The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2010-7-30 ,. Eie~trical Permit Application I ~<IDlP'~m~~~<ID~~ 225 Fifth Strctt+Springfield, OR 97477t PH(541)726-375J+ FAX(54 1)726-3689 I~ DEPARTMENT USE ONLY C~~Chd .00 9S, Permit no.: Date: 7. 'J'a .1" 0 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. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? DYes DNo Number of inspections per item ( ) Qty. Cost Total ea. cost CATEGORY OF CONSTRUCTION Residential, per unit, scnrice included: o Residential I 0 Government I 0 Commercial 1,000 sq. ft. or less (4) $134.00 $ JOB SITE INFORMATION AND LOCATION Job site address: .;?., '?L\ S . "tl ,>"- ~ ~ ~.- - Each additional 500 sq. ft. or portion $ 25.00 $ thereof City: <:'PR\,.;",f\.€0) I State: C) ~ I ZIP: q.. '-\.. g Limited energy (2) $ 32.00 $ Reference: \ 7D z.. J ~ 3 C{ I Taxlot.:t:67o-D Each manufactured home or modular $ 63.00 $ DESCRIPTION OF WORK dwelling service or feeder (2) :C)'-"'N~ \:><') I~G.." wN l.J.:>o{<.-\I=- rn l..s>""M \.L Services or feeders: installation. alteration, relocation ~ M)D\T\OI>l~L- ~\~\T5-(e,(L"Ao-ic:.\\ c..n. 200 amps or less (2) $ 81.00 $ PROPERTY OWNER 201 to 400 amps (2) $ 95.00 $ Name: Ln/2.J 17 U \ '> 401 to 600 amps (2) $158.00 $ Address: :-> ou S Oa -n.o. -q\ S r ._~ 601 to 1.000 amps (2) $205.00 $ City:, Pl2-ll--ll: "" G"! /\ I State: 0 (<. I ZIP: 9'1l\l8 Over 1,000 amps or volts (2) $469.00 $ Phone:5'l\-'\H"-'< "I kS- I Fax: - - Reconnect only (2) $ 63.00 $ E-mail: S~rY>l~f<. u~':l- '>.fIY, ,- h. ~~. t.~..,.., Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less (2) $ 63.00 $ owned by me or a member afmy immediate family. This 20 I to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 401 to 600 amps (2) 479.540(1) and 479.560(1). $126.00 $ Signature: ~"",.~ ~ Over 600 amps or 1,000 volts, see services or [eeders section above CONTRACTOR INSTALLATION '___ "r II' po-ranch circuits: new, alteration, extension per panel Business name: -legon\a~kn()regon ti ~t}lFee for- branch circuits with purchase of a service or feeder fee: Address: ::';'n'l'l rules adOP'''~''~se rules are.;;, t\ O~liach branch circuit $ 6.00 $ 2- City: Noti~_OO~Q ~p1ugn ':';;"e r ,Ie slbVee for branch circuits without purchase of a service or feeder fee: Phone: - - i~^~~n' tftnaY obta\~'~:";e: t\1e tele . :.tirst branch circuit (2) , $ 55.00 $ S S- v' calling t\1e cel'';.~'enon Utility '~~~" C Each additional branch circuit I $ 6.00 $ f- E-mail: CCB license no.: numflM~gerlfe \,-&OU-'>""- Miscellaneous fees: service or feeder not included Signing supervisor's' license no.: Each pump or irrigation circle (2) $ 63.00 $ .' Each sign or outline lighting (2) $ 63.00 $ Print name of signing supervisor: Signature of signing supervisor: Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (1) $58.00 $ APPLICANT USE ~ . (A). Enter, sUbto!3fofaoove,fees $ Cr . ._ '",~,"".>$.""v,"" ,.~," - c' NOllCE: ,S"'ll ~:AIl 'tJ~~ , $ 7'12 J 1\-\\S PERtJll' :p . ..: '3CU ~~ Ul\-\ORlZED UNDE ~.9n(\]) $ A OMMENCED OR IS J'U'''L feep".dsurcharges (A through C): $ 7/'1 . C \lu. ANY 180 DAY PER 440-2584-J (9/08/COM) ',,'[,',' ", 1_'-' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00959 ISSUED: 07/22/2010 APPLIED: 07/20/2010 EXPIRES: 01/30/2011 VALUE: $ 5,000.00 Status Issued 'JI .' :.~l'h. .:.. ....." ,,,,. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 284 S 71ST ST ASSESSOR'S PARCEL NO.: 1702353406700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Shed dormer Owner: ELLIS LORIANNE Address: 284 S 71ST ST SPRINGFIELD OR 97478 Phone Number: 541-988-3965 I CONTRACTOR INFORMATION ~ Contractor Type General Electrical Contractor OWNER OWNER License Expiration Date Phone '~l<~l.~!~ ,,\,'.f.l... :lti:'.~~: /;" ",... ;,. BUILDING INFORMATION ~ # of Units: # of Stories: Primary Occupancy Group: R-3 , Heigbt of Structure Secondary Occupancy Group: ' Type of Heat: Primary Construction Type VB Water Type: Secondary Construction Type: Range Type: # of Bedrooms: retfelJWOO:t.9 ENTION: Oregon law , ~"'l1l'Rinld' " n/a ATT ted by the !lI!J"'. mg, " Notification cente~1 0 ORMATION , OAR952-001-O "0 In btaln COpies, .. ., , 0090. you may 0 (Note: ~tEllePh~:me Frontyard Setback: calling the center. ur~ v'l'i~\I!!