HomeMy WebLinkAboutPermit Electrical 2010-12-3
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.
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Zoning approval verified? 0 Yes 0 No
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o Residential 0 Government 0 Commercial
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Job site address: :; 3d""J 5T
City: ~e \ State: {) ( ZIP. 1 '-( 7
Reference: 0 C::. z... Taxlot.: oleo
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E.lectrical Permit A
225 Fifth Street+Springfield. OR 97477+ PH(541)726-3753+ FAX(541)726-3689
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Name: --.J 4 mot' 5
Address: '-f '-I S
Phone: .., 74'f 5'3
E-mail: fcd( ""o""~ 4( Yr\Sv, (0
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) a 479.5?W)
Signature: fi(~
NT8ACTlbR~INs;r~~lPA;j;It>N~i1!t1ti;~:i\:~:'i;~~'
Business name:
QW
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:
440-2584-1 (91G8/COM)
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$ PI2. 'ZOIC). C C g 2.0
Permit no.:
Date: I Z - 3 . / 0
9
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) $ 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 $ go
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)
401 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 panel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit
$
b. Fee -for branch circuits without purchase of a service or feeder fee:
First branch circuit (2) .
Each additional branch circuit
$ 55.00 $
$ 6.00 $ ~O
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2)
Each sign or outline lighting (2)
Signal circuit or a limited-energy panel,
alteration, or extension (2)
$ 63.00 $
$ 63.00 $
$ 63.00 $
Each additional inspection: (I) $58.00 $
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(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
$
81
(B) Enter 12% surcharge (.12 x [A])
(e) Technology Fee (5% of [A])
TOTAL rees and surcharges (A through C):
$
$
$
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00820
IVR Number: 811197866685
www.cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
Issued
12/03/2010
12/03/2010
12103/2010
225 Fifth 5t
5pringfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilce nter@cLspringfield.or.us
EXPIRES:
VALUE:
06/01/2011
$0.00
SITE ADDRESS: 844 S 32ND ST, Springfield, OR 97478-6525
ASSESOR'S PARCEL NO: 1802062110800
SCOPE: EleclricalOnly
WORK INVOLVED: New
TYPE OF STRUCTURE: Residenlial
PROJECT DESCRIPTION:
Wire garage
Phone Number:
OWNER:
ADDRESS:
REDMOND JAMES M & KRISTIE A
844 S 32ND ST
SPRINGFIELD OR 97478
Contractor Type
Electrical Contractor
Contractor Name
OWNER
CONTRACTOR INFORMATION ~
Lie Type
OWNER
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heal:
Waler Type:
Range Type:
Hazmat:
# of Units:
o
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Palh:
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
lie Exp
08/12/2025
Phone
lot Size:
Sq Fl1 sl Floor:
Sq FI2nd Floor:
Sq FI Basemenl:
Sq FI Garage:
Sq FI Carport:
Sq FI Olher: 0
Occupancy Load:
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area: ATTENTION' Ore '
Land Hazard Area: fall I' gon law requires you to
Retaining Wall: Noti~~a~iU e~ adfPted by the Oregon Utility
Soils Report Requifl'd'AR 9~2n ooe1nOeOr. Those rules are set forth
, 'v - - 10 through OAR 952-001-
0090.. You may obtain copies 0/ the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
NOTICE: -: .;. ,".r
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit
12/3/2010 2:14:41PM
Page 1 of 3
S.~~IN. G.. FIEL~
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,. I,.~
. -/.\ OREGON
www.ci.springfield.or.u.s
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00820
IVR Number: 811197866685
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
12/03/2010
ISSUED:
APPLIED:
12/03/2010
12/03/2010
EXPIRES:
VALUE:
06/01/2011
$0.00
SITE ADDRESS: 844 S 32ND ST, Springfield, OR 97478-6525
ASSES OR'S PARCEL NO: 1802062110800
SCOPE: Electrical Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Wire garage
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
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
~
Descriotion
Tvoe of Construction
Unit Amount Unit Type
Unit Cost
Value
FEES PAID
~
Descriotion
Services 200 amps or less
Branch circuits with service or feeder each circuit
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total) .
Total Amount Paid
Amount Paid
$81.00
$30.00
$13.32
$5.55
$129.87
Date Pa id
12/03/2010
12/03/2010
12/03/2010
12/03/2010
Receipt #
375035
375035
375035
375035
Springfield Building Permit
12/3/2010 2:14:41PM
Page 2 of 3
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00820
IVR Number: 811197866685
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
12/03/2010
12/03/2010
Issued
12/03/2010
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,springfield.or.us
EXPIRES:
VALUE:
06/01/2011
$0.00
SITE ADDRESS: 844 S 32ND ST, Springfield, OR 97478-6525
ASSESOR'S PARCEL NO: 1802062110800
SCOPE: Electrical Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Wire garage
Plan Review
I
Department
Application Acceptance
Received
12/03/2010
Due Date
12/03/2010
Completed
12/03/2010
Result
Over the Counter
Reviewer
David Bowlsby
Electrical Review 12/0312010 12/03/2010 12/03/2010 Not Required
Comments: Over the counter permit
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!!,p~f!lments~,:;, ;2yer6thejE~er'p~r,:r,llt" ;:"- ttT2\:~ 'F,"" "'.-" ,- ''''iI{/~':,'~~~''i:~' '''it" ,\,/"" "'~,.<\, ' ",
INSPECTIONS REQUIRED ~
Inspections
4225 Service or Feeder
David Bowlsby
J
David,Bowlst)y" .
;..,.
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4500 Rough Electrical
4999 Final Electrical
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 shaff 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.
s:tcf~
IJ-03-/0
Date
Springfield Building Permit
12/3/2010 2:14:41PM
Page 30f3
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00820
844 S 32ND ST
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
permitcenler@ci.springfield.OLUS
RECEIPT NO: 2010000961
RECORD NO: 81 I-SPR2010-00820
DATE: 12/03/2010
f.R:.ESCRf~J]9N -.:
Services 200 amps or less
Branch circuits with service or feeder each circuit
""-f-',. -' .. :'ic: '" ',. ;;:2~"i -'~: . : ,t>.C,C,0.UN:r:.C,0.RE}"/, : . '~MO_lJN:fjiliE:.c:,--~"'" . I
224-00000-426102 $81.00
224-00000-426102 $30,00
821-00000-215004 $13.32
100-00000-425605 $5,55
TOTAL DUE: $129.87
-.:~jH!ER: DB'6wgSBY,:."; ."G,QM.r-.iEN]S"'.i, .;'.;,:--::,,,,,~;' "~'- "". AMOLlNTFP~fD;'., _ ,"0 q
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
UAYlJIEN:L'f:VPE' ';";.J'A'(OR
Check
1775
REDMOND JAMES M &
KRISTIE A
$129.87
$129.87