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Home My WebLink AboutPermit Electrical 2010-1-7 Electr-ical Permit Application D 225 Fifth Streel+Spdngfield, OR 97477+PH(541)726-3753+FAX(541)726-3689 Ig!~;:GR'~E~,~~~ENf'u~KONt'i;:: );-1 I pennitn6C;)O/O wdjj7 I Date: /..;. 7- /0 I This permit is issued uuder OAR 9]8-309-0000. Permits are nontrausferable. Permits expire if';'ork is not started within ]80 . days of issuance or if work is suspended for 180 days. I ;\ij\;C);i. :'''i'JJbCALi:G.oVERNMENT\;AP,PROYAl!.~l)f~':1f!'!'i;~J';,\[1 I Zoning approval verified? 0 Yes 0 No I lii~jf!Jf(:?'i,iti!\r(;A"-EG.ORY;f6F;/CONSJ;RUCmION!i.'Y<"\';ii;"/:":\ I ~;,~~~~lmE71IN~~R~;;;NI;AN[j0j~~c~;7~~~~~:!~~11i I Job site address: I L 3 7 I 5 L frN D 5" T. . I I City: 5' PI<. If\! G-Fi n D I State: 0 p:, I ZIP: 11l/77 I Reference: IrrD5~2. I Taxlot:ro%\S I 1'''.''Ai''':'' ':;.-:,';"D E SCRIPT'~I.o'N' ).0. F':WO"R'K!!'''i:",,{:!:,''!!,',:!';T:t,\:.!'\~ _ ". _ . _ _ ,. , . '~'" . . _' L_^",'.'>.,': c.... U:.".'.-_-._ "", I (ZEPUT-CE 50<" V I C.E ft/'J D I I FcEDEK I I, 'PROPERH:0WNER ", ..... I I Name: VO lJ IJ A l. HOD G--~S I I Address /2. 3 7 I 5 L ft-N 0 > /R.t:t ,I I City:5PRING-FtECD I State: o-RE I ZIP 'ti'1TJ I Phone:.5~1 7Jf(,,-OIf't2.. I Fax: I I E-mail: I This installation is being made on residential or fann property owned by me or a member of my immediate family, This property is not intended for sale, exchange, lease, or rent OAR 479.540(1) and 479,560(1), Signature: /fJ~'~ I. ," ,';CClNTRACT.oR'INS"-Al:.lATlON'" I Business name: ,../ )['J/Z Gr2-/(cL!a...-hu~ I Address: .' .--:> Ic~ I State:", I~, I Phone: ~ J F:..ax~ - IE-mail: ~ I CCB license no,~ I BC~: Signin&..Sup~isor's license no.: ~ame of signing supervisor: Signature of signing supervisor: ----------- \ \ ~~\) '?O~ ~'" ~. ~0'2584-J (9/08/COM) ~- \>''<'D'1i>i1~,,.q,:~,!$[,,,"'''' "E' EilS'C'" EDU 'i'E\f"~'t""~iBJ)"!l<''I!i'''"",,., . ;"i"~'<~iy~~_~;""'-il[~~',,i'i,,02ifi:;)'f~: ~,,'.n ___ " __ L; ,_;;~".~~~_~"~~.,;;tif,\""(;~:i.",,v..€.1.::;~;,?~~~ ,;!N,~~:~.~l~:~~~ip~~~~:B,it~~t)~~:fut~~::}:I;~I~g~f.:I.~'~;.~~~!i~~~;I:~::'~~\~ I \~.~ Residential, per unit, service included: 1,000 sq, ft, or less (4) .1 Each additional 500 sq. ft. or portion thereof \ Limited energy (2) Each manufactured home or modular dwelling service or feeder'(2) $134,00 200 amps or less (2) I I $ 81,00 $ 87 201 to 400 amps (2) I $ 95,00 $ I 401 to 600 amps (2) $158,00' $ I 601 to 1,000 amps (2) $205,00 $ lOver 1,000 amps or volts (2) $469,00 $ I Reconnect only (2) , I $ 63,00 $ I Temporary services or feeders: installation, alteration, 'relocapon I 200 amps or less (2) $ 63,00' $ I 201 to 400 amps (2) $ 87,00 $ I 40 I to 600 amps (2) $126,00 $ lOver 600.arnps or 1,000 volts, see services or feeders section above I Branch circuits: new, alteration, extension per panel I a. Fee for branch circuits with purchase of a service or feeder fee: I I. Each branch circuit I $' 6,00 I $ I I I b. Fee for branch circuits without purchase of a service,or feeder fee: i I First branch circuit (2) I I I I I $ 25,00 $ 32,00 $ 63,00 Services or feeders: installation, alteration. relocation $ '55.00 Each additional branch circuit $ 6,00 Miscellaneous fees: service or feeder ':lot included Each pump or irrigation circle (2) Each sign or outline lighting (2) $ 63,00 $ 63,00 $ $ $ $ $ $ $ $ Signal circuit or a limited-energy panel, alteration, or extension (2) Each additional inspection: (I) $58,00 $ l!:i7Xi;ili";"'"lJ{1l!"'.ii~'''''''~'A-nrii\-IC'''A'N'''T'"''I:J': 's' "E-'0jS'!m.,~";$r"j,,,,j.!;';1"'"" I 1!'~~!:i~'f>>~~~~;<~~."":::'""w;,~~:t'~ "'i_f$~,, "I:"",,;;1{:, ,'_ .,_ ~'i'if2i..1r;:~,'i<;1.;;;J!a:tY0tiil:~;I,;,::t..;,';':~ $ 63,00 (A) Enter subtotal of above fees (Minimum permi.! Fee $58.00) .1 (8) Enter 12% surcharge(. 