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Home My WebLink AboutPermit Electrical 2010-10-27 225 Fifth Street. Springfield, OR 97477+PH(541)726-3753. FAX(541)726-3689 .. , - f.O, . DEp'NnMENt USE. ONLY <".- C; ril. 2-0 ( 0- cc:s;<=tJ Pennit no.: Date: /0 . L 7-r(::J This permit is issued under OAR 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>' ""LOCAL;'GOVERNMENT'MpR-OVAlii!"A'1~~::1t;"~1, Zoning approval verified? DYes D No '., ,~:!."<,S,'CATEGORX~OF'::CONSTRUc:;tION;:0' (B.Residential 0 Government 0 Commercial l'jl[K1l':17ii:.(OBj\'SrJiEi,INFQRMATION!fANJj.t1CO.CA1110N~i51'-1:\:i'i!: Job site address: '7 70 GllA-I,J'<\-L;j sr. State: oR. ZIP: ~ 7'-177 Reference: 7D3 Z Taxlot.:070 - '," . 'DESCRIPTION. OF WORK:lii..F:;",,!;',!y'::""" d Clrc.~.-+ r dy. ;i- 'PROPERTY, OWNER ftrJ9R..rfI.,) ) Name: J BfJ== Address: 970 City: S?h V Phone:5'YI -7Li - 77'6 E-mail: C{l<-,,JA-LI Si. State: '" R.. ZIP: "'11f7? Fax: 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 4 60(1). Signature: 4-- RACTOR INSTALLATION Address: City:. Phone: E-mail: CCB license no.: ZIP: Fax: BCD license no.: Signing supervisor's license no.: Print natne of signing supervisor: Signature of signing supervisor: o on law requires you I ATTENTION: reg d b the Oregon Utility follow rules adopt\h y e rules are set forth Notification Center. os hOAR 952-001- in OAR 952-001-0010 thr~ui~S of the rules by 0090.. You may obtam ~oie: the telephone calling the cen~r. cion Utility NotificatIOn number for the. ~~800-332-2344). .\\ J Center IS I "'\. N ~ \\ lY :-"\11," ~~~ ,~~~ 440-2584-1 (9!08/COM) ~,j~',:;i~Z~;~~-;~1~X~1~~~ff~':'FEE~~SC:HE:,[jl!Jl!}E~tf;1~Y~~<<il1~~~l~l~ :Numberofjnspe~tions.perji~;';i)'., Qty. 'Cost; Total '.". \~,.., .:.j,r._,:'.',::._,<~j':'.;:'~"'!/"..F'" '\:.':'~';'.:".._,'~.' :_;.>"~a.\.. "cost, Residential, per unit, service included: 1,000 sq. ft, or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ ther~of 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 $ 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) 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 se'rvice 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 ( $ 55.00 $ \' r $ 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 inspection: (1) ~ (A) Enter subtotal of above fees (Minimum Permit F~iE9>>) $ _S' 8 (B) Enter 12% surcharge (.12 x [A]) $ (C) Tec~~@qgyJ'[~ (5% of[A]) . ". /-',..,1/ TOT AJ::lf~~ !i1t.rN~chll;Msl(\.\ th''!;;hgh~, I! '-,~' ~:b7 B '" AUTHORIZED UNUERIflT'0'F'" .", COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. $ 63.00 $ $58.00 iE\!~ $ ..""" CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00595 IVR Number: 811139689514 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 10/27/2010 10/27/2010 10/27/2010 ISSUED: APPLIED: 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.OLUS EXPIRES: VALUE: 04/25/2011 $0.00 SITE ADDRESS: 970 QUINAL T ST, Springfield, OR 97477-3156 ASSESOR'S PARCEL NO: 1703264207000 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Add circuit for ductless heat pump Phone Number: OWNER: ADDRESS: ANDREWS JEFF A 970 QUINAL T ST SPRINGFIELD OR 97477 Contractor Type Electrical Contractor Contractor Name OWNER CONTRACTOR INFORMATION ~ Lic Type OWNER BUILDING INFORMA TION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: 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: Lie No 0000000 Lic