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Home My WebLink AboutPermit Building 2010-10-12 This permit is issued under OM 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!O:G"~~C{OY,E~I\IMEl\liflt~~,~ROY~~lti!'" Zoning approval verified? 0 Yes 0 No ~I.D:G~]LE(:{~B:(tli;ort4il;;jjH$m8.Ii[G.l'(f!~N~l!~ Residential D Government D Commercial ,::JQ-ElgfSIif:EII1ijF,;e>,RM~)f~oJilf~!'iQl.~El:Q*Jitol\l~~! Job site address: tL> '10 E7 "-'" G . City: J '*- ZIP: '17'177 Subdivision: I D ~ Z \ ~ Lot no.: 07900 ~f.\f~PE$~R[~tIOl\lloFJ{W,0~~~~"li1'~ L...J,J ~ Lu..-. vol G.v, V"'C.uu,^, "f\5 "'- ,'1>",,- -""'''_JJ;':l"",_nR'''O'~05'E'R:rV''''O;'W' 'N"E' R""',","'M";'\'"\f~p.:"~",,,, w~~-t~~~;:!ii_c__~_,r;;_-~_>;~:\j.I~,,,___,__,:-_,'If(~?:t;'3;;'fu"j~::";X4i~;1,:;'l~;:; Name: 0u S'isS' Address: crr8-" &.t,,~ City: & ~ OR.. ZIP: '17'(0 <- Phone:s</! _lki_ 130 L Fax: Electtical Permit Application 225 Fifth Street. Springfield. OR 97477+PH(541)726.3753+FAX(541)726-3689 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). ZIP: 77<t7!t o CCB license no.::17~5" &, Signing supervisor's license no.; Print name of signing supervisor: Signature of signing supervisor: L. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-001 0 Ihrough OAR 952-001- 0090. You may obtain copies of the rules ~y~ I ~ calling the center. (Note' the telephone ~\Ix number for the Oregon Utility Notification 1\' ~u..~~ Center is 1-800-332-2344). .\\J~ ~~ 440-2584-J(9/08/C()~ Wi;';","'!)i:,::"t'":J';r;"""-'''\';;Il~::fi~ljo..~-t1~~:=-'"'<' )li];\$;OE~f:i.RTMEN~SB0N~1II "ji:;';"!.;3;';-":"l'<-'_'__V:"i:;t:;:&'!":.f:t,,-,,.. ;~~~""":;.;:""., ',i,~ sf>g.~0If> C>O 4 9l. Pennit no.: Date: 10 rlZ r/O Residential, per unit, service include'd: 1,000 sq. ft. or less (4) Each additional 500 sq. ft. or portion thereof $134.00 $ $ 25.00 $ Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) $12 $ 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 $ 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) 201 to 400 amps (2) 40 I 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 $ b. Fee for branch circuits without purchase ofa service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) Each sign or outline lighting (2) $ 63.00 $ $ 63.00 $ Signal circuit or a limited-energy panel, alteration, or extension (2) Each additional inspectinn: (I) $58.00 $ ;;~~"'~HgiJ!t(:;'<Ar:JJi}ljl1!~:~ '_.1~~ $ 63.00 $ (A) Enter subtotal of aboy~ (Minimum Permit F $58..001/ (B) Enter 12% surcharge (.12 x [Al) (C)Jechnology Fee (5% offAl) :rli-FAI! sand sUTchar ~~( ~ I rill) t" 1\1.1..... AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. b . ' www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Resi'dential Permit PERMIT NO: 811-SPR2010-00492 IVR Number: 811154479534 225 Fifth St Springfield,OR 97477 Phone: 541.726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitce nter@ci.springfield.of.US PROJECT STATUS: Issued STATUS DATE: 10/12/2010 ISSUED: APPLIED: 10/12/10 EXPIRES: 4/10/2011 VALUE: $0.00 SITE ADDRESS: 640 ETHAN CT, Springfield, OR 97477-9408 ASSESOR'S PARCEL NO: 1703221207900 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Low volt for central vac system OWNER: ADDRESS: SESSA SUSAN 951 BENNETT IN EUGENE OR 97404 Phone Number: CONTRACTOR INFORMATION ~ Contractor Type low Voltage Electric Contractor Name MICHAEL STEPHEN SMITH JR Lie Type CCB Lie No 175546 Lie Exp 04/13/2011 Phone 541-431-3962 BUilDING INFORMATION ~ # of Bedrooms: Hazmat:" Lot Size: 'Sq Ft1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: # of Units: o # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: Sprinkled Building: Fire Alarms: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Sp~cialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Energy Path: Site Information ~ Engiri"e"e"red Fill: Fill Volume: Flood Hazard Area: land Hazard ~NTION: Oregon law requires youto Retaining Wf8!1ow rules adopted by the Oregon Utility Soils Repom~flllJ!ltilin Center. Those rules are set forth in OAR 952-001-001 0 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telepho~e number for the Oregon Utility Notification Center is 1_800-332-2344), , NOTiCE: ' .