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Home My WebLink AboutPermit Electrical 2010-9-7 f . Electrical Permit Application 225 Fifth Street. Springfield, OR 97477tPH(541)726-3753tFAX(541)726-3689 -'I, -.' '-.--' ~;, .-.<'..:." - DEPARTMENTUSE,ONLY, "~'. .,.~~;, '. ~~tn~ 2-3 0 Date: 9 ~ 7 - I 0 This permit is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. '\', .", ;t0CAL;"G0VERNMENTiAp,pR.0VAL'!)r;i"'1'1':;lT\\'~;, Zoning approval verified? 0 Yes 0 No ';~)1.~;t:.,,:'+tcATEGORYcKoF;\COIIIST:RLJCtI0N~Yj;."it~.,; 'i"i, t:liJ Residential D Government I D Commercial, :\!l(t~f"':OEl,'ltSIT:E\:INFbRIVIA-TI:ON!JAIII[j'#L!bCAJiION~!ii;iW-~;~j Job site address: ~,o\ I\) 1::oUll \ClS> 't:>(', V~ ' City: ~v\",(\(;e,\A IStat~:DR- TZIP:G.141"l. Referen~e: /&z.. b bl ( I Taxlot:~COC " ",' :DESCRIPTION'OF'.WORK:Cl'i"k:::,:;,"/,'~"\i;'"'' ~"VA~. Lo,",,,'~~'<o~ v.nrh\L .J U 'PROPERTY OWNER: " Name: Ju"-,,,;~... k Vv ;\~o,^ Address: ~to "tx,v a.,\ 0..<; '\Jr''''- City: 5"..., ,^-",,(2,,,,,\,,l. I State: 6{L I ZIP: o17'-l1 ~ Phone:S4/-SI4- XI"2.I, I'Fax: - - 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 intended for sale, exchange, lease, or rent OAR 479.540(1) and 479,560(1), v . Signature: L /I l ,f 10 ~ \.. ~ONTRAtTOR' INSTALLATION: , ..... Business name: ~ 440-2584,J (9/08/COM) 0~~~~\~!t{p:~:*j~~~~ffi:~t;01i;:1'EEE'~SCHED'CJl!JE~."-~~U~~~~?r,{~~fu~"f,:~ . ,,,,, --"",.,.'-'- .'..-.'''----'.' -'''' ,. -". ,...--"..,~.~ .~._"~-_.--"."'.>.~--,,,,,,.-y~.~ jN,~~~~r.if}nSPc;S!1e'~p,~t,~ti~(r::;- 8~~' );Fe'l.~t' !,~~t~~ , Residential, per unit, service included: 1,000 sq, ft, or less (4) $134,00 $ Each additional 500 sq< ft or portion $ 25,00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63,00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81,00 $ 20 I to 400 amps (2) $ 95,00 $ 40 I to 600 amps (2) $158,00 $ 60 I to 1,000 amps (2) $205,00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63,00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) 20 I to 400 amps (2) 40 J to 600 amps (2) $ 63,00 $ 87,00 $126.00 $ $ $ Over 600 amps Of 1,000 volts, see services or feeders section above Branch circuits: new, attera/ion. extension per panel a. Fee NO~rcuits with purchase ofa,s.e'rvi.ce..~f:1.ee_c,ier fee: EaciTblMld?BRf\liIT SHAll EXPIRE IR TIllE6WDRR' b. Feelfdi ~U{,tfill1JfliltUNID~p1iHl@;<PBRMffi<lS<>r#!Per fee First~M~'~h~tlf~1nt:#)UH IS ABAN PNl'o,ffilGo, .,$%.'" Eac'h' adait:c?n~1 If/Me'l--' ' . 2- $6,00 $11.." Miscellaneous fees: service or feeder ':lot included Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit or a limited-energy panel, alteration, or extension (2) $ 63.00 $ 63.00 A~ ./'" City: --....... I State: ....----1 ZIP: Phone: - - ,,------.tra;;: - - E-mail: /~ CCB license no,: / I BCD ~e no,: Signing sy,petVisor's license no.: ~ Pri.nt.~me of signing supervisor: '\ Signature of signip.!l...supervisor: ~"cl~I/UN: Orego I fOI~~w rules ~doPted n aw requires you to NotifIcation Center Th by the Oregon Utility In OAR 952-001 0010 those rules are set forth 0090,. You may ~btain c~ou9h OAR 952-001, Calling the Center (N pies of the rules by number for the Or~ ate:, the telephone C gon Utility NotT enter is 1-800-332-2344) Ileation (C) Technology Fee (5% of[A]) ~~~ rom _ ""'reO":" (Uro.,' q ~0) $ 63.00 Each additional inspection: (I) $58.00 ;:Bm)J~*{J;1;,~>jl~1lt;:Yfr~*:*A~-:np.'--L"'rl~C'::A";N'" T"'&-U" "S.E'j;~~':4:;,:!t;::;-~r;;:;"'.;~:,~r';~~;"<~:.J~-::;:'.'" . :i('::\J,._0!?M1,;,:,':;,,?;hto,g\~~:i:'~'{ "r;:~, ...". . 