HomeMy WebLinkAboutPermit Electrical 2010-8-17
Eh.~ctrical Permit A
.
225 Fifth Street. Springfield. OR 97477 .1"0(541)726-3753. l<'A.X(54I)726.3689
I DEPARTMENT USE ONLY
~~ISrLIC:>.OOO by
_ Pennlt no.:
I Date 9: ~ / 7 - /0
This permit is issued under OAR 918-309-0000. Permits arc nontransferable. Permits expire if work is not started within 180
da~'s of issuance or if work is suspended for 180 days.
I LOCAL GOVERNMENT APPROVAL
I Zoning approval verilled'l 0 Yes 0 No
I CATEGORY OF CONSTRUCTION
I 00 Residential J D Government I D Commercial
I JOB SITE INFORMATION AND LOCATION
I Job sile address: 2-5;r- -r 5+.
I City: ')P,-r'Lh4-11 I Slale: 01( I ZIPH 7 'i 77
I Refercnde: f703 ?& (I 1JaXI.ot.:D2S03
DESCRIPTION OF W9RK..
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PROPERTY OWNER
Name: ()o~, Ie. P;,-I--&-
I Address:7.--'J'3 ~ 'L. )'f
ICilY: C)p,.-,,,) h~ (I I Slate: of< I ZIP:C(? Lf71
I Phone c;n..; I fq I ~ z. '-ItJI Fax
I E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not inlcnded for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560~.
Signalure: ~ w-d
I CONTRAC OR iNSTALLATION
I Business name: r., (,./ N...=i'\.
(k
~
I State/ I ZIP:
......rFax
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CCB license no.: /' I BCD license no.:
I Signing supcrvi~s license no.:
I Print name or~igning supervisor:
I Signature of signing supervisor:
Address:
Cily:
Phone:
E-mail:
.
Limited energy (2)
I Each manufactured home or modular
dwelling service or feeder (2)
I Services or feeders: installation, alteration, relocation
I 200 amps or less (2) $ 81.00 $ 8 I~I
I 201 (0400 amps (2) $ 95.00 $ I
1401 (0600 amps (2) $158.00 $ I .
I 60 I to 1,000 amps (2) $205.00 $
lOver 1,000 amps or volts (2) $469.00 $
I Reconnect only'(2) , $ 63.00 $
I Temporary st.'rvices or feeders: installation, alteration, relocation
200 amps or less (2) $ 63.00 $
~!fiJlIIIQIlk20rennn.Jaw, S 87.00 S
N!iJtilli~W~~~ffpIt1d bv Ih~"6~re~, 'r '1I1!lD,oo $
1(l)~llJ821'e1l~~l<f'ti1f!.e<r/1l~~f;r'1~(1~I~ee(ion nbove
~v. tTn" "'" -./nuUn/!} nice 'v'.,!1
~!L'U"'Yll!lblElI~!,~ '^,!",""lil~6'(l~_ .
nu!ir6~\jr~~rfa~its(NSI6~riAl~~f~r~Ie$<bV feeder fee
EaehelJntef~4=YliliIYN_ ~~ 6.00 I $ 18~
b. Fee t{lr branch circuits wrM~6t.~e of a se;\ljce or feeder fee: I
i
I
I
FEE SCHEDULE
I Qt)'. I
Cost
ell.
Numbl"l' ofinspt."Ctions pt\r itt'm ()
Rt'Sidential, per unit, st>n'ic(> included:
1,000 sq. ft. or less (4)
Eaeh additional 500 sq. f1. or portion
thereof
$134.00
$ 25.00
$ 32.00
$ 63.00
First braneh cireuit (2)
$ 55.00
Each additional branch circuit
$ 6.00
I Miscellaneous fees: sen'ice or )eeder 1I0t ine/uded
I Each pump or irrigation circle (2) S 63.00
I Each sign or outline lighting (2) S 63.00
I Signal circuit or nlimitcd-encrgy panel, $ 63.00
alteration, or extension (2)
I Each addi~onal inspection: (I)
$58.00 I $
I
NOTICE: ;< I APPLICANT USE
\ ~~ / '-? THIS PERMIT SHAll EXP/R! \Al Entersuhtotal cfabove Ices
\)Y>~(" ~ ~ AUTHORIZED UNDER THIS F li~~u~OOI'Iit Fcc S58.00)
n..-~ (Y COMMENCED OR IS ABAND(~ ~n'tfb'lzlJlo4Jreharge(12 x [AI)
lJ :t'~ ANY 180 DAY PERIOD. fi'i!i~ee~n~ogy Fee (5% orlA. I)
~ ., TOTAL fccs and surcharges (A through C): I
~
440-2584-) (9/08/COM)
Total
cost
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CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR201 O~00064
IVR Numb!!r: ~111461S176S
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~~Jl\.' OREGON
www.cLspringfield.or.us .
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PROJEC~ STATUS: Issued
ISSUED:'S/17/1.0
APPLIED: SI17/10
225 Fifth,St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541.726-3769
Fax: 541.726-3676
permitcenter@cLspringfield,or,us
EXPIRES: 2/12/2011
VALUE: $0.00
SITE ADDRESS: 2535 I
ASSESOR'S PARCEL NO:
Springfield
1703361102303
SCOPE: Electrical Only
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Install sub panel and 3 circuits in shed
OWNER:
ADDRESS:
FOSTER DOUGLAS A
2535 I ST
SPRINGFIELD OR 97477
Phone Number:
Contractor Type
Contractor Name
CONTRACTORINFORMA TION ,
Phone
Lie Type
Lie No
Lie Exp
BUILDING INFORMATION ,
Electrical Specialty Code Edition: .
