The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2009-10-20 Electrical Permit Application 225 mth Street. Springfield, OR 97477+PH(541)726.3753+ FAX(54!)726.3689 j,','f';",DEPAR'T'MEN'T:us'EoNL'i "j'l ....i.,':,>.~.~..',.,,}..-. ;.~.. ,":;..,; ._'.:: ',,_,"'-.' _' - _;' . .:;: ",_".'.'..... ,- '," <1". , .' I p~~p0'7-010931 I Date:lO-ZO -0 <=t 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. 'iWl!dtJl.L;':G0YEJ~r\iMEfII'r;i~RgR0YJ~lf~~\';JN".!~~;;,ljl 1 Zoning approval verified? 0 Yes - 0 No I 1~}:i!.)!j;t::.ii;,;t;:{(;~'fE~ORM~0~1\CdNSJfRUt'l'ldN~;~!:~itiii\';'i'til I Q'Residential I D Government I D Commercial I liJjl~~~.l'lI~BLSIT:E~HNI;;ORMA;fldN:fAfIID]lIotAmloN1(~~~~il 1,000 sq ft, or less (4) 1 Job site address: I G,Cob "'3 sT I ~~~~oafditional 500 sq ft, or portion I City c::.RG ',floS; c:).J} I State:("')C~ I ZIP:. limited energy (2) I Referen;': IID~~ 25-;1 If 'ITaxlot.O~200 Each manufactured home or modular :, .,,'t'DESCRIf',tI0Nt0F;-,wdRK"!;!'~1,f:;t'~(ft!!,'t:;,i:'~~~ dwelling service or feeder (2)' $ 63,00 $ I (\ ~ ~?, {' e.. ~ ()~ 'Y\,/ ':;-e. ( \I' ~ ee...l 1 Services or feeders: installation, alteration, relocation .' I I 1 200 amps or less (2) $ 81.00 $ I ' :.,: 'PR0P,ERT'i':"OWfIIER' ':"; '.41:;"" 'I 1201 to 400 amps (2) $ 95,00 $ I Name u1 ((-V "'""7" S rA.tJ'u Ie.. ,!O!loW~~~.I/')1\ ~I to 600 amps (2) $158,00 $ I Address: ff:;.bO T S t ' 1,~'~;~/~iilJ;~v ~ c r!S}J~w~rpgqiY' $205.00 $ I City S.':t:>I~" 1 State: cNL I Z1P'fJ"',i,q9P~'~Req},~~0)I~~~~~" $469,00 $ I Phone: I Fax: _ U,"'illif)g th" hi/ V (::Kfrfl,M~J]l!~s:ere ~",Utillty.. $ 63,00 $ n",~, "~-T!"'I' ,U:'(~AO -.~ E-mail: .1-.Jf::Jr fOr thO :., Sf.e p9fiiS!f1~'~ .... InstallatIOn, alteratIOn, relocatIOn " 1 ~;;'r.!.oth ,'" rlJl .. ThiS IUstallation is being made on residential or farm propertf1ller;8 ,,-<IVf)''P''n 9'f ;>h~ ea b", $ 63.00 $ owned by me or a member of my Immediate family, ThiS ~'!J(,IMo~n" v~e - $ $ property is not intended for sale, exchange, lease, or rent. OAR 1 '~~L OR'::., 8J 00 479,540(1) and 479,560(1), 401 to 600 amp'-r") $126.00 $ Signature: lOver 600 amps or 1,000 volts, see services or feeders section above I, ",' :"C0NTRACT;0R~INSTAl:I:.A'f10N',': , 1 Branch circuits: new, alteration, eXlension"perpanei I Business n.ame: LoW\~) ~Te i) ~c::...l' ::r=V)~% 1).,1 a, Fedor branch circuits with,~urchase ofa service or feeder fee: 1 Address: '3362.4 (O{Y)Cl'S S",,,::de.~YI Each branch circuit ' I 1 $ 6,00 1$ I City: c...(J2.~~,,,, I StateOeJ.... I ~~ ~'7Lj?(t, 1 b Fee for branch WCUlts without purchase ofa service or feeder fee I Phone''1/)- 2'3'; r '/ '6 2./ I Fax - -ii.i";,,7tcc:r, I first branch weu]! (2) $ 5500 $, 1 E-mail: ALi~~:~fiMIT S fA' Each addllloQ.~1.bran~~ cirCUIt. $ 6,00 $ 1 CCB hcense no,I~""2.? 