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Home My WebLink AboutPermit Electrical 2010-12-22 Eledrical Permit Application 225 Fifth Street. Springfield, OR 97477tPH(541)726-3753tFAX(541)726-3689 I:' ~bE~~~+MENf usE ONLY "'::>-IIL V/O- CO ?t.l{ Permit no.: Date: 12.-2 Z . 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. "I,' , '.' .e';LE0CAL:'G0\1ERNMENTJAPPR()VA(;li:\~g:i-;&'\':',n. "" .... ..' (._........ .'.-., - c_",., Zoning approval verified? 0 Ves 0 No ,:')U.CATEGORY<~bl1.::.CONSTRl!JC"ION~\}i',.. ....: esidential 0 Government 0 Commercial ~,y;'itJ~OI3:~.SITiE~INF;()RM"'TiIOIllX;'AN[j}ilI()CA'liION~i~::Fi:: . Job site address: --':> City: ,;,'. Name: Address: City: L' PhoneS \-3S: E-mail: a--\. " , ~ This installatio 's being made on residentia r 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 9.560(1). I" Business name: ~tF.... Address: City: Phone: E-mail: . CCB license no.: Signing supervisor's-1kense no.: Print na~e Of5. ning supervisor: 440-2584.J (9/08/COM) - ", ".:.,' .-'....;;.."'.... ,-:' "'....:'.,". - -":.:.,, -,', :. ~,". . " .Numberof-insp'eCtiotis'p'.r itein:(.).\,': Q'ty' . ~-"1 .. ,.~;. _ ,-,:,,;,- ,,-:.,' '~;~:~\::.f:i, ""hit' 'Ai'.',', ';.:.!;:~< ',., ":," . Residential, per unit, service included: Totar '::. cqst; ,:, 1,000 sq. ft. or less (4) Each additional 500 sq. ft, or portion thereof Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) $ $ $ $ $134.00 $ 25.00 $ 32.00 $ 63.00 Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 20 I 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 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 $ 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 $ ;~l;~tr{;~~~~i~{~fWlK;~!:,~ARei1Tc~NtrlrOS_E~~~!t~t~~f~~~~~{Jli8:;: (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) $ c<( lIO'> ']7l 77 ;...:. . SP~ING.FIE~ ...,,~j,~.. . .~ . \1li>1 OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00964 IVR Number: 811134743482 www.c1.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/22/2010 ISSUED: APPLIED: 12/22/2010 12/22/2010 225 Fifth 5t Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permltcenter@ci.springfjeld.or.us EXPIRES: VALUE: 06/20/2011 $0.00 SITE ADDRESS: 3793 S REDWOOD DR, Springfield, OR 97478-6521 ASSESOR'S PARCEL NO: 1802061102200 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Upgrade service Phone Number: OWNER: ADDRESS: SILVERIA ALISON R 3795 5 REDWOOD DR SPRINGFIELD OR 97478 Contractor Type Electrical Contractor Contractor Name OWNER CONTRACTOR INFORMATION ~ Lic Type OWNER BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heal: 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 0000000 Phone Lic Exp 08/12/2025 lot Size: Sq Ft1 st Floor: Sq Fl 2nd Floor: Sq Fl 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: ATTENTION: Oregon law requires YQu !t:) Soils Report R<(q(jired:rules adopted by the Oregon U!iliW Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-(l(,11, 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notificatio~ Center is 1-800-332-2344).. .., ~:...'J' NOTICE: 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 12/22/201 2:19:11PM Page 1 of 3 .. ;- www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00964 IVR Number: 811134743482 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilce nter@ci.springfield.or.us . PROJECT STATUS: STATUS DATE: Issued 12/22/2010 ISSUED: APPLIED: 12/22/2010 12/22/2010 EXPIRES: VALUE: 06/20/2011 $0.00 SITE ADDRESS: 3793 S REDWOOD DR, Springfield, OR 97478-6521 ASSESOR'S PARCEL NO: 1802061102200 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Upgrade service Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 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: PUBLIC IMPROVEMENTS I Street Improv,ements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Description Services 200 amps or less _ Technolog~ fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid Date Paid ReciD! # $81.00 12/22/2010 2010001129 w__,,___"__ . $4.05 12/22/2010 2010001129 -----"-~._---------~--_._---- $9.72 12/22/2010 2010001129 $94,77 Springfield Building Permit 12/22/201 2:19:11PM Page 2 of 3 ir -. 5P~I\H_~~~ ~~~ ~ORfGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00964 IVR Number: 811134743482 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: APPLIED: Issued 12/22/2010 12/22/2010 12/22/2010 EXPIRES: VALUE: 06/20/2011 $0_00 SITE ADDRESS: 3793 S REDWOOD DR, Springfield, OR 97478-6521 ASSESOR'S PARCEL NO: 1802061102200 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Upgrade service Plan Review I Electrical Review 12/22/2010 12/22/2010 12/22/2010 Not Required David Bowlsby Comments: Over the counter permit finrtf~rR~vjew '-T":i';'"t;;-:;j,;;~~; < 1~U2~U201 0: ~12/22i20:1o;::::1'~!2i'2pfO'-;.'" O~'e'r,lhe;co'diitfuZF~V~bavid BOWlsby;,::'~:r:~-" ~E'~,?i~~'~.:~~*~'~h~" ~.?'~'~.~~{'?:~~~i,~'~~~~~:z:lf~~'B~~i ~.~~_.:~:;.\.-_~~:~- \;~~~0::t~:,'~~_'_'~_ . ~_~:~. - ~-~.~:i~:;i~'_':~ :~'.~' ',.~ DeDartment Application Acceptance Received Due Date Comoleted Result 12/22/2010 12/22/2010 12/22/2010 Over the Counter Reviewer David Bowlsby -c:l , ',it --------.- INSPECTIONS REQUIRED I Inspections 4210 Service Change 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 gr: erty, and the approved set of plans will remain on the site at all times during construction. \:2- ~2-2---- .20 l 0 Owner or Contractor Signature Date Springfield Building Permit 12/22/201 2:19:11PM Page 3 of 3 . " www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00964 3793 S REDWOOD DR CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2010001129 RECORD NO: 811-SPR2010-00964 DATE: 12/22/2010 tm:.s.:.CR!PTJ9~N;Z::1s.2\'~;,-"" -';3'::. . -- .. ,;/f:'0~~_, .~ "ACoc:6.DNTlc.O[)E ,;'1',", Coo '0 S_j\MQ_lJlfr.:DUE~~~L; ~;'. "j Services 200 a~ps or less __~_~......2.24-00000:..426102 $81.00 Technology fee (5% of permit total) 100-00000-425605 $4.05 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $9.72 TOTAL DUE: $94.77 ItF'AYMENT tYPE::-::'7-:PAYOR;.':41CASAIER:DBOvVLsB\;j+"'~(;:<~MM~Nis'!!;:~j'dS;"'f. , ..-;;'0 .':0~~AMQ,@TP~J.DI':': ,.j Credit Card 019476 SILVERIA ALISON R $94.77 $94,77