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Home My WebLink AboutPermit Electrical 2010-5-17 $l)eQM\llilE!iw.,o :1 i .', 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: COM2010-00623 ISSUED: 05/17/2010 APPLIED: 05/17/2010 EXPIRES: 11/17/2010 VALUE: SITE ADDRESS: 2460 34TH ST ':',' '. ','Springlield TYPE OF WORK: Electrical Work Only ASSESSOR'S PARCEL NO.: 1702193101101 ,';." I CQNT~CWRINFORMATlON ~. ATTENTION: ?regon law r~'1~~ on Utility Contractor Typ,!O\\OW Qon~ra~Fd by the 05 ire set forth Electrical NotiticalEASCfS1OO 52-001- . in UI\M' , . . 0090. You may obtain copt. ORMATION calling the center. (Note.., olificatlon # of Units: number tor the Oregon UtlhtY_Il!~TSlories: Primary Occupancy GroupCenter is 1-800-332-231t'e.ght of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type Water Type: Secondary Construction Type: _. Range Type: # of Bedrooms: Energy Path: Sprinklell Building: . ~,:',. ",;. J: t.~ ,':' '-:r' , i:;; PROJECT DESCRIPTION: Replace service panel. . Owner: SECHRIST LUCY POLZEL Address: 2460 N 34TH ST . . SPRINGFIELD OR 97477 TYPE OF USE: Alteration Residential , License 117770 Expiration Date . Phone 10/04/2011 541.915.9828 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION ~ NOTICE: <': i<:"~erjliAD\~\NORK THIS PERMIT S\-Ir>.ll ~lts~~\'J~~f,1T AUTHORIZED UNDER B Jlllll1~M~J}vil1iqd: COMMENCED OR IS A ll.i:';;fLot Coverage: ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS. Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Spedallnstruction: ,(. ~~~::~lr.'; . '."1 ,I, Notes: I Valuation Description ~ Description $ Per Sq Ft Square Footage or mult.~jJlier>;l. ,!<: 1\ or'Bid Amount Tvpe of Construction ,'.1_' t'F~j~; :....~'I' <'0/;'" Pa2e I of 2 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Value Date Calculated :;-~:~.:~.,. . .';"~ " ":':-0, 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: COM2010-00623 ISSUED: 05/17/2010 APPLIED: 05/17/2010 EXPIRES: 11117/2010 VALUE: Total Value of Project Fees Paid ~ Fee Description + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less Amount Paid $9 72"';' . :' ,:, '! ; . _ ll~:. ' $4,0;;:-':: $81.00' " Date Paid Receipt Number . 5/17/10 5/17/10 5/17/10 2201000000000000515 2201000000000000515 2201000000000000515 ',' Total Amount Paid $94.77 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. Reauired InsDections ~ Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is cO~plete. . i '--1 ~-~ ~, . f ,.., By signature, I state and agree, that 1 have carefullyexamined the completed application and do hereby certify that all information hereon is true and correct, and I further certify ('bat 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. ~ I~ Owner or Contractors Signatnre Date Paee 2 of2 "-' ........~ .. Electrical Permit Application ~ -~ ~ ",.-- _':::'~...,,-''#i-~-;,_ ~. _~,) . ",', "CI1W.:OF SPRINGFIELD ''OREGON " ..,.~, -,,::;~ - ~#. :r',;e,.\i>.""'I1-"'U~~-;'f'i;':-~ "..' , 1, -~:"-'~-:~ 225 Fiftb Street.Sp~ingfield, OR 97477tPH(541)726-3753+FAX(541)726-3689 DEPARTMENT USE ONLY SPRINGFIELD ~.. ~i;i~'_'<"",' ~ ",<;" '~,;. \1iIJ' .., ~ , r,(' 0 .-G b-S PermIt no.: V S-/17 / 10 ( Tbis permit is issued under OAR 918-309-0000. Permits are nontfansferable. Permits expire if work is not started witbin 180 days ofissuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? DYes DNo CATEGORY OF CONSTRUCTION o Residential I 0 Government I 0 Commercial JOB SITE INFORMATION AND LOCATION Job site address: d. ~bO 3 If 7-3 . 57, City: 5P~LQ I State: G (( I ZIP: Reference: I Taxlot.: DESCRIPTION OF WORK ~(POc.E ELfCT((; CA L PANt(.. o /vl..'r PROPERTY OWNER Name: '5t: 2: It"-.c C"\" L...LA.L-Y Address: ,)--( GO 341~ City: I State: I ZIP: Phone: - - I Fax: - - E-mail: 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: CONTRACTOR INSTALLATION Business name: eASTSID6 E LE I..T (U G Address: 2.>~.lS"'3 BOSC/IG.E l-N, City: SPhD I State: 0 R. I ZIP: 9H 7'iJ Phone: - - 7l/HV'19 I Fax: - -731:,- V%O E-mail: R Ie. /c.e f-,ST5)f)( (Q.l YAHo6, COM CCB license no,: I ('1,0 I BCD license no.: 20 -VO!>C Signing supervisor's license no.: l!7J.7S Print name of signing supervisor: f( 0 G- E f{, /(ndj. Signature of signing supervisor: 'OJ"" 1.1 l(,:.q 440.2584-J (9/08/COM) Date: FEE SCHEDULE Number of inspections per item () Qty. Cost Total ea. cost Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 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 $ O( 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 $ Recoonect ooly (2) $ 63,00 $ Tempora.ry 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 $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branoh circuit (2) $ 55.00 $ Each additional branch circuit $ 6,00 $ Miscellaneous fees: service or feeder not includ~d 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 subtotal of above fees $'tl (Minimum Permit Fee $58.00) . (B) Enter 12% surcharge (.12 x [A]) $ tj/72 (C) Technology Fee (5% of[A]) $ '-f~ TOTAL fees and surcharges (A through C): $ 1]Lr'1:l,. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Mrii City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000515 Date: 05/17/2010 2:14:0IPM Job/Journal Number COM2010-00623 COM20 1 0-00623 COM20 1 0-00623 Item Total: Amount Due 81.00 9.72 4.05 $94.77 Description Penn Serv/Fdr 200 amps or less + 12% Slale Surcharge + 5% Technology Fee Payments: . Type of Payment CredilCard Paid By ROGER KING Check Number Authorization Received By Batch Number Number How Received Amount Paid cjc o 1530c In Person Payment Total: $94.77 $94.77 ,\ft!j' , ".......,;..:.. .j~';:l~',? ./:..-1., i~. :('\P 1).. ',~. .-, i cRecciotl Page I of I 5/17/2010