [!'~~,a!;ugh OAR 952-001- s~%\r~~lbJ~~:\'ERIOD. # Street ~rees Rqd: 09-0, You may obtc.l:lagd!cap,peiI:'1e rules by S.i:\e ilSetback: Paved Dnve'Rqd: ~- ling the center.C~mpact:1e telephone Rearyard Setback: % of Lot Coverage: '1~ber' fO'[ the Oregon Utility Notlflc;;tlon, Solar Setbacks: '''~"Genter ,is) ;800-332,2344),. --...- n/a I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Description Type of Constructiou $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 Status Issued CITY OF ~rKlj~GFIELD Building/Combination Permit - PERMIT NO: COM2009-01454 ISSUED: 09/3012009 APPLIED: 09/3012009 EXPIRES: 03/30/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726'3769 Inspection Lille Total Value of Project Fp.es PaidJ Fee Description + 12% State Surch~rge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less . Total Amount P~id Amount Paid Date Paid Receipt Number $10.44 $4.35 $6.00 $81.00 9/30/09 9/30/09 9/30/09 9/30/09 1200900000000001108 1200900000000001108 1200900000000001108 1200900000000001108 $101.79 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. I R~r,.~ired 'n:.?ecti~ns 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 any and all 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 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 be used on this project. I further agree to ensure tbat 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 times during c~on~t~uction., . . ./.' /' /' . ...1/'./ /. /://~AYJf~ own~(:" C~to~s Signature Date Page 2 of2 225 ~ifthStreet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal,'Numb~r COM2009-01454 C0M2009-0 1454 COM2009-0 1454 COM2009-0 1454 ---+---T RECEIPT #: i[j4: City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000001108 Date: 09(30/2009 ,: .l?esc~iption , Penn SerVlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge' Payments: Type of Payment ,Paid By Check cReceintl ,KIDP ELECTRIC ,. Item Total: Check Number Authorization Received By Batch Number Number How Received KR 1725 In Person Payment Total: Page I of I 1:36:03PM Amount Due 81.00 6,00 4.35 10.44 $101.79 Amount Paid $101.79 $101. 79 9/3012009