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Home My WebLink AboutPermit Electrical 2010-6-11 Electrical Permit Application .. '. -">&.M.... _ or r,." .~.< -' . -, ~~~ .;",~,.~ .. .)'., , " CITY'OF-8.P.RINGFIELD"OREGON;..:: ,f:t.:'1';.";' ~~..,. .n.""J~~" .' "';1''1)'' ';'''7. ~'~?1~_""""'fi)'C:::;;;9,.._'\' "~"i,,<':"""'~"\ 22S Fifth Street. Springfield, OR 97477. PH(S41)726-37S3 tFAX(S4I}726-3689 OEP~RTNiENTUSE ONL V COrl/lZOIU-Oc:::::,7 S ( Penmt no.: Date: 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. Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit or a limited-energy panel, alteration, or extension (2) , Each additional inspection: (I) $58.00 $ ti~~~&1i't,~f~4~Si};]k?~~%3.AP,F!Xif~'AN.1:!;~'Os"Et~~i:~t;;':-:~{i~1::i;::;::J;t!_ ..:~};'~',",:- . NOTICE: (A) Enters.u~,:q}~12rahove rees $ b ( ~~,(\W THIS PERMITSH (M.ini:U~;::f~t~~~.~~~]) $ 7~Z ,-'-."b~ QAUTHORIZED UN " \; COMMENCED OR d;~ I MIJT]) $ :505 vJ,rx.. ANY 180 DAY PEi<rffl TAL ees'a'-n'il !Jrcharges (A through C): $ 71'7 ~ LOCAVGOVERNMENTAPPROVAI3: Zoning approval verified? 0 Yes 0 No " ',CATEGORViOF'CONSTRUCTION',"';, '. D Residential D Government - EfCommercial ';""?i;W",N"O, 'B"'SI"'E'.',I'NF'O RM"A' 'T'ION'iAN"O,',',"'O'C-A"'IO' N' ','.\U,,',T."" ;~f,ZIi""""''''~ . _,.'.... _ ,1'.._ '", .. ,', _ "".,}._ ...' }-,.'.. ......".1,;;_... .. 'Ii _,.. L:~'_').'.',~i';',"~.... VV)C", c:;; I;- State: 0 <. ZIP: '77Cf 77 70 :3 r;, Taxlot.: 0:5 7o't> OESCRIPTION OF WORK" rc.."c....\." yrc.. PROPERTV OWNER Name 5/ht1r) \2c s. s. I Address: L-( -s. ')<:; s j> a..lfl{(,.- City: eu.. Gr C:1'? (!' StateCL is'L v' ~ ZIP: 9 ?l(o r Phone: Fax: E-mail:, This installation is being made on residential or fann property owned by me or a member of my immediate family, This ,l\JTEf property is not intended for sale, exchange, lease, or rent. Ot'Ofl'o 479.540(1) and 479,560(1), N "fW otllca Signature: in OAR 0090. ca In Address: CitY: to Phone: '5-/1_ 72)- '<:? 1"'- E-mail: CCB license no.: 1;),8'3 'i Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: ",~', , ~ ~ ~ ,~ ~. 440-2584-) (9/08/COM) :\;": -;(;~i'~/;~@~;~\F;,:~:;~Wj'~.r~?~'FEE";~;,SCH EJjJjlBl=fr;~I:J,~-jm;'i;~?i;i~~\~0~;ln~:~:~\~Bm Number ofinspeciions per it~;"'O, Qly. Cost ,Total . ;co, .., "_' " ...".... ,"'., "I'; '.;-.:.,., ! ea.", ,_ c9st Residential, per unit, service included: \.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 $ 20 \ to 400 amps (2) ,$ 95.00 $ 40 I to 600 amps (2) $158,00 $ 60 I 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 $ ITIC:jQl ~~mnd2) . $ 87.00 $ ul 1I0'ldGlllOOclri11Jsme OreaOnUlilitv $126,00 $ I~ ~~ 1\!l!l"1~,~~es or feeders section above U ~IlNiflll't!\jh~lf' '':;'Y'~~;on per panel I ~~Iflr, h(lIhDte:iilMttel$IWJ~S~ of a service or feeder fee: d, n "~'::~ '!1lifil/~ncauon $ 6,00 $ b. Fee for branch circuits ~ithout purchase of a service or feeder fee: First branch circuit (2) I $ 55.00 Each addi!ional branch circuit I $ 6.00 Miscellaneous fees: service or feeder ,:,ot induded $ SS $b $ 63.00 $ 63.00 $ $ $ 63.00 $ ,.' CITY OF SPRINGFIELD Building/Combination Permit . PERMIT NO: COM2010-00759 ISSUED: 06/lI/20IO APPLIED: 06/11/2010 EXPIRES: 12/11/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line. . "" ,,"," SITE ADDRESS: 2053 MAIN ST ASSESSOR'S PARCEL NO.: 1703364203900 Springfield TYPE OF WORK: EleCtrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: 2 branch circnits Owner: ROSSI SANDRA L Address: 4355 SPRING BLVD EUGENE OR 97405 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor License MARKHAM ELECTRIC INC 128394 I BUILDING INFORMATION I Expiration Date 04/01/2012 .Phone 541-942-8789 # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: . #' of Stories: Lot Size: Ali-T.!fthtl~t~~5n law r' Sq Ft 1st Floor: fol/t1)'1J~UIf1t1f!!tl!JPted by thee6~:es you.