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Home My WebLink AboutPermit Electrical 2010-3-2 EleCtrical Permit Application 225 Fifth Street. Springfield, OR 97477.PH(541)726-3753.FAX(541)726-3689 ';'- DEPARTMENT USE ONLY ."'" - CO..... 'Z.DIO- 00 ,''' J Permit no.: Date: .'5 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. " ',-LOC~L:;GOVERNMENT -AP.PROVA13i:-""~" ',l1r.';,(:' Zoning approval verified" 0 Yes 0 No ~.;'. ,! ",:'-, '.. .:;':;~:"CATEGORy:~(jF,:':,CONSTRUCTION\t3 ':-./. t.' ~sidential I 0 Government I 0 Commercial ~~~~'iJOBi.SIJ1_E\~INF.QRMATfONI'~N[j!ilO:C'A1iION:l:t701{;'c~i' Job site address: 2SZL{:SS +-r::- "r- City: SrFb I State: ofL I ZIP: 't7if7 7 Reference: \ 70 Z \ 9 L{ L T Taxlot: 0050C - , . DESCRIPTION OF- WORK';"i..", ".:':{:'c-" - C 11Lc.......... .t f 1 T A-oA" lc...( l=.->S ~i[.~~C~';~,6~~t~~~.~fr~W;1~(W~'FEE:.7S~C_ R ED.lJ t:E~~!JP~:'~~~~~~,~~~~~~~~1 , .... ,'.',.. .:"," ,1;-'" Cost., Total' ,.N~~~er.Q.~:mspe<:tl~~~p,~!;~te~;~,) ,,~,;,'IQ~!. ;."'-es,t:. .t. ,..' cost , - Residential, per unit, service included: 1,000 sq. ft. or less (4) Each addilional 500 sq. thereof Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) $134.00 $ $ $ $ ft. or portion $ 25.00 $ 32.00 $ 63.00 Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 'PROpERTY OWNER 20110400 amps (2) $ 95.00 $ Name: S-i-eve." L. A"der.<",,,, 40110600 amps (2) $158.00 $ Address: ,JS)'1 bS'+:!J S!-r"d-- 601 to 1 ,000 amps (2) $205.00 $ C. (" ^ IS;) T ZIP'" .1 Over 1,000 amps or volts (2) $469.00 $ ItY:.::>ol'>lc.j."lcl tate: 0",' :17~77" Phone:S'/1 ~('I -1.~1.7 I Fax: _ _ Reconnect only (2) $ 63.00 $ E mal'I' ,.., _ , L Temporary services or feeders: installation, alteration, relocation - . r!>u.~1."S<.-j} ILl \/a.MO .OM This installation is being made on residential or fa~ON: O~rm200 amps or less (2) $ 63.00 $ owned b~ me or a member of my immediate famil, . IN ",lea a 0 iJ~~ll_(8)l you 1ft $ 87.00 $ property IS n ded fOTl2alee exchange, lease, otifit:ali2l~Ce IE "I, ';.Ji~;~1y 479.546~d 4~560(l) In OAR 952-001 ~19iilI~ s /I $126.00 $ Signat(re: fiMr' -J...., fA ~ ). 0090. You may ~,Y.liM'911~g/I)IOAA'~ __ t, see services or feeders section above :----" ,CONTRAC'ffi R INSTALLATION _, ":".. me ce lie .B'JIIl'jIl.~1 ~lIli(m. extension per panel Business name: 0 W AI' EtL .v',..'or me 0 ~6~i!Jlri1 ~~:th purchase of a service or feeder fee: Address: .-<>'tIi~Mlail"/l'uit S 6.00 $ City: I State: I ZIP: b. Fee for branch circuits without purchase ofa service or feeder fee: Phone: _ _ I Fax: - - First branch circuit (2) / $ 55,00 $ 53 E-mail: t Each additional branch circuit $ 6.00 $ CCB license no.: I BCD license no.: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: Miscellaneous fees: service or feeder 'Yot included Each pump or irrigation circle (2) Each sign or outline lighting (2) $ 63.00 $ $ 63.00 $ N Signal circuit or a limited-energy panel, $ 63.00 $ ; alteration, or extension (2) T ... HIS PERMIT 8 Each additi9nal inspection: (I) $58.00 S AUTHORIZED U HAll EXP R'~""'~"'"",~'.~S","iARPLICAN' I"'USE1..,1i-'~'-''!-~:-rl''';; ,'" ,.... .' C NDER n.."..., .., .. ~"". ",",," .".,' . .' A~~~~~f~pOERR'S A~~~~~~W~ 1t:e $58Jl~)) $ S-? 100 . . (B) Enter 12% surcharge (.12 x[AJ) $ &. FC, (C) Technology Fee (5% of[AJ) $ Z"o TOTAL fees and surcharges (A through C): S L 7 B':. .r&/~ Wl!j~ 0~J 440-2584.J (9108/COM) CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00193 ISSUED: 02/12/2010 APPLIED: 02/12/2010 EXPIRES: 09/0212010 VALUE: Sta tus Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2524 35TH ST ASSESSOR'S PARCEL NO.: 1702194200500 S~ringfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Install gas insert, venting and gas piping TYPE OF USE: New Residential "..... ./.,~~.'So.;:i'~'~~':;' ~ I PUBLIC IMPROVEMENTS I \?-'C \r -<; ~ \S ~O ~O\\ct:. ~\-<; S\\~~'li;qk~~~ ~O~ ,\\\0 ?'C~\1.'CU lj~fIJ1~t.