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HomeMy WebLinkAboutPermit Electrical 2009-10-13 ;; ::,,' '.' ,.'5l~;:;.~;t ) .:; ~~." . ,~,tatus . Is~~~~,i'\:Ei(::~,jE;t'i':&:: .225 Fifth sireeiYSpfi~gfi~ld;'6R i':, . . .: 541-726-3753 Phone',.... ::,5,41-726-3676 F~1),i{1'<t~'>. ..: .' . 541-726-3769 Insi>ec~o~ Line;i.,::'i., .,. ..~ . CITY OF SPRtl~uJ1mLD Building/Combination Permit PERMIT NO: COM2009-01474 ISSUED: 10/06/2009 APPLIED: 10/06/2009 EXPIRES: 04/09/2010 VALUE: SITE ADDRESS: 1122 CUSTOl\1 WAY. Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: ,1703263408200' ,,. . '. ;l;"i;;)l:;';i~s,:~1f\;'!,;}'g~":::' TYPE OF USE: Alteration . Residential '0 PROJECT DES,~J,Uptl()N( 'Temp power due to fire in residence, fire has burned out garge and all roof trusses. all ,; ; .' ,.':;): ;" -....- power to be replaced, and plumbing/mechanical to be replaced "",.' '"'. ';. ~. , '.... Phone Number: 00 laW requires youto ^-"1,,'.I111)"l: Orflg ". \~e Oregan Ut,\1ty t'\\ L- ._ ....~\'"',...iPUOV ii __",,+fnrtn . 'd jr .,.," ,~M '" .i:c se I u,~: ;-. - 52-001- r '0 . ",'-;0',. -.. . I CONTRACTOR INFORMATION-..f\ 9 b ' . "'1"1"'<;' '.', "" ,,~.. I~e rules Y ;: ,~~~!,p1"i!$;:; -.... ;,!<4-".r." , 101' ,- , trUl ~vu,'-"..... ~ .1\ .' '~i:".i::1t~",i~.~\;" .. I... ! ""_ ',,,.1y 0,) "'.. ;0' the te\eonone .! Contractor T'~k:e! .1~;'. Contractor C'~", ,~\"o CJlIt~f, (!lic,~H,~~ Not~~piration Date '. Electrical; ';;1f~ i. ". BEAR MOUNTAIN ELEC.T.R!.c;;r,Lp tl10 o,e\.'p.6~',!~.J344). 08/1212011 ~: Ii .~i . l.~ ,~ <. ~,," ...., :' Owner; Address: :.<'~~i ~,' '1.~,' ';:;':~\-. ,:,:,,~.., -'::.+, )~ . MAZETTYM'ANNje.< PO BOX2391',d}' EUGENE OR 97402 . 'i' " Y . . # of Units: Primary Occupancy Group: Secondary Occupan~y Group: .' ,:: "j' ,., "'.'\..1 Primary Construction Type. ': . .," ih .' ~." ~..,.'''''oi'"... ... . '.... 1 Secondary Construction Type: . . "'..." .'. '. ~,ofBedroo,m~:,f.f, \ :.\. i :Ii,.. . "!;,,,; ,j'I"\. .1,.:'" I', . ; .' " l~.;'i~~lt!'"'~:',", ).; ,.~, , Frontyard Setback: .",!'.~ S'd 1 S b' ko.:\..,,_' ..r~\. ... ..2. :L .. e et ac . ,.~4,.l~:Jl~::.I~..:: ' .;~J:I ::ui:::.;k Side 2 Setback:j! :':Hi"~:"~\"'" ' ;. Rearyard Setback:- I; ;.: . ;; Solar Setbacks:'::!~'~ \ . ';'~' f . ~if;'~ 1: :,!.. , Street Improvements: Storm Sewer Available: Special Instructi~n: ll'I';~. . .~~ ~,~ '!I ; i,if . .r: ~ 1t I~'; , ,.:tt~ I:' ;~ .;:-~ .' Li. ..,-....., ., ..:~ . ..~. :.;i:1 'j~? "; ".r \" Notes: .1:., :~plF,;I'~~ 1'.:-" ,-;;~ .1 . n '~; . "; j, ,. .l,; .' . . Description Type of Construction I' ,'.. ,,~ " j.!:~~,. .. <',,:... ,....,.'"",~ _. .,___~,~_i?;:,.. '~;.l'1 "J: x:r::F" ':I~" ,,,-, .~. ~;:', 1,1!" .1,U"r:. J;'~ . " ''''.~ '1'" l; 1.. . '~I .. ~! ~,\;, .~ .....'J:~J~.11 f~/ ~, t' 541-954-4536 Phone 541-741-8844 ,^lr-BUlLDll\1G,INFORMATION' " ' v-...:......;........'1....".;;3YOUto foHow r~lgr 1~g~t!Jd by the Oregon Utility Lot Size: Notlflcat,(), '. e", 'lH~' Those rules are set forth in OAR 9Helght, off tmclure SqFt ht Floor: ~~-_v 'r'v ~O,lnrough OAR 952-001- 0090.. Yol1YiI',uy V~~~~'I copies of the rules by Sq Ft 2nd Floor: calling W.l!tltfoIJ:.