~ Ft 2nd Floor: NotiWm\iilrr~lter Th I gOo UtlllFt Basement: i 0"-0 . ose ru es are self O~g Hll'~.'OOI0 through OAR 952_00 Ft Garag:/Carport CE~n~ fl!a~btalD copies ott/Je rule ~lf Ft Other. ca~ lPllIiItlltin(Note: the l\M~ph s ~cupant Load: Dum ~ "'~1l~' ooe I DEVELO~~ ""F~QMM!i~~lIcat1on . REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Disl: ,., # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: , Total: , Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS ~ . Side.waJk .Type: NOTICE . . , '. ..,. .. " . .... ..... . .1iRISfPlfliMlT: SHAll EXPIR'rfl:''ffit'W~: """XtrrA'6~ltE[i'UNDER THIS PERMIT IS NOT ~blJMMENCED OR IS ABANDONED FOR i'AKIV 1 Rn n P RI I Valuation Description ~ Notes: Description Type of Construction $ Per Sq Ft . or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of 2 ,".. . " " 1ft,: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .< 1tj " ',;,'::;,'. ;:~ ." " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00759 ISSUED: 06111/2010 APPLIED: 06/11/2010 EXPIRES: 12/1112010 VALUE: Status Issued ", '11' Total Value of Project Fees Paid-, Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Dat~ Paid Total Amount Paid $7.32 $3.05 $55.00 $6.00 $71.37' ,6/11110 6/11110 6/11110 6/111 I 0 Receipt Numher 1201000000000000679 1201000000000000679 1201000000000000679 1201000000000000679 I Plan Reviews , To Request an inspection call the 24 hour re,c~'rding at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, ins~ection~' requested after 7:00 a.m. will be made the following work day. ,. .... l.vReouired InsDect~ Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 arid all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the !itate of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure."withoui pe,'mission of the Community Services Division, Building Safety. I further certify that only contractors and employ~e~ who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspectious 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 ~{:':r' .,t),:~;.. . ,'l'-\'lJt;;" "'!rh :"~ ,:', Date "" "f Paee 2 01'2 225 Fifth Street Springfield, 'Oregon 97477 541-726-3759 Phone ~iii.e- ..a......Fl..........!>.! ..... ..... lilt', ',. ' ~ ^ '0 L.C.',.. ~ ,.-, -eo .! ,,- " _..."" '-..',', .....r:.~,~..",.",...:...c City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000679 Date: 06/11/2010 I :24:00PM Job/Journal Number COM20 I 0-00759 COM20 I 0-00759 COM20 I 0-00759 COM20 I 0-00759 'Payments: Type of Payment CreditCard cReceintl Description Add, Alter, Extend Circ .', '" Add, Alter, Extend Circ EaAdd + 12% State Surcharge + 5% Technology Fee Paid By MARKHAM ELECTRIC INC Received By djb , .,.,,~ ., ,., , . " .-"',.'., . '," ::;.,. ": ' P~ge. I of I, . .. . , Item Total: Check Number Authorization Batch Number Number How Received Amount Due 55.00 6.00 7.32 3.05 $71.37 Amount Paid 000700 In Person Payment Total: $71.37 $71.37 .. 6/11120 I 0