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Home My WebLink AboutPermit Electrical 2010-4-30 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Iuspection Line SITE ADDRESS: 138 75TH ST ASSESSOR'S PARCEL NO.: 1702354100700 PROJECT DESCRIPTION: Re-wire house Owner: MILES DONALD D & MARIA V Address: 138 75TH ST SPRINGFIELD OR 97478 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00541 ISSUED: 04/30/2010 APPLIED: 04/30/2010 EXPIRES: 10/30/2010 VALUE: Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OWNER License Expiration Date Phone BUILiHNG INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structnre Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: nla Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATIO~ Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I . Syouto Sidewalk T(Qg'lin laW require Utility AnE~,;nON: 0 Inl.lrt'S.the orego~etfortl\ tolloW nlY!!~~r. ThOse rules a~ 952-001- Notltlcallon ~01-001 0 throu.gh ottne rules by in OAR 952- blain COpies 0 hOne 0090. . '(o~:ea~e~ler. lNole: .~~e ~~~i~catiO" nurnberlor .. _800-332-2 Cenler1s 1 Street Improvements: Storm Sewer Available: Speci~~~m6Ion: PIRE If THE WOR( : N THIS PERMIT SHA~~ ~\S PERMIT IS NOT otes: AUTH~~.IZED UND BANDONED fOR ~N~'~'BO DAY PERIOD. I Valuation Description ~ Description Type of Construction ,',. $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calcnlated " ~.~i51 l;;;r-:; 'ff:i;j"',. . ' t'..., Page I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-00541 ISSUED: 04/30/2010 APPLIED: 04/30/2010 EXPIRES: 10/30/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L ~ees Pl.Iid-l Fee Description + 12% State Surcharge + 5% Technology Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Amount Pai~ t,~~ ... .-; :"j). Date Paid Receipt Number $25.08 $10.45' , $134.00 $75.00 4/30/10 4/30/10 4/30/10 4/30/10 1201000000000000394 1201000000000000394 1201000000000000394 1201000000000000394 Total Amount Paid $244.53 I Plan Reviews ~ 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. LReauired Insoections I Rough Electric: Prior to Cover Final Electric: When all electrical work is coi1]plete:: ',", . :,,~ ) r . Low Voltage: Prior to cover. ' , " By signature, I state 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 structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance wilh 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 ~-::7-- :/,do//t/ Owner or Contraclors Signature Date l;rcr;f ~age 2 ofl Electrical Permit Application =.-, ~ 1 . -1€ITY OF SPRINGFIELp, 9REGON ..,"'"_~~_ ~_ I ~ 0__ ~ c 225 Fifth Street+Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689 ~ , DEPARTMENT USE ONLY , Pennitno.: C/o,~ .57'; Date: .----50 - /0 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. LOCAL GOVERNMENT APPROVAL Zoning approval verified? D Yes D No CATEGORY OF CONSTRUCTION Residential DESCRIPTION OF WORK Name: PROPERTY OWNER ~4 ~ ~ City: Phone:50 - E-mail: 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) a d 479 0 1 . Signature' CONTRACTOR INSTALLATION Business name;..{ W G2-- Address; ity: Phone: E-mail; CCB license no.: Signature of signing supervisor: 440-2584-) (9/08/COM) \FEE SCHEDULE . 'I Cost Total Number of inspections, per item () Qty. ea. cost Residential, per unit, service included: 1,000 sq. fl. or less (4) ( $134.00 $ Each additional 500 sq. ft. or portion 3 $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation,' alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit I $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (1) $58.00 $ APPLICANT USE (A) Enter suhtotal of above fees $ :;)JC; (Minimum Permit Fee $58.00) (B) Enter 12% surcltarge (.12 x [Al) $ ;::),.,- ::g (e) Tecltnology Fee (5% of[A]) $ / cJ < c:; ., TOTAL rees and surcharges (A through C): $~~. ~ 6? 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000394 Date: 04/30/2010 9:02:03AM Job/Journal Number COM20 I 0-00541 COM20 I 0-00541 COM20 I 0-00541 COM20 I 0-00541 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 12% State Surcharge + 5% Technology Fee Amount Due 134.00 75.00 25.08 10.45 $244.53 ",\,j; :"', . Item Total: Payments: Type of Payment Check cReceintl Paid By LM COMMUNICATIONS Check Number Authorization Received By Batch Number Number How Received Amount Paid njjm 16561 $244.53 $244.53 In Person Payment Total: L;; I 'j : , ~: (', ';..1' Page I of I 4/30/2010