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Home My WebLink AboutPermit Electrical 2011-1-11 Electrical Permit Application' I~@w~m~~ 225 Fifth Strut+Springfield, OR 97477+PH(541)726-3753tFAX(541)726-3689 DEPARTMENT USE ONLY I~~ . ~ ~ Permit no,::?I/-.51'll.:zel-l -58 Date: 1 Tbis p'enoit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started witbin 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No CATEGORY OF CONSTRUCTION Re~idential Name: Address: City: Pbon~: E-mail: 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) and 479.560(1). Signature: CONTRACTOR INSTALLATION 9775'(, " . ~.\\ \~ \!P 440.2584.J(9/08/C()~) FEE SCHEDULE Number of inspections per item ( ) Qty. Cost Total ea. cost 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: instal/ation, 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 senrices ~r feeders: ins/allation, alteration, relocation 200 amps or less (2) $ 63.00 $ 20 I to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders ~ion above Brancb circuitsF new, alteration, extension per panel a Fee for branch circuits with purchase of a service Of feeder fee: Each branch circuit I $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) I $ 55.00 $~51 10 Each additional branch ~ircuit ro $ 6.00 $~In. IX' Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 . . $ Eacb sign or outline lighting (2) $ 63.00 $ - Signal circuit or a limited-energy pane( $ 63.00 $ a1teratio~ or extension (2) Eacb additional inspection: (1) $58.00 $ APPLICANT USE (A) Enter subtotal of above fees $ (HfO (Minimum Pennit Fee $58.00) (8) Enter 12% surcharge (.12 x [A]) $ U7.a J (C) Technology Fee (5% of [A]) $ A.t:: !) TOTAL fees and sun:barges (A tbrougb C): $ IHn! 1 . ;. ~'l S~;~IIN~.!lI>,..m. ~ ~li:r'''iM. "?\"~ ,~., - OREGON www.ci.springlield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00058 IVR Number: 811132219760 225 Fifth SI 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 01/11/2011 ISSUED: APPLIED: 01/11/2011 01/11/2011 EXPIRES: VALUE: 07/10/2011 $0.00 SITE ADDRESS: 909 4TH ST, Springfield, OR 97477-3949 ASSESOR'S PARCEL NO: 1703352107400 SCOPE: Single Family Residence WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 7 branch circuits OWNER: ADDRESS: OWN IT MORTGAGE LOAN TRUST 2141 5TH AVE SAN DIEGO CA 92101 Phone Number: Contractor Type .";'(;0 :r,RACl;ORJNF.ORi\liA:fioN-'';!,~'~: ~1~U~iljlv . : folloW fules_ aO~~:~.;:'h'~rEJY,P1bS are :~ic Noth Lie Exp Not\llCa~I~~1 :::~~ ";:'~'1 n tF;<(~,uah OAR S16',1264J,l- 08/27/2012 "BUILbING !Nf0RMA;fION)PIGS L' me ,u'''' Ul ..... ..." ..". . " telephone relling the cel1l~1. \"V'_' 'iit Notification # of Stories6er for the Oregon Uti I Y 4 tot Size: HeighrcYt1tru'C'I!.~ier is 1_BOO-332-234). Sq Ft 1st Floor: Type of Heat: . Sq Ft 2nd Floor: Phone 541-923-9897 # of Units: o Occupancy Type Construction Type R-3 Type VB Water Type: Range Type: Hazmat: Sq Ft Basemen,t: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: PI.umbing Specialty Code Edition: Residential Specialty Code Edition: Structural Spe'cialty Code Edition: . .~~:.~>F' Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: NnTlr.~' Site Informati.".!!.,n" 1 \NORK THIS PERMIT '\iil L '-'HIS PERM\1 IS NOi AUTHORIZED UNDE; :BANDONED FOR ,..: COMMENCED OR \ ANY 180 DAY PERIOD. Springfield Building Permit 1/11/2011 2:13:10PM Page 1 of 3 ;: SP~~N~ IR,:~ . 