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Home My WebLink AboutPermit Electrical 2010-8-19 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 ~~ t0J-x.S;/h!/"0J';",*<";.,~\'YL,'~..... w ..->>.j"W,j,,__ ...* ",,', '1 ;'%troEF!A.RTMENT,USE:ONt'l '. 7+0;:0hAiy',c,"iU.J;: '1\.'1;:"'''' t. m,,; ,::. '. ~h : 511-(0 ~ooo 9 g PermIt no.: Date: ~- / 1-/ c.) This permit is issued uuder OAR 918-309-0000. Permits are noutrausferable, Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ~::r":Ji'l~::t'!:;I.COC:t,>.~~OYERNMENT:":APPR0VAl:;:,,::"rr4;:::"';; Zoning approval verified? DYes D No :;r:r~1:i:!!'t::tCA.TE.~OR)'::tOF:;:C.0NSTRUCTI()N"::";::r::t~:;::r,,' l.li Residential D Government D Commercial ;:t:t~::t:t~()B::SITE;IN~(;)RM:t,>.TI()N;:AN[j:t()CATIONI0':lFr:~" Job site address: ~ \ 1 (). ~ City: ' {, 77 Reference: .".TotaL ;,,;c-.cost',;'~ Residential, per unit, service included: 1,000 sq. ft. or less (4) Each additional 500 sq. ft. or portion thereof Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) $134.00 $ $ 25.00 $ $ 32.00 $ $ 63.00 $ Services or feeders: installation, alteration. relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ ZIP: '1747 Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ ,n This installation is being made on residential or fann property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479540(1) and 479560(1). Signature: ~ ;;::1~:;'1;)tr<CON:rR:t,>.CTQR1,jINSTAt12ATI(;)N:':)!:3rl,;'::1~~;! Business name: Address: City: Phone: E-mail: CCB license no.: Print name of signing supervisor: Signature of signing supervisor: ATTENTION: Oregon law 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 Center is 1-800-3Z~' 0 . \\: ~:" 440.2584.J (9/08/COM) Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) 201 to 400 amps (2) 4Q~€911~~s(2) of~~~gO[ilIiiPi!d\1 B!~\!CiiIMalil $ 63.00 $ :,$;87.00 $. 61 $ 'Nltl>~ above '\"tl'R".\, urc ase of a service pr feeder fee; a. q)eS ~fd{d) tl Ea"c bM' Jc it $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: sen'ice or feeder not included Each pump or irrigation circle (2) Each sign or olltline lighting (2) Signal circuit or a limited-energy panel, alteration, or extension (2) Eacb additional inspection: (1) $ 63.00 $ $ 63.00 $ $ 63.00 $ $58.00 '$ $55 $ $ $(:.7<.0 (8) Enter 12% surcharge (.12 x [A]) (e) Technology Fee (5% of[A]) TOTAL fees and surcharges (A through C): .... .i>i~t; : FI_"" ,,1", ., ' . CITY o.l7:,-~I?;J~INGFIELD ::; .~'r no ':~.'; ~ i:;: '! ' Building.Ji~esidential Permit PERMIT NO: 811-SPR2010-00098 IVR Number: 811181050290 www.ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/19/10 APPLIED: 8/19/10 EXPIRES: 2/14/2011' VALUE: $0.00 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us SITE ADDRESS: 218723RD ASSESOR'S PARCEL NO: Springfield 1703251204300 SCOPE: Heating System WORK INVOLVED: New , ,~.' TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ,', ,;,.!',.!C': Add circuit for heat' pump , . Phone Number: OWNER: ADDRESS: BODEN RANALD W & KAREN S 2187 N 23RD ST SPRINGFIELD OR 97477 Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type Lie No lie Exp Phone "~''!>.l:;' " '~,';I;',' .- BuiLDiNG'INfORMAff6N ~ ~/R~ '.'r~J~~.r~: # of Units: o # of Stories: I Heighi of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Electrical SpecialtY. Code Edition: I ."-~ L' " Springfield Fire Code'Edition: Mt{i:h.ahtcal Spec'ialtY Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: ~tructural Specialty Code Edition: Site Infonnation Energy Path: Engineered Fill: ~:~:do~::~d Area: '1fit~;."_1t*~i5~~':";~<::' ",- Land Hazard Area: 1,"";5".:.\0 ;;'7~'f~~:I'I.)' J ,':',. .," " ~.-" . .\ Retaining Wall: ;'i'~ ~," ;", ..," Soils Report RequimtTENTION: Oregon law requit1\'s'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 Notifica\ion Center is 1-800-332-2344)." Springfield Building Permit ;. .~L;,'~~1'9/2010 , 1 ~. ';:. f ". - !,j"~)~f'i'" ':.3(~;1~:~'~p'~. I ' . '0,1' 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: ~ NOTICE . ,:,,,;'~,~:,,:;,,;;,;;:,,,'i~, ". . '-. . '-,~ " ...,,,.' Or' TH IS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT _' COMMENCED OR IS ABANDONED fOR i'{ ..t,.,.,.