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Home My WebLink AboutPermit Electrical 2010-2-1 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. 1~~~;il,,'1i~I!iOC;AI!i'ii(;OVERNMEN;rli!"'Al'!eRQVAI!i~!FifJll!J~~~~"'i?J1 Zoning approval verified? DYes D No I ~;,ZE,:s;,:.t;:;J:IV'C'A' 'Tf' fE'G"O'.R.~"oE~'C.'o'f'N""'S"'.T. "R"uf.c:T..IO"'N!f~~~;i;lr:::.'>f1 .""~ "-,",,,_.,;.,~.:~iti5L "',. ,,--lir-. r=,. ,_ ,', ., ___... d. ., ,', . ._"'9"ii_..~_~",.!",C_",, D Residential I D Government I D Commercial ~tk'!itibB~,sl;rEmiNf;QRMA;riQN'!!fANDl\fIfQC;A.;riQN!f~~ Job site address: 19:L 9'.0 :>;<:, I City:yr/rL6~..I"2.,,:7 I State: 0/.2 I ZIP: YPI-}) I I Reference: ,/ \r]~\'O I Taxlot.:\DcCt) I 1"$0i:*,*n;~"";:rD."ES'C'R'I"'T' fl'O.'NEfO'B;W" "O"R' "K"",,"rn;"ii!f-:'~""fij[':;;1 f2ffitfg@[tafB~Uill&1dR&%#;rillfh_ _ ___" _, 13\; - _ ki. '1ili1", ,,' , ,'1j!fk,5if,{!tFJttsjFf~/~o;,lffiJdi:C4' Ih/Jr;~ I--f/./ ~7'h,_ /Cib'fh/.-rs- I r /~/c'e, /7' r I Name:Cbl/"'.r ~ C:u,/h ".....r~~ I Address: / 9.2-.r-"L?- ,. r-- I City: "5/.::1 r,...r rh.../ cl"1 State:/'r:/p I Phone:~-)V 7//7-~57-l1 Fax:' ~ I E-mail: Chuc..knrC'7cc.2. (t> J"YJ<n, 1""'0 rl--1 This installation is being made on residential or farm 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~L//.... c C')' dF//'~::;'r/\. 1'-,' "'"'"1f1..:*""CONTRAcTOR't!INSTAI1IEATIOf N"El#rlt:Bli;s1::1:::;,:,::ii::;;:: ill\iw'iY*%f _l.fh,,~Y<_,,-_ _ .,", .' ,.. "'. ., , : ... . ~., .,N~.;""", <,;;;,dili12\d\f7 ~siness name: - /' I IAd~s:... / I I City: ~ I State: AZIP: I I b. Fee for branch circuits without purchase of a sen>ice or feeder fee: I Phone: - ~ baiC I I First branch circuit (2) I f I $ 55,00 I $ I E-mail: ~ I I Each additional branch circuit [ I $ 6.00 $ I CCB license no.:/" r B~nse no.: I I Miscellaneous fees: service or feeder not included I Signing su~sor's license no,: ~ I Each pump or iirigation circle (2) $ 63,00 I Print n~ of signing supervisor: ~ I Each sign or outline lighting (2) ,$ 63,00 I Signature of signing supervisor: ~ I I Signal circuit or a limited-energy panel, I $ 63.00 $ alteration, or extension (2) I Each additional inspection: (1) Electrical Permit Application 225 Fifth Street. Springfield, OR 97477. PH(541 )726-3753. FAX(541 )726~3689 I I ZIP:$' l 47 .> I I ~t ~ 440-2584-1 (9/08/COM) 1.~ititii:V:;4'>\~tt7,,-r:"';;'/0\~;';20;0:.,,~;w.:F.jr~ PJs:~~I?~,~~%~-r~,~~Jri!}~~!7~94S~F;l:~~~ & I Permit no,: (} f -- Of &~ U I d~' /0 I Date: /- I Residential, per unit, service included: ,11,000 sq, ft, or less (4) I Each additional 500 sq. ft. or portion thereof I Limited energy (2) I Each manufactured home or modular dwelling service or feeder (2) I Services or feeders: installation, alteration, relocation I 200 amps or less (2) $ 81,00 $ I 201 to 400 amps (2) $ 95,00 $ I 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469,00 $ I Reconnect only (2) $ 63,00 $ I Temporary services or feeders: installation, alteration, relocation I I 200 amps or less (2) I $ 63,00 $ I I 201 to 400 amps (2) I $ 87.00 $ I I 401 to 600 amps (2) I $126.00 I $ I lOver 600 amps or 1,000 volts, seesen>ices or feeders section above I I Branch circuits:, new, alteration, extension per panel I I a Fee for branch circuits with purchase of a sen>ice or feeder fee: I I Each branch circuit I I $ 6,00 I $ I, I I I I I I $134,00 $ $ 25,00 $ $ 32,00 $ $ 63,00 $ $ $ I $58,00 I $ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) I (B) Enter 12% surcharge (,12 x [AD I (C) Technology Fee (5% of[AD I TOTAL fees and surcharges (A through C): $ <:"'(7' IJV C^ 'I $ G:,-~ $ zA'O $ C,7-60 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1928 D ST ASSESSOR'S PARCEL NO.: 1703361310600 ~ f ' CITYOF I'lrKIJ'Iul'lJ'-LD Building/Combination Permit PERMIT NO: COM2009-01662 ISSUED: 11/17/2009 APPLIED: 11/17/2009 EXPIRES: 07/27/2010 