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Home My WebLink AboutPermit Electrical 2010-8-12 ..... ~!~Z040-c>a-sg-.J Electrical Permit Application , . ,} . . . e: '.., ~ · '.', L ., to' , II 225 Firth StrccCtSpringfidd, OR 97477tPII(S41)726-375JtFAX(541)726-J689; BPRINO,"IELD : ~ '\ ,~' DEPARTMENT USE ONLY '6/I-SfllOIO.cX)OS g Penn it no,: Date: g~f2 -(0 This permit is issned nnder OAR 918-309-0000. Permits are nonlransferable. Permils expire if work is not slarted wilhin 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? DYes DNa Number of inspections per item () Qly. Cost Total ea, cost 'CATEGORY OF CONSTRUCTION, Residential, per unit, service included: o Residential I 0 Government I 0 Commercial 1.000 sq, fl. or less (4) $134.00 $ '. JOB SITE INFORMATION AND LOCATION Job sile address: .Q.:)Ll c. <......~ \.V\ :5-\, e. C:-\ Each udditional 500 sq, n, or portion $ '25.00 $ ;::)() thereof CitySOC'1 nc ,'e \ cI I Stale: C', R I ZIP: qi'-\ -L~ Limiled energy (2) $ 32.00 $ Reference: l' 1/ .n ~ ;.\ I Taxlod! '111 b Each manufactured home or modular $ 63.00 $ DESCRIPTION OF WORK '. dwelling service or feeder (2) ll'\::-A-n \ \ ;::).CG A\-\P5 S c: \' V \ rt'__ Services or feeders: installation. alteration. relocation 200 amps or less (2) $ 81.00 $ S<\.C PROPERTY OWNER 20 I to 400 amps (2) $ 95.~0 $ Name: "C<"rrt i'V'\. ,I ";:<'r,hf' \r+~ <::<. .". 40 I 10 600 amps (2) $158.00 $ . ,,:.. ......,..;, Address: Ol":'l q 1<::-'8+1-.\ ::,,-\. (e d. '(:'1 II. -;.' -Hl~. 601 to 1.000 amps (2) $205.00 $ ..;, -- cityf)f r 1 (\C,.{-), pi d I State: ff\, Q. I Zlp:q 7L'-1 'x Over 1.000 amps or valls (2) $469.00 $ Phonc~\ \I.., "ld..,- S \ q L--, I Fax: - - ReconneCI only (2) $ 63.00 $ E-mail: l/ . EY services or feeders: ins/allation. al/eration, reloca/ion This installation is being made on residential or fann property N~ 110 .j~ . .Grflg!iH I",,, ". . $ 63.00 $ owned by me or a member ormy immediate family. This ~ El!fu~~y the ~i,~!res you to $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR In ( 479.540~I:?;d 479~5~11)' -R, ,~, ' 009 p..~g0a9~1~~ s~~;'rfty $126.00 $ Signature:, l'tfP' ~ l\hr h',^ ,,~! II ~~f;illIrdr;j 0 ~jg9'i2'r feeders section above ','. . CONTRAC'fcm INSTALLATION . " b lfo:/(nllbe:' "~(~.~aI~ifi:J!t/,AA,tJVper panel Business name: O'w/'./t-VL , u~tJe@/j'dSbtaB'!lli.vl\lqliff~iA,//f a service or feeder reel Address: /: Each bmnch circuit '.....). $ 6.00 $ /". LV City: I State: /" I ZIP: b: Fec for branc~ circuits without purchase of a service or feeder fee: Phone: - - L-fix: - - First branch cj~cuit (2) $ 55.00 $ E-mail: / Each additional branch circuit $ 6.00 $ CCB license no.: ./ I BCD license no.: Miscellaneous fees: service or feeder not included Signing supervisor's license no.: Each pump or irrigation circle (2) $ 63.00 $ ... Print name of signing supervisor: 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) , . .. Each additional,inspection: (q $58.00 $ b .: . ..',,:;,. '.'