__ ANY 180 DAY PERIOD. " ,,,;:' < _.'~:1"'::' Page 1 013 www.ci.springfield.or.us ;. ,'" ";.1 ;!"r';,>,'" . '. :~~'\..., . ,,' ~ ;,~. ' CITY' OF'SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00098 IVR Number: 811181050290 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcenter@ci.springfield.or,us PROJECT STATUS: Issued ISSUED: 8/1~/~O APPl.i'EQ: 8i19i10i' ':... '.~l""'~" ~.~. .;;,' ;~.'\ EXPIRES: 2/14/2011 VALUE: $0.00 SITE ADDRESS: 218723RD ASSESOR'S PARCEL NO: Springfield 1703251204300 f'_: .-, ~ ,I ,; j .;{".;' , SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential ,.. ,..." PROJECT DESCRIPTION: Add circuit for heat pump DEVELOPMENT INFORMATION ~ REQUIRED PARKING Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage:T '~:J;' Highest pointon:structure to ,; ,\ , , I..~', 'r" I . (, .. north property'line:' .' Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: v~~;. fii;;(\'if1:r . ':^'.;:.-r" . ;' :~~:',~..' .' j ';d~ . ::'j Valuation Description ~ Oescriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value l:,:::: -",:~>,,:~~.- :~~ k,':; }~~ii:I[~ -;; -: ;::~ '-C ~ ~~- ;-:::: - - - - - "~- ~:Ef;J;~~iM_IP.$~'S~<~-~~ -~~~t-"~~,,-};1-~)~';:- ;JF~: ~; - " .... '-' DescriDtion ~,:,: (~:;'Amount Pa,id Date Paid Branch circuits without service or feeder - 1 st circuit ',- 'I.;),: ;{,.: $55.00 08/19/2010 Balance of Minimum Electrical Permit Fees $3.00 08/19/2010 State of Oregon Surcharge (12% of applicable fees) $6.96 08/19/2010 Technology fee (5% of permit total) $2.90 08/19/2010 Total Amount Paid $67.86 ',\ .....' Receiot # 299275 299275 299275 299275 'f. i ',.,", , ~\~~!~~~. ~};~iJ"i)~{:,:.~ ." ....'.....,.~' ',{; Springfield Building Permit 8/19/2010 3:11:10PM Page 2 of 3 S~4~lN. G.[;EL~ ~~ ~~RE~ON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR20,10-00098 ...;.:" '.J ';. 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us IV~ Number: 811181050290 PROJECT STATUS: Issued ISSUED: 8/19/10 APPLIED: 8/19/10 EXPIRES: 2/14/2011 VALUE: $0.00 SITE ADDRESS: 2187 23RD ASSESOR'S PARCEL NO: Springfield 1703251204300 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ~ .' ,,:; ~~h0i"''0'' ! DeDartment Application Acceptance Initial Review Planning Review Public Works Review Structural Review Permit Issuance Received 08/19/2010 08/19/2010 08/19/2010 08/19/2010 08/19/2010 08/19/2010 Add circuit for heat pumPi~:i if ',';j, :r,~:'i-~ . " .'".:~:t~.,-L,-'::~;~'~\f:~~:p.i~;'8~elf;~;}-v -: ;:\.:~_ ,~~/ . \.- :.{;.: ",-", ComDlete' 08/19/2010 08/19/2010 08/19/2010 08/19/2010 08/19/2010 08/19/2010 -;""'fC..... 'J ~~ Due Date 08/19/2010 08/19/2010 08/19/2010 08/19/2010 08/19/2010 08/19/2010 Result Over the Counter Over the Counter Not Required Not Required Not Required Issued 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 REQUIRED ~ Inspections 4500 Rough Electrical 4999 Final Electrical : j;. ~~(':)'!'.' r' ,~,,\,'rf!'" ..'J 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 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. ~nt'\ C:6 ~-- , , q~~~:.~t ..;,.f. 7;i'l ; ----." ._._..'~"-' '}F;:I:~;~ ~.i';r;\;\~:,': ~1t;J/() 'Lq!~.~. '1)\' !. , Date Owner or Contractor Signature ~ . "., ~ , Springfield Building Permit 8/19f2010 3:11:10PM Page 3 of 3 "+1!:,:,:;::::!~' . 'i~)." . , . S'~';;..I.E...~.. c ~.,.L '. '~ ,. "OREGON !~\\ .. d. r ~ TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 8t Springfield, OR 97477 541-726-3753 WW'N .ci. springfield .or. us permilcenter@cLspringfield.or.us tIFPA VIVIENT, T.VPE Check RECEIPT NO: 2010000096 RECORD NO: 81 I-SPR2010-00098 DATE: 08/19/2010 &tSC:RIP.tfQN;:-'.~,.j';. ;~<';;"c.::" ~,"_;-: ,,:ACCQUNTLC()OE:;" Jl'\';::.c.lVIo.UN'tDUE . ;' '; -, I Branch circuits without service or feeder - 1st circuit 224-00000-426102 $55.00 Balance of Minimum Electrical Permit Fees 224-00000-426102 $3.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $6.96 Technology fee (5% of permit total) 100-00000-425605 $2.90 TOTAL DUE: $67.86 ,~_'c '~"-" AMO.\.lNTPAID $67.86 8395 "':: P AVOR2f'.::;;;cAS_HIER' oe<i\yLsBY+<i':' .COMMEN'[S',,'''54---- BODEN RANALD W & KAREN S .j<;-,,:' !~,f.l:~,:,:, . j {OJ r.t '--:,.." '".. .',' ';1' " h~J! .~\;,{;j;~ - !?)f.i '\',: