HomeMy WebLinkAboutPermit Electrical 2010-3-31
225 Fiftb Str.". Springfield, OR 97477+ PH(541 )726-3753 +FAX(541 )726-3689
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Pennit no.:
Date: :s. - 'S 1- 10
This permit is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180
days ofissnanee or if work is suspended for 180 days. '
200 amps or less (2) $ 81.00 $
~,;".;:;~.."r~'PROPERtiCoWNER,-'!,!".,!iT':J;:;,";';;"'1:; 201 to 400 amps (2) $ 95.00 $
Name: tvltYNe --rt. o.....,..~ro_ _. 401 to 600 amps (2) $158.00 $
Address: IS" 0 CJA-TErt1... I A I. All' C r,6,q),~0 ,1,000 amps (2) $205.00 $
City: JNllt~1 r~ I State: cA I ZIP:,S:Q3 ~~~rO~~t!'~VO~~ti~~q)Pi,(7,.t $469.00 $
Phone: _ _ I Fax: _ _ . '.,~: <'00; .0" M~?nneqLll\!!~ l"lon Utilitv. $ 63.00 $
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E-mail: .... ",,;} the '~y b arli'l''''o~ary ~"'!'l@; ~'Mlts: installation, alteration, relocation
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This installation is being made on residential or farm pri;ptrtY the Or ~ <'J!11l?sfl;;';;; (2)-Ules"~ , $ 63.00 $
owned by me or a member of my unmediate famIly. This enter i 1 iJP,r~[,i4WI one' $ 8700 $
property is not intended for sale, exchange, lease, or rent. OAR ';';;~.1dA ........ .
479.540(1) and 479.560(1). 401 to uvv"",,;.(2) .. $126.00 $
Signature: Over 600 amps or 1,000 volts, see services or feeders section above
, '~'" "',". . CONTRJl;CTORS;INSTAtL:ATION' ",,~_, ., "1:~~ Branch circuits: new, alteration, extension per panel
Business name: E" S75 / () is E <- t C l' IU ( a. Fee fnr branch circuits with pUrchase of a service or feeder fee:
Address: 3 -g ). S' J 13 05 cAr; f L ^ IN IE Each hranch circuit $ 6.00 $
City: 5 P r;: tD I State: 0 {( I ZIP: q 7 V 7.?' b. Feefor branch circuits without purchas. of a service or feeder fee:
Phone: 5 I.( / - 7 V / -/ 1''191 Fax: - 7 Jb - t('1(,O First branch circuit (2) r $ 55.00 $ 5'::
E-mail: 1U:'/Ct;;"S75JOf 6' Y/lljuO ,COm I Each additional branch circuit ? $ 6.00 $ 12
CCB license no.: ) I"] 7 "2 0 I BCD license no.NJJ~ Miscellaneous fees: service or feeder not included
Signing supervisor's license no.: <.f 7 ) 7 s I HIS PERMIT Each pump or irrigationcircle (2) $ 63.00
Print name of signing supervisor: <0 c- (f( ",c};~~~"(ED N .1'; 1Jgtf1,fi,/,fliqlH . $ 63,00
Signature of signing supervisor: 14t! h IJ(: :IU~:ED R I~' 'i11fu,""nMlliiJ~:f'llSrp panel, $ 63.00 $
'V ~'" rEI 'ltl.'.b additional inspection:"'(I)" $58.00
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(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
1,";;;L2LOcAI..::(;OVERNMENT'cAPI;'R(')V~L~;,' "
Zoning approval verified? DYes D No
"/" ','CATEGORY)OF CONSTROCTIONf ,,,;)
]2I1l:"esidential I D Government I D Commercial
.'''2.' ',JOB"Sli'EINI;(')RNlATION~ANbJL(')cA'tjON. i. ,!i'1:,(
Job site address: 520 5 l.( '2.... .. 'F- ""::b
City: Sl> F'h I State: utL I ZIP: ., 71{ 7 g
Reference: 17b 2> 2"3 :> I Taxlot.: 0 S 5'00
',' , .:" "';--'" ~~DESCRIP:tJ(,)N~'OF :WORK' '~l",c , ", "
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. 440-2584-J (9108/COM)
:, .: '" :.i", "'. ",FEE 'SCHEDUlE: ; h ~ ,~, ';
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Residential, per unit, service included:
1,000 sq. ft. or less (4)
Each additional 500 sq. ft. or portion
thereof
$134,00
$
$
$
$
$ 25,00
Limited energy (2)
Each manufactured home or modular
dwelling service or feeder (2)
$ 32.00
$ 63.00
Services or feeders: imtai/a/ion, alteration. relocation
$
$
$
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(B) Enter 12% surcharge (.12 x [AJ)
(e) Technology Fee (5% of [A J)
TOTAL fees and surcharges (A through C):
$ b(
$ B 0,/
$;3:U
$7p,'3'
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00390
ISSUED: 03/31/2010
APPLIED: 03/31/2010
EXPIRES: 09/30/2010
VALUE:
Status
Issued
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SITE ADDRESS: 520 S 42ND ST APT D
ASSESSOR'S PARCEL NO.: 1702323305900
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Add/alter 3 circuits
Owner: THOMPSON WAYNE D
Address: 1890 CRATER LAKE AVE
MILPIT AS CA 95035
Contractor Type
Electrical
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o~..Ot~'~~~TION ~
Con e. adOPt Wose t\1 ~ 0/1.1'\ 9"\1\e5 \It/icense
EAS lo\1~ 5 0\ \ne t ol\Q 17770
"Ob~9'fl'l; ~. . ON
~..nl\ '(01) (t\ ce lqoll '2.~'
UU"';i\i1\g~: \n' .00e'!'6~~;
~t cell\'! i9!{~ight, of ~tructure
~J;p'e ofI1eat:
. Water Type:
"Rang~ Type:
Energy Path:
Sprinkled Building:
Expiration Date
10/04/2011
Phone
541-915-9828
/I of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
/I of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT IN~..~~~ATlON:-f~":'"
','<" \\\~ ~ ~ it ~\
. Overlay DiS~W\t.'~ ~xt \lb ,,0.)',"
O~\Ct." /I Stf' :Vt.W n ~O~5'~:.t.
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/I.\)~\\\)t~Ct.t\ ?-.\Cl~'
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REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
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I valu~fion~~scriPtion ~
Description
Type of Construction
$ Per Sq Ft
Or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00390
ISSUED: 03/31/2010
APPLIED: 03/31/2010
EXPIRES: 09/30/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
I "Fees Paid ,
, ,.~'. . ! '
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Pai''''.'
Date Paid
Receipt Number
$8.04
$3.35
$55.00
$12.00
3/31/10
3/31/10
3/31/10
3/31/10
1201000000000000282
1201000000000000282
1201000000000000282
1201000000000000282
Total Amount Paid
$78.39
Plan Review~ ~
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.
Reouired InsDections .
Rough Electric: Prior to Cover
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Final Electric: When all electrical work is complete. ,,"
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By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true aud 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 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
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225 Fifth Street
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Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000282
Date: 03/31/2010
11:13:17AM
Job/Journal Number
COM20 1 0-00390
COM20 I 0-00390
COM20 I 0-00390
COM2010-00390
Description
Add, Alter, Extend Cire
Add, Alter, Extend Circ Ea Add
-+- 12% State Surcharge
-+- 5% Technology Fee
Payments:
Type of Payment
CreditCard
Paid By
ROGER KING
Hem Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
55.00
12.00
8.04
3.35
$78.39
Amount Paid
djb
00590c In Person
Payment Total:
$78.39
$78.39
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cReceintl
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3/31/2010