~' (Note: the telephone Sq Ft Basement: number~!",g~erYJ?~gon Utility Notification Sq Fl Garage/<;:arport (Ji)p~r,gyil;1a.lhJOO'332-2344). Sq Ft Other: , . Sprinkled Building: n/a. ,liO' hOccupant Load: . ..... "''''''D~Il=IHtvv nt' it , I DEVELOPMENTiNiORMATIONtll IS NU I , : :~I DR is A\.)AH\.JUNI:U FOR " .' .' . .Overl;YiDisl:\\OD. ;dY il'Stre~i T~;'~ Rqd: NOTICE' Paved Drive Rqd: , % of Lol Coverage: Tf-IIS PERMIT SHALL EXPIRE IF THE WORK AIITI-lnDI7cn ll""'H~"'" T' 'T ---. .- -.'.:-:.....,~ "('J"'" '''''Ill Ii) I\JUI " COI\tJl1l',!HIJjIQ f~iR:~-rJ'jM!,;N.I~I, FOR I, ANY l1JU DAY PERIOD, Sidewalk Type: REQUIRED PARKING Total: Handicapped: . Compact: c) Downspouts/Drains: I V altL~ltion Descriotion I' 111111 I $ Per Sq Ft " 1'1' or mu tip ler Square Footage or Bid Amount Value Date Calculated c Paee 1 of 2 . i~. *:~ Status Issued.... d, ').1;,' ." -., . ,....,.;.....,..' . . :-;' ';- ~:'-~~<;-::;," .-~)::".. ~..; -....; -. . . 225 Fifth Street;'spri~glield, OR''i . "'~"-'. ~., "., .. 541,726-3753 PhoneY' " .'. '<"'I. \ '^.,' , ,- 5,41-726-3676 ,F~x "1'""':.' . ',...: " 541-726-37691ntpe'ctioiiLiiie~ :::::- _~. _ , . .' : - ,~,-: - ':;; ;1" . : ~ !f~~~'rl~~J~ + 12% Staie Surcharge\' . + 5% Technology' Fee Temp Power 200 amps or less + 12% State Surcharge "',.;~ . ~,' '~"-'\~",,':i-'''~''- ; t 50/0 Technology}1~~,~~:~~~ ,)", ....~~}.~,~., Perm Serv/Fdl}~~;\'~ps,'or less .,'\ -+ 12 % State Surcharge' . . .. . ~i ~ - . , ':.,+5% Tecbnology:Fee :,-' Ir>l:.JAI'~d AI..,!'i"E' '(t'lI~.'~"C'.'~w~'.E 'Add" .' u, ter, x eou Ire a '. " . ;' ".1 t _'~:;:;; .,' r Total Amount Paid ~ . . '^ ~~",i:j, ',~;:{~' ;11~f~~t?;~.,1.,~~ :.,:~"lr.;.'~ :::;;: :!~ t-l~~., :~',~l" .:'I~.~t: : . ""':;-'!r,4il1:", ,'. ,....... . l' ,. " '.. " . r' . ,. , . I .' ':) , ...... ,) Amount Paid ;'. _ $7.56 $3.15' $63.00 () $9.72 $4.05 $81.00 $5.04 $2.10 $42.00 $217.62 o CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01474 ISSUED: 10/0612009 APPLIED: 10/0612009 EXPIRES: 04/0912010 VALUE: Total Value of Project Fe,~s Paid I Date Paid Reccipt Number 10/6/09 10/6/09 10/6/09 10/8/09 10/8/09 10/8/09 10/12/09 10/12/09 10/12/09 1200900000000001116 1200900000000001116 1200900000000001116 2200900000000001159 2200900000000001159 2200900000000001159 2200900000000001175 2200900000000001175 2200900000000001175 I Plan Reviews' '1 'i ToReque'stali in'~pe~tion call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the s~n{eworking day, inspections requested after 7:00 a.m. will be made the following work day. " u , :"f> '1. Reouirecl Tnsnection!jJ : ';.:~f'~t.H;t3"~:. .~.:. . .~'lW' ': .~. "~'. .." . Electric Service: : Approval required prior to utility company energizing service. !~ ~'~.'l \: :. I "t. i~\Ef~i!