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Home My WebLink AboutPermit Electrical 2010-1-29 " . Electrical Permit Application I 225 Fiftb Street. Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689 1~~~eEi,.~J''''.;.. !.~;;;'K".",-':.,"~'.z:o~~'!'&;'f'- '1f7'<l"7:'~ ~,.DE~A~TMENT.USE'0NtY;.,.~ ,,,'.'" ,. '.. .~.~,~ _, ,,;_ '-."';Y"'-~'--; . . "",. '.'.'M' "_n _ c. '" ~., .-'c____jt1t1W.,,~..""._.._ ,jiL...... ",,4{>J1._ ~~m~~.iiii' ~,# -,' ,.~,>},~ I COl1i\ eorO - 00 , I , I PermIt no.: I Da;e: 1/"20 I This permit is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ' li~~1illli1Sl}lk"!I!OCAi!II(r(jYERNMENt<~~RI?ROVAl~~!J'~~4~1 ~~'%, '.;yz;'''4I;~i!'i~lF~ ~,"?,l#~FE,E 'ISCHEb,t:mCE l''W',:0J,~'.'fiFo,',).:~''II~}.~::JL;;tr::1f11 I Zoning approval verified? 0 Yes 0 No 1 i:"NC.'>ii%~b'~";'_f<-;:'~~t~'""..'.;:;!;:~"(,,,)_-:.,,I;Q""-ty.,JIC;:"Cost::;'I%TotaP'1 um ef',O mspec 1005 per~ltem;' . :'::' . 1~'. --. "'2 4~ j.. ^ . ~ : I -, ",.~. . ,- - -.". .,----, --'-0;-" .. ~$i:~':".:::.,~,~::;;'-,~1.fti:':'-;j ~-<ti~~__.....;;?""~ ~k-J; ...'.'O:~~j;-!J: \:/_cost,J'It .t.-i.'-~;~:~:3;JCATEG0~Ydi!,OF.LC.0ri1StROCtjbN~:::~:~tJ.i>1\1 1 Residential, per unit, service included: 1 ~;l~~~~I"r'E~INI"~R~~';~~ANb"~~C~.;'~r,t~~i":[ 11,000 sq, ft. or less (4) $134.00 $ I I Job site address: 1<<:-\ 3. L{ ..D .s. .,.. I I ~~~~:fditiona1500 sq. ft. or portion $ 25.00 $ I 1 City: S t> Ph I State: elL 'I ZIP: '77'(77 I 1 Limited energy (2) $ 32.00 $ 1 I Reference: 1 Taxlot.: I I Each manufactured home or modular I 1&:;g;~2i;:;:E"\:,~bt:sCR[Fi:ffON2()"zW(jRK~~3i-!;;;.~~;t'1 dwelling service or feeder (2) $ 63.00 $ I S;-O fP\" /" s; (L,f L fu1- 2- V I 1 Services or feeders: installation, alteration, relocation 1 I I 1 200 amps or less (2) $ 81.00 $.5< J 1 1?'~~1fu~~:;:l~~P.RbR'[:RtY,:'bWNERT~'l:%t' 1201 to 400 amps (2) $ 95.00.$ I 1 Name: S1l:k5V/S.....(..(f:: J1.1Aa\E" t+~scdl:J 401 to 600 amps (2) $158.00 $ I I Address: J? C> '7 0 LvIAA. It L... ~ 1 1 601 to 1,000 amps (2) $205.00 $ 1 I City: S e~:u I Slate: oIL I ZIP: 97'17 71 lOver 1,000 amps or volts (2) . $469.00 $ 1 I Phone: S'f ( 7 Z6 - 7gl 01 Fax: I 1 Recormect only (2) . .$.6.3.00 $ I I E-mail: I I Temporary services or feeders: installatiO'n,'Falie~q,~~f..~/~atiOn I This installation is being made on .residential or farm property I 200 amps or le.ss (2) .~I\f \\I'!\~\\lA'1 :$. I owned b~ me or a member of my unmed13te famIly. ThIs 1 20\\!~~s tc,I-\~\.\. t.!' ~ ~?WI'\t1-.oo, ,'$ I propertylsnotmtendedforsale,exchange,lease,orrent.OAR I. 'il;\;i;\\;;III. Dt,\'\ '\\~"...J~ \F' .,:. 1 479.540(1) and 479.560(1). . 401\'\-1\~ ~t.fL \l~ ~ ~O"~r 126.00' $ Signature: I, overl\l))i\~f~,r,~~~~services or feeders section above I 1~n;::~!r"JCONT~CTORj~INSTM~'T10N~g::;lff~'J';~1 1 Bran.lNi~~,~~'lz,fel1ft';~-e:':tension per panel 1 1 Business name: E" S7S;{) E ELfc.