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Home My WebLink AboutPermit Electrical 2010-8-12 (2) ..~.. ,! l,\ 1~-:, ' ,.,',11,]-",'1', :!' ';' ',! ,.' www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00044 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541.726-3676 S!c.RINGFIEL.~ ,:I~.- ~ OREGON permitcenler@ci.springfield.or.us " IVR Nuittber: 811 ~ 07470499 '. 'I . ~'. ".~\.L C. '.... PROJECT STATUS: Issued :.,'11'1/.'-,' t'.,!,.J' ~-:, ISSUED::8/12/10, ,'j'"'' . ..,.....-l." APPLIED: 8/12/1'0 EXPIRES: 2/7/2011 VALUE: $0.00 SITE ADDRESS: 3980 HAYDEN BRIDGE Springfield ASSESOR'S PARCEL NO: 1702194100900 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Septic pump OWNER: ADDRESS: CROSS FRANK L & CARMELlTA J 3980 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 " Phone Number: .a' .CONTRACTOR INFORMATION ~ Contractor Type Contractor Name ':" .:,' _ OREGON WATER SERVICES INC Lic Type CCB Lic No 133505 Lic Exp 02/12/2011 Phone 541-342-1718 BUILDING INFORMA TION ~ # of Units: I o # of Stories: I Height of Structure: Type. ,?rl,tle,~~.:~} 't:l,;: ~l / Wate~~~r~~e:;,~t:~t:;:.., \, Range'Jype:; :":1"'. :"Y' ',.' , ';:1:..- .~" Hazml;trY' ~, ' I'..,......, ~.,-- .:, " Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: # of Bedrooms: Sprinkled Building: Fire Alarms: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Spe'cialty Code Edition: Struct~~~I.~P'!t~~~J~3~~_e ~dition: I .....".~Ji--.. Site'ln,fo,,'.rmation I.......".:....,.... ~ Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: ENT ON 0 ' . . jl.TT I : regon law reqUires you to Solis Report RequrreVbllow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through WR 9g0q1' . 0090. You may obtain copies"9ffhsT11le*by '" ' calling the center. (Note: .\~<iMjephQ~.e number for the Oregon Utilily,;Notification Center is 1-800-332-~4'4). _" '. /!:;.<~~:t::i,',.~4;:'i:}....:-. NOTICE: . '" THIS PERMIT SHALL EXPIRE IF THE WORK , AUTHORIZED UNDER THIS PERMIT IS NOT. COMMENCED OR IS ABANDONED FOR:,": ANY 180 DAY PERIOD. . ..' . Springfield Building Permit 8/1212010 12:24:46PM Page 1 of 3 . 1~, , 5!.~.INGF..I.E.L~. -~ " " ..1!l1 . . ~OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD ~. Building l,Residential Permit ; ,~;, ':<','. ' .PERMIT NO:" 81;1':'SPR20~(j~00044 ,t" ..~:; .:.~~,-:" ,', ',,' 1!;~ IVR Nifmber: 811107470499 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541.726.3676 permitcenler@ci.springfleld.or.us PROJECT STATUS: Issued ISSUED: 8/12/10 APPLIED: 8/12/10 EXPIRES: 2/7/2011 VALUE: $0.00 SITE ADDRESS: 3980 HAYDEN BRIDGE ASSES OR'S PARCEL NO: 1702194100900 Springfield SCOPE: Electrical Only WORK INVOLVED: New :rv~E OF STRUCTURE: Residential PROJECT DESCRIPTION: Septic pump <~:{i'!M~' :.}.... :....-. ",'I' DEVE\:"Op,MENT"INFORMATION ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUS"LICIMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: './i' o.';} .~}< '".. ~. l1<~~:, f.t:,,: '''''''^It'f,,;'/ Sidewalk Type: Downspout/Drains: ~. ~t~t;~ ~:,} ~~i~): i>, :. - '~W71yal~a.tion.