~}l9rains: ~,\\()?- D O?- '" f>.: ~'t.~Ct: ?'t.?-\OU. C()~ COil t)[>.i [>.~i "\ Owner: ANDERSON STEVEN L Address: 2524 35TH ST SPRINGFIELD OR 97477 1 CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor License THERMAL RESOURCES INC 161946 I. BUILDING IW'~~~d\N ~ t\\a'/'l'~Ote9V s~ O~'. Ote9~d'tif#~~S ate 9";,'2..00\' -~ s e.ooQ\'~ ~r'lll\eS \>'/ p.."\ ~ ",\8 cet\\ett:;1P l!to\ \"e ~ot\e \(1\\ 'ND-\\O\\ ~o\.o "''''I<l€lQ~''<<Ie \e\e~ica\lO\\ ~o\l g";,'2.'" Ol~"" ~o\\\ \\\ O~ 'IoU tt\e.'/ . e~\\\'l.y."')' ~o. ~8 ce eIfl. ~~2;Z c~\\\\g ~ \ot \"~lpi\l!Building: nla C\~r(\'Oe e g."\0~ I DEVELOPMENT INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setbllck: Side 2 Setbllck: Rellryard Setbllck: Solllr Setbllcks: Overlay Dist: . # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer AVllilable: Special Instruction: Notes: Description I Valuation Description ~ $ Per Sq' Ft . Squllre Footage or multiplier',: " or Bid Amount Tvpe of Construction ,. Paee I 01"3 Expiration Date 10/29/2010 Phone 541-343-1131 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GlIragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Totu): HlIndicllpped: Compllct: Value Dale ClIlculaled Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ i,i, Fee Description + 12% State Surcharge + 5% Tech nology Fee 1st Appliance Gas Outlets 1-4 + 12% State Surcharge '+ 5% Technology Fee Add, Alter, Extend Circ Fixture Minimum/Adjustment Electrical Minimum/Adjustment Plumbing Amount Paid Date Paid $10.32 $4.30 $79.00 $7.00 $13.92 $5.80 $55.00 $19.00 $3.00 $39.00 2/12/10 2/12/10 2/12/10 2/12/10 3/2/10 3/2/10 3/2/10 3/2/10 3/2/10 3/2/10 Total Amount Paid $236.34 I Plan Reviews ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00193 ISSUED: 02/12/2010 APPLIED: 02/1212010 EXPIRES: 09/02/2010 VALUE: Receipt Number 3201000000000000046 3201000000000000046 3201000000000000046 3201000000000000046 1201000000000000189 1201000000000000189 1201000000000000189 1201000000000000189 1201000000000000189 1201000000000000189 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, insp~cti!lns' requested after 7:00 a.m. will be made the following work day. .. l..RenlliredJnsnections' Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete.. Final Gas: ""hen all gas work is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plnmbing work is complete. Rough Electric: Prior to Cover' Final Electric: When all electrical work is complete. ,:":pT :.~ Paee 2 of 3 U:A;.<-il!I:Lt>. ~...... ..1 WIi=.. .. .'. ' .. -c...... ., ...".",,,,.,......;-. JT:i ." CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00I93 ISSUED: 02/12/2010 APPLIED: 02/12/2010 EXPIRES: 09/02/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line By signature, I slate and agree, that I 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 stroctore withoot 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 reqoested at the proper time, that each address is readable from the street, that the permit card is located at the front of the properly, and tbe approved set of plans will remain on the site at all times during constrn. . ~ 5-J.-/O Date. Page 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone "l):""'.'.;~. ......... ~.... ~-,..~; -- City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000189 Date: 03/02/2010 9:55:34AM Job/Journal Number COM20 I 0-00 193 COM20 I 0-00 193 COM20 1 0-00 193 COM20 I 0-00 193 COM20 I 0-00 193 COM2010-00193 Payments: Type of Payment eredilCard cRcceintl Description Fixture Minimum/Adjustment Plumbing Add, Alter, Extend Circ Minimum/Adjustment Electrical + 12% State Surcharge + 5% Technology Fee Paid By STEVEN ANDERSON Check Number Batch Number Rece,ived By djb ,<. Page I of I Item Total: Authorization Number How Received Amount Due 19.00 39.00 55.00 3.00 13.92 5.80 $135.72 Amount Paid 030679 In Person Payment Total: $135.72 $135.72 3/2/20 I 0