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residenti,al Specialty Code Edition:
Structural.Sp~~i~Itr.;~.?~e ,E~ition:
., ~...L::Site'''nfd.m-r~~or1"
# of Units:
o
# of Stories:
I Heig~t of Structure:
Type of1tleat:
Water IypiLCC____.
;" " :-f: ; '~" 't S
Rang~.Lliype:~ ?!'i.i~
Hazrh~t;D; ""ii'!'l~
# of Bedrooms:
Sprinkled Building:
Fire Alanns:
Energy Path:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall: ATTENTION: Oregon law requires you to
Soils Report Require<follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through Ot\fl952-001-,
. 0090. You may obtain copies iiilIhe'ru~~.by :
. calling the center. (Note: th,e,,(eJephore
number for the Oregon UtilitY:~oifficaiion
Center is 1-800-332'~4~). . 'I" '.
Springfield Building Permit
8/17/2010 8:29:09AM
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Fl Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
,
NOTICE: .. ::. ..":"';~:.','t,'1J;;,i~K'~:i',,!,:,-,,
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
, COMMENCED OR IS ABANDONED FOR '"
ANY 180 DAY PERIOD.-.:" ",
Page 1 of 3
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~,'- OREGON
" .I
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541.726.3676
CITY OF SPRINGFIELD
www.ci.springfieJd.or.us
Building l~~sic:l~n.\il'llp,ermit
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PERMIT NO:::811-SPR2010-00064
IVR Number: 811146181768
permitcenter@cLspringfield.or.us
PROJECT STATUS: Issued
ISSUED: 8117/10
APPLIED: 8117110
EXPIRES: 2/12/2011
VALUE: $0.00
SITE ADDRESS: 2535 I
ASSES OR'S PARCEL NO:
Springfield
1703361102303
" ,
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SCOPE: Electrical Only
. _ ... n. . WORK INVOLVED: Addition
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''i' 'T'rPE OF STRUCTURE: Residential
zi..fY~:
PROJECT DESCRIPTION:
Install sub panel and 3 eirC"uits in"sh~d
DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on sl!ucture tc?
north property line: . . ".
- ,
Total:
Handicapped:
Compact:
,
.~ -",
PUBLic'IMPR6VEMENTS ,
"".:.\1.:':- j'
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
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=Valuation Description ,
Descrintion
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
r : ~:- -
Descriotion
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
FE.E;S_P.A.ID
Amount Paid
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.
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pate Paid
08/17/2010
08/17/2010
08/17/2010
08/17/2010
Receipt #
299237
299237
299237
299237
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$81.00
$l~,OO. .'
.$J.t.88;1'.1 ..
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$115.83
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Springfield Building Permit
~ .,8f17f2010:'--S;29;09AM:"
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Page 2 of 3
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~.PR.njG. FIEL~--
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-. ," 'of\.. OREGON
www.ci.springfield.or.us
PROJECT STATUS: Issued
SITE ADDRESS: 2535 I
ASSESOR'S PARCEL NO:
PROJECT DESCRIPTION:
--1..-:'.
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CITY OFSPRINGFIELD
-:./
Building I Residential Permit
PERMIT NO: 811-SPR2010-00064
IVR Number: 811146181768
Springfield
1703361102303
ISSUED: 8/17110
APPLIED: 8/17/10
225 FifthSt
Springfield,OR 97477
Phone: 541-726.3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,springfield.or.us
EXPIRES: 2/12/2011
VALUE: $0.00
, ; "
"
. ~.. l,;','. .,
~ :.;' : . t, f ~~ ~f~;~;" '
SCOPE: Electrical Only
WORK INVOLVED: Addition
.':":-. .,-;'"
TYPE OF STRUCTURE: Residential
Install sub panel and 3 circuits in shed
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Dep'artment
Application Acceptance
Initial Review
Planning Review
Public Works Review
Structural Review
Permit Issuance
Rece ived
08/17/2010
08/17/2010
08/17/2010
08/17/2010
08/1712010
08/17/2010
Inspections
4140 Underground Electric
4225 Service or Feeder
4500 Rough Electrical
4999 Final Electrical
Due Date
08/1712010
08/17/2010
08/17/2010
08/1712010
08/17/2010
08/17/2010
Plan Rp'{iew
Comqlete Result
08/17/2010 Over the Counter
08/17/2010 Over the Counter
08/17/2010. Not Required
08/17I2.o.1Q.,- -,~9t "e~~ire~ ,.
08/17/2010'.1 'Not R'equired '
08/17/?9~O~;' 'lssue(j~ I
INSPEC;rIONS REQUIRED I
I
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
".
By signature, I state and agree, that I have carefully examined the comRlefed application and do hereby certify that all
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information hereon is true and correct, and I further certify thafany a'nCt all work performed shall be done in accordance with the
........,. ,- ' - 'f
Ordinances of the City of Springfieid 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 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
con~~/?t.7\' 'TIt? I(e)
Owner or Contractor Signature
Springfield Building Permit
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Page3of3
S~~I~G. FIE~D
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~ OREGON
www.ci.springfield.or.us
RECEIPT NO: 2010000063
TRANSACTION RECEIPT
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RECORD NO: 811-SPR20 10-00064
!DESCRIPTION
Services 200 amps or less
Branch circuits with service or feeder each circuit
State of Ore~on Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
to "PAYMENT TYPE'.
Credit Card
836190
AC.C.OUNT_CODE'
224-00000-426102
224-00000-426102
821-00000-215004
100-00000-425605
TOTAL DUE:
PAYOR CASHIER: DBOmSBV ,":'
FOSTER DOUGLAS A -,.,
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CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
permitcenter@ci.springfield.or.us
DATE: 08/17/2010
AMO.UN:tD.UE~,,~.__~_;
$81.00
$18.00
$11.88
$4.95
$115.83
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$115.83