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Home My WebLink AboutPermit Electrical 2009-11-6 EI~ctrical Permit Application 225 Fifth Streett Springfield, OR 97477 +PH(541)726-3753+ FAX(541)726-3689 1;~\!;':'D~i>~RTMENf:Os'E ONLY' ",-'..,.' " '.~ ~f;; .. . _.k.., '-"',.. ,- '_ I Pennit no 0/ l\.l \o~ \ I Date: l \ . 19 if{ 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. 'i "~J7.!lr0CALI)'.G'()VERN M ENm~A~-RROYA~~Xrf~)~'~_if~1f~~:1 . ](~Il;1-:W;~!tytii8t~W\;~-!1.~tM;1:~~~t:~~E;-E_iSG:Hl:_p.l1JGE.~~?,~~~J,~~~W1~~[{~ilt~~~l I Zoning approval verified? DYes DNa I I :N;'mbe;'of:;-~;p~~iiii~;'cp~r:i[~ii1~(;;;'~LIQty.I";Pi~(';;1 :'1%WI 1,;';:'~?i.~~ii.L{iiCNrEGORYN0l7iiCONSJT:RUC;rIONf!;fi"~'K"':/~I 1'~;;i~:"~;i':I:-';;:::;;:7e;:'i~e'i'~:;:::~;"" "".ea..c.., . ...... HI. 1 [i] Residential 1 D Government I D Commercial 1 1 . 1 1~~'rJ~OB2$ll'Ey1INI;:O~RMA:r:fON~rANJj~~(jc'AIiI(jNi!!illH!~'~f\!I 1.000 sq. ft. or less (4) . $134.00 $ I. ")AV.2 ",' c L . 1 I Each additional 500 sq. ft. or portion $ 25.00 $ Job site address: ~ nCl.<A...) tJ thereof 1 City: ~r;"?r~l(}.. I State: r"rO. 1 ZIP: 9 -:;-4 ~J'I I Limited energy (2) $ 32.00 $ 1 Reference: l' () Q. 3<:::>-b \ ~ r Taxlot.:Q\COfVI I Each manufactured home or modular $ 63.00 $ . .... ,.y .'DESCRIPrION;i0F~W(jRK;:.iiii~~,;>In1,:":'~">;>"'''1 dwelling semce or feeder (2) .. 1 ,~~~ . ~ '- ~ \~t:*GD' 1 I servic.es or feeders; installation. alte;ation. relocation 1 \ ~ ,,-lLla:O ~ c:; t)~, . 1 I 200 amps or less (2) $ 81.00 $ I.. .' 'PROP.ERTYOWNER:"'. ;~..... . 1 I 201 10400 amps (2) , $ 95.00 $ I Name: STI.;:P\-lf-.0 rea.tt'LD I 1401 to 600 amps (2) $158.00 $ 1 Address: fO'-t 2. r1.t4UV S'\' I 601 to 1,000 amps (2) $205.00 $ I City: ~.{)(..{;:ITCD 1 State: oe 1 ZIP: 9~'t- 91' lOver ],000 amps or volts (2) $469.00 $ I Phone:~41 _ 521 ~ I c>J<4 I Fax: 1 1 Reconnect only (2) $ 63.00 $ I E-mail: I I Temp,orary services 'or feeders: instaJlation, alteration,relocation This installation is being made on residential or fann property 1 200 amps or less (2) $ 63.00 $ owned by me or a member of my immediate family. This 1 201 to 400 amps (2) $ 87.00 $ property is not intended for sale. exchange, lease, or rent. OAR :~:n::r~l~:~R INSTA~LArIONJ . . 'I 1 ~~:::!~:~~:s:~~:.0~1~:::::::.ee:7~:,:n:::::::~;:~tian :bove I Business name: .? I I a. Fee for branch circuits with purchase of a ser~ice or feeder fee: I Ad~ _~ I I ,Each branch circuit 1 $ 6.00 I $ \ City: ~ I State..:~ I ZIP: I I b Fee for branch CirCUits Without purc,hase of a servIce or feeder fee I 1 Phone: ~, //T Fax: I 1 First branch circuit (2) I L I $ 5500 I $ 5 '5 ~ . I E~mail: y--...... I 1 Each additional branch circuit r $ 6.00 $ to.~ I CCB license ng.,/ I BCD"Ii~nse no.: I I Miscellaneous fees: service or feeder ':lot in~{uded I I Signin~visor's license no.: ~ I I Each pump or irrigation circle (2) $ 63.00 $ I I Pr~~llQ!lii~~dJ!l!:lulres you to folloW I' 1 Each sign or outline lighting (2) $ 63.00 $ I I . Il,.Ilg" Ql,.lv1:'~c~ uy lilt: V~~Ufl UlllllY I'IlQUTlcauon I I Signal circuit or a limited-energy panel'r $ 63.00 $ I SlgnllluntEllfsrOOmg~I\i\nlr~'Setforth In,)AR 952-001. alteration. or extension (2) . UU1U mrougn UAR 952-001-0090. You may obtain I copies of the rules by calling the center (Note:.the Each additional inspection: (I) $58.00 $ I telephone number for the Oregon Util'lly Not'lficat'lon 1'.iii'(i;r~!~Jli0"'i)j;liiil(j;1"~'**A~"ririi;.I-C~A"~N'T";~U"S' 'E'::!';'''';I~''~!",c' .i'J'..'.liV.".... ;'il;)v-,.;~,'IJ!',~~t~ct:~c~1X"!,n'\';-;:!:i. "r;;r;:,L;; " ,,;I~'tf~ ',. ,;:gll'..'W~_:....t~",;!:~)t..I1,1:!:Ji~fi;!J~:::r:<; Center is 1-800-332~2~). ~~ JQ(~ .-""'_ ,,\\V r-'\ (A) Enter subtotal of above fees ) /" (\ , (Minimum Permit Fee $58.00) $ I ~ (. d- ~V\ ~ LV '\ II:) .1 (B)EnterI2%surcharge(.12x[A]) $ e.o~ NOTICE: EXPIRE IR~ \.\ 't7\ 1 (C) Technology Fee (5% of[A]) $ d. -::1. THIS PERMIT SHALL. 11;;A.,..