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Home My WebLink AboutPermit Electrical 2010-12-22 225 Fifth Street. Springfield, OR 97477tPH(541)726-3753tFAX(541)726-3689 '. " , ,.v' ':", DEPARTMENt USE ONLY -. .'- '"j":;";-,, -- g {.J -..sf'J<... 2-e 1.(31 - Permit no,: Cib3 Date: 1-2- - 7--2- - h9- 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 snspended for 180 days. ::,,'.' :.' :~:([OCAL;:'GOVERNMENT::MpROVAU!f.f,'lt:j:;)."jl!"!1~X 1~,ti:~:~}~ff~~i?0$~l~,~'~t~~;!~~F.:EI;-*,SGf.I E.DJjtl_EE;:;ii:f~12~r-,;~sW~~~~Yg';~I~{~WA Zoning approval veri lied? DYes DNo . '" ',','f >....:..<..,~,.~" ':':;'~-'-',:-',:;., ;:'~..-=t " Cosf Ttiial .J>' u"!b,er~rinspectio"s':p~r.it~in(h'~, Qty. ,l;''{~il;"":- 'cost':. B'i:n'.:('dcA'T:EGORY,J'bl''':CONSTRUCTION;:;'\:':':~' .' :,'~ '. j,_ ".','~""'_"_-'_' ~",.~""ir_,_,'''''1 .,\~',. t..,.", .,,~o Residential, per unit, service included: D Residential I D Government I D Commercial (~~lT!J:OB,;gSlrrE[1INfQRMA-TI(jIil~;AIII[j~GoCMION~~:~~f<i1 1,000 sq, ft, or less (4) $134,00 $ Job site address: iR 15- \/ok', AT.>.. Each additional 500 sq. ft, or portion $ 25,00 $ thereof City: .<....< r. ~~ II State: 0\ ZIP: Limited energy (2) $ 32,00 $ \ Reference: "rtJU "'}"":> I Taxlot.:CXJf tf1 ) Each manufactured home or modular $ 63.00 $ . .' . " DESCRIPTION;. 'OF" ,W.O~K',l;!;;:)j;~",;i#':~;':'" dwelling service or feeder (2) 7e,uD ic'-eC(),I\ Pc...t- -~e-'\J,-.'t:p Services or feeders: instaiiation, alteration, reLocation , I 200 amps or less (2) $ 81,00 $ . 'PROPERTY.OW.NER-c . 201 to 400 amps (2) $ 95.00 $ Name: \J..l~O 0 -t t' """'.:--i 'nM vtt; 401 to 600 amps (2) $158,00 $ Addres...;! ( . -J ~ r O~ ~. - ~ r.. 601 to 1,000 amps (2) $205.00 $ CityRJ'\ ) D-,,~ State'-n , ZIpt,.{ t-'I- rx Over.I,OOO amps or volts (2) $469.00 $ . ~ I Fax: Reconnect only (2) 1 $ 63,00 $/ ()~... Phone: - - - . E-mail: Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less (2) $ 63,00 $ owned by me or a member of my immediate family, This 201 to 400 amps (2), $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 401 to 600 amps (2) 479.540(1) and 479,560(1), $126,00 $ Signature: Over 600 amps or 1,000 volts, see services or feeders section above ;;CONTRACTOR INSTALLATION:. Branch circuits: new, alteration, extension per panel Business name: .TE LN\. C( L' a. Fee for branch circuits with purchase of a service or feeder fee: C *"c '.'(' Address: 3<>s,s '-I ' 'IC.:", L- (2,,( Each branch circuit $ 6,00 $ City: \Sn~J. J ZIP: Q7V?f5 b. Fee for branch circuits without purchase of a service or feeder fee: \: ' l' State: Or- Phone: /i211 ~ }:W IO?4- I Fax: - - First branch circuit (2) $ 55.00 $ E-mail: Each additional branch circuit $ 6.00 $ CCB license no.: 1&/J.3')- I BCD license no,: a00!J7G Miscellaneous fees: service or feeder ~ot included Signing supervisor's license no.: L/700<-:" Each pump or irrigation circle (2) $ 63,00 $ Print name of signing supervisor: -lb., ~ (.Mr'Y-'l.C) Each sign or outline lighting (2) $ 63,00 $ Signature of signing supervisor: ~ II., }(~( /h Signal circuit or a limited-energy panel, $ 63.00 $ -alteration, or extension (2) , V "'/I 1 'I i Each additional inspection: (I) $58.00 $ i / V ~~~~~ffr~i1t~!~1ft:*;~AReQicA.Nt;,~:US'Etr;~~;::~lrif;c~)1r~i:<1~}.~~::'."~ V (A) Enter subtotal of above fees $ l 0 ~.