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Home My WebLink AboutPermit Electrical 2010-12-14 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. ~~"".if~~~1IliOCA:~~rGO:VERt-lMEt-liTtr~~RROV~@ij,1;1;::~'l):'JI~l Zoning approval verified? 0 Yes 0 No 1ivft:\\I~~~\i~~CATEGbR:V&OR.~coNs;tRLJC;T1(jN~U!f~i1~ti~ffg o Residential 0 Government 0 Commercial ,r:'G~y~pliJOB1;SI'T;E\;IN.F:bRNI.A.TION;AN[)1"1l0CAinON'\'ff\~~tlj Job site addres", d. ~ ~ S ~ City: S Electrical Permit Application 225 Fifth Street' Springfield, OR 97477' PH(541)726-3753t FAX(541)726-3689 Reference: :i 033w \ Taxlot.: ~i;'~.t~~~;~~i:}t~DESCRI~tI0N~OE-~\\NbRK;'~0'~~~f~~~~t~~ ~~~~\'j!iJ\'~F,fi\lili~q1r~RROeERTc\1i;OvvNER\~fiffi~~i~~1!@~~ Name: . ~ City: Phone: E-mail: ent. OAR Signature: ~;jc,,~_~CON;rMCJ\.()Rt~iNSiTiKl~lEA'T;lbN&&f,m'*~:~~!f~ ff\, c.- "'\'c. ,'(J../\I\ ';;l..: , 12, lcr--Ll City: State:Or'C q)l/df Phone: ,~ Signing supervisor's license no.: Print name of signing supervIsor: Signature of signing supervisor: ATTENTION: Oregon law requires you to 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 Center is 1-800-332-2344). ~o \~.~\) ~ 440-<584-J (9I08/COM) !PRtNOFuao ':"':'~-,"'b~- ~;;~~ci},"~~~;" ~f~~E~~~ij!M~~J:~'~~~'\g~~~iJiI pedla/'- 5f?e 20/ 0 ~ o Date: /;J-/ 1'-// p) Residential, per unit, service included: 1,000 sq. ft. or less (4) Each additional 500 sq. ft. or portion thereof $134.00 $ $ 25.00 $ Limited energy (2) $ 32.00 . $ Each manufactured home or modular dwelling service or feeder (2) $ 63.00 $ Services or feeders: instaliation, 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 fe~ders: installation, alteration, relocation 200 amps or less (2) 20 I 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, al/eration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ b. Fee for branch <;ircuits without purchase of a service or feeder fee: F!rIl,p("i]c)J:C,ircuit (2) $ 55.00 $ r,...,IJV_. "'~I Each,additionaI1hranch,circuit:XPIRE IF T JO$"6,00, . $ , ...... .... 'J",WlI' T, ,...... <.>' I , 1[.: v. ~ Misc~li~~e~';so f~~s:l. se-rvice';dii!<ee.deRnofionc(tMifdiS NOT .....,,',"1111/11 11l\l!...IL..', .,,,-, , <..;- Eacl!;p!'mM!:!tiJg~go(i)~r?Le f2jlAND lNE[1 $l6'3.00 EacJ1\$fgn oeo'Utnne)iigtltih'g~2}' 0 , $ 63.00 Signal circuit or a limited-energy panel, alteration, or extension (2) Each additional inspection: (1) $ $ $ 63.00 $ $58.00 $ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) (C) Technology Fee (5% of[A]) TOTAL fees and surcharges (A through q, $ $ $ 5r.-.~~N=.l r{~ 't'",. ''''OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00890 IVR Number: 811186484968 www.ci.springfield.or.us 225 Fifth 51 5pringfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: 155 ued 12/14/2010 ISSUED: APPLIED: 12/14/2010 12/14/2010 EXPIRES: VALUE: 06/12/2011 $0.00 SITE ADDRESS: 2325 G ST, Springfield, OR 97477-4496 ASSESOR'S PARCEL NO: 1703361115000 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Providing service for existing shop Phone Number: OWNER: ADDRESS: BURIAN ROYCE J & ESTHER F 2325 G ST SPRINGFIELD OR 97477 Contractor Type Contractor Name MY ELECTRICIAN'INC . . CONTRACTOR INFORMATION ~ Lie Type CCB BUILDING INFORMATION ~ # of Stofies: . 