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Home My WebLink AboutPermit Electrical 2009-12-11 1'3:~;~0~?~T~U~~~'~b' , I Date: I Z. - (( - 0 'f I Electrical Permit Application I . "~~~. 225 Fifth Stceet.Spdngfield, OR 97477tPH(541)726.3753+FAX(54t)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 180 days. ~':f" ~-"',"\;80(';AL:G0VERNMENT1/J\P.F\R0V/J\ll!qiSi'~~o~'ii~\i'\\1 11!~!\~"WE1:r,.~'!:itmi!1FE:Et~SPHE[),UL'lE%1@~!i'~~t\',~~~ I Zoning approval verified? ." ~ Yes, 0 No I l;citi.;;-f~r'JrJ;.i~~~l[~\;'i[p~tif~~:'(F;~~IQifl':'~~M:~1-I.'i~~t~t:; 1,'j,{,<Jv'"'' ",:i,iCA'fEGOR~?'0F, 'CONSl'RUC;rION~W,..."i"''''J,i';''1 .. ''''.'' .., ._X." ""...'d., ", ',j, ",.."..'" ,'.,.-... 1." ". " I~~;k~:~~:~~:al' I ~~~o;:~ment' -1- D ~~:~-~'r~;:1 '-0"1 I Residential, per unit, service included: I . IL0J~h~~'JOB\r'SlmE~INFbRMMlbN7rANOMl!bC'AmloN~I1!\,I;iFi:jl 11,000 sq, ft Or less (4) $134.00 $ I I ~Ob 'sit; ad;ess: /,'). 37 -m O..(J 0 C ;;i!; .''''1 I ~~~~:ritional 500 sq ft or portion $ 25.00 $ I I City: s.AJ r;; cfJ, I StatvJA? I ZIP: 9' -;> yJ771 I Limited energy (2) $ 3200 $ I ~Referen{e:\ 70 J '$ '5' \ \ I Taxlo!.: 6 o 3 O<:p> I Each manufactured home or modular $ $ '" ",.. _ ,,' DES-CRIPTION 'OF"'WORK" "''',,' ":",, '-<"','" 'I dwellmg service or feeder (2) 63.00 . " I lkj~'~"'~q ;/;"Y~1j.' ~ -. I. ... f) - /1 <.," '~ '" ~ . I I Services or feeders: installatIOn, alteration, relocatIOn ~ J9"Q.~,!' ~"i'-.d>IJnz_-,s.. 1'0 I I 0,d /4-//~O~R~fO~~~Rr/ ~J? .f1o.;t I ~~~ ::;00::;: ;:: } : :::: : <?,' I Name: JS.{'-~ ,I tONe I I 401 to 600 amps (2) $158.00 $ Address: IZ3r JM.Of\O'-- 50, I I 601 to 1,000 amps (2) $205.00 $ City: c;.~F=~ I State: o.t--. I zIP:97l{771 I Over 1,000 amps,or volts (2) $469.00 $ I Phone: __ ___ __ I Fax: I I Reconnect only (2) $ 63.00 $ I E-mail: ,''I4U liLt: . , I I Temporary services or feeders: installation, alteration, relocation This installlliU~ i~6ft~1i~.Rr.l6h~e~ia!;,r\ti.l111i thlikpPb'P€'rIY I 200 amps or less (2) $ 63.00 $ owned by :lI);i:!}h]?,Jirful;\- \:INn"'ffmif/tldlatEffrn>iJbT TIli~JOT I 201 to 400 amps (2) $ 87.00 $ property iS~9i'l~tenp~t~~0WI:SX,!ita~.,,"lea&erOr"""!. OAR I 479 540(l)and''ffi'~ PI ~'lJu"CU run 401 to 600 amps (2) $12600 $ . ;til~ Y 8CT A PERIOD . Signature: . lOver 600 amps or 1,000 volts, see services or feeders section above I, , :'., -c. ";,CONTRACT0R'INSTAtLATION:- ",:', , ,..1 I Branch circuits: new. alrerat;on, eXlenslOnperpanel I Business name: eLl! "I Qs J14 ~ );;;1 f'~ Lie] I a. Fee for branch circuits with purchase of a service or feeder fee; I Address: /J (). E c::;o '7 ~-'-C., Lf' I I Each branch circuit I ~ I $ 6.00 I $ / J' I City: b..~ F.A d I State: c:A8 I ZIP: '7 ? Y"o11 b, Fee for branch circuits without purchase of a service or feeder fee: I I Phone ,"t(,f/ -9'!'-Y- 75B~ Fax: .";-1-// -7 'it.-i3.5'D1 First branch circuit (2) $ 55.00 $ I I E-mail: I Each additiQnal branch circuit $ 6.00 $ I CCB license no.: / f""({;o3 If I BCD license no.: ) Miscellaneous fees: service or feeder not included Signing supervisor's license no.: :3' ?Sc, S I I Each pump or irrigation circlc (2) $ 63.00 I $ I Print name of signing supervis~'l) A-f(J/oPI=/( J?r'~I:.u I I Each sign Or outline lighting (2) $ 63.00 $ I Signature of sign' s perviso' '\ n(J /l' I I Sig~a].circuit or a li~ited-energypanel, $ 63.00 $ .. mg u r. n) tk..L!. ~ni;;:::n__ alteratIOn, or extensIOn (2) ATTENTION: Oregon' law requires you t~Each additional inspection: (I) $58.00 $ I follow rules adopted by Ihe Oregon' Utili V":;;'T''''''Rili~O'-~i','''''''''''''-''-'''';-'' ,''': ',': '.',','~""".r."" ...""" ," Notl'fioation Cente Th I ,1,!<\~W:'g'!>t''fi~,'i!'~'!I,AR~l1ICP;Nl'~LSE''':'!:'''''':')~''':''\'':'fti!f.:",,:,~:;, r. ose ru es are setlo t ' , ,- - . ' ". , ' . ,^""-,".,, __,,,,,3=.. .. -~ c.. In OAR 952-001-0010 through OAR 952-Ol~) Enter subtotal of above fees . 