4 I BCD IIcense(;61~D U~ Dj ~~~~ or feeder not Ine/uded 1 Signing supervisor's license no' S-'S({, ?'!JV'f 18rikff!,QFl, I~ 1b':t~~Miti~~~~f((2) $ 63,00 $ I Print name of Signing supervISor' \""",;\'16> \.0'l....-<2. ~~/O ~attll~EDI~fllr.rr(2) $ 63,00 $ I Signature of signing supervi .' ~~ /" I SIgnal. clrc~lt,of ~"I.l~'H,~e~;;.~nergy panel, $ 63.00 $ Sor. ?""" //,/"'/ -./" alteratIon, or extensIon (2) . ./ "'. Each additional inspection: (I) $58,00 1 $ 1 . ~f~~qfl~~t{rt~~I~0~s'~ARgD<<>e:~T~D,$'E~~~r~~~jl~~}i~~f'l!~;:;I $ /5,1 i 'jt>~ ~ $ 7'/;- $1 <;(L o~. " ......... - .~~ ~~o ~~od^- \\)oro:. ~ ~~ '~' 440.2584.J (9/08/COM) 1"'''''''''"'''''\''"'V'''''''0'''~''E'Eil!S''CH' ED'U""E,,,,,,,,,,,,,,".,.,,,,,,,,,,,,,,,,,,;,.,,ii}! ~t:;:".1,,?:1'i{s:;J~~,,:.'~t{fI~d!JY4':::'(r;, , Ii. _': - _ '. ',Il:, ;i'1h?_St~.i2ts:i\~;Lii~~?~""F.<r~~Jll 1';~,~i:~.~t::,?~:~Fi.B~~~:~~:~i~;J~~!;~~rf2~l;~~181f~1 ;,~j~;~~~~~il~I;{~~~t~:~..~[~; Residential, per unit, service included: I ) $134 $ 2.5 $134,00 $ 25,00 $ 32,00 $ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) ,I (B) Enter 12% surcharge (,12 x [A]) 1 (C) Technology Fee (5% of [A]) I TOTAL fees and surcharges (A through C): U I l' OF SPRINGFIELD . Building/Cl)mbination Permit PERMIT NO: COM2009-01093 ISSUED: 09/25/2009 . APPLIED: 07/28/2009 EXPIRES: 0.4/20120]0 VALUE: $ 20,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line " SITE ADDRESS: 1660 J ST ASSESSOR'S PARCEL NO.: 1703253405200 Springfield TYPE OF WORK: Fire,Damage TYPE OF USE: Repair Overlay Dist: # Street Trees Rqd: ,/" Paved Drive ~,t",,;:'n"'"" ~~ ' % of Lot Cover'age\\'t. ~O ~ to \'i' \'0 ~O , -,P\Q..~ -~!-\\ - C~.PUll tiMi~:'Wm~,,';.iJ\"":," ~O\~ ~\,'~ ldf& \.0' ' ~L..tfH'\1 '. ': ' \\\\'0 ~t: :Lt.t;) U~v \'0 ~~i"\ , Sidewalk Type: -:-.\\O'?-.\ \l O'?-. \l ' ,,,U ~t.~ru't. ~t.'?-.\O' Downspouts/Drains: SO\J\ 'COIJ \l~ '. ,'\'\ \ ,~\~ PROJECT DESCRIPTION: Fire Damage Owner: MICKEY SNOOK Address: 1660 J ST .'- SPRINGFIELD OR 97477 . ....< I'C:~NTRAcmR INFORMATION I Contractor s ,/OU to License MCKENZIE TA'Illon laW re~I~~on Ut,ili\,/ 109867 CO~ :~'P~~e'S'/!f!J.~~84274 "KEJflI\~ ". Ihose IU "e nl>.R 95Z'()O~~85888 NO~~R95i.001~J"i#.ON I , ~090. '{au mace:'! ntel. tNo~' .\~f1 Notilicat\HI. # of Units: calling the 0Iel6llfi~_144\, Primary Occupancy Group: 'num\!iIGil10r ttw is 1..@~~ru~ture Secondary Occupancy Group: 'center Type of Heat: ' Primary Construction Type VB Water Type: Secondary Construction Type: Range Type: # of Bedrooms: Energy:Path: ..",,,,, , Sprinkled Building: Contractor Type General Electrical Mechanical I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: ';. Page 1 of 3 Residential Expiration Date 11/0912010 10/14/2010 03/1312011 Phone 747-5413 541-225-7827 541-543-6580 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING .' Total: Handicapped: Compact: " Status Issued CITY OF SPRINhl'1ELD Building/Combination Permit PERMIT NO: COM2009-01093 ISSUED: 09/25/2009 APPLIED: 07/2812009 EXPIRES: 04/20/2010 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I ~,a.'u,~tion Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project L.Frrp, r.