Exp OB/12f2025 Phone Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining wliiHENTION: Oregon law requires youto Soils Repoft'Requiied,S adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010through OAR 952-001- 0090. You may obtain copies ot the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). ,/0.....:,. NOTICE: K THIS PERMIT SHALL EXPIRE IF THE W~~T AUTHORIZED UNDER THIS PERMIT IS COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERiOD. Springfield Building Permit 10/27/201 11:13:48AM Page 1 of3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00595 IVR Number: 811139689514 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 10/27/2010 ISSUED: APPLIED: 10/27/2010 10/27/2010 EXPIRES: VALUE: 04/25/2011 $0.00 SITE ADDRESS: 970 QUINAL T ST, Springfield, OR 97477-3156 ASSESOR'S PARCEL NO: 1703264207000 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Add circuit for ductless heat pump DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descrietion TVDe of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID ~ Descriotion Branch circuits without service or feeder -1st circuit Balance of Minimum Electrical Permit Fees State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid Amount Paid $55.00 $3.00 $6.96 $2.90 $67.86 Date Paid 10/27/2010 10/27/2010 10/27/2010 10/27/2010 Receiot # 374717 374717 374717 374717 Springfield Building Permit 10/27/201 11:13:48AM Page 2 of 3 CITY OF SPRINGFIELD Building I Residential Perl1)it PERMIT NO: 811-SPR2010-00595 IVR Number: 811139689514 www.cj.springfield.or.us PROJECT STATUS: STATUS DATE: 155 ued ISSUED: APPLIED: 10/27/2010 10/27/2010 10/27/2010 SITE ADDRESS: 970 QUINAL T ST, Springfield, OR 97477-3156 ASSESOR'S PARCEL NO: 1703264207000 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci,springfield.or.us 1 EXPIRES: VALUE: 04/25/2011 $0.00 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Add circuit for ductless heat pump Plan Review Deoartment Application Acceptance Received 10/27/2010 Due Date 10/27/2010 Com Dieted 10/27/2010 Result Over the Counter ~ Reviewer David Bowlsby Electrical Review 10/27/2010 10/27/2010 10/27/2010 Not Required David Bowlsby Comments: Over the counter permit ll)rrt~T;Rev)eW~:"~'~7 '"':"'r~~o,:'<<;>~';tc~1 Din (20;1.Q~~;:;1,qI2?/~01_0,~1 0/27 12Q..1OS L:; O";etthe~ C'burHe'r 7. ,".David,!36"YlsBy~~,t1:t-~ /3~.}i'~,';.~: L::~:"i'~~,,'~'.; '-<:~J INSPECTIONS REQUIRED ~ Inspections 4500 Rough Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 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. 10/L '7//0 Date Springfield Building Permit 10/27/201 11:13:48AM Page 3 of 3 WWIN .ci .springfield, or. u s TRANSACTION RECEIPT 811-SPR2010-00595 970 QUINAL T ST CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2010000678 RECORD NO: 811-SPR2010-00595 DATE: 10/27/2010 IbESC~J.PTI@,j,;..,"-~~~!q,;O" f::';::,c;: -:>::~~;_ .;;."-=\)... '.' ~,';...q;.bUN:(CJ)liEri,,::>>" ':iAl'v1pLJN.JR.LJL- .'.:'; ., J Branch circuits without service or feeder - 1st circuit 224-00000-426102 $55.00 --------- 224-00000-426102 $3.00 821-00000-215004 $6.96 100-00000-425605 $2.90 TOTAL DUE: $67.86 61~PAYMENT;ifYPE.' :I?AYClR:~;:CASHIEfi';DBOW~SBY'2-;c'<LQMM!~NIS,.:::;g'~,;:.'. .i,i"~t'fAMOUNTPAID&:."" Balance of Minimum Electrical Permit Fees State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) l Credit Card 084445 ANDREWS JEFF A $67.86 $67.86