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Home My WebLink AboutPermit Electrical 2010-9-30 225 Fifth Street. Springfield, OR 97477+ PH(541)726-3753+ FAX(541)726-3689 W,'!:iEP,tRTMENTUSEONIX S?,a..Z.OIO ~OO410 Perrmt no.: Date: 7-30. (D This permit is issued uuder OAR 918-309-0000. Permits are nontrausferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 'iV- . ., "'IE0CAL::GOVERNMENT'AP'R.ROVAll1,,~,~it"!1'i!:\r:!. Zoning approval verified? 0 Yes DNa to ,:J,<'f':i.:;i";~CMEGORy<jOF ;'CONSTRUCTlON~;,\1'. esidential 0 Government 0 Commercial _ 1f:i-~~rd.OB1iSIJE#lINFORNlAtIQN'fiAN[jRj~bCA:j;10N~1>;~gi Job site address: b 76. 'S City: State:oL.. Reference: 7CZ. '3S3Z Taxlot.:OS'3o~1 : . DESCRIPTION. OF'WORK';:!""',:,;,:"""!'?"",, 5(:'Wtt.e U>4.....,vc"i- c.~""c:.--; ... -PROPERTY OWNER :;;, Name: Address: /'57(" City: . ~ ZIP 71r 78 Phone7't! -[;0- (P 7" 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 47'VM Signature: ':c:CO Business name: Address: City: Phone: E-mail: CCB license no.: ZIP: BCD license no.: Signing supervisor's 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 sat forth In OAR 952.Q01-0010 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 l'800-3fj2344). ~"~"~M) ~'<l~ *~f1;'!~'m~~;:1i6!;+~~~~Pt;::{E:I;E;~rSCffE.p_l.J tle;[1!l,~~+t~lj~~i~ll{~7ffi1t{J )~~~~.~~r',4$;i~~SP~i!1?:~1-.~~_~r,~~~,~~!i)I~~~ g~~y. ';: _~~~~., ~--,~~t~r;:' 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 $ ef 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 60 I to 1,000 amps (2) $205.00 $ Over ],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) 401 to 600 amps (2) $ 63.00 $ $ 87.00 $ $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration. extension per pane! a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) Each additional branch circuit I $ 55.00 $ $ 6.00 $ b Miscellaneous fees: service or fteder ,!ot included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ ~1\~:~i~~,c~;l1m=~)energy panel, $. 63.g~i' :.,L. Each additiJr/;jI~RiRMJ:T'(SHAll :xpr OE fllillJll9f WORK (A) E~. b 01 \ I- ~~~~,~~U::~ci5R:d~bSi~1 (Minimum LWYm1M~oIl:ERIOD. $ ~ I $ It>~ $ I{ JJ $ JI\ I "7 , , (8) Enter ]2% surcharge (.]2 x [A]) (C) Technology Fee (5% o([A]) TOTAL rees and surcharges (A through C): www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00410 IVR Number: 811191287427 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726.3676 SP:IAN~~ ..~ ;~..j, ""OREGo"N permi1center@ci. springfield. or. us PROJECT STATUS: Issued ISSUED: 9/30/10 APPLIED: 9/30/10 EXPIRES: 3/29/2011 VALUE: $0.00 SITE ADDRESS: 6876 A ASSESOR'S PARCEL NO: Springfield 1702353205304 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service change and add 1 circuit OWNER: ADDRESS: SKINNER CASEY J 6876 A ST SPRINGFIELD OR 97478 Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type Lie No Lie Exp Phone BUILDING INFORMATION ~ # of Units: o # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: 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 Specially Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: . Municipal I Development Code: ATTENTIO~I: Oregon law requires YOUFtlilmbing Specially Code Edition: follow rules adopted by the Oregon UtRellidential Specially Code Edition: Notifioation Center. Those rules are set Istr..n:tural Specially Code Edition: in OAR 952-001-0010 through OAR 952rOO1.-- 0090. You may obtain copies of the rul13s bv Site Information Engine.'iild:Fili,8 center. (Note: the telephone Fill VOIunr.',r for the Oregon Utility Notification Flood Hazard-Are~:r is 1-800-332-2344). Land Hazard Area: Retaining Wall: Soils Report Required: ~ Energy Path: NOTICE: rGi~6~~z~~ ~HAll EXPIRE IF THE WORK COMMENCED O~DER THIS PERMIT IS NOT ANY 180 DAY PERi6tBANDONED FOR Springfield Building Permit 9/30/2010 2:12:00PM Page 1 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR201 0-0041 0 IVR Number: 811191287427 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 s,~i'tG=~~ .