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Home My WebLink AboutPermit Electrical 2010-10-18 Electrical Permit Application , . ~"""ifi ?' jiY _w" "-"," }.'f<'",,^ , Gltty JijF SEiRIN~FIEbD~~(:)R'E(jON;,.. , 'i:"'r"'. ",,,,v r - .,.Xl,"!!/" >4~. "'v""'. ':,i!: E_ 225 Fifth Strtd+Springfield, OR 97477+PH(541)726-3753+FAX(S41)726-3689 'k<# :~ - .;;' +.: .' "-', .i: ;'!K;i;;DE~~~J;M;~.:t.HSE()NlY ". S PttZOI c:> . 00 $ 2-7 Permit no.: Date: 10 ,j 8 'It::::l 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. ....,...;.;q.OCAl,...GOVERNMEIII;r.ARPROVAL.:', Zoning approval verified? 0 Yes 0 No ';,CAifEGORY,..OF CONS'TRUC;rION ill Residential 0 Government 0 Commercial ,.,..I0B.SI;rECJIIIFORMA;rION'AIIID.L!bCATIOIII'11, ' ~--*.-,. d,(.;g;,.,,, 1'/"", , 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 saley:xohange,lease;or rent. OAR 479.540(1 79.56).~ '--- _ - . ') SIgna e: ~ 'CONTRACT R; S;rAkLA;rIOIll'" . .... .,.. ",,;i~ o 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 youto 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 AUTHO Center Is 1-800-332-2344). ,<,\\? ~OMM ~~. ~.' 1800 rJ~ ~ ~ None THIS P 440-2584-J (9J08ICDM) :"";;;;;,'!;;,,;::;~;\..;,;,,;;.FEE';'SCI-lEDU(E ;, ; " '\:':1:.....',....:..,.:....<.:........ ......;::". QIy. Cost Total LN ~m~e~of:iitsp~cti~n!rper0fte.;t :(:) y' i,,~' .0",,,,.,, ~',i<,'" ''''''',; "i, ea. cost. Residential, per unit, service included: t,OOO sq. ft. orless (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 $ 8/ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 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) $ 63.00 $ 20] to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or ] ,000 volts. see services or feeders section above Branch circuits: new, alteration, extension per panel 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) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a Jimited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (I) $58.00 $ ~ 00 '0-: (A) Enter subtotal of above fees $ 8( : !Minimum Permit Fee $58.00) ..I"\nll I :(~);j3pte,'1-1t,'12~t@4atfef(.i~ xl f:!n.YVVI.1 $ '1"'1.. 'loT ~l~l.:1J<lJIiQlogp1fld-'(s%IQJIf!I, III'..... . $ l{0f" COR - Of/, kC: ""fu~hv"~~ $ ~u?7 :[I;OiliAIL ~ e .and' urc arges (A through C): AY PtKIUU. . . sp~~~. ~=~ ~ ~ORfGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00527 IVR Number: 811170454168 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/18/2010 ISSUED: 10/18/2010 APPLIED: 10/18/10 EXPIRES: 4/16/2011 VALUE: $0.00 SITE ADDRESS: 538 LAKSONEN LOOP, Springfield, OR 97478-7263 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702352305300 WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install sub panel OWNER: ADDRESS: BINFORD RONALD J & MARY E 538 LAKSONEN LOOP SPRINGFIELD OR 97478 Phone Number: 541-556-9389 Contractor Type Contractor Name CONTRACTOR INFORMATION' Lie Type Lie No Lie Exp Phone BUILDING INFORMATION' # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lot Size: Sq Ft 15t Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy load: # of Bedrooms: Sprinkled Building: Fire Alanns: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Infonnation ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: ATTENTION: Oregon law requires you to Retaining Wall:. foU~w rules adopted by the Oregon Utility So.ls Report Required: .Notlflcatlon 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 1-800-332-2344). NO TtCE' rHIS P . liUrH ERNTlr S COMfv1~RIZED UN~ALL EXPIRE .. .:v}/ 180 bCED OR t%R rHIS PE: THE WORK Ay PERIODA,8A,NDONEMDlr IS NOT . FOR Springfield Building Permit 10/18/201 9:30:43AM Page 1 of3 . SPRIN G..F.IEL.?ij ~.