~\::i';tApPl:.ICANT: USE" ' ',':'...': ....:.:. ^ . . . . \~ \\) 0 ~~:';E~MIT SHALL EXP;J~':~;;~ l(J\)i:'~nter sU~~;~i~f::eO;;:'~~) $'07C0 ~ AUTHORIZED UNDER THIS PERM~'%-"'('" I'JI $\O.LiL~ COMMENCED OR IS ABANDONED roffechnology ree (5% o[[All $ l\.35 ANY 180 DAY PERIOD .:," . $101--)<1 . . ... TOTAL fees and surcharges (A through C): , " ~ . .' , 440-2584-) (9/08/COM) . \ www.ci.springfield.or.us . , CITY OF SP~I.NGFIELD Building 'I Residential Permit PERMIT NO: 811-5PR2010-00038 IVR Number: 811120746012 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci,springfield.or.us PROJECT STATUS: Issued ISSUED: 8/12/10 APPLIED: 8/12/10 EXPIRES: 2/7/2011 VALUE: $0.00 SITE ADDRESS: 22458TH ASSESOR'S PARCEL NO: Springfield 1702334100203 SCOPE: Manufactured Home w Garage WORK INVOLVED: New . . lYPE" OF STRUCTURE: Residential .\" . PROJECT DESCRIPTION: Electrical servicelfeeder and circuits for garage OWNER: ADDRESS: BENSON VERN W 940 HWY 99 N EUGENE OR 97402 Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lic Type Lie No Lie Exp Phone # of Units: o BUrLDING'iNFORMATION ~ .'" H:~: ,',' # of Sto-ries: I Height of Structure: Type of Heat: Water Type: Range Type: # of Bedrooms: Hazmat: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: . Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: Sprinkled Building: Electrical. Specialt}:,!=ode Edition: Springfield Fire Code Edition: Mechan.ical Specialty Code Edition: Municipal J Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Infonnation ATTEt-lION: Oregon Jaw requires you to IUIlU", . bles adopted by the Oregon Utility Notification Center, Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). it~ ~"';;_,~\';~" .~.~, :'LDi'N:. ~;'1F(j:'-,\', J.:;,=~\l-II;'\-.u;,.ci"ll_.. ! -F?f: .',,' '. Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: NOTICE: K ,. THIS PERMIT SHALL EXPIRE IF THE WOR AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR, ANY 180 DAY PERIOD. Springfield BUilding Permit ;', ~., li::.811'~2010' :fi:~o~5~~M :; 1- n~ f~f:;; ; :. ,~! Page 1 of 3 . \ }.;:, '>,. :';ri=.':/!::. , ..r":;! '.' ~; www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 81.1-SPR2010-00038 IVR Num.b.er:.Sn120746012 . ,............ ._"" ~.;<... , 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541-726-3769 Fax: 541-726.3676 SP.,RING FIEL~ Ilk 'i-~ x OREGON permitcenter@ci.springfield,or.us ',,,:Ji1'; - ~".,.. PROJECT STATUS: Issued ISSUE[):'S/12/10 . APPLIED: S/12/10 EXPIRES: 2/7/2011 VALUE: $0.00 SITE ADDRESS: 22458TH ASSES OR'S PARCEL NO: Springfield 1702334100203 SCOPE: Manufactured Home w Garage WORK INVOLVED: New TYPE OF ,STRUCTURE: Residential PROJECT DESCRIPTION: Electrical service/feeder and circuits for garage DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay.Oist: : ~ . # Street Trees Reqd:'" .,' II,; . Paved O~ve Reqd: % of Lot Coverage: Highest point on structure to north property line: Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: :-". ~ .! , Sidewalk Type: \..fnps-: '-',~..iL; l.'.r'~t\ ; ..1.:., '+::;f)i~ ':':;~~ '~'~'~... . ,~' Downspout/Drains: 1En :1;(" : ;:tf!~ . ~F;' Valuation Description ~ Descriotion Tvee of Construction Unit Amount Unit Tvoe Unit Cost Value .',.' : ,";;.;i,fr'. . 1 '" ..' ".!'')', r )-,F"; ; --~FEES~~JD Amount Paid $81.00 $6.00 $10.44 $4.35 i, $101.79 ........