-r!C.J ( 1 1 aFeefu\-~~ranchcircuitswithpurchaseofaserviceorfeederfee: 1 1 Address: ?> 'Z ). S' J 1305 C A (] f (..AN t I 1 Each branch circuit I $ 6.00 I $ I City: 5 P r;: CD I State: 0 (( I ZIP: q 7 Y 7 Y lib. Feefor branch circuits without purchase ofa service or feeder fee: I Phone: 5 if 1 ~ 7 II / -I Y'191 Fax: - '7 'J(, - 1.(1(, 0 'I 1 Firsl branch circuit (2) '1 . 1 $ 55.00 I' $ 1 E~mail: Rk./CcC...57510fraYfllfaD.comll Each additional branch circuit I $ 6.00 $ 1 CCB license no.: ) /-"77 ""2 6 I BCD license no.:.;2. 0 -1.j0, J (. 1 1 Miscellanenus fees: service or feeder nol included I Signing supervisor's license no.: l/ 7 ) 7 s 1 I Each pump or irrigation circle (2) $ 63.00 I Print name of sigriing supervisor: /< O.G- (f( I() (;; G- 1 I Each sign or outline lighting (2) 1 $ 63.00 IS. - f' . '. ~uljllll~. I I Signa1circuitoralimiled~energypanel, I 19nature 0 slgmng i'f.e~n;d b)J\nir.Or~II\\Y alteration, or extension (2) . $ 63.00 $ ~~"ru\es~:e~os:~le~~ :1~g: ,~:Ch,:~di:~~;o~.:~~ctiO~:.(l)___, I"~"f'~:~~::)~i Notificat~.oo1.oo10 throu,~~ ot the rules bY '~""~.ri!'.?:',H:;"~"lfAPRI"ICANT::USE"<h.;,.,!,ljj],-8'r~,';- ,In OAf'vou may ob\6ln COP'. the telephone (A) Enter subtotal of above fees OO:img \tie center. lNot~iill\Y Notification (Minimum Permit Fee $58.00) 1\lIftIb8l'Of1he Or1~~2.i344)' 1 (B) Enter 12% surcharge (.12x [A]) center \8 1 (C) Technology Fee (5% of [A]) 1 TOTAL fees aod su~charges (A'throngh C): $ $ 1 I I 1 I I 1 $81 $ 972 $ '-I OS- $ 9'117 440~2584-J (9108/COM) . . . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO:COM20] 0-00119 ISSUED: 01/2812010 APPLIED: 01/28/20]0 EXPIRES: 07/29/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726.3676 Fax 541-726-37691nspection Line SITE ADDRESS: 1434 D ST ASSESSOR'S PARCEL NO.: 1703362305200 'Springfield TYPE OF WORK: Miscellaneous TYPE OF USE: Addition Residential PROJECT DESCRIPTION: One Outside Receptacle and sanitary connection for Hardship appv'd DRC2009-00044 Owner: JULIE-MARIE N HARTSOCK REVOCABLE TR Address: 1207 OL YMP1~ ST SPRINGFIELD OR 97477 I. CONTRACTOR INFORMATION I Contractor Type Electrical Plumbing . Contractor EASTSIDE ELECTRIC INC O~NER License 117770 Expiration Date 10/04/2011 Phone 541-915-9828 ,_. I BUILDING 1NFORMATlONl . \0 # of Units: ' . 1I1aVi8~~~of&i\i\''1 . Primary Occupancy Group: tmO~: Olegod ~i\I18 QI'~aij~t\h Secondary Occnpancy. Gro", p:Il:ne: IUles adop\e ,.if~~'Al" 9520.00\' Primary Construction Type to"~~\iOIl cell\~~\O ~~\M {Ules b'l Secondary Construction TypJ!lO~~ 9520-00\' b\B.iR'l7Il!ll. e\e\epnO~e # of Bedrooms: III 90 'lOu('l\a'lO\e{.~i!fl. . o\ilica\\Ol\ 00 '. \\'Ie cell .......