0"':CC~~ OREGON . CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00058 IVR Number: 811132219760 225 Fifth 51 Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us permitcenter@ci.springfield.or.us PROJEC:r STATUS: STATUSiDATE: Issued 01/11/2011 ISSUED: APPLIED: 01/11/2011 01/11/2011 EXPIRES: VALUE: 07/10/2011 $0.00 SITE ADDRESS: 909 4TH sT, Springfield, OR 97477-3949 AssEsOR's PARCEL NO: 1703352107400 SCOPE: Single Family Residence WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 7 branch circuits Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMA nON 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 ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: . Downspout/Drains: Valuation Description ~ Description Type of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ DescriDtion Amount Paid State of Oregon Surcharge (12% of applicable fees) $10.92 _._.... __--l~... ___ . ___._ -.~ _~.__.~_.. ~.._______.___.__ ___ '._ _~.__ __ _ Technology fee (5% of permit total) $4.55 Br~nch ~ir-2juit~ witho~t se-r;ice-'o;"ieeder'~-1-st circuit $55~OO- -- -". .. --..-------"-.-.--..--. Branch circuits without service or feeder - each additional $36.00 Total Amount Paid $106.47 Date Paid 01/11/2011 ----- ..------.....__._~_. 01/11/2011 ---".-.. -_. --.- 01/11/2011 01/11/2011 ReciDt # 2011000086 2011000086 - - 2011000086 - - -.~-- 2011000086 Springfield Building Permit 1/11/2011 2:13:10PM Page 2 of 3 . - ~SP~I,NGfIELD :+w~ ~!f1; . ."';'7' OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00058 IVR Number: 811132219760 www.ci.springfield.or.lJs PRO.JEer STATUS: STATUS DATE: ISSUED: APPLIED: 01/11/2011 01/11/2011 Issued 01/11/2011 ~ 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: 07/10/2011 $0.00 SITE ADDRESS: 9094TH ST, Springfield, OR 97477-3949 ASSESOR'S PARCEL NO: 1703352107400 SCOPE: Single Family Residence WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 7 branch circuits Plan Review I Deoartment Application Acceptance Received Due Date 01/11/2011 01/11/2011 Result Over the Counter Comoleted 01/11/2011 Electrical Re~iew 01/11/2011 Not Required 01111/2011 01/11/2011 Reviewer Kip Kaufman Kip Kaufman Comments: . Over the counter permit tl!'lt::~( Rp!e~ . /~"~!( ~~., ;;?t0I01!t,Q,~:~~~~;01(~,112Q};t~': o~j/J.,'1/29~1'1:F.(",;.QV:~,;~he;,~.8~~tI~tt~;~ .:;~,;~ip Ka~fD)an'.' OJ' I ~!c:?m~~t~~~T:2:ikper01it~:~i"l ',' ~(~2J:;{ . ..+::~>~;;":,, .:_~j:C.~,~::~~t~EA'~~~~~'-'~~~;: '._,~:,~_: INSPECTIONS REQUIRED ~ Inspections 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. -"":,,.d . ,,- - . ~ ~ " Jl By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true a.ndcorrect, 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 thatonly 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 constructi~n. Owner or ~ontractor Signature Date Springfield Suilding Permit 1/11/2011 2:13:10PM Page 3 of 3 ~SP~~NGFIELD . C:,f rf!:1; · .~~ O'''GON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00058 909 4TH ST permitcenter@ci.springfield.or.us RECEIPT, NO: 2011000086 RECORD NO: 811-SPR2011-00058 DATE: 01/11/2011 IDESCRI~lj()N~"~, """' ,,;,;;:.~;.;t' y',':rf+~i;Z::;"7~~~~~;";_','1"" ACCO,UNf~C'()PEc;"t,';;;;'.:;:.:,:''':'''' AMOUNT:[)UE"';'~~ .;, \:1 224-00000-426102 55.00 224-00000-426102 36.00 821-00000-215004 10,92 - -," 100-00000-425605 4,55 ,.-_.~_._..._, TOTAL DUE: 106.47 i!rIe.~rME:~f'TXI'cE::i "i'i:~A'y.QB -';',>l!'",SHIER' .Ki<AUFJ.;~ "'&CO:MI'IIEEl:tS"7,"~ ':~t,y/~':\ : ;AMc:5-'I~:r_~~ID,.::~. ,"',' , ~:L; Credit Card DML Electric $106.47 Branch circuits without service or feeder - 1 st circuit Branch circuits without service or feeder,. each additional State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) 040832 TOTAL PAID: $106.47