'I~. _ _2l1E:iYh:S,:W,_~~;;/~_t{j;1,.t!":T-il.~<;L ''-'.; (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) $ $ $ $ $ 67 $ B ott $3>> $.m-~" ,1../ , ",' 5~,R,..I,N,~, F,IELD, . ~'\l1.. -,. do. t 'i\,/" ~::;;;g ;;,.;:{~;, OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00230 IVR Nu'!!':!er: 81~,~13667235 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or'l:ls PROJECT STATUS: Issued ISSUED:,9/7/1'O APPLIED: 9/7/10 EXPIRES: 3/5/2011 VALUE: $2,000.00 SITE ADDRESS: 3910 DOUGLAS Springfield ASSESOR'S PARCEL NO: 1802061108000 SCOPE: Garage Conversion WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Convert part of garage into living space OWNER: ADDRESS: WILSON JAMES MICHAEL DOW 3910 DOUGLAS DR SPRINGFIELD OR 97478 Phone Number: Contractor Type Contractor Name CONTRAClQR INFORMATION I lic Type Lic No Lie Exp Phone BUILDING INFORMATION I # of Units: I o # of Stories: I Height <?f..~truct~re: Type of,Heat: ,'" ;., '" .1\i.l),J-~ _: ,p l..., , , ~ Water.Type:' '",~: ' Rangedype:''!'!' Hazmat: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: # of Bedrooms: Sprinkled Building: Fire Alarms: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development COde: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Str~~.~~~"I; Specialtx,,:xo_d~ Edition: I i :~{;,:;"J.' Sit~'ln'formation I Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Rep~4iJTr!€IN: Oregon law requires you to, . follow rules adopted by the Oregon Utility / Notification Center. Those rules are set fCl~lh,' in OAR 952-001-0010 through OAR 952-00li" 0090. You may obtain copies of the rule~~!?y{ calling the center. (Note: the telephonf./ . number for the Oregon Utility Notificatio'n Center is 1-800-332-2344). '; ($~: r~,;. 1-".' . ,..."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 91712010 8:32:07AM Page 1 of3 SI.~N~~_.l.~ ~'V"" ,.:..~ .,.\. OREGON ...: 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 CITY QF'$PRINGFlELD www.ci.springfield.o~.us ".' 'l: .,:",: . BUildingi:Residential Permit PERMIT NO: 811-SPR2010-00230 IVR Number: 811113667235 permitcenler@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/7/10 " APPLIED: 9/7/10 EXPIRES: 3/5/2011 VALUE: $2,000.00 '.J', SITE ADDRESS: 3910 DOUGLAS Springfield ASSESOR'S PARCEL NO: 1802061108000 '.:-.C:S'. .,:......... '-'r' " ' i::f;- SCOPE: Garage Conversion ,; WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Convert part of garage into living space DEVELOPMENT INFORMA TION ~ REQUIRED PARKING Frontyard ,Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dis\: # Street Trees Reqd: Paved Drive Re.qd: l % of Lot"Coverage: . Highest point on 5truct~re t6' ' ,,-,' ,,"-' north prope~'.li~~::. 1"','-' (,' . . ~ '. Total: Handicapped: Compact: I pu'si'.ic IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: l.~ t...C..: ~,f j . ;.......,. ,'u " Valuation Description , Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value r;;;c~~ ~.'''' i~;,~~, 1 y ~ [Sc'~:~~-~"!~~~:~L4\:,,';Z:f=~~~::iJE~'~$lR~lDIit~~~~:'*;~--~if;~--r~~~,:'~: .,">> -~~~)J1'~'~ ,,:-,: . ~I Descriotion Structural Building Permit Fee Branch circuits with service or feeder each circuit Branch circuits without service or feeder -1st circuit '_~.'~'-'. State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid . Amount.Paid 'f" , ;".-,. ;'"'' , :,-,",.,;", ,j' ..,I~'~; , $58,00 ,~,~_,,-.!2.