12 x [A]) I (C) Technology Fee (5% of [A]) I TOTAL fees and surcharges (A through C): $ $ J7,~ $ fEy o-Lf!I $ -11~ '> $ /O/.I 77 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1237 ISLAND ST ASSESSOR'S PARCEL NO.: 1703342200215 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00029 ISSUED: 0l/07/2010 APPLIED: 01/07/2010 EXPIRES: 07/07/2010 VALUE: Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Replace service and feeder Owner: Address: HODGESCHARLESVJR 1237 ISLAND ST SPRINGFIELD OR 97477 Contractor Type Electrical Contractor OWNER , # of Units: Primary Occupancy Gronp: Secondary Occupancy Gronp: Primary Constrnction Type Secondary Constrnction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: TYPE OF USE: New Residential I CONTR~CTOR INFORMATION .1 License Expiration Date Phone ~U1LDING INFORMATION 1 # of Stories: Height of Strnctnre Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION 1 Overlay Disl: # Street Trees Rqd: Paved Drive Rqa: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: ----> ""\ --_..l..--l.......^ 1'\' 1 1:;.1'lI 11"""'" "" .....t::J......' .-. -", ~ I PUBLIC IMPROVEMENTS~lIow rules adopted by the Oregon Utility , 'Notific:yj!i'A,Qi\ll!,e,(. 'T:hose rules are set forth In OAR 952~~lli-tJO%'through OAR 952-001- 0090. ~Il1if11l.mlDifh!lll(:lies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-600-332-2344). Street Irripl'Ovements: StormfSrJe'I{A'i:ailable: Specialll;'1~t('\SnMi:T SHALL EXPIRE IF THE WORK. AUTHORIZED UNDER THIS PERMIT IS NOT NotesDOMMENCED OR IS ABANDONED FOR fl,;I\' .,J....,.. ......., ~~.....__ . ,..v .....nl I L-llIVU. Description Type of Construction '" ?: I Valuation Descriotion I $ Per Sq Ft or mnltiplier Square Footage or Bid Amonnt Date Calculated Pa2e I of2 Value --,l~p!.~I~P:~I~~~;) ~ ' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54] -726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Total Value of Project Fees Paid I Amount Paid $] 0.44 $4.35 $6.00 $81.00 $101.79 I Plan Reviews , Date Paid 1/7110 117/10 117/]0 117110 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00029 iSSUED: 01107/2010 APPLIED: 01107/2010 EXPIRES: 07/0712010 VALUE: Receipt Number 2201000000000000008 2201000000000000008 2201000000000000008 2201000000000000008 To Request an inspection call the 24 hour recordihi 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. I .Il.eouired Insn~~ti.on~. Electric Service: Approval required prior to utility company energizing'service. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is trne and correct, and I fnrther certify that any and all work performed shall 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 structnre without permission of the Commnnity 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. 1 fnrther agree to ensure that all required inspections are reqnested 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. IJ/~8, Owner or Contractors Signature () ," Page 2 01'2 '!07!IO Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00029 COM20 I 0-00029 COM20 1 0-00029 COM20 1 0-00029 Payments: Type of Payment Cash Change Job/Journal Number COM20 I 0-00029 COM20 I 0-00029 COM20 I 0-00029 COM20 I 0-00029 Payments: Type of Payment Cash Change cReccin!l RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2201000000000000008 Date: 01/07/2010 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By DONNA HODGES DONNA HODGES Item Total: Check Number Authorization Received By Batch Number Number How.Received njm In Person nJm In Person Payment Total: Description Penn ServlFdr 200 amps or less Add, 'Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By. DONNA HODGES DONNA HODGES Item Total: Check-Number Authorization Received By Batch Number Number How:Received nJm nJm In Person In Person Payment Total: Page 1 _of I 8:26:27AM Amount Due 81.00 6.00 10.44 4,35 $101.79 Amount Paid $102,00 ($0.21) $101.79 Amount Due 81.00 6.00 10.44 4.35 $10L79 Amount Paid $102,00 ($0.21) $101.79 11712010