HomeMy WebLinkAboutPermit Electrical 2009-10-13
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.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.,
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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
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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
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.' '~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
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:' Owner;
Address:
:.<'~~i ~,' '1.~,' ';:;':~\-. ,:,:,,~.., -'::.+, )~
. MAZETTYM'ANNje.<
PO BOX2391',d}'
EUGENE OR 97402 .
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# of Units:
Primary Occupancy Group:
Secondary Occupan~y Group: .' ,::
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Primary Construction Type. ': . .," ih
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Secondary Construction Type: .
. "'..." .'.
'. ~,ofBedroo,m~:,f.f, \ :.\.
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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';~.
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Description
Type of Construction
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541-954-4536
Phone
541-741-8844
,^lr-BUlLDll\1G,INFORMATION'
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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
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Paee 1 of 2
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Status Issued.... d, ').1;,'
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. 225 Fifth Street;'spri~glield, OR''i
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.. 541,726-3753 PhoneY'
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,- 5,41-726-3676 ,F~x "1'""':.' . ',...: "
541-726-37691ntpe'ctioiiLiiie~ :::::- _~. _
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+ 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 '. "
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Total Amount Paid
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Amount Paid
;'. _ $7.56
$3.15'
$63.00
() $9.72
$4.05
$81.00
$5.04
$2.10
$42.00
$217.62
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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. "
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, :"f> '1. Reouirecl Tnsnection!jJ
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Electric Service: : Approval required prior to utility company energizing service.
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By signature, I state and agree; that I have carefully examined the completed application and do hereby certify that all
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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. '
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Owner or Contractors Signature
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225 FIfth Street:i:h,,'i?:i;:J!:"-" '."', ".
Springfield"Or~g9,n:'974n .
541 ~726-3759Ph6n'e\:dt:'
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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
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COM2009-01474 ',\\!.. F+ 12% State Surcharge
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Payments:.
Type of Payment
CreditCard
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: Paid 'By':' .
JACKIE HIEDEMA,N .
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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) ~.
.:::......~.""_..,..<..".::
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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.\,\
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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~;'{~";""'.
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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
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Date
3. "'eoE'fpj;ETjrE'EE!sCitEii(jjjJHiFJJOw..:;(i^"':r>lf-,i>i~'~-';' ~
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A. ~~-R~~~rii:si~~-i~1tlti;:Jfalliii~;i)~;1I\~~iIfu---",,~~~Wrt~;;~
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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
$413.00
S 55.00
+:-' '" - :k<..." €,;";-,G,''''':-i~,~:. "'''i~';''''~ ;.~~.~,~ ~:,;:::'f"'..~-~,?;;;"~",,:t.4.- .: ,~. ,:;.('~~.,:t'~:';~~
c. r~~p'or;lr.y~Se_~I<:~ or~_Eeed~t:s..~ ,~;,,!,- '_~,~'~-:<~'~",+"~o_.\~::;.~,,':-'
Installati~n, Alteration or Relocation
S 55.00
S 76.00
SIIO.OO
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 Volts see."B" above.
D. ,~~~4fl~'i~~~~u)'i~_:@~~~;~ :,~:::~~?~:~}:::;l1::.~j'E-:t~,fi~~~1f!~
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or \vith
Se-rvice or Feede-r Penn it
S 48.00
f/
A/I- r:b
S )>5tl
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E. '~'f\tj~E~!~~~~;~1~~~~'!S!!fe~'t!$.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
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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,,;.~,:\