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Home My WebLink AboutPermit Electrical 2010-6-9 225 Fifth Street. Springfield, OR 97477+PH(541)726-3753HAX(541)726-3689 DEPARTMENT USE ONLY , ,"'. ' ' c , Co"", ZOIc.) ~oa 74 Z. Penn it no.: Date: 6~ 1-/D Electrical Permit Application crry' OF:SP'RlNGF'nrLD;' OREGON. , . ., ,'/' , ,<',' . ~ . ~, ., <- '. f "-':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, , 'L:;()CAL',GOVERNMENT APPROVA[;' ',' ;i",[ ;-~-';;;";~'l~f~tf.f:\~'?.If~F;/W;:~!'l~j;It-~VSaME[j_U IjE\!;:.:;;~~)?~i_ti~~;;rfWf~~~~tt%~~~i.~ Zoning approval verified? D ves. D No A'liEN n(~~~81~W Qty, ' Cost Total ", .' ".:';CATEGORY;OFCONSTRUCTION',i' "to"o~ ~ ~: CIlenlftl!ti' r ,":, <m"i(l5a~t~: ' ea~' , cost 'BResidential .. 10 Government ,I 0 com~:S - . fthe rUles uy $134.00 $ ~~'%tJOB)i,SITE::INF()RNiATIONFAND(~';OCATIO.~F, ~!.. i ::~p . ~ . Job site address: /t62 J 'l:' ~ -. calling ~ t~~on U;i~~,~~~Il\'mll\lDn $ 25.00 $ City: 50:~ ()ar;~ ,...,); I State: ot-<- I zIP9?4~l1IIIl'r( e\W8~ci8e1T&1P1!f'" cV' $ 32.00 $ Reference: 170>> (, Z-I 1 Taxlot.' Db 'DO Each manufactured home or modular $ 63.00 $ DESCRIPTION OF WORK '-', ".,,::o:.,c' , dwelling service or feeder (2) '. .' , . ~e(v":02~ 6'r<A...cle- Services or feeders: instal/ation, alteration, relocation ~ - 200 amps or less (2) /l $ 81.00 $f?'f PROPERTY OWNER 20 I to 400 amps (2) $ 95.00 $ Name: ~v\'^ l.&r-~\.l-? 40 I to 600 amps (2) $158.00 $ .Y . Address: Lp,.u ~ In 7 :J- ">t- 601 to 1.000 amps (2) $205.00 $ City: c:;.I,C--i) '-" I State: u1...... I ZIP, Cj 7l{77 Over 1,000 amps or volts (2) $469.00 $ Phone: - - I Fax: - - Reconnect only (2) ,,"_\"';..ii;\:., ;l:.:t~; r;.$~~63-~OO'\ . $ I1ilI'TII:t-" " or re. lftt&WGl1Jf.. r~/ocotion E-mail: services r e This installation is being made on residential or farm property h~_I~'''J:D TI-l'~ pERMiT 15.t1H.ho.: $ owned by me or a me,!,ber of my immediate family. This . ,,:~ \D Ie:: ABANDON OF~.~~ si'oo" $ property is not intended for sale, exchange, lease, or rent. OAR 479,540(1) and 479.560(1). O',~', 00100.""" $126.00 $ Signature: Over 600 amps or 1 ,000 volts, see services or feeders section above CONTRACTOR INSTAllATION Branch circuits: new, alteration, extension per panel Business name: / . '11 ,te... ?IPk '-n$fq \" a. Fee for branch circuits with purchase ofa service or feeder fee: Address: S "1 ~ .. W . c. ~ I A Q,.-V Elich branch circuit fa $ $'Sh 6.00 City/.r,-.F-'.~' \. I Stat~R. I ZIPqr}LfG c-.. b. fee for branch circuits without purchase of a service or feeder fee: Phone9fj- ?~-:/(:L/ f/ I Fax: - - First branch circuit (2) $ 55.00 $ E-mail: Each additional branch circuit $ 6.00 $ CCB license no 19o" I D license no.:C-44 ( Miscellaneous fees: service or feeder ':fot included Signing supervisor's license no.: .t::::.7;;'1~ Each pump or irrigation circle (2) $ 63.00 $ Print name of signing supervis~G~ Each sign or outline lighting (2) $ 63.00 $ Signature of signing supervisor: Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) 7 Each additional inspection: (1) $58.00 $ ~~~ :t~~~,~\;{ij.,~~t;lfit.1f:\~~AR~tjcAN;t~U-S-E~~:~,~(:'~}.~~fi~~~t'~1~~..:{;;Y.~', ,:' ..' ~~Q~ (A) Enter subtotal of above fees ~~ ~:'\$) (Minimum Permit Fee $58.00) $ tf7 ~~ VJ~~o/ (B) Enter 12% surcharge (. 