~ Fee Description Amount Paid Date Paid Receipt Number + 12% State Surcharge $7.56 7/28/09 2200900000000000854 + 5% Technology Fee $3.15 7/28/09 2200900000000000854 Temp Power 200 amps or less ' , $63.00 7/28/09 2200900000000000854 + 12% State Surcharge $41.94 9/25/09 2200900000000001093 + 5% Technology Fee, $17.48 9/25/09 2200900000000001093 1st Appliance $79.00 9/25/09 2200900000000001093 Air Handling Unit Up to 10,000 , $11.00 9/25/09 2200900000000001093 Building Permit $233.50 9/25/09 2200900000000001093 Furnace - up to 100,000 btu $17.00 9/25/09 2200900000000001093 Vent Fan $9.00 9/25/09 2200900000000001093 + 12% State Surcharge $19.08 10/20/09 2200900000000001201 + 5% Technology Fee $7.95 10/20/09 220Q900000000001201 Residence Wiring 1000 Sq Ft $134.00 10/20/09 2200900000000001201 Residence Wiripg ~a Addtl 500 $25.00 10/20/09 2200900000000001201 Total Amnunt Paid $668.66 I Plan Reviews , 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. ~eollireCUnsnections I Temporary Electric: Approval required prior to Utility Company energizing pole. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Page 2 of3 Status Issued CITY OF ~t'Kll~lIFIELD Building/Combination Permit PERMIT NO: COM2009-0]093 ISSUED: 09/25/2009 APPLIED: 07/2812009 EXPIRES: 04120/20]0 VALUE: $20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Mechanical: When all ",echanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 Ordiminces 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 wili be used on this project. 1 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 wi!1 remain on the site at all times during construction. Owner or Contractors Signature Date Page3 of 3 225 Fifth Street " ' Springfield, Oregon 97477 541-726-3759 Phone ;r~~~:,ii,.,.',',.." .,' ~.. ~.-,,---' City of Springfield Official Receipt , Development Services Department Public Works Department Job/Journal Number COM2009-0 1 093 COM2009-01093 COM2009-0 1 093 COM2009-0 1 093 Payments: . Type of Payment CreditCard cReceintl RECEIPT#: 2200900000000001201 Date: 10/20/2009 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea AddtI 500 . + 5% Technology Fee + 12% State Surcharge Paid By CMPL TE ELCTRCL INSTL TNS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 045818 In Person Payment Total: Page 1 of 1 1O:52:I7AM Amo':lnt Due 134,00 25,00 7,95 19,08 $186.113 Amount Paid $186,03 $186.113 10/20/2009