HomeMy WebLinkAboutPermit Electrical 2010-7-6
~Elect:r:ic'al Permit Application
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':CITYOKSPRINGFIELlr' OREGON~:~
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225 Fifth Street. Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689
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DEP.~RTMENT USE ONLY
Penn it no" C,D ~ <bg Z:I'
Date 7/ ~f!O
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. .
Services or feeders: installation, alteration, relocation
200 amps or less (2) ~ $ 81.00 $ 1(;2--
20 I to 400 amps (2) $ 95.00 $
Name: 401 to 600 amps (2) $158.00 $
Address: 60 I to 1,000 ~'Jl)'S:(2) $205.00 $
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City: S ,?p.~ ZIP: 9 71.{t O~Shl\OOQ,~ps 2~~elts (2) $469.00 $
Phone: \> \~\1ll&'l1,'i~qnly12):O()V, $ 63.00 $
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E-mail:. ~\O . oo?~ '\ ~I!'.O;:lQIr :e~vlct~~feeders: installation. alteration. relocation
This installation is being made on residential 0 ~ l\nne(\ () ,C \~\jp'ii'r' ~'ll(2'J:-',,\\0(\ $ 63.00 $
owned by me or a member of my immediate fa ,(\elji 1:f:'- \ \\2Ii[(\IPiiJ9,~~~S~) $ 87.00 $
property is not intended for sale, exchange, lea"f\ ,r''\'lB<e:~'i \
479.540(1) and 479.560(1). \(\01" ~o\l. a "a a ;~~16 ~~~~(2) $126.00 $
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Signature: VV e.\~\"'''' \0\ ~ \ \ l"lver 000 amps or 1,000 volts, see services or feeders section above
. ,CONTRACTOR INSTALLATION \1\(\,' c.a, Branch circnits: new, alteration. extension per panel
Business name: ~ a. Fee for branch circuits with purchase ofa service or feeder fee:
Each pump or irrigation circle (2)
j5roCbA/ Each sign or outline lighting (2) ../
~_ v.v Signal circuit or a li(llited.lO~I~'1l},~el,
P'" alteration, ~r~~'\';n\~k \c;-~lll
~O\\Cf." ~\ E.~tI.\''u IW\W.~ ~~'~~Ii\; $58.00 $
\\-\\l\~:~~\1't '~'\'\~~~:~~ia\R~~,~~~ feLicANTi'iUSEl:;';j:i:'i;j;?:~/1';,;~.:i':i:;:.,
I N} _ ~O""c~C j~\P~\~6~~total of above fees $ C"\ /1 L IJO
~_ \J IV'IV''- r lIi~ilm Permit Fee $58.00) '--;';U7'
-1. ,n ,.\Ofl-W1 ~\\G (B)Enter12%surcharge(.12x[AJ) $ 'ALf,1Ji
. \ -, (C) Technology Fee (50/0 of[AJ) $ / (J . c: ~
~ ~ \2-. TOTAL fees and surcharges (A through C): $ ;::;:r<,p <@6
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tOCAL'GOVERNMENT APPROVAIJ',,>"',
Zoning approval verified? DYes DNa
.' 'CATEGORYi:ciFCONSTRUCTION'j,i .
.~ Residential 0 Government 0 Commercial
~}~1JOBtSITE:INFQRMAtION1"AN[jI/GO:CA;r;ION\J\N;j'if,!
Job site address: 5" '3 7 ~
City:
Reference:
Address:
City:
Phone: 5l 7 V(-(5'cro
E-mail:
CCB license no.: 63
ZIP: '1 7~Y
BCD license no.:
-CP::/ c.