12 x [AD $ /1{ 0'1 (C) Technology Fee (5% of [AD $ 58S V TOTAL fees and surcharges (A through C): $\)b8'f ~ 440-2584-) (9/08/COM) 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: COM20IO-00742 ISSUED: 06/09/2010 APPLIED: 06/09/2010 EXPIRES: 12/09/2010 VALUE: SITE ADDRESS: 1827 I ST ASSESSOR'S PARCEL NO.: 1703362106900 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace service Owner: GARRELTS DAVID Address: 1827 I ST SPRINGFIELD OR 97477 Contractor License COMPLETE ,ELECTRICAL INSTALLATION 184274 I BUIL,DING INFORMATI~ \8W'fequIIQQ '''''' ATTENTION: Oregon ~ Oregon Utility fol\$lYt rules ado~ ~~n.w. set lorth Notification centM.eil!lh:~OAfl"952-001. InQ~952.oo1-00l1~t r . s'oftherulesby ooea: You may ol}tal\llellfl\~ihe te\e~ho~e calling the cenRlfD~m~ljty Notification number lor thelOi6l'i9~ ',2344). centerllpl~ii3 infing: nla Contractor Type Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description I CONTRACTOR INFORMATION . Expiration Date 10/14/2010 Phone 541-225-7827 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMA nON ~ REQUIRED PARKING Overlay Dist: # Street.Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: ..,,-,.,..;;-":'''',.,.", "". -,',,~. .",.p~ - - . "~ IMPROVEMENTS ~1t\~ \NO"'\( " v t.l'1.rt)\.nn~ f .. IM:fL 1HIS PERMIT Snl'l ER 1\-\1$ PERMfti~_IIt~I~pe: fl,U1HORI1.EO U~~ IS cABANDONEl:btQ~P6utslDrains: COMMF.~C~P"i"RIOD" .... ANY 18QiDfl,YPr.:' , I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Value Date Calculated ':\ Pa2e 1 of2 i.," 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '~:' ~.~ I". '. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00742 ISSUED: 06/09/2010 APPLIED: 06/09/2010 EXPIRES: 12/09/2010 VALUE: Status Issued Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps Or less Amount Paid Date Paid Receipt Number $14.04 $5.85 $36.00 $81.00 . 6/9/10 6/9/10 6/9/10 6/9/10 2201000000000000667 2201000000000000667 2201000000000000667 2201000000000000667 Total Amount Paid $136.89 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. .' -""- . :....;. . . I ReQuired Insoections ~ Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. . By signature, 1 state and agree, that 1 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 th~ L~ws of the State of Oregon pertaining to the work described herein, and tbat NO OCCUPANCY will be made of any structure witbout permission of tbe Community Services Division, Building Safety. 1 further certify that only contractors and employees wbo are in compliance with ORS 701.005 will be used on tbis project. I further agree to ensure that all required inspections arc requested at the proper time, that each address is readable from the street, that tbe 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 '".';\1;.' f;';1' Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000667 Date: 06/09/2010 11 :43: I2AM :~':'.' ,. Item Total: Amount Due 81.00 36.00 14.04 5.85 $136.89 Job/Journal Number COM2010-00742 COM2010-00742 COM2010-00742 COM20 I 0-00742 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Clrc Ea Add + 12% State Surcharge + 5% Technology Fee !,:I,- . . Payments: Type of Payment CreditCard Paid By COMPLETE ELECTRICAL Check Number Authorization Received By Batch Number Number How Received Amount Paid djb 401961 In Person Payment Total: $136.89 $136.89 ."~ ,- A l-, ....,.,.... .} "'" ;\.--:...... cRccciotl Page I of 1 6/9/2010