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Home My WebLink AboutPermit Electrical 2010-11-22 225 Fifth StreettSpl"ingfield, OR 97477tPH(54J)726-3753t FAX(54 1)726-3689 ~PRINC"II!:LO ;"':'<}'>~""~- ~;.,~;rt~~,;/'C ~.'!}~"f"t''';'''':-:i:'~::;c;?:~- '",;' \,-"';'. ,t'._ .;:~<;1;,~..,.j~ ;:"~,->T. "Y;,\~i1j.:!f;;Jt)-;2 "'t~DEP..Il.RTMEN"[;USE'ONL:Y'\tf~ ri/.'A~f" ~'''''''''')L:'~. .',e\'" ~~~,"". f~~' '""'" ...,iX,t.. ~.r"':~~~"i'0':~ Permit no.: S IcJ-"'jt;S Date: I( 10 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. t~:ih~1:1'~l;Oc;;AIt'1lG.OYERNNlENT'AR~ROVAI:!!;,~)lf~~~:~ Zoning approval verified? DYes D No [@,~~~D~fCAtEGQRY;:!IOF;;JC:0Ns;tRtJ0:t10Ni~#t[!'~1'.~1 esidential D Government D Commercial ii)*';~4[?JOB";siJ'E::INF,bRMArlbN'?AND::'i1b0AJ'IONIi%kf~~~: Job site address: City: ..4'/ Reference: Taxlo!.: r2i24~1Ii;;~~.*~DES<;RIRJ;lbN\;OF;~\WORK~~,,!i0~~~~ ~~~;t~~!i~W~k~it&~~~~~gRbRE- nYL~O.WNER1;&~~~~tfQl~~~rl~~~ --- Name: City: Phone: 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).' ZI Signature: ~!",~~~{C'ON:rRA:tTO~~ l ST;~~l?A'TION~~A~~ Cd CCB license no.: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: ~~~ ~ ~ 440.2584.) (9/08/COM) ;\r:4G'j~~{#~~lcJ__f:'E:'-1;::tFEE~S'c:I4fED'L!JlEE~Yt~j~~~~;k~'.w1~;"'f:ffil ;,"";;tt;;,c,tG:,'__> d. .~ '"":ij4):l",,,.:,;. ..... :1k. ",.,....,1, __"'.m. ;,mr,~,',~. ...,~~;1jJ;;'4':jU~;;;:1"t ~;~i:Y7Lt>?~~'?~~{ft""",f!~,.~~'1?:~df~~8t~l'1~~~~ ei~~~1Ir,~co~~I:~lmotal~'o ~~um__b,~r-rO!ill.!~p~~~t,~o,nJ;p~,rpJte~~Mi~'~E~~ Q~y! {."". ."-"'. '..);t?tfT- .,:%'~ ~?;";E"sL!i~.J~~;;,,:Vk;(,,..~m,.i0'h;.t1<.;;,'~;:;~,Zf' '-::-h.-"r.~'$'8\-";. ,..\:.'I~~~~.~:.fl~:'2 ~(~s~"iffd" 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) f $ 32.00 ifoJ5 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) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 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 I $ 6.00 I $ 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 limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (1) $58.00 $ ~~~-'li1!b",,,'^'w''''';!li--.r~~..z ;.-',~"".~. !ii~~~.1imy,;:%:r-~8Rl1leA:NT~'if,1LI5E"", .' )-~~~:.-t~,)~,,,".'...",;~ (A) Enter subtotal.of above fees ~'!P (Minimum Permit Fee $58.00) $ (B) Enter 12% surcharge (.12 x [AD $ ")~ (e) Technology Fee (5% of[AD $ 3'S TOTAL rees and surcharges (A through C): $ IT? ~ .. . 'r SP:~N~EL~.' . L~~r ~..OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00765 IVR Number: 811161540905 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennitce nter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/22/2010 ISSUED: APPLIED: 11/22/2010 11/22/2010 EXPIRES:, VALUE: OS/21/2011 $0.00 SITE ADDRESS: 978 W L ST, Springfield, OR 97477-2841 ASSESOR'S PARCEL NO: 1703273401806 PROJECT DESCRIPTION: SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential Low voltage for. alarm wiring repair Phone Number: OWNER: ADDRESS: DALBY FERN VELORE 978 W L ST SPRINGFIELD OR 97477 Contractor Type CONTRACTOR INFORMATiON ~ Contractor Name APX ALARM SECURITY SOLUTIONS INC Lie Type CCB Lie No 173349 Lic Exp 01/03/2011 Phone 801-377-9111 # of Units: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: o BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: 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: Lot Size: Sq Ft1 st Floor: Sq Ft2ndFloor: Sq Ft Basement: . you to _ - law requires . . A"'TEI~~IIJ\G,arage~On Oregon Utility ,\ '--'~d by the I th I \low ~~\~t,Carport:" ules are set or o . . . _ ~-nIPr. Those r 952-001- NotlllGtSq.Ft Olher:01 0 throl!gh OAR . OAP ""0_n01-0 . I the rules by In Occupancy Load; COpIeS 0 OOon You may 0IJC~'" te' the telep\1One ~1qR~g the Genter. (~~ Utility NotiliGation number lor the, or1e~00_332-2344). Center IS - Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Site Information 11/22/201 10:03:14AM ~ NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page 1 of3 s_.p~. ING..FIE. L?ij tR --- / ';" T', ~~ 11[.. '" OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00765 IVR Number: 811161540905 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: STATUS DATE: Issued 11/22/2010 ISSUED: APPLIED: 11/22/2010 11/22/2010 EXPIRES: VALUE: OS/21/2011 $0.00 SITE ADDRESS: 978 W L ST, Springfield, OR 97477-2841 ASSESOR'S PARCEL NO: 1703273401806 SCOPE: Electrical Only WORK INVOLVED: Repair . TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Low voltage for alarm wiring repair DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: I Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Tvpe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID I DescriDtion Other Limited Energy Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $63.00 $3.15 $7.56 $73.71 Date Paid 11/22/2010 11/22/2010 11/22/2010 ReceiDt # 374951 374951 374951 Springfield Building Permit 11/22/201 10:03:14AM Page 2 of 3 SP~IHGFIEL~ .~' 'i/!1! "":"'~ORfGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00765 IVR Number: 811161540905 www.ci.springfield.or.us 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: STATUS DATE: Issued 11/22/2010 ISSUED: APPLIED: 11/22/2010 11/22/2010 EXPIRES: VALUE: OS/21/2011 $0.00 SITE ADDRESS: 978 W L ST, Springfield, OR 97477-2841 ASSES OR'S PARCEL NO: 1703273401806 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Low voltage for alarm wiring repair Plan Review ~ Deoartment Permit Issuance Received 11/22/2010 Completed 11/22/2010 Result Issued Due Date 11/22/2010 Initial Review 11/22/2010 11/22/2010 11/22/2010 Over the Counter Comments: Over the counter permit 1ApplicatiO!l~Acceptance ~,.'" ~ ':,_1:1/22/2010: 7:.117227~, ,11'j'2.212010'-~~ Q,veLthe__C~,q~_nt~~~;r [ -', ,- -,', '--' '''" ""'" ' - _ l' "--.~- -~j.{~:~~'t~~,Z~"~ji~;l--' :,{,;_.'~;-'-'~--"/ t':,-~.\t~'~i.-:'~:':~~':~ t" Reviewer Chris Carpenter Chris Carpenter ,~^ ......,.. .1.:.... .,""'Ir'---"'--~'--""'t-~ ,""c;hr.!!',C;arpent~r^l_ ,,. , " " 'J ,~ ;,,'i,<,',: -,'l':" " " I ". .,~, - Z' .-:!;........ 'ir .~. _.._. __ r: :.;". .~._. 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 ro~"""OO ;/~ t2 Date Springfield Building Permit 11/22/201 10:03:14AM Page 3 of3 www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2010-00765 978 W L ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 perrnilcenter@cLspringfield.oLUS RECEIPT NO: 2010000888 RECORD NO: 811-SPR201O-00765 DATE: 11/22/2010 '"";; +'.'l:~ftt;,+;~~+, i~. ''''-+~''''.A~~0Jj_NJLC_OJ;!E.2'>~'2;' A "Aiilo.@LiltJE. . 224-00000-426102 $63.00 1 00-00000-425605 $3.15 821-00000-215004 $7.56 TOTAL DUE: $73,71 LPAYMeElf:TYPE.;,"':' ~A'('9B.::~,,"'C~SHIERCC~RPSNTER;~C.OI)IIMgNtS';"_':_f ~.. . ,c,.'", _ . .'AMQLJ!UPAID' .~"'- __ lQE$GRIBTION;'J.i#;~;+i;7I.; 'if,"'" Other Limited Energy Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) ,,.;. ,.j - J Credit Card 022533 APX ALARM SECURITY SOLUTIONS INC $73.71 $73.71