\'- .~ ,.' . ,. . ""''''OREGON www:cLspringfield,or,us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00527 IVR Number: 811170454168 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennilce nter@cLspringfield. or. us PROJECT STATUS: Issued STATUS DATE: 10/18/2010 ISSUED: 10/18/2010 APPLIED: 10/18/10 EXPIRES: 4/16/2011 VALUE: $0,00 SITE ADDRESS: 538 LAKSONEN lOOP, Springfield, OR 97478-7263 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702352305300 WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install sub panel DEVELOPMENT INFORMA TION ~ 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 ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value \ -, I }.:.~ ,- Y,"-";';~'-~::';--'"",?:~...--- ");;:;'l-_.{,.~:."""- DescriDtion Services 200 amps or less Technology fee (5% of permit tolal) Stale of Oregon Surcharge (12% of applicable fees) Total Amount Paid .:' d~~SJ~"ID: Amount Paid $81.00 $4.05 $9.72 $94.77 ....'.::"" "-.~,-.,'~~':"" -. . ,..~-", ;;:;~>~~. ~~~'i{' - "~'- .~ .;;-'~ .'.. Date Paid 10/18/2010 10/18/2010 10/18/2010 ReceiDt # 374627 374627 374627 Springfield Building Permit 10/18/201 9:30:43AM Page 2 of 3 SfRIW.G .FIEL~ .~ .;T; r&i .,.-..~ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00527 IVR Number: 811170454168 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci,springfield,or.us PROJECT STATUS: Issued STATUS DATE: 10/18/2010 ISSUED: 10/18/2010 APPLIED: 10/18/10 EXPIRES: 4/16/2011 VALUE: $0.00 SITE ADDRESS: 538 LAKSONEN LOOP, Springfield, OR 97478-7263 ASSESOR'S PARCEL NO: 17023.52305300 SCOPE; Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE; Residential PROJECT DESCRIPTION; Install sub panel r ,,;{,' :~Plal!.Review""" Comoleted Result 10/18/2010 Over the Counter -, Department Application Acceptance Comments: Initial Review Received 10/18/2010 Due Date' 10/18/2010 Reviewer David Bowlsby 10/18/2010 10/18/2010 10/18/2010 Over the Counter Oavid Bowlsby Comments: Over the counter permit Permit Issuance 10/18/2010 Comments: Public Works Review 10/18/2010 Comments: Over the counter permit Structural Review 10/18/2010 Comments: Over the counter permit Planning Review 10/18/2010 Comments: Over the counter permit 10/18/2010 10/18/2010 Issued 10/18/2010 10/18/2010 No! Required 10/18/2010 10/18/2010 No! Required 10/18/2010 10/18/2010 No! Required INSPECTIONS REQUIRED ~ David Bowlsby David Bowlsby", David Bowlsby David Bowlsby Inspections 4225 Service or Feeder 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 QRS 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 property, and.the approved set of plans will remain on the site at all times during construction. 1/)-1 f}- ~k) Date Springfield Building Permit 10/18/201 9:30:43AM Page 3 of 3 SPRINGFIElD ~\A._ ~,~," ..~ v' :;A! . ,\, OREGON TRANSACTION RECEIPT 811-SPR2010-00527 538 LAKSONEN LOOP www.ci.springfield.or.us CITY or SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 RECEIPT 1;0: 2010000595 RECORD NO: 811.SI'R2010.00527 perm itcenler@ci.springfield.or.us IDESCRIPTION <.; - ',. . . Services 200 amps or less Tech.!'ology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) / A.c:.CP.UNLCQQE 224.00000.426102 100.00000.425605 821.00000.215004 TOTAL DUE: ;c.CiMMENISi".:,; - IPA YNlENT TYPE' _ 'PAVOR '. . CASHIER:,DBOWLSBY Cash BINFORD RONALD J & MARY E DATE: 10/18/2010 "" ;AMOUNT~D_UE $81.00 $4.05 $9.72 $94.77 AMOUNT PAII;l $94.77 $94.77