~T~IS - . ~ ;: J . :;::> .. WORK AUTHORIZE~"~ED OR IS : u. 1 TOTAL fees and surcharges (A through C): $""l ~1_ 3 <\ PERMIT IS NOTOCROA~f'1~0 DAY PERIOD. .\)'1' ABANDONED F . 440.2584~J (9/08/COM) Status ' Issued' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF ~rK1j~t..FIELD Building/Combination Permit . PERMIT NO: CQM2009-01631 ISSUED: 11/06/2009 APPLIED: 11/06/2009 EXPIRES: 05/06/2010 VALUE: Springfield TYPE OF WORK: Electrical Work Only ',,' SITE ADDRESS: 7042 MAIN ST ASSESSOR'S PARCEL,NO.: 1702353101002 TYPE OF USE: Addition Residential , PROJECT DESCRIPTION: Install one circuit to hot tub Owner: PERKIN STEPHEN Address: 7042 MAIN ST ..' - , SPRINGFIELD OR 97478 Contractor Type Electrical Contractor OWNER # of Units: .. Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: , Side 2 Setback: . Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes; Description Tvpe of Construction . .,:', . "aU \0 o,ulles, 'l'hI 1a.'I'J Ie on U\I \" _. ,~,,,N.".:OlegO~' ,,,' \\,\e Ole?,,, ~e\ lot\~ p..\ \ l-' :...\t:'>~ aOu't-'~~..fbn'3e {U\lJ;:' - 'Q ~5~l~VV I 10\\0'1 CONif,RA-e:r.Q~.JISF0~A1:1~1'1 "0"\11 .... '".\ . / ,. '" r..." . " ,- 52.-0v - - - 'n CO\.j1~~ ele\>II'-', - in Op,.? ~ou tl\a'! op\al ~~0\6'. .\~e..~~ot\\i\l%\ion 0090. \tle ten\el. on \J\I\I\~ 4,\ ~o\\\l'~ ,. \"''' nleQ " 'l~,,-ia4 ". nll~.iml.q~~~"t)RMA TION I Expiration Date Phone # of Stories: Lot Size: Heiglii of Structure Sq Ft 1st Floor: Type of H.~~t: Sq Ft 2nd Floor: Water Type: ., Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: ..,dflI'ft Other: Spl-in.kled Building: loE l'f1i\\'It ~. ~OmJpa~, t Load: ." ,,,....l't: , 't. c'ICl' " , .r" I~ NU I . I DEY.Ei,Q.RJ'MN\.''IiYroB:MA@O'&~tO'fO?- . fI,\JlI-10R'iN~ VQ?- IS ~'OM," - CcJ!l,~f"IJl'f~~:?E?-IO\). ~l'f~ llh\s I<qd; Jl,Jlayed Drive Rqd: %of Lot Coverage: . REQUIRED PARKING Total: 'Handicapped: 'Compact; I ~UBLIC IMPROVEMENTS I ,.... f Sidewalk Type: Downspouts/Drains: ,. I Valuation Des~riDtion ,I $ Per SqFt or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 . " CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: C'OM2009-01631 ISSUED: 11/06/2009 APPLIED: 11/06/2009 EXPIRES: 05/06/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone. 541-726-3676 Fax 541-726-3769 Inspection Line ," . "C Total Value of Project Fees Pai? I Fee Description. . + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add ."),'.'; Amount Paid Date Paid Receipt Number $8,04 $3.35 $55.00 $12.00 II/6/09 II/6/09 11/6/09 II/6/09 1200900000000001239 1200900000000001239 1200900000000001239 120Q900000000001239 Total Amount Paid $78.39 Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00 a.m. will be made the same wo'rking day, inspections requested after 7:00 a.m. will be made the following work day. '.' . I Re'Jjuired I nspectinns I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully ehmined the completed application and do herehy certify that all information hereon is .true and correct, and I further certify that any and all work performed shal~ 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 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 ofthe property, and the approved set of plans will remain on the site at all ';mm'"~ A~//6/0:Y Owne; o~;ractors Signature... Date: Paee 2 of2 225 Wifth Street Springfield, Oregon 97477.- 541-726-3759 Phone Job/Journal Number COM2009-0163I COM2009-0 1631 COM2009-0 16j 1 COM2009"0 1631 Payments: Type of Payment CreditCard cReceintl RECEIPT #: it: ~'l!'."~~,~,'!+l>". ",ii," .,.,... ."':,~" .' ~ -.. ~:.'i'" _~ City of Springfield Official Receipt Development SerVices Department Public Works Department 1200900000000001239 Date: 11/06/2009 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add .+ 5% Technology Fee + 12% State Surcharge Paid By .STEPHEN PERKIN:' -.j; Item Total: Check Number Authorization Rece,ived By Batch Number Number How Received llh 33 146 In Person Payment Total: Page I of I II :32:45AM Amount Due 55.00 12,00 3.35 8.04 $78.39 Amount Paid $78.39 $78.39 11/6/2009