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Home My WebLink AboutPermit Electrical 2010-11-22 This permit is issued under OAR 918-309-0000. Permits are noutransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ~1~!{if!,titiIBPCA[f1G0~EBNMEN!T~?AF,>,RRO,\tAIl.'ilr~~~;f:1l~)? Zoning approval verified? 0 Yes 0 No !,fj~'t4)ti;1N~fit\icA:tEGQR:'(jjOFi.;;C0Ns;tRl.lCmI0Ni'\\lt~\LiJl,t'dJ\;v~;; Residential D Government D Commercial '. i;f~l;ij))!.'JOB';siTE~'INF,QRMA:r;ION'fANB"libCA"I'ION~l$.1Ji'\fIf;5 Job site address: \ 1.i21.-~I: S-\- City. \) State: cp-- ZIP:q7'i77 Reference: Taxlot.: ~x~k~1~J~~~1f!~jf~j~-DESt;RiP.fTiQN~0F.;'~W(')RK{t~7f~~~ l(oc Electrical Permit A 225 Fifth Streett Springfield, OR 97477. PH(S41)726-3753t FAX(541)726-3689 Name: Address: Ci . Phone: E-mail: zIP:,\'1'-n7 Fax: . N;r:BACT.OB~INSJ;Alll!'A:r;lbN~~\'fl:'!'Jl~+r~~ Business name: Address: City: Signin Print name of signing supervisor: Signature of signing supervisor: 440-2584-) (9!08/COM) !I'~INQFIELO ~".;"",,!\,"-.,-,,;. ~~f:t~D'E~ARTME-~~-ri,U~EJQN-~Y:~-~~~ "~2~'?1; ~>'~r'~'~;~:r;-~~~~~'i,.~t()~ 70' Permit no.: '-~ it"- Date: /-8';).-/ b ';lJ1f""'~~.l'",'\!i1i!"f;i'l'l!f"~i~;7.~"j!i':-4'-~~''-'''_ Ell~~:E1~~i:~~~E~~J:2;;~~~,p~~E{,~\~~2t(1)'-1Wl;:~ ~~i ~i~QS~'h~~ Residential, per unit, service included: 1,000 sq. fL 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 $ i!(-/ - 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 $ 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 limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (1) $58.00 $ ~~~i~- liT"'Y'"rr-"~~(ll!l.~ co,_..,: :,",,,,,~.~,,,,'::gAR~l!IGJ!\lIlrr,,,lJSEi!'~,,:-~:l.i, ."'C ,I (A) Enter subtotal of above fees X/. ( (Minimum Permit Fee $58.00) $ ~, (B) Enter 12% surcharge (.12 x [AD $ (C) Technology Fee (5% of [AD $ TOTAL rees and surcharges (A through C): $ '1[,-" ~\~) IV 77 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00766 IVR Number: 811127689135 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: Issued 11/22/2010 11/22/2010 11/22/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us EXPIRES: VALUE: OS/21/2011 $0,00 SITE ADDRESS: 1620 I ST, Springfield, OR 974774164 ASSESOR'S PARCEL NO: 171;3362104500 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 200 AMP Panel Phone Nu'mber: OWNER: ADDRESS: ASHCRAFT KRISTI 1620 I ST SPRINGFIELD OR 97477 Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type Lie No Lie Exp Phone # of Units: BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: 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: Lot Size: Sq Ft 1st Floor: Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Ca",ort: Sq Ft Other: 0 Occupancy Load: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: N CS';,'ii; 'Report Required: PIRE IF THE WORK THIS PERMIT SHALL ~ISPERMIT\S NOT AUTHORIZED UNDERABANDONED FOR COMMENCED OR IS ANY 180 DAY PERIOD. ,.,~ .:0 'LA! to ATTE~IT'O\I' C', ,",' ""e' "Ie"u~ Utility , - . d - " uy u' '-, " h io1\Q.',~ .0.;3 a 01=-" Tn S8 wles are set lort Notiiication Center. ~rough OAR 952-001- in OAR 952-001-0010 t copies oHM rules by 0090, you may obtain Note: the telephone ca1\ing the cenler, (on Utility Notiiica\iOn number lor the or1e~00_332-2344). Center IS - Springfield Building Permit 11/22/201 10:04:50AM Page 1 of 3 SP~II..l.G. F.IE?ij .