0090. You lTlay obtain copies of the rules ~inimum Permit Fee $58.00) $ 9 / Oalllng the center, (Note: the telephonE, eB) Enter 12% surcharge (.12 x [A]) $ I/BB number for the Oregon Utility Notifioatio ' - Center Is 1-800-332-2344), r(q Technology Fee (5% of[A]) $ L( cr \)0/ .au" I TOTAL fees and surcharges (A through C): $ If 5' EllS \:~~ ,,' 't)' r>j'V 440.2584.J (9/08/COM) CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01769 ISSUED: 12/11/2009 APPLIED: 12/11/2009 EXPIRES: (06/11/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1237 MODOC ST ASSESSOR'S PARCEL NO.: 170335I100300 Springfield TYPE OF WORK: Eleetrical Work Only TYPE OF USE: Alteration PROJECT DESCRIPTION: 200amp service upgrade and additional circuits Residential Owner: TITONE BRE K Address: 1237 MODOC ST SPRINGFIELD OR 97477 I, C(~~TRAC~O~ ,INFORM~ T~ON I Contractor Type Electrical Contractor CRAFTSMAN ELECTRIC LLC License 186034 . ., ' I BUILDING INFORMATION I CE" WQRK # of Units: NOTI. SHPU-I. EX.PIRE IFI1li\fs\Qr.\~1 Primary Occuplll%Hc,16F.ji\MIT UNOtR. THIS PERH1Ji1rli'olt'Structure Secondary OccupMj;H<<l-\l~O BflNOON1S)>Hlrneat: Primary COllstru'tieMKtiiNCEO OR~fI Water Type: Secondary Constrl'>.WI'"1~l)P'il:flY PERIOD. Range Type: # of Bedrooms: Energy Path: Sprinkled Building: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Cover~ge: Expiration Date 03/23/20 II Phone 541-954-7589 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq'Ft Ot~er: Occupant Load: REQUIRED PARKING .":.'..,' .",,'-.' Total: . Handicapped: . Compact: I PUBLIC lMPROVE~~ON: Oregon law requires you.t.o " fOlIowrU1es a~oJl~p,,b\(.the Oregon Utility Notification Cenllli. l'HbM''i6les are set forth , In OAR 952-00DllGlI~g\1..IilAf{ 952-001- 0090. You may obtain copies of the rules by calling the center, (Note: the teleph~e number for the Oregon Utility NotificatiDn Center is 1-800-332-2344). Street Improvements: Storm Sewer Available: Special Instruction: Notes: I V~,luation Descdotion I Description Type of Construction $ Per Sq Ft or'multiplier Square Footage or Bid Amount Paee 1 of 2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01769 ISSUED: 12/1I/2009 APPLIED: 12/11/2009 EXPIRES: 06/11/2010 VALUE: 225 Fifth Street,.Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Une Total Value of Project Fees Paid I $11.88 $4.95 $18.00 $81.00 12/11109 12111/09 12/11109 12/11/09 Reeeipt Number 2200900000000001375 220090000000000]375 2200900000000001375 220090000000000]375 Fee DescriJ.}tion + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Total Amount Paid $115,83 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. ' R.enuir~d '.~.sIJ~c!ions I 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] have carefully examined the com"leted application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed s~all be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaiuing to the work deseribed herein, and that NO OCCUPANCY will be made of any struetnre withont permission of the Community Services Division, Bnilding Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this projeet. 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 of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726"3759 Phone City of Springfield Official Receipt Development Services Department Publie Works Department Job/Journal Number COM2009"0] 769 COM2009-0 1769 COM2009-0 1769 COM2009-0 1769 Payments: Type of Payment Chcck cRcceintl RECEIPT #: 2200900000000001375 Date: 12/11/2009 Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + ] 2% State Surcharge Paid By CRAFTSMAN ELECTRIC LLC Item Total: Check Number Authorization Received By Batch Number Number How Received 5310 In Person Payment Total: djb ;' Page 1 of ] t :36:56PM Amount Due 81.00 18,00 4,95 ] 1.88 $115,83 Amount Paid $115.83 $115.83 12/1 1/2009