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: Lic No 87506 Lie Exp 11/20/2011 Phone 541-729-1454 Lot Size: Sq Ft 1st 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 Wall: Soils Report Required: ATTENTION: Oregon law requires yout,o 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 Center is 1-800-332-2344). Springfield Building Permit NOTICE: . THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THiS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 12/14/201 3:13:39PM Page' of 3 5r~~.~N..~.fIE~D.. ~_..- ;:.'!;l::w . .7'"'>+J0~ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00890 IVR Number: 811186484968 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 12/14/2010 ISSUED: APPLIED: 12/14/2010 12/14/2010 EXPIRES: VALUE: 06/12/2011 $0.00 SITE ADDRESS: 2325 G ST, Springfield, OR 97477-4496 ASSESOR'S PARCEL NO: 1703361115000 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Providing service for existing shop 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 Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I Description ~ervjces 200 amps or less Technology fee (5% of permit total) St~te of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $81.00 $4.05 $9.72 $94.77 Date Paid 12/14/2010 12/14/2010 12/14/2010 Receipt # 375126 375126 375126 Springfield Building Permit 12/14/201 3:13:39PM Page 2 of 3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00890 IVR Number: 811186484968 www,cLspringfield,or.U5 PROJECT STATUS: STATUS DATE: 155 ued ISSUED: APPLIED: 12/14/2010 12/14/2010 12/14/2010 SITE ADDRESS: 2325 G ST. Springfield, OR 97477-4496 ASSESOR'S PARCEL NO: 1703361115000 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permltcenler@ci,springfield.or,us EXPIRES: VALUE: 06/12/2011 $0.00 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Providing service for existing shop Plan Review ~ Department Permit Issuance Received 12/14/2010 Completed 12/14/2010 Result Issued Due Date 12/14/2010 Initial Review 12/14/2010 .12/14/2010 12/14/2010 Over the Counter Comments: Over the counter permit Applic~tion,Acceptance:(< ._-~ "..1.?/1~L201Q "" J3tL4/~Q1Q_"" 12/11/2010~~ .! Over thiCa~J~'7 ~~.~?~.;~.;-"i1:~;;f'~:'~;<.':'tr:~~~~~'~~'~- )~~ _ ~ ""~.",~I7;f,~ <. "~~:";: _;~'-- .~.''' ," ~,;:::,:~:";t;,,:~-,- Reviewer Nancy Machado Nancy Machado N_~n~qChadO TI'--_. ,;'t ':.'\~ "~' '. ,." , .~. .,>t;, "> "M:.J;, INSPECTIONS REQUIRED ~ ;'fe," " ;f'~~'" Inspections 4220 Electrical - Service 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. (J-I/<-(!ro , Owner or Contractor Signature Date Springfield Building Permit 12/14/201 3:13:39PM Page 3 of 3 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00890 2325 G ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726.3753 perrnitcenter@ci,springfield.or.us 10' ESCRIPTION .< ,.<,e' ."'i5,..".",~.>."'.." . _~~~~_.~~~;!;'..~;;;".:;..,k..L1i...,;;;';:;" .,,-'.. Seryices 200 amps or less Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) "",""" , ;' :.+":"";; . ,"~C.C'QUNT.:.CQDE: ~ ~MO.UlfT:;'Ol.i!: 224-00000-426102 $81.00 100-00000-425605 $4.05 821.00000.215004 $9.72 TOTAL DUE: $94.77 ',',' .,'" ", .- ,. ',~.f!,?lX' ,'AMOl.it./TiPAlp: DATE: 12/14/2010 'I -"'-' RECEIPT NO: 2010001040 RECORD NO: 811.SPR2010.00890 I" PAV1V(ENTl'y'PEJ'F'fpAYOR ,-C:ASHIERCC:ARPENTER" .C,OMME"U:S .: ',' .: Credit Card 009653 My Electrician / Edward Guidry $94.77 $94.77