~.. ..h~ ."-'~OREGON www.ci.springfield..or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00766 IVR Number: 811127689135 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLs'pringfield,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: 1620 1ST, Springfield, OR 97477-4164 ASSESOR'S PARCEL NO: 1703362104500 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 200 AMP Panel I DEVELOPMENT INFORMATION ~ Frontyard Setback: lrJterior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Driv,e 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: DownspoutfDrains: Valuation Description ~ Descriotlon Tvoe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Descriotion Services 200 amps or less Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $81.00 $4.05 $9.72 $94.77 Date Pa id 11/22/2010 11/22/2010 11/22/2010 ReceiDt # 374950 374950 374950 Springfield Building Permit 11/22/201 10:04:50AM Page 2 of 3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00766 IVR Number: 811127689135 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 11/22/2010 11/22/2010 Issued 11/22/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: OS/21/2011 $0.00 SITE ADDRESS: 1620 I ST, Springfield, OR 97477-4164 ASSESOR'S PARCEL NO: 1703362104500 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 200 AMP Panel Plan Review ~ Deoartment Application Acceptance Received Due Date Comoleted Result 11/22/2010 11/22/2010 11/22/2010 Over the Counter Permit Issuance 11/22/2010 11/22/2010 11/22/2010 Issued Structural Review 11/22/2010 11/22/2010 11/22/2010 Comments: Over the counter permit Pla-nn.~ng Revie~ .; : 7",~, ~,"" 0 "~ 1/22/2010 ~~1/22!20J,~*' ~1, 1~2/2~1 0 ~ ,,~C''!~n1~~~~: Over !he c:o~n.t~rJ)~.r~i~~Jw;7-\~;,;,,J.~ >,~ ~,"~ ~ ..- '\1 Not Required Noi:Re(fujredi he, " ~~,~ ~,:j;':~ ~>~:\ ~; ~ '::17,',". ~;Naiicy,Macha'dol k_ "" .. . .', ,.:" . r'p; h''';'''' '-~ %~ "".__;; ..If ~_ ..-.- '-', -:;":,,-,,,, -'..ell.- INSPECTIONS REQUIRED ~ Inspections 4220 Electrical Service Reviewer Nancy Machado Nancy Machado Nancy Machado Electric Service: Approval required prior to utility company energizing service. - By signature, J 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. J 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. Owner or Contractor Signature Date Springfield Building Permit 11/22/201 10:04:50AM Page 3 of 3 S.P_R~.N.G~..IE.L~ .1'. . "~ .",J~ '. OREGON www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2010-00766 1620 1ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 pe rmitcenter@ci.springfield.or.us RECEIPT NO: 2010000887 RECORD NO: 811-SPR2010-00766 DATE: 11/22/2010 jDESCRfi'11ffoN1:~w~~~~~~..Jii!!:~~:C9jlNJKG:QO:E~~~MPIJN;i';lDl.iE~f2\l'l~~I~;;i!J ServicO's 200 amps or less __________ 22~-000~0-426~ll.~_________________...__~!!2~ll.~_ Tech'29logy fee (5% of perm~_to.!a.l) 100-00000-425605 _____~O.:;__ State of Oregon Surcharge (12,:Yo of applicab!,e...fees) 821-00000-215004 $9.72 TOTAL DUE: $94.77 mAYMENjfliilj.'t:e.E~p.Aif;o:~~~M6CHAq~JimG.([I':!rME]'[$Y~~~~,;:'J,~~MQufilJPS@;.~~~i-i!';jJ Check 1304 ASHCRAFT KRISTI $94.77 $94.77 e