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Home My WebLink AboutPermit Electrical 2010-8-17 (2) 22S Fifth Street. Springfield, OR 97477+PH(541)726-3753+FAX(S41)726-3689 I"" [jEP~RTMENT USE ONLY. I Permit no: ~ lL? - 7) I Date: f!: - ! 7 - 2.-6,/ () 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. I,> ," ", 'L!OCAVG0VERNMEIIIT iMP.ROV AlJJ\;P';;1;Yfi\ 1:,("j'~fii-gFc~i1jYl'i~1~:fMf\I3EE::SCHE[).Ut!E'\';\~;17:~f""'I,~1i'1;,,~Y!ll;y!1 1 Zoning approval verified? DYes D No I ,Nu"\b,erifin~pecti~~~p'~r .:t~~()'<.IQt~.I,,1~~t,; I'.~~W,I ',,:'c::ATEGORY:,OF"CONSTRUC1I'IOt.n;\>... . <" '.1 I Residential, per unit, service included: I 1~~;~~~~~'~1J1EHIN~~R~A~7~~;tAN[)~h~C~~~;~~;'~~'ii,.!III'000 sq. ft. or less (4) $134.00 $ 1 I 9 (' {, +'^- Each additional 500 sq. ft. or portion $ 25.00 $ I Job site address: . / <;< \0 {.., 5 7 _ thereof I City: :5 f!f;!V - I State: f\f2-1 ZIP:. Limited energy (2) $ 32.00 $ I I,Reference :r~J~~~~ON OF W~;~I,~t'~~1 I ;~~I~:nS~~~~~~~ ~e~;:r (~)odular $ 63.00 $ I I lJ.-Y:2.{: ( ~() {;L{ I~, I I Services or feeders: installation, alteration, relocation I I I I 200 amps or less (2) $ 81.00 $ 1 I PROPERTY OWNER I I 201 to 400 amps (2) $ 95.00 $ I I Name C ~ fi),(1, t){ DS ~ I I 401 to 600 amps (2) $158.00 $ I I Address: ,1 I 'X ,&" ~ c:;;-(~ I I 601 to 1,000 amps (2) $205.00 $ ] I City: ~! ~ 1 State: C>/0ZIP: lOver 1,000 amps or volts (2) $469.00 $ I I I I Reconnect only (2) $ 63.00 $ I Phone: - - Fax: I E-mail: 1 Temp'orary services or feeders: installation, alteration, relocation' I This installation is being made on residential or farm property I 200 amps or less (2) $ 63.00 $ I owned by me or a member of my immediate family. This I 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). I 401 to 600 amps (2) $126.00 $ Signature: lOver 600 amps or 1,000 volts, see services or feeders section above I ,CONTRACtOR INSTALLATION _: : ~ :. I Branch circuits: new, alteratIOn. extension per panel I Business name: \J\,.A. "t.~3? Lp_ I ~fbt fUJ<A.,J' I a. Fee for branch circuits with purchase of a service or feeder fee: Address: 1>. 0- r/2X/'iC ,fA- V _' I Each branch circuit . I $ 6.00 1 $ City: I ) / f) Jf1- I State: 6Y1-l ZIP:~?C/?<l<, I b. Fee for branch circuits without purchase of a service or feeder fee: I Phone:, '2;:Y t-Sif.! -;,2..~ax: ~ (~&6 --03?:< 1 First branch circuit (2) $ 5500 I $ I E-mail: I Each additional branch circuit $ 6.00 I $ I CCB license no.: ~""'OJ-3 L.( I BCD license no.: I MiscellaneQus fees: service or feeder ':lot included 1 Signing supervisor's license no.: c-fJ ( ..;2-5 {;f Each pump or irrigation circle (2) $ 63.00 $ <::3 ~ ~ I Print name of signing supervisor: Each sign Or outline lighting (2) $ 63.00 $ I IS' .' I Signal circuit or a limited-energy panel, $ 63.00 $ I Ignature of signmg supervIsor: alteration, or extension (2) 'SY ~Each additional inspection: (I) $58.00 $ I ~Y;jt,j~&~!Y,;:,;tRfi"f~1~,~~if<"G,,*~iA'-:riril.\'-'IC" A' ",uN-. :T" ;,-X;U'-:- 'S'Elt".>:'~::if%,>lt~~:>.:;j.,~''-:.f;;'''-''-,(/~ .; I ;Y'''1!,''''::/\^\~",:",;.qii~~.~j'';c;c(jj,;:J0, 0, ~r;::1 _' ,:,~:. ,_ ",i\f!i"i,.:~:~'.:M";::.,~'~..J;~'ij,,.,o" ;" ~ \~ \n (A) Enter subtotal of above fees . . V 'AIc... $ /.."2. VO VI. ,,:J (Minimum Permit Fee $58.00) U' ;! ~ ".1\/1 \.