~~EGON permitcenter@cLspringfield.or.us PROJECT STATUS: Issued ISSUED: 9/30/10 APPLIED: 9/30/10 EXPIRES: 3/29/2011 VALUE: $0,00 SITE ADDRESS: 6876 A ASSESOR'S PARCEL NO: . Springfield 1702353205304 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service change and add 1 circuit DEVELOPMENT INFORMATION ~ REQUIRED PARKING Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: 1% of Lot Coverage: Highest point on structure to north property line: Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Description Tvpe of Construction Unit Amount Unit Tvoe Unit Cost Value Descriotion State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Services 200 amps or less Branch circuits with service or feeder each circuit Total Amount Paid Amount Paid $10.44 $4.35 $81.00 $6.00 $101.79 Date Pa id 09/30/2010 09/30/2010 09/30/2010 09/30/2010 Receiot # 374455 374455 374455 374455 , / Springfield Building Permit 9/30/2010 2:12:00PM Page 2 of 3 CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspringfield.or.us Building I Residential Permit PERMIT NO: 811-SPR2010-00410 IVR Number: 811191287427 permitcenler@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/30/10 APPLIED: 9/30/10 EXPIRES: 3/29/2011 VALUE: $0.00 SITE ADDRESS: 6876 A ASSESOR'S PARCEL NO: Springfield 1702353205304 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service change and add 1 circuit ~:~~_';~"",0!<,L~ ,i'-J':!};,-" ,-;:~";;~7~;;;;Y''':1't\.~ '''-:~9''':fiv1F7''~?,,-~'Y:''9:tJT;;m;.", ~."..(?,~,'ttlfF ~~~:d'S;.",":,,,..'fu.: :tt.. 't,e.. ..--"~ '..-."",7''' ,'e:>. '+:..-l<':'"':+'~"~0-'''':_'' -J\.,...:'....;#,,~ <*~. .,," -.$, "'-""";Plan'Revlew>~~-~_,:.."" ~~'" .",,,,,"'" \Y1:s'k.."it!f :'it"""'~" 0" --<;':,.",.:lL ,0, .. .~_ ,"Co" '~"."""-"'.", ......'-'<1. ,~"....'b0i'i0.....-.,.....,'i!~..~.-c-",.._~""_...'wr.~. ...,..,:;....h_~_'."-,_~.....'^'. ,.,;'. .. "" -,.,....-.. .',:;, , . ;:. ~'1 " ..;.,~, ~ - Deoartment Permit Issuance Application Acceptance Initial Review Planning Review Public Works Review Structural Review Received 0913012010 09130/2010 09130/2010 09130/2010 09130/2010 09130/2010 Due Date 09130/2010 09130/2010 09130/2010 09130/2010 09130/2010 09130/2010 ComDlete 09/3012010 0913012010 09/30/2010 09/3012010 09/30/2010 09/30/2010 Result Issued Over the Counter Over the Counter Not Required Not Required Not Required 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 4220 Electrical - Service 4500 Rough Electrical 4999 Final Electrical 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 ~~~~ti~u:;:ni~S located ~f the prop. erty, and the approved set of Plans~" rema:n on the site at all times durin9 ~ /'?o/?O Owner or Contr ctor Signature Date . Springfield Building Permit 9/30/2010 2:12:00PM Page 3 of3 WWW.Ci.springfield.or.us TRANSACTION RECEIPT 811-SPR201 0-0041 0 6876 A ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@ci,springfield.or.us RECEIPT NO: 2010000447 RECORD NO: 811-SPR2010-0041O DATE: 09/30/2010 lbESCRlimON.(A:,'7;J"t'i";'f:"'-::"}J~'};;[::,~~:g;.;;'v',t;Mc_O:liNifl(:()()E#l!~,Y.. 2f~~~M<[Qj.jJAD_g,r';,_;; ''''I State of Oregon Surcharge (12% of appl~cable fees) 821-00000-21.5004 $10.44 Technology fee (5% of permit total) 100-00000-425605 .____$4.35 Services 200 amps or less 224-00000-426102 $81.00 Branch circuits with service or feeder each circuit 224-00000-426102 $6.00 -.- ~." TOTAL DUE: $101.79 ~1"PA,(MEt{f.:;;fYPE;;!:::'f>AYORl:~::i;chsHIE~\bllowLSByA;,~f~G_o.MMJ;rff~~'~":":' j;-C--'70A ,~",AlIII()ONl'PAID .J>; ';} 'i Credit Card 61036a SKINNER CASEY J $101.79 $101.79