VALUE: Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Install tankless water heater and connect gas to lire place insert Owner: SULLIVAN LIVING TRUST Address: 1928 D ST ' SPRINGFIELD OR 97477 Contractor Type Eleetrical Mechanical Contractor OWNER, OWNER # of Units: Primary Occnpancy Group: Secondary Occupancy Group: I'rimary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VB Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street'lmprovements: Residential Phone Number: 541.747.5320 '. I CONTRACTOR INFORMATION I License Expiration Date Phone ~UILDlNG INFORMATION I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Bnilding: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I 'DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: P,~~ed ~rive Rqd: u\relS<yoIl~; % of Loi Coverage: TION' oregon laW le~regOl\ Utilitf '," '" Jl,TTE.N , ' dopted '0,/ t\16 e set 101\" , .~II,,\IJ rules a /" Th!,se rules a~/",."J\C),1- I PU BL1 C IMPROVBmE'l'fl~{f. 00;':1301 0 \\1rou,gr~ ~i\he lules bY '" ! . a'l..o\;ltain COpl6 \l telephOl\e 0090. 'fou m g^Witya'~(I\~.e: e NotilicatiOn callil\9 t\16 C f\,p\l\!n Utility A) lI\'oer 101 ttlJl?wm;Il(jIl~' . nil ce[lter IS 1. Storm Sew~~A~~~jl!!\lle: RK SpeciallnstrM~,tip~_:,iMIT SHALL EXPIRE IF THE WO OT ,1JTHOH:2ED UNDER THIS I'ERM\1 \S N Notes: 'JMIVIENCED OR IS ABANDONED FOR ANY .180 DAY PERIOD. ,'. , ~.. ,~""'~'$: Pa2e 1 of3 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line t. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01662 ISSUED: 11/17/2009 APPLIED: 11/1712009 EXPIRES: 07/27/2010 VALUE: Status Issued '''.' I V~luation Descrh)tion I Descriotion Tvpe of. Construction . $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project fpp~ P~ilU .Fee Description + 12% State Surcharge + 5% Technology Fee 1 st Appliance Fixture Minimum/Adjustment Plumbing + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid Receipt Number $16.44 $6.85 $79.00 $19.00 ",' $39,00", $6.96 $2.90 ' $55.00 $3.00 ll/17/09 ll/17/09 ll/17/09 11/17/09 1l/17/09 2/1/10 2/1/10 2/1/10 2/1/10 2200900000000001302 2200900000000001302' 2200900000000001302 2200900000000001302 2200900000000001302 2201000000000000093 2201000000000000093 2201000000000000093 2201000000000000093 Total Amount Paid $228.15 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. t-ReolJireq.Jn~np('t~ Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is coinplete. Rough Gas: After line is installed aud requ~re~ testini and capped if not attached to an appliance. Rough Mechanical: Prior to Cov~r Final Mechanical: When all mechani~al work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, Paee 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01662 ISSUED: 11/17/2009 APPLIED: 11/17/2009 EXPIRES: 07/27/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have c.arefully ,e.x.amined the completed application and do hereby certify that all information hereon is true and correct, and' further certify that any and all work performed shall tie done in accordance with the Ordinances of the City of Springfield and the Laws of th~ State of Oregon pertaining to the work deseribed 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 tront of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date ,.... \;~ , ' r: :'. .J" -''; j~ . Paee 3 01'3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1662 COM2009-0 1662 COM2009-0 1662 COM2009-0 1662 Payments: Type of Payment CreditCard ~Receintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2201000000000000093 Date: 02/0112010' Description Add, Alter. Extend Circ Minimum/Adjustment Electrical, + 12% State Surcharge + 5% Technology Fee Paid By CHARLES SULLIVAN Item Total: Check Number Authorization Received By Batch Number Number How Received njm 124408 In Person Payment Total: Page I of I 1:13:55PM Amount Due 55,00 3,00 6,96 2,90 $67.86 Amount Paid $67,86 $67.86 2/1/2010