-'D~scription ~ '~1~'~' Descrlotlon T '.IDe of Construction Unit Amount Unit Tvoe Unit Cost Value " ".';:><: " 7i:;;~if:j'":;ii0;:'''f'\ "."";:".-ic";-~;,:iFEES:-PAID" ; Amount Paid $58.00 $5.00 ,$7.?~',,~ 11., . $315"'; '$73;71 . ~" , r,~"~~ T", 'f';,- "2;'" '? .>0" "' Oescriotion Other Limited Energy Electrical Fee Adjustment State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid ",.", '. _,h,\ r.,' C"ti""J' "' Date Paid 08/12/2010 08/12/2010 08/12/2010 08/12/2010 Receiot # 224425 224425 224425 224425 ,. I,' ~ Springfield Building Permit '.~ :~~~?!~?~O~, ~ ~:2~:4BPM ,.,'()t' Page 2 of 3 '.,., ,c' --.'-'-"- '- ._-, . _.. ,',l;,;,1;7-v.a i~'.\\';~HJ,t ,'. '~f:r'';J~,t J,;":~"I'( ,- :.1~~ ":.:~ ~Ii ~~/4r' ,~ www.ci.springfield.or.us .:g:rt~"~:i\ ;',;'I.:l,i}l~~: '.. CITY OFr'SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00044 IVR Number: 811107470499 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541-726-3769 Fax: 541.726.3676 S~RIHG...F.IE.L~ ~~.-~ ~!EGON permitcenter@ci,springfield.or.us PROJECT STATUS: Issued, ISSUED: 8/12/10 APPLIED: 8/12/10:::: EXPIRES: 2/7/2011 VALUE: $0,00 ~, SITE ADDRESS: 3980 HAYDEN BRIDGE ASSESOR'S PARCEL NO: 1702194100900 .",(..'" Springfi~id . ii' , ~. <. SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential '.' :1: . " PROJECT DESCRIPTION: Septic pump r ~~~~:; ~-:::::/:~~;~~;"_'":' ,-. '4-;o:','~~:r;:S;i;"'~ ;'-;, ".~: ~~DL~~~ie:;;::~~~~il:;~'~r~;,-,-~,,~-7';::;~rr-'~.;-~;} jF:~-j~r'i..L~~~:~-: ~,,~ ~Z~s. ,"t:j DeDartment Permit Issuance Application Acceptance Initial Review Planning Review Public Works Review Structural Review Received 08/12/2010 08112/2010 08112/2010 08112/2010 08/12/2010 08112/2010 Due Date 08/12/2010 08112/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 ComDlete 08/12/2010 08/12/201Q ., 08/12i.2010': ,'.;"t." 08/1212.Q.1.9_ ' 08/12/201 OJ.' 08/12i20'iOt: ;{>- . Result Issued Over the Counter ,:. , " . 'Ove"' ~he Counter _O~~[t6e"C9unter ,O~~r~t_he Counter oiler 4the Counter Reviewer David Bowlsby David BowJsby 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 REQUIRED ~ Inspections 4140 Underground Electric 4720 Pump 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'_pe'ftaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permissiol} of.the'Obmll)unity Services Division, Buildjng Safety, I further certify that only contractors and employees who are i,f! ~qr~lJ;&~nCe"Wjt~ 'QRS 701,OQ5 will be used on this project. I 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 times during construction. Owner or Contractor Signature Date '11.: '.1 , ~'il O. Cv-;;. _~5:o:..~~s tll'o . .,,;r.,:'~(1~: L ,.r "';9J1L ,2.010;\ ~;2:)'~" : ,.' .. !I~:, '. '>' 'I' .". " t.l' ,:,," l",l,~; :L:, , "I'~'P""" '" ""'(,lr~);H .. ., '!,!',<l ....- ~ Springfield Building Permit . )8/12/2010 12:24:48PM Page 3 of 3 Electrical Permit A . 225 Fifth Street+Sp.-ingfield, OR 97477+PH(541)726-3753+ FAX(541)726-J689 SPRINGFIELD 1\:;:--'" .~ ~ ;:~~~\~'iF:;J .DEP~RTMENT uSE ONLY · SPt2.IO-()OO 44 Penn it no.' " Date: &-/Z -10 . , This permit is issued under OAR 918-309-0000. Permits are uontr~nsferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . ., ~., -:f...' -_ ~.,..