>.",,'-- THIS PERMIT SHALL EXPIRE IFTHE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR, ", ANY 180 DAY PERIOD. Springfield Building Permit 10/12/201 8:21:29AM Page 1 of3 . . . www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00492 IVR Number: 811154479534 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726.3676 SPj~I,N...:.;~ ~,~ ~OREGON permitcenler@ci,springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/12/2010 ISSUED: APPLIED: 10/12/10 EXPIRES: 4/10/2011 VALUE: $0.00 SITE ADDRESS: 640 ETHAN CT, Springfield, OR 97477.9408 ASSESOR'S PARCEL NO: 1703221207900 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Low volt for central vat system DEVELOPMENT INFORMATION I 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 structure to north property line: Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: I Valuation Description ~ Descr;otlon Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value $58.00 $2.90 $6.96 $67.86 Date Paid 10/12/2010 10/12/2010 10/12/2010 Receipt # 374566 374566 -~--~ 374566 Description Permit Fee Adjustment - Electrical Permit Fee Adjustment - Tech Fee _ 'permit Fee Adjustment,- State Surcharge Total Amount Paid Springfield Building Permit 10/12/201 B:21:29AM Page 2 of 3 . fI' www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00492 IVR Number: 811154479534 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.oLus PROJECT STATUS: Issued STATUS DATE: 10/12/2010 ISSUED: APPLIED: 10/12/10 EXPIRES: 4/10/2011 VALUE: $0.00 SITE ADDRESS: 640 ETHAN CT, Springfield, OR 97477-9408 ASSESOR'S PARCEL NO: 1703221207900 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Low volt for central vac Deoartment Received Due Date ComDleted Result Application Acceptance 10/12/2010 10/12/2010 10/12/2010 Over the Counter Comments: Initial Review 10/12/2010 10/12/2010 10/12/2010 Over the Counter Comments: Over the counter permit Permit Issuance 10/12/2010 10/12/2010 10/12/2010 Issued Comments: Reviewer David Bowlsby David Bowlsby David Bowlsby Public Works Review 10/12/2010 10/12/2010 10/12/2010 Comments: Over the counter permit Structural Review 10/12/2010 10/12/2010 10/12/2010 Comments: Over the counter permit Planning Review 10/12/2010 10/12/2010 10/12/2010 Comments: Over the counter permit Not Required David Bowlsby Not Requ!red David Bowlsby Not Required David Bowlsby INSPECTIONS REQUIRED ~ Inspections 4550 Limited Energy 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. . ;/1JJ II. IcJ! 12/1 () Owner or Contractor Signature Date Springfield Building Permit 10f12f201 8:21:29AM Page 3of3 . ... sr1~~::,IEL~ az~ ,{d~"O-REGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00492 640 ETHAN CT CITY OF SPRINGFIELD 225 Fifth St Springfield.OR 97477 541-726-3753 permitcenter@cLspringfield.or.us RECEIPT NO: 2010000542 RECORD NO: 811-SPRZOI0-00492 DATE: 10/12/2010 IDESCl!iR"liIQ&'O~~;~!' .-..';. .::...~.; ,'t; ;:~:t:~Bi:'~Sdgc:(6)]NT;.c6DE--': .:;' ;~"~::~MOUi'lfp'ug.>=.", ::.:=CJ Permit Fee Adjustme.nt. Electrical .___-----3~~=.e>00~0.426102 _~_._. $56.0.9_ !:<:rmit Fee Adjustment. Tech Fee ___.__._2~~=.e>~~.~~~.~~605 .__,___..._.._~ .F'~rmit Fee Adtu~nt, State Surchar9.e 621-00000.215004 $6.96 TOTAL DUE: $67.86 l"PA'Y' 'M'EN'T;+y"P'E''Y.'''''P'A'''YO'R'''--'C'AS"IER:-DsOvVLSBY' L4h.2;C:'O'M"M-E"N"T'S';I%~.:;~,_:,.z::,.A': ",'4,{, "-A'M'O'".UNT"P AID' -,-.:-' .., tt .. , .' Ij;. . ~. .~. "' " '" JL . .....".."". J .". ._,....,'_......._.~,:-..::jiit.izc.:::z,'to;;~. ," .." ~.. . _'. . .j Credit Card 057496 MICHAEL STEPHEN SMITH JR $67.86 $67.86