/ljon Side I Setback: number for the,Oregon_33 _ lillfll. ~rees Rqd: Side 2 Setback: Center IS 1-800 aved'bnve Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: .:.,,~~;.;' ,; :,'.;"i", . , Sidewalk Type: DownspoutsfDrains: !d;;ij"i, ,>,;:,~" ',i\l~: ~C,\ ", iJfCri'; ,i "~'l~;"i '. 'f./".lTi;I<"! l"'r ' " ."~::,~;,-fi:#i,..i..~~'i;~'J:..:"<"' " "1HE\NO?>$ N01\CE~ \I1I\i S"'~\.\. fi-I'\?>E ~~\I1I\i \S NOl ;, ~\~:;~2f.$ UND~: ~~~~~ONED fOR -.;':." ~~~~i~~~~ ~~R\OD. .. ., Notes: j''',"',..'' " """1" .:, ,'",:P3ee,lof3 " . 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: COM2010-00959 ISSUED: 07/22/2010 APPLIED: 07/20/2010 EXPIRES: 01/30/2011 VALUE: $ 5,000.00 Status Issued ..'('.~lf': ".<,1,. '. ::, ~..:,_..~, I " ~, !_ . :..:q "~.' ~, , ' ";";'''. . Valuation Descriotion ~ Estimate Estimate $ Per Sq Ft or multiplier $1..0.0 Square Footage or Bid Amount , 5,.0.0.0..0.0 Value Date Calculated Descriotion Tvpe of Construction Total Value of. Project " $5,.0.0.0..0.0 $5,.0.0.0..0.0 .07/2.0/2.01.0 .._~". Fee Descriotion Plan Review Residential + 12% State Surcharge + 5% Technology Fee Building Permit + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Numher , $56.71 $1.0.47 $4.36 $87.25 $7.32 ", $3..05", $55..o(t':~: $6..0.0. Pi . .~'" "~'\'~-. ,;( ,',. 7/2.0/1.0 7/22/1.0 7/22/1.0 7/22/1.0 7/3.0/1 .0 7/3.0/1 .0 7/3.0/1 .0 7/3.0/1 .0 12.01.0.0.0.0.0.0.0.0.0.0.0.0832 22.01.0.0.0.0.0.0.0.0.0.0.0.0853 22.01.0.0.0.0.0.0.0.0.0.0.0.0853 22.01.0.0.0.0.0.0.0.0.0.0.0.0853 12.01.0.0.0.0.0.0.0.0.0.0.0.0852 12.01.0.0.0.0.0.0.0.0.0.0.0.0852 12.01.0.0.0.0.0.0.0.0.0.0.0.0852 ]2.01.0.0.0.0.0.0.0.0.0.0.0.0852 .. ;':>~ ,\..,,,,.' Total Amount Paid $23.0.16 . Initial Review Plan nine: Review .07/21/2.01.0 .07/21/2.0 1.0 I Plan Reviews I .07/21/2.01.0 APP .07/21/2.01.0 APP CJC DDK Checked solar - OK No planning issues. No new surfaces or fixturesINo SDC's as noted on plans Public Works Review .07/21/2.01.0 .07/21/2.01.0 . .-( . A'PP LKW Structural Review .07/21/2.01.0 .. " '.. ...1." .,.' .07/21/2.01.0.- ,. ,.,'. APP "":~.L' ~ .' '" ',I)) CJC 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. l....P-eolliredJnsnections ~ ,'., Framing Inspection: Prior to cover and after all rough:in.inspections have been approved. ",-, ',,'... . .-), Wall Insulation: Prior to cover. .'~:.-(~'.:..' :~:. I ' ~',~~ '1) Ceiling ]nsulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of 3 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 i ~~; PERMIT NO:COM2010-00959 ISSUED: 07/22/2010 APPLIED: 07/20/2010 EXPIRES: 01/30/2011 VALUE: $ 5,000.00 By signature, 1 state and agree, that 1 have carefully'7{ramiHe1:tlie completed application and do hereby certify that all information hereon is true and correct, and 1 further certify t,hat any and all work performed shall he done in accordance with the Ordinances of the City of Springfield and thek~~,~l of th'elSfate of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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 ~' OO""'''''"~~ ~ > ~ _ 7/70fD - Owner or Contractors Signature Fr/c,-"d Date . }"U!~\:, i "'i~! 'r:t,i' i l: . '." '.:I,! 'u;i, .~h:!\' ..~~[;~t~,~1 t:, ,~:\,! ~ . .~n;'\, ,,',<, . , . ~'~f~~,;' I ~~!":,'~,: ""~/',t,",.'"i:'. ;~r,t.!:, . !~;~\"';~t~' '.1'::' , ,"<- Paee 3 01'3 225 l1ifth .street Springfield, Oregon 97477 54]-726-3759 Phone 8j~~_~;~ Mr.. . City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: ]20]000000000000852 r'."",,-. -",':.' .,,'''..), Date: 07/30/20]0 3:05:IOPM Job/Journal Number COM20 I 0-00959 COM20 I 0-00959 COM20] 0-00959 COM2010-00959 Description Add, Alter, Extend Circ '., Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee '",.:t.,. t.~;~li~i:'~.~ Ql' , ,~'/lf Amount Due 55.00 6.00 7.32 3.05 $71.37 Payments: Type of Payment Check Paid By LORI ELLIS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 2182 In Person Payment Total: Amount Paid $71.37 $71.37 '",-" (~ i," ,. '.!iJ6u( 1)!h.;~)J)r-ii I" ~~~:;:.' ~f].e.L,~:.',. . -ir "'}-"~'1}" 1. i': ';,1> . , , ~ In. I('{'''fl!' i ~'~1 \S' ': 'I"t lr,'l to : :. ...,:.:...:,;.... _':",.,:;.it,..,'. . . . -,''- ;',. ".J:'l~;:~:~. ',\ ji'l:; cRcccint 1 Page I of I '.j' .'.' 7/3012010