~ -, City: Phone: E-mail: ..',.". This installation is being made on residential or faml"property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). City: Phone: E-mail: -;yt CCB license no.: Signing supervist Print name of signing supervisor:'~ Signature' of signing superviso . ATTENTION: Oregon raw requires you to follow rules 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 Canter is 1-800-332-2344). 440-2584-J (9/08/COM) ., , ..~, i 'I _.........:...-! "f'+;:<\~ .,.~"~. "'"""'........,,'- . . ,,' ,., ,~;{fEE. SCREDULE . i ~. -'C'_ ._ . ,If !':lnmber of inspections per..item ()" Qty.. ',",i_' '. ;_' .',1\ Residential, per unit, service included: ,'. c ~ ". c'" Cost. . Total , '-ea.,.,. cost( .; $134.00 $ $ 25.00 $ $ 32.00 $ $ 63.00 $ 1.000 sq. fl. or less (4) Each additional 500 sq, ft. or portion thereof Limited-energy (2) Each manufactured home or modular dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 60 I 10 1.000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Rccq.rincct only (2) $ 63.00 $ I' !t'ernpo'rary services or feeders: installation, alteration, relocation 200 amps or Icss (2) 201 to 400 amps (2) 40110600 amps (2) $ 63.00 $ $ 87.00 $ $126.00 $ Over 600 amp...s. or I 000 volts, see services or feeder~ section.?bove Branch circui~Y'J~l ~~~~a'" THE WORK ~. Fee forbra1cp,tl: ~l'ffiSiPERMl1fc~&<NOT: : .E,ach hranctr,~i~uilncw'ED OR IS ABANOOt6iilil rl$K .,,; b. Fee for hra'J!iPJ'i'r~l{\~ 'fiI4Vuf\Elrnm9.of a servicc or fcedcr fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigatjon circle (2) Each sign or outline lighting (2) Signal circuit or a limited-energy panel, alteration, or extension (2) .~ach additional_inspection: (I) I $ 63.00$ b.5 $ 63.00 $ $ 63.00 $ $58.00 $ '.', :: .j, ,:''.~;::i;:;''~' r. ;,APPLlCANT USE:' I (A) Enter subtotal of above fees (Minimum Permit Fce $58.00) "~. f' $ 63 $ 7':fb $ 31r $ 71 ?' (B) Enter 12% surcharge (.12 x IA]) (C) Technology Fee (5% of [A]) TOTAL fees and surcharges (A through C): .. 'I. ,~. S,~RINGFIE~,~' , ~'i.. ~-, -~ '."'OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 541-726-3753 www.cLspringfield.or.us .)" . (;,'t:..,-' ','.n t permitcenler@cLspringfield.or.us RECORD NO: ,8 I I-SPR20 10-00044 VA TE: 08/12/2010 >_"",'/"J';YS;",01t+!f":lf1';'. r;'''' n: AC,C'oUNT~CODE'< ',<i\;;':"':;AMQUN(DLJE,-'1',--, '_,~.-,ij 224-00000-426102 $58,00 ,~--- 224-00000-426102 $5,00 - -~---------,-"-_. 821-00000-215004 $7,56 '''~.''--~--~ 1 00-00000-425605 $3,15 TOTAL DUE: $73.71 ,.;,'" -,;:; .;;i':r:F,J*'AMOUNT:PAID:,_"~:," _0 - 81 $73.71 ,.. ).~;, RECEIPT NO: 2010000046 !DESCRlpTION;;' ,; Other Limited E~ergy Electrical Fee Adjustment State of Oregon Surchar!;J~ (12% of applicable fees) Technology fee (5% o!~~it total) F;~"'AYM}.NTTYPE' ";'PAYOR ""CKSHIER"![)'Bo.wEsBN "COMMENtS Check OREGON WATER SERVICES' INC 8968 . "'.'IS'" .' '" ~' - ,\ '" ",i,:'.":. ;:*;:E:.i' :. '. c r:::....?:.'., :. ';q:,!\l,:: i:'':;..... .1'1{2,(hil,'1 ,;. ifd~I::;'! .,. ::~li: 1 ~, .;,-~r! .