\~I'~~]~'I. "',f '!f-l ,~ . ';. i" ~ :', '. . By signature, I state and agree; that I have carefully examined the completed application and do hereby certify that all " l' . information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance witb the Ordinances oflhe City of Springfield and tbe 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. T further agree to '~Jistirethaf all r~quired inspections are requested at the proper time, that each address is readable from the street, that the pernikcard is located at the front of the property, and the approved set of plans will remain 011 the site at all .: times during co'nstruction. ' "'"'I', ,;; I"'!~'~" il,.,.'; , ,. . '1~~~1 tl'"'1lt, !r~..~. ".. ~.... , .' ,I' "..;t' . .~. - .1;: ". \.~ -';, Owner or Contractors Signature ,;;- ',) :.lL. :r,~:s/ : ';;I~ ~::~~~r .~',' 'I "II..)~.S~'''E~'' .....,.....[i... 'In ~ i~K~~,~,~I,:~r~l_, .1~~., .1~li~ " ., 'I'" 1"" . 'J.',.. I , . ~:": l. .~.. !h~;il"'~~, 1.'- Date Pa2e 2 of2 .:' ,.~. ,:. . -, "::'~~~~?:;;{{)~;~~~.,<~~~/,~~i~:~if'~'~:~:' ~ 225 FIfth Street:i:h,,'i?:i;:J!:"-" '."', ". Springfield"Or~g9,n:'974n . 541 ~726-3759Ph6n'e\:dt:' ] . ';" ';:~;';<.:y:,~~:;'yt.. RECEIPT #:' 22009000000000011 75 Job/Journal Number :i; D,esqiption '/'<'-~<_"" .:;' C0M2009,0 1474):~<;'Ad<l,A!ter-,~~#eiid dic Ea Add COM2009-01474: ;'$.:;-:[~:f'5%.Tethnojogy Fee , l" '-\'\"-'_ "~,:. ' COM2009-01474 ',\\!.. F+ 12% State Surcharge 3l'itK.:':,.,;: : ,:'~'::h~Y~&frfL1~;:.~;~~~~;' ' Payments:. Type of Payment CreditCard ).n.;.'s-:,(.,jF:;,' : Paid 'By':' . JACKIE HIEDEMA,N . ~ ; ',: " i: . ,i,i,j~ ,,, . .. - t~~:~~~i!~': 4:?;~;~: .:c . ::' d i' (' . ,I. ' ,. , '-", , . .,). ;':;~;r}:'F "::,",, . , . ,r: ,Il;,' -'~r,::;r la~('~;':' ':J '~..' a. ," d' . "li': ,':l,. tl. " :T I., .1'1. . , :~: .:!'.;-.~:~ \.':~~~~~r~-".-- -.~- _.n.l.l.~.;.$., ..:_ ._.n'l: '~, ) i~~~lxr~~~::' ,'.\' " .f.... ;,lpjlif'i~"1;,t~l . .r~ t ~. . ',__ . "I K' ~: ;'. :.1 ''; ,1':1, ~rJf:.';H:. .~, ' , . . (lJ ~ \. ',". ;\ . ,fr'J1'lhd, ''', V. "r, ~;:..; <-.;r~~~": '.~ \ , ., o. " , '~ , :,~ .- . .ii~W: . ""f't, f".i: ~':,:',] ~~ "~:!~i: ---., j:', il"" " ., i ~ i~ I '. ,~. . . . i.: .~;~_~.; '\H ~~. , f i1r}~n'.,1~ ~t, ~f~' ':~ , , 1', t'r . '...::: , J " , ~.. "j '," . cReceintl :.:. t J. .~~ ,~l~.:.:: q'.' iI.t.~ ':I" -; W"'~' ;i . ~ { I . '.i '1' ':1' i> tr~ ~~~-, -J';,' " t\ Received By Check Number Batch Number .CJC ~'.' u .' , " o u " " Page 1 of 1 City of Springfield Official Receipt Development Services Department Public Works Department .Date: 10/12/2009 Item Total: Authorization Number How Received 04527B In Person Payment Total: 2:42:53PM Amount Due 42,00 2.10 5.04 $49.14 Amount Paid $49.14 $49.14 10112/2009 ~"P~NO.'1lU) ~. .:::......~.""_..,..<..".:: ~..;:';J::. '-.. ION fNITlALS DATE SOURCE ;::;<;:::~'GI;ry-l.C)'I~;sp1tr&" -IEetf 'OREGON .;'- 'T:; 1'--: ~~.-, . s...~. .,~, -~"",:,-"'~;,-.,,,,~,,," -.= _~.~::. <-~-._:,~"'":;':W,1;:;-.';'~-:';-~'~ ~ 22:; ,,'IFTU STREET. SPRI:\"GFIELD. OR 97.477 . )'H:(S41)726-37S3 . FAX: (5.11)726-3689 EIJECTR1CAIJ PERi~UT APPUStTlON Cit)' Job Number' l' . q - \4.