( ~ (Minimum Permit Fee $58,00) ~ra- . (B) Enter 12% surcharge (,12 x [AD $ ?S-~ \ (C) Technology Fee (5% of [AD $ ~J5 TOTAL fees and surcharges (A througb C): $7-3'71 cP d\)) 440-2584-) (9I08/COM) ;- ..' SP~~~:.IEL~ ~<~ ~OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541:726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Residential Permit PERMIT NO: 811-SPR2010-00963 IVR Number: 811104074279 permitcenter@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 $500.00 SITE ADDRESS: 2915 YOLANDA AVE, Springfield, OR 97477-1784 ASSESOR'S PARCEL NO: 1702193300600 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Temporary Reconnect DEVELOPMENT INFORMATION ~ Overlay Dist: # StreetTrees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descrietion . Tvoe of Construction Unit Amount Unit Tvee Unit Cost Value Description Service reconnect only Technology fee (5% of permit total) .state of '2~':.~3n Surcharge (12% of applicable fees) Total Amount Paid FEES PAID Amount Paid $63.00 $3.15 $7.56 $73.71 I Date Paid 12/22/2010 12/22/2010 12/22/2010 Receiot # 375217 375217 375217 Springfield Building Permit 12/22/201 10:38:42AM Page 2 of 3 ~ ..... SP~.N:_.FIE,L~ ~~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00963 IVR Number: 811104074279 WWW.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce 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 $500.00 SITE ADDRESS: 2915 YOLANDA AVE, Springfield, OR 97477-1784 ASSESOR'S PARCEL NO: 1702193300600 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Temporary Reconnect Plan Review ~ Deoartment Application Acceptance Received Due Date Completed Result 12/22/2010 12/22/2010 12/22/2010 Over the Counter Initial.'Review ey' ,,''',....-.... - L~~Coniments:.:';~Ove ",',..,..- .. -~ 0,." "~-'''" Permit Issuance 12/22/2010 12/22/2010 12/22/2010 issued Reviewe r Kip Kaufman Kip Kaufman , ..,:1, fP,Ubirc:works Review~~~2/2V20M1(}r';'12122/201 0:. ;-51'2/2'2/20'1 O~i.,- 'NOfReq'uire([?"~>' ,~;:o. t_~~?~~~~~r22~.~~~f~'~(~rTi~t0j:~~ '~"~~c~j/ !~~:c::.:at~~I:~ :;: ~~LI ~:~":;;/~r,~~ff':~~;.;fr.~~' Structural Review 12122/2010 12/22/2010 12/22/2010 Not Required Comments: Over the counter permit PlanningReVie..wL4~:;':-- .". '0~/'::.'~'-'.1.'2./?2i2010,,;._:f2722/2010,':~.'"'1.2/22/20.110:1 i;. NotiRequ_ife(t,r,~>'\',,\. _'.~KiP. Ka.ufman '~ -.=' ~.~:':C'^,~--'~7-7l e-.;-t;;'<".2..'0""I'-""',cZ"-',>':i~y~"\.~.j". /'~."i%VY::"''':S:'"''','''';...;f:~J\<:'(2,:,'"J>:l'fL~liP:'r'''..:i-', "", .t:.."".~,';., ;;~.i< _,.~;" ' "j .'. ~);:onllnents:"'Over the counter permit ---,": "':'''{..tr'1,*'v:..#:~''~ : "," . t~~,'~':J"1l""'f:'-)'f.~',''';;;!''/k..,} . "'1.-'0:'" _,.{ I, ,.... - . .-h:...... .:." ',,' .-~ . '. ' '1 .''''<0t);.'' ....,....'.:" '. ur.O!.L,.',,"t..,w'.,'" . '~.' _:.'V_.::<.... ......,~.-.:---:;: '.,:.:,F'"r'"" "'~". . ..... -ory, ,,,._m:,.,,.~.. ,. _,.- ~ By ~ignature, 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 th':lt 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 constructior{ i...t'A~l. f' . !, 11 .... -'- ~ ~.1 II! ?i..-'-=--..-- _ OvJne~ ~~;ig'rit&e -' -~ . i I ! v I VV INSPECTIONS REQUIRED Inspections 4200 Reconnect Service .~ t 2,.. - 7-.-z.... . )--@- Date Springfield Building Permit 12/221201 1Q:38:42AM . KiR. Kaufman" '.- "'",'r." " ". .'.-.7'F"r-;".,-----.U. , ' , .., .... ',,-'., ". . ''',,', ';. :.",.:~ " ". .""'" _...,,-_.,",--~_....... Kip Kaufman Page 3 of 3 SPR.INGFIE~ ,:t4,~ ~ "OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00963 2915 YOLANDA AVE CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2010001127 RECORD NO: 81 I-SPR2010-00963 . DATE: 12/22/2010 IDESCRlfif~f;'~;fc,;:''';!~f; t";;:~!.';; ~,:_';;C ~AC't.QUNJ:Cj:)QE~>i:"';'"':',AM6u.tftDuE' -'. --;: - ) -I Service reconnect only 224-00000-426102 $63.00 Technology fee (5% of permit total) 100-00000-425605 $3.15 .?tate of Oregon Surcharge (12% of applicable I.ees) 821-00000-215004 $7.56 TOTAL DUE: $73.71 L.~"'YIVIENLlYeE.0; :zP.~XQI3;:,.!';~_~hi<~UFMA!!.;k&1lcbMMENTs;;;::;jjLl'i~:=7';:::i:AMOJ.iNJ:E~IQ~;o:j,'.:....:J Credit Card 331590 JEM Electric $73.71 $73.71