\ltk\\! ". n/a call11l9. '''f \ne OI."fr:".33 . g. nllu--V"I..fiE{''ELilPMENT1NFORMA TION" Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction : Sidewalk Type: .k":">,"-::"'ir>' "'.:. DownspoutslDiai~~;~OR$ NOi\C~: Wlli S\-l~\.\. tt.?:~i~l-!I\l \$ ~01 1\-1\'0 ?E.~2E.O \llolOtR i\loIOOMEtl fO~ 1\$1\-10 CEO OR \S ~B . COM\'J\E.M 01\'1 ?Et\IOO. MW HIO Notes: 'f'. Pace 1 00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54] -726-3676 Fax 541-726-3769 Inspection line Description Tvne of Construction Fee Description + 12% State Surcharge + 5% Technology Fee Minimum/Adjustment Plumbing + 12% State Surcharge + 5% Technology Fee Perm ServfFdr 200 amps or less Total Amount Paid I Valuatio~ Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00119 ISSUED: 01/28/2010 APPLIED: 01/28/2010 EXPIRES: 07/29/2010 VALUE: Value Date Calculated Total Value of Project FpP~, pqjrIJ Amount Paid Date Paid Receipt Number 1201000000000000082 1201000000000000082 1201000000000000082 1201000000000000086 1201000000000000086 1201000000000000086 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. $6.96 $2.90 $58.00 $9.72 $4.05 $81.00 1/28/10 1/28/10 1/28/10 1/29/10 1/29/10 1/29/10 Rough Plumbing: Prior to cover and including required testing. Final Plumbiug: When all plumbing work is complete. Electric Service: Approval required prior to utility company en~rgizing service. $162.63 Plan Reviews I Il?p,,"~ ), ,. Paec 2 01'3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM20IO-00119 ISSUED: 01128/2010 APPLIED: 01/28/2010 EXPIRES: 07/2912010 VALUE: By signature, 1 state and agree, that 1 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 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 tu ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit c3l:d is located at the front of the property, and the approved set of plans will remain on the site at all times during constructio Owner or Contractors Signature Paee3 of 3 /<-;?9-//") Date 225 Fifth'Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00 119 COM20 I 0-00 119 COM2010-00119 Payments: Type of Payment Cash Change Job/Journal Number COM20 I 0-00 119 COM2010-00119 COM2010-00119 Payments: Type of Payment Cash Change cRcceinll G~ Wi;:, ,,= . City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000086 Date: 01/29/2010 Description Perm Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Paid By ROBERT CROWSON ROBERT CROWSON Item Total: Check Number Authorization Received By Batch Number Number Uow'Reccived djb In Person djb In Person Payment Total: Description Penn Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Paid By ROBERT CROWSON ROBERT CROWSON Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person In Person Payment Total: Page I of 1 1O:12:38AM Amount Due 81.00 9.72 4.05 $94.77 Amount Paid $100.00 ($5.23) $94.77 Amount Due 81.00 9.72 4.05 $94.77 Amount Paid $100.00 ($5.23) $94.77 1/29/20 I 0