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
\~
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440-2584-) (9/08/COM)
'{i~:'-ch~~<::(::f':'~{\~"~.~~;.1\r)!;;<!'~F,EE-~spHEJj.Q ~E~;:.:Wi}':~W~~{\{~~tS~i;~~~~;W~}~_~
Nomber of inspections per item ().' Qtj1. . Cost Total
" l ~ 'i" ~ 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)
Each branch circuit
$ 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 7 $ 6.00 $t( Z- ""
Mis,cellaneous fees: service or feeder not included
$ 63.00
$ 63.00
$
$
$ 63.00
$
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 325 S 37TH ST
ASSESSOR'S PARCEL NO.: 1702314300600
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00882
ISSUED:
APPLIED:
EXPIRES:
VALUE:
07/02/2010
01/06/2011
$ 20,000.00
",Springfield TYPE OF WORK: Dnplex
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Convert residence and garage to duplex
Owner: PETERS JEANETTE
Address: 240 S 37TH ST
SPRINGFIELD OR 97478
Contractor Type
General
Electrical
Residential
I CONTRACTOR INFORMATION ~
Contractor
MAHER MICHAEL
RALPH W BROWN
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Fronlyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
R-3
VB
License
160310
63137
Expiration Date
06/08/2011
03/15/2012
Phone
(541) 953-7143
541-729-1500
BUILDING INFORMATION ~
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Page 1 of 3
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Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Stories:
Height of Structure
Type of Heat:
Water Type: '
'Range Type:" "
Energy Path: ,
jp'rinI{l~ Building
I DEVELOPMENT INFORMATION ~
'IOu \0
Oll \a>N 1~li~~~(rnk~~\\\~'n
\0\'\: 0legeo '0'1 In~ ~ l"11!l\)llm\l, 3"1W:
p..'t\~\'\1 ~e9 adOI>' inOse ~~ffl>-"f.l~~i /}'tN
\O\\OVl '1;1 (\ cellle1. ~ 0 Inloll\l,nobf'.QOOll~r~e:
\,\0Iif\ca~~2..00~,O~\a\l\ ~o\'l~~~ne ~~\~~~~i:ol'l ,
0090.. ~ Ine celli ' nlMeROVEMENTS
ca\lll\ \01 Ine, ,\.\l
(lUlfl'oel celllel \s Sidewalk Type:
Downspouts/Drains: ".. '>.'.
d ;~~/4.<: ~.'?~' ,r.
,.,.Y,." " 'I'lQ ?-'t-"
""~~t ~Q\ ;::.
. t'i-?\?-t. \\SI\\ \S ",;;':
\-\()\\C~. ~~ S~~\..i?- \~\S ?~~t.~ ~~~ \.':,
~\\\S ?~~\1t.~ ~~~ \15 ~,,~~~ ",.'
\>,IJ\\\ 'fl\t.~c,'i:.~ ?t.?>\Q\).
c,O\-ll 'Oil ~[\i
[\t;\i ~
REQUIRED PARKING
Total:
Handicapped: '
Compact:
CITY OF SPRINGFIELD
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
i'
PERMIT NO: COM20]0-00882
ISSUED:
APPLIED:
EXPIRES:
VALUE:
07/02/20] 0
OV06/201l
$ 20,000.00
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I Valuation DescriDtion I
Description
Tv"e of Construction
$ Per ~q;Ft:,: .
"h--., . I
or multi~!~er
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid Date Paid Receipt Numher
$151.78 ,7/2/10 2201000000000000787
$24.48 7/6/1 0 2201000000000000791
$10.20 "';"'" 7/6/10 2201000000000000791
$42.00 7/6/10 2201000000000000791
$162;00" - ' -,- 7/6/10 2201000000000000791
Total Amount Paid
$390.46
I Plan Reviews I
Plannin2: Review
Public Works Review
Structural Review
07/06/2010
07/06/2010
07/06/2010
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To Request an inspection call the 24 hour r~~~rdini'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.
l..P-eollirecUnsnections ~
Rough Electric: Prior to Cover
Electric Service: Approval required prior to ~tility company energizing service.
Final Electric: When all electrical work is complete.
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CITY OF SPRINGFIELD
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2010-00882
ISSUED:
APPLIED:
EXPIRES:
VALUE:
07/02/2010
01/06/2011
$ 20,000.00
By signatnre, I state and agree, that I have carefully examined the completed application and do hereby certifv 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 with ORS 701.005 will be nsed on this project.
I further agree to ensnre that all required inspections are requested at the propel' 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.
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Owner or Contractors Signature
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Date
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Pa2e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000791
8:48:5IAM
Date: 07/06/2010
Job/Journal Number
COM201O-00882
COM20 I 0-00882
COM20 I 0-00882
COM20] 0-00882
Payments:
Type of Payment
Check
cReceintl
'.~ ":
Amount Due
162.00
42.00
24.48
10.20
$238.68
Description
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By .
HERlTAGE ELECTRlC OF
EUGENE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
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$238.68
2] ]9
In Person
Payment Total:
$238.68
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7/6/2010