\,\ ';... ~J~ V1'~_L...y>~c::_;....;":-'.!'<,< -"'r~'j~~"';;:"'-":~l'W!;,-'!r" "': ~....'-q::_ I. 'fEOGAT;lON\OP.INSTALYA!J!ION:!.C',;:' ~\\ to :'O.lLD\1';ffi"t QlU LEGA\ ~sf)~rlo 04 Q6'UV \ JOB DESCRIPTION: G~r\A~()(\~Q: ~ui-ts_ Permits are non~transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. ~94?;~t~Q~ifii1f~~~i~m*:~ Ekctrical Contractor PEIIR.. ()J{}')!iJlI1/J) EfE'c AddressK~?(X DIW/RJ) flCLESS /?f) Cit)'EU(OEIl/f:. Pbone 7'1l-fft(tj 4/otJ(j <; it) /10 I. 36~q g Expiration Date _ 2:'10 :?' "itJ~;'{~";""'. l -- Owners Name \\.>f<"\ ~'1~ ~ Address \) 0 ~& Y')~1.p\ \ City h)q et\9.- Phone 0, CO'\ A t:J ()w Supervisor License Number, Expiration Date Constr. Contr. Number OWNER INSTALLATION The installation is being made on property I own-which is not intended for sale, lease or rent. O\I,.'ners Signature: Inspe~ .:26-3769 ~~ fb\~\\. ~ \\)~ ~ Date 3. "'eoE'fpj;ETjrE'EE!sCitEii(jjjJHiFJJOw..:;(i^"':r>lf-,i>i~'~-';' ~ . "" ..... '-~- ,',- ...' -. ,'''',.-, ., '''. - ,_' _", -._ _ .'. .-; . '-:;;.". - -: ;,'" .-~ .: ,;:."t ',' ",:",,,,~,,,, 'C" A. ~~-R~~~rii:si~~-i~1tlti;:Jfalliii~;i)~;1I\~~iIfu---",,~~~Wrt~;;~ -" - "'-'.-'-,_,{':.-,>, 1'.......""""'--:-......-..._. _~ ,. ','". . ......-......... .~...,u".' '" ~'~"'.;r' .". "'...~r. ."~.....--",~ Service Included 1000 'sq. ft. or less Each additional 500 sq. ft. or portion thereof S117.00 S 21.00 Each Manufact'd Home or Modular Dwelling Service or F ceder S55.00 ..ir~tL<-t~-:"\~R~";~': -~~ ~~(J;('~~, l~"'t~t<:$;':t'~~\!&.)'~~~,t:'i?'<U?X~~.it;;~fr: B. "'{~~~~f~?r,\~~~~!er~~l'V:~~~}!!t~g~ftt~~~~~!~f!-n~'..os)~~~C-<,=~~,:~~;J 20_0 Amps or less " 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect .on]y S 70.00 S 83.00 S138.00 S 180.00 $413.00 S 55.00 +:-' '" - :k<..." €,;";-,G,''''':-i~,~:. "'''i~';''''~ ;.~~.~,~ ~:,;:::'f"'..~-~,?;;;"~",,:t.4.- .: ,~. ,:;.('~~.,:t'~:';~~ c. r~~p'or;lr.y~Se_~I<:~ or~_Eeed~t:s..~ ,~;,,!,- '_~,~'~-:<~'~",+"~o_.\~::;.~,,':-' Installati~n, Alteration or Relocation S 55.00 S 76.00 SIIO.OO 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see."B" above. D. ,~~~4fl~'i~~~~u)'i~_:@~~~;~ :,~:::~~?~:~}:::;l1::.~j'E-:t~,fi~~~1f!~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or \vith Se-rvice or Feede-r Penn it S 48.00 f/ A/I- r:b S )>5tl J-_"'i~.4F_~~:'Hj:~,*:.......:(:.4..t'!''l-'~_'~'''0:-::~'"'*'i~~~)t~tt~~,~-r,-~''').}~JM%Il.:.o:~'~~ E. '~'f\tj~E~!~~~~;~1~~~~'!S!!fe~'t!$.1~2<(~l_~_~<<!!~)~~~~.mus~a.U~t_I.~!l~ pump or irrigation S 55.00 Sign/Outline Lighting S 55,00 Limited Energy/Residential $ 28.00 Limited Eneq::'y/Commercial S 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges ':'s'-"u'firo'- -'TMr-'OE~'6VE~,;;11~~:::~~~'~ A f\ CCJ 4. :....;".,-.._.....(,;, ,;:+",.'",-"",,~'P'::,'>:<<"R:';;;:~:';ff:l "-'r'L. \:likStateSur~bar~c ... , .' c:=\ f)4, 1 O~b Administrative Fee Cd 5% TechnoloblJ' Fee ~') - . '- 0- TOTAL "",,,J 1),;,,['1, IlBu"d;'g Fo,msIEk,tc'''' P"mi. "pp,~,3,,;.~,:\