~L . ..,' $55.00 $15.00 $6.25 $146.25 Date Paid 09/07/2010 09/07/2010 09/07/2010 09/07/2010 09/07/2010 Receiot # 299430 299430 299430 299430 --,,- 299430 i:,j, ,11 ,'1,- -'~~':rr t~ ",'. ~ ~. ~;;~ ' ;' :",. !, Springfield Building Permit 9f7/2019 8:32:07AM Page 2 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building IResidential Permit PERMIT NO: 811-SPR2010-00230 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Sfi~~...~. FIE~ ~~c~ ~OREGON permitcenter@ci.springfield.or.us PROJECT STATUS: Issued IVR Number:, 811113667235 ISSUED; 9/7/,107./', EXPIRES: 3/5/2011 APPLIED: 9/7/10 VALUE: $2.000.00 SITE ADDRESS: 3910 DOUGLAS Springfield ASSESOR'S PARCEL NO: 1802061108000 SCOPE: Garage Conversion WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Convert part of garage into living space ^ ~;~~~t:-~.'2"~~- ~:l" -~..... .. - --~ . --~, ---- ~\k 1 l~b~{~~:~~:.=~::--::'-~~..C-:~~~J~,c:r.~:~:-::?~,j,)i~.~~ -:~::-~~f:',~fR;1Jt~~:'~~~~~~~~~?,~k~;;1~ Deoartment Received Due Date ComDfete~" Result Application Acceptance 09/07/2010 09/07/2010 09/07/20).0" Over the Counter Initial Review 09/07/2010 09/07/2010 09/07/2010. Over the'Counter Planning Review 09/07/2010 09/07/2010 09/07/2010 Not Required Public Works Review 09/07/2010 09/07/2010 09/07/2010 Not Required Structural Review 09/07/2010 09/07/2010 09/07/2010 Not Required Permit Issuance 09/07/2010 09/07/2010 09/07/2010 Issued INSPECTIONS REQUIRED ~ Rev;ewer 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 1220 Underfloor framing .l' 1410 Underfloor insulation ;,' L ":"':'~ .; '. 1420 Insulation Vapor Barrier "-1 ~,::r' . .:"~':: -::-:. "'; ;.!ol; _, i.; ~[\ ~>' ,,~- ,~ :j 1430 Insulation Wall 1440 Insulation Ceiling 1999 Final Building 4500 Rough Electrical 4999 Final Electrical By signature, I state and agree, that I have carefully examin~cnhe:completed application and do hereby certify that all information hereon is true and correct, and I further certify;th~'t'any;~nctall'work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the ,~)~1e 'or~Ql~~qn pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permj~9j9n oUh~ 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 reql!ired 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. Cf- 1- L 0\ '" Date , J ,;,_'-1, <I: .-,. . .'tt' .;;'. Springfield Building Permit 91712010 8:32:07AM Page 3 of 3 {'fii~~\i, ' S;.~~N;-__FIE~ ~~ ~.ORfGON .' " TRANSACTION RECEIPT 811-SPR2010-00230 3910 DOUGLAS DR www.ci.springfield.or.U5 CITY OF SPRINGFIELD 225 Fifth $1 Springfield,OR 97477 541-726-3753 permitce nter@ci.springfield.or.us RECEIPT 1':0: 2010000236 RECORD NO: 811-SPR2010-00230 DATE: 09/07/2010 LDESC~IPTION -,... ,:; :7:;;;:~i.."? ;,.A., ~~/~t?:;z:;.'iGi:'.'t. .. . ACC,O,I.JNtC.OtlE'~ ," ...,;;~r~iVI()_U,~JJ>"UI':"':,_L_..:_...J ~~ral Bui!din..g Permit Fee Branch circuits with, service or feeder each circuit Branch circuits without service or feeder. 1st circuit State of Ore90n Surcharge (12% of applicable fees) TechnologY fee (5% of permit total) t:.PA YMENT TYPE,', ',-';PA Y()R;;',':"..CASHIER'biioyVE,SBt " Credit Card 01326c jennifer wilson . ,~~\C;: 224-00000-425602 224-00000-426102 224-00000-426102 821-00000,215004 100.00000-425605 TOTAL DUE: -'(;o.MMg~js~1i=ytL;"'c:;:~:,,;__ ,- $58,00 ----- $12,00 $55,00 $15,00 $6,25 $146,25 -AM.OUNT PAID - ,'" '-I '. " 'fl:"l~,\j r I '..~J J, , I",' ',' 1""'--_ ~ ' . ," i,i.l:: ,~\Cl "P\,~[t 'I~',",~ :~I " ' ~ l(:)r.: (, .,-. . , t'''t' .,~ .' $146.25 $146,25