(}- ,I (B) Enter 12% surcharge (.12 x [A]) $' '7,>v 1 ~ 1 (C) Technology Fee (5% of [A]) $?0- 1 \N" 1 TOTAL fees and surcharges (A through C): $ ")3"/ 1 ~Q~ ~~ t\b\.\\ ~nv 440.2584.) (9/08/COM) ~ ',t",.',... ,~ ., WNW .cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: ,~1)-S~~,~010-00075 . '. " "">". . IVR Number: 811196821822 225 Fifth St Springfield,OR 97477 Phone: 541-726.3753 Inspection Phone: 541,726.3769 Fax: 541.726.3676 ~;~,~H::~ ~~'*' ~:,::t+"OREGON permitcenter@ci.springfield.or.us PROJECT STATUS: Issued r'. f '., - ; ~. 'i 1 ISSUED:'8/17/10 APPLIED: 8/17/10 EXPIRES: 2/12/2011 VALUE: $0.00 SITE ADDRESS: 918 66TH ASSESOR'S PARCEL NO: Springfield 1702341200100 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: 1 circuit for well pump OWNER: ADDRESS: DAVIDSON J CHRISTOPHER & CRAIG DAWN B 375 E 41ST AVE EUGENE OR 97405 Phone Number: Contractor Type . CONTRACTOR INFORMATIO~ Contractor Name Lie Type Lie No MCKENZIE VALLEY PUMP & ELECTRIC INC CCB 50234 Lie Exp 03124/2011 Phone 541-896-0453 BUILDING INFORMATION I # of Units: o # of Stories: I Heigh\<?f)S~~lt~'~~,~..~" ,I' -.L " ,_, Type of,Heat: '\'; ;'1'" '.. Hllf~'~;" " I I .., Water:~yp~:....,_,:;:: ~ "q . Rang'eiJype:' Lot Size: Sq Ftl st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: ~. ,-. """. I. ..... ,- r'1 Sq Ft Carpprt: (1 " , Ir) I eqdJreS you to , . :-.'_ S~ F,t,!:lt!!~r:;Jon Utility i' . '<O"!'~o'" I hoc@p~iicy3toall1t lorth . ',,'. 'oj J. 010throu hOAR Electrical Specially COd"'Ed.i!i~~:,1aY obtain c(J i~s I 952-001- Springfield Fire Code Edition,: the center (N tP~thO the rules by M h 'IS 'llyC d . Ed't' .' 0 e. e telephone ec amca pecla . ,o..~_. I..!.~n.:.le Oregon Utilit N .. . Municipal I Development Cod!:3nter is 1-800.332.l ot/llcatlon Plumbing Specially Code Edition: 344). Residential Specialty Code Edition: ~~~~,~~~~I; Spe.cia~,~~~ode Edition: - Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: ''', 'f;>i,,},. Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: ~ fi'f'i~ ;"l!' ;:t... ~~t~(;li' \ ;; '! {"'; ii.L"i.'ip , NOTICE: THIS PERMIT SHALL EXPIRE IFTHE WORK ,AUTHORIZED UNDER THIS PERMIT IS NOT 'CPMMENCEO OR IS ABANDONED FOR . ANY 180 DAY PERIOD. . Springfield Building Permit 8f17f2010 3:01:49PM Page 1 of 3 :' ; 1 ~ I,:,. "" Ir t ",' r ~. l,' 1. \~. . ,,:d: : ~_:., . ~'. Ur'L ,. C ~!k.RI..NG.~.I.E.LD . ..":In..,,. ~&"~' ~~ OREGON ',m"',:,,. 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00075 IVR Number: 811196821822 '''.' ,. permitce ~ter@ci. springfield. or. us PROJECT STATUS: Issued ." ::~;' '- -; ISSUED':i8117f,10. APPLIED'; 8117110 .<.,"" . EXPIRES: 2f1212011 VALUE: $0.00 SITE ADDRESS: 91866TH ASSESOR'S PARCEL NO: Springfield 1702341200100 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: 1 circuit for well pump DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Tr~~s ~e~~t:; ':. '. I Pave:~_9Jixe Reqd:.. C '., %"of.;l'cJ.fCoverage: ...- Highest point o~. structure to north property line: Total: Handicapped: Compact: I" PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: .}Y{..:-::.,.",,, ;, '" ' ., ~~t ' 'St~{;;}t:'17.r:;{\. ~' , -,~ 'tJ~U:' ~h?n: Sidewalk Type: Downspout/Drains: Valuation Description I Descrintiol} Tvne of Construction Unit Amount Unit Tvne Unit Cost Value .. ~ ~. .r.~C\' . ~- DescriDtion -;;- ,~;c;;~EIEi::~~~~~)D~::. 'Amount Paid - ~t . ... :1 Electrical Fee Adjustment Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) Total Amount Paid $63.00 $3.15 $7.56 $73.71 Date Pa id 06/17/2010 08/17/2010 08/17/2010 Receio.t # 299248 299248 299248 Dep'artment Received Due Date Coml;!lete' } Result Reviewer Comments Application Acceptance 08/1712010 08/1712010 0811712010-' Over. the' Counter Chris Carpenter I. '.' ',Ov~rJhe Counter Initial Review 08/17/2010 08/17/2010 08/171201 Q ,'\, Chris Carpenter Over the counter permit Planning Review 08/17/2010 08/17/2010 08/17/2010:;':' ,N~\'~~9uired Chris Carpenter Over the counter permit .,,~ .~.'~', Public Works Review 08/17/2010 08117/2010 08/1712010" Not Required Chris Carpenter Over the counter permit Structural Review 08/17/2010 08117/2010 08/17/2010 Not Required Chris Carpenter Over the counter permit Permit Issuance 08/1712010 08/1712010 08/17/2010 Issued Chris Carpenter Springfield Building Permit 8/17/2010 3:01:49PM Page 2 of 3 CITY OF SPRINGFIELD Building I Residenti~1 Permit PERMIT NO: 811-SPR2010-00075 www.cLspringfield.or.us " ,.. IVR N'un1ber: 811196821822 :.\,...m . PROJECT STATUS: Issued " ISSUED: 8/17/10 APPLIED: 8/17/10 EXPIRES: 2/12/2011 VALUE: $0.00 SITE ADDRESS: 91866TH ASSESOR'S PARCEL NO: SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Springfield 1702341200100 PROJECT DESCRIPTION: ('~"'i"t.i'i~:~'," ~ ". 1 circuit for well pump Inspections 4500 Rough Electrical 4999 Final Electrical INSPE:~T,ipN:;U~~9UIRED I ;Q'!i\; 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541,726-3769 Fax: 541-726-3676 permitce nter@ci.springfield.or.us 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 1 further certify that any and all work performed s~all 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 complia'nce 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 ~~~~;;u~~:~niS locat~operty, and~t~~\;~~J~tVed set~:!I~n~ viill remain on the site at all limes during <:6 -( 1'--(~ Owner or Contractor Signature Date " \},i!\\.!,.," l"~ 'f:j..if;'l:;}:q::oc" l" . ,il~\ff~ ":;;dL~~ L! ");.i',.' .,1' , ./ "j, ;. \.) ~, ,f. " ~)]i.l : .~ ~~J\\1~'~' t 1 . ; '--.,.' ~ Springfield Building Permit 8/17/2010 3:01:49PM ,; nt~: ,.,'. I- ~:t;';1.t";.;.:; \' ",:~{\(trli . . Page 3 of 3 TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 ..;:' ,. www.cLspringfield.or.us t'~ I ' . permitcenter@ci.springfield.or,us RECEIPT NO: 2010000073 RECORD NO: 811-SPR201O-00075 DATE: 08/17/2010 \tl:~CRIPil()JI" ,"'c."J;/if: ,;:- ~;.!..:Ac_CQUtiitc,O[)E"$-:J;'''':; :-;'"':~I'v1b.UNT_D,UE-'f"\ '.;.1 Electrical Fee Adjustment 224-00000-426102 $63.00 Technology fee (5% of permit total) 100-00000-425605 $3.15 State of Oregon Surchar~e (12% of aoolicable fees) ",,' ,821-00000-215004 $7.56 .4i~t" :',;n:',",::',~, , TOTAL DUE: $73.71 FTpAYMEN-n..T--VPE"PAVOR''';;CASHIER:[C'CARrlENlfER: ;1i'C_9~MENisl',"'- "... -'. jANlJiliNJl~.6:ID..-:li~:; Check MCKENZIE VALLEY PUMP &s ',: $73.71 12306 ELECTRIC INC r": 1, ~~. ','" ',., 'j >',k~it '.t~~/;:~t~-,. t"~ it.::"':t 'Ct~ .i,"~,l.;"~ 74t~'qZ8 'l,;(}Yf'ff.'i /'.~,.." .,.,. >.~ ~. '1 ..'. , " (lij~~~~;~;J~;;~; x' ',~" p. .' -......!. ~, , \~