-1 DescriDtion Services 200 amps or less Branch circuits with service or feeder each circuit State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid Date Paid 08/12/2010 08/12/2010 08/12/2010 08/12/2010 ReceiDt # 224419 224419 224419 224419 ':f~~~ :~R. '~:}~: t' .1. tF'~t::.:,,~ ;: ,'f;'~' . ~~, ' Springfield Building Permit 8/12/2010 8:40:38AM Page 2 of 3 .-{_J~ . , S~RINGFIEL~ .- ;:,'~ . i'~'OREGON CITY OF SPRINGFIELD . " 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspringfield.or.us Building I Residen~ialPermit PERMIT NO:' >811-SPR201 0-00038 IVR Number: 811120746012 permitce nter@cl.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/12/10 APPLIED: 8/12/10 EXPIRES: 2/7/2011 VALUE: $0.00 SITE ADDRESS: 22458TH ASSESOR'S PARCEL NO: Springfield 1702334100203 SCOPE: Manufactured Home w Garage WORK INVOLVED: New "~". Co' TYPE OF STRUCTURE: Residential ._1 ._'" ". .. PROJECT DESCRIPTION: Electrical service/feeder ard:cir~ui~Jor garage r .--. , .- . P'lan R~view DeDartment Received Due Date ComDlete Result Application Acceptance 08/12/2010 08/12/2010 08/12/2010 Over the Counter Initial Review 08/12/2010 08/12/2010 . 08/12/2010 Over the Counter Planning Review 08/12/2010 0811212010 08/12/2010 Over the Counter Public Works Review 08/12/2010 08/12/2010 08/12/2010 Over the Counter Structural Review 08/12/2010 08/12/2010 08/12/2010 Over the Counter Permit Issuance 0811212010 08/12/2010 08/12/2010 Issued ~ ' "-:.r-"" 1 " Reviewer David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby Comments Over the counter permit Over the counter permit Over the counter permit Over the counter permit INSPECTIONS REQU!RED I Inspections 4220 Electrical - Service t.:..'~" "~'Y!" .) 4500 Rough Electrical 4999 Final Electrical 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 and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or 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 ~II required inspections are requested at the p..r9per.~irlie:~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, "Jt?d ~:,( :::~'::~: !, f)l'" ." Owner or Contractor Signature Date .I.. "f':H~i ',' "'i:' .,~ ;.. " : " "'. Springfield Building Permit , 'i~'lli..l: ...J ' h', , \'/2.N,~,21,t~;1~~'~i,~9:38~!A:, ~At~f~~, ~~~~;;~!.:,' 1 if,', Page 3 of3 .. . .. 'I TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.cLspringfield.or.us permitcenter@cLspringfjeld.ar.us RECEIPT NO: 2010000041 RECORD Nd:'81 I-SPR20 I 0'00038 DATI:: 08/12/2010 CO:","~ Acc.o\iNf.cOPE'. : ';i, ~~MO.U~J~D_l1!:'" '<. - i~- <.1 224-00000-426102 $81,00 224-00000-426102 $6,00 821-00000-215004 $10.44 100-00000-425605 $4,35 TOTAL DUE: $101.79 !.~PAYM~flJJipE"';. .M),.QR:~~;CASHIER DBOWLSBY4";J:;OMMENIS~~;.,__::_:__;;.,,""; '. :'~M.QQ",J))~Il>.,L:;:.~_;_ ,::.;j Cash vern benson ;:,. t~. .. . $101.79 . kQg~cRipTI9N2{v1T;~i':$~{;:':r>3~~ -~, do' r ~,:7fiF~;J}~tt~3Bj~' Services 200 amps or less Branch circuits with service or feeder each circuit State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) 1,; : " ",,' l rl < \J-~~ >'LI "" . ...._.,~"'I .. ..'r,'. ~ ":,} \...', \'1' .' . ....'- t.; . , I r.;;;;..\. '"ci '. .... \,..J ::!