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Home My WebLink AboutPermit Electrical 2011-1-13 225 Fifth StreettSpdngfield, OR 97477 tPH(541)726-3753t FAX(541)726-3689 , , DEPARTMENT USE ONLY, ....c:.. - . ,31 t .-51fz za ~L~ Penmt no.: Date: i -- 1- '3 - J. 1 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>.i' .. -'::lli0CAL;:G()VERNMENTIMf>R'OVM');t:'!!'~'j;;i"';",\f; Zoning approval verified? 0 Yes 0 No f'!, .tt",i:".,':;;~lCATEGORYi,;0F::C()NSl'RUC;f;lON~t:;'.?,! '. ',' Job site address: City: Reference: ;"j"" '.','- ~'i 'PROPERTY,QwNER Name: ,f- f'. Address: City: Fax: E-mail: Business name: Address: City: Phone: E-mail: CCB license no.: ZIP: Fax: BCD license no.: Signing supervisor's license no.: Print narne"of signing 'supervisor: Signature of signing supervisor: r~ ~~ 440-2584-) (9/08/COM) '~<:{;\~;;;-1J;~~l2it;,i.!_tf!~~:?'~~:;'JLrFEE~$-CH EOU ~E~,Pifi(i;Hf~'l,;;vymt{~~~~ :~l.'.-:''jC~'''_.~';~'':".,:,,-:ki--;h:.;>;::..i,' . ,',;I, _.' . _ .,' ,"','!'i';::'i>'}]l\tlp,,)y.'ji;, .'g;~:;,;:",.6. ,I'tulll~er'~fi~sp~~ii~nJ'p~r ii~~.():'~L diy. " Cosf. Total ..... ") ,"c,ost: .': '" ,.. "_,, ",- ;, ._".,' '...~.'!.,~,. ..,_.. ,''I . ;L~ '.' . '."." _, ._.,_.". _".I,"e.a;:, Residential, per unit, service included: ],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 $ 20] to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to ] .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) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteraUon, extension per panel a, Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 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) L $58.00 $~- r~;~~1:z;ti~~;~f~:tlft~~~~'i=!~,UIC:AN:t;~:OSE1~~,;,r;;:~)~~f~l~~&~~J~~f:~: ;, " (A) Enter subtotal of above fees $ (Minimum Permi.! Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) $ (C) Technology Fee (5% of [A]) $ TOTAL fees and surcbarges (A through C): ~7/g,/; TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811.5PR2011.00069 , 3881 RICHLAND 51' permitcenter@ci.springfield.or.us RECEIPT "NO: 2011000097 RECORD NO: 811-SPR2011-00069 DATE: 01/13/2011 rDE5CRlaTibN'i,i;;:~.?:?:'~:+ri''Jl~~''f~''h!~':;TI'''~', ':';',t~~':?it~,"ACQbjjN:itQODE~AMOUNtDuE""'''# ''';'''1 Hourly Electrical Inspections Fee (not covered by sched) 224-00000-426102 58.00 State of Oregon Surcharge (12% of applicable fees). 821-00000-215004 6.96 ~ech~ology fee (5% of permit total) _,,___ 100-00000-425605 2.90 TOTAL DUE: 67.86 t;:,;gA.'(.~E..Nl'T.'(i;\E22:\"PA'y;QRf='''j~CfsEj~[ff15~fI~~j7:;~~~c6MMENjSh'L;Ii:'.j~ilJ.'?'.". '., ,," AMO@JJ1A.)D",'.:..-':":':~:!::::b,.:l Check Timothy W Kerry $67.86 11612 TOTAL PAID: $67.86 t. . -"'" SP~k~El~ .>~~, ~"'l <0'>>..--,.,. -- ..::<:'- ~'OREGON www.ci.springfield.or.us CITY ,OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00069 IVR Number: 811156132008 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/13/2011 ISSUED: APPLIED: 01/13/2011 01/13/2011 EXPIRES: VALUE: 07/12/2011 $0.00 SITE ADDRESS: 3881 RICHlAND ST, Springfield, OR 97478-9514 ASSESOR'S PARCEL NO: 1802064200121 SCOPE: Single Family Residence WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair existing utero OWNER: ADDRESS: KERRY TIMOTHY W & PATRICIA 3881 RICH LAND ST SPRINGFIELD OR 97478 Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type Lie No Lie Exp Phone # of Units: o ABUn!ii~NG~~' JkRMJl'jl~6N" requllies youto '- _:: . . ~ .. ~ loon Utility IVllVV~ I ......... ..........1-'....~ J'- ,~ . - -;:J # <!1I~!~r!I(~_;on Center. Those rules are set lQli\~ize: Hei1gt\tiAfSt't'i.ttGII,1-001 0 through OAR 952-g~h 1st Floor: T ~Q%~H.xrt!-l may obtain copies of the rUIf'sq lj;{ 2nd Floor: y callinq the center. (Note: the telepho,,'/, Watn~Tr,B'iir for the Oregon Utility Notifica1?9rft Basement: Range TypeCenter is t -800-332-2344). Sq Ft Garage: Hazmat: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Occupancy Type Construction Type R-3 Type VB # ot 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: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: .,:'l;;,;;;,~:,;::.~J." NOTICE: If THE WORK THIS PERMIT SHA~~ ~~~~ERMIT IS NOT, ~~)~~:~~~D U~~IS ABANDONED fOR~",. ANY 180 DAY PERIOD. Springfield Building Permit 1/13/2011 10:58:12AM Page 1 of3 . .. i SP~~.NG~:~ ~~. ~OReGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cj.springfield.or.us Building I Residential Permit PERMIT NO: 811-SPR2011-00069 IVR Number: 811156132008 permitcenter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 01f13f2011 ISSUED: APPLIED: 01f13f2011 01f13f2011 EXPIRES: VALUE: 07f12f2011 $0,00 SITE ADDRESS: 3881 RICHLAND ST, Springfield, OR 97478-9514 ASSESOR'S PARCEL NO: 1802064200121 SCOPE: Single Family Residence WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential Frontyard, Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Repair existing ufer. DEVELOPMENT INFORMA TION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PROJECT DESCRIPTION: 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 Tvoe Unit Cost Value FEES PAID ~ Descriotion Amount Paid ~~!:~r:gon Surcharge (12%of~pplicable fees) $6.96 Hourly Electrical Inspections Fee (not covered by sched) $58.00 !~~h~OlogYf:e (5% o(p;;rmit t~!ai)- ____..___________n_ $2.90 Total Amount Paid $67.86 Date Paid 01/13/2011. 01/13/2011 _.._---~,--,-----~.._.,~ 01/13/2011 ReciDt # 2011000097 2011000097 2011000097 Springfield Building Permit 1f13f2011 10:58:12AM Page 2 of 3 .. ...' .. \~. ., www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00069 IVR Number: 811156132008 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci,springfjeld.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 0111312011 0111312011 EXPIRES: VALUE: 0711212011 $0,00 0111312011 SITE ADDRESS: 3881 RICHLAND ST, Springfield, OR 97478-9514 ASSESOR'S PARCEL NO: 1802064200121 SCOPE: Single Family Residence. WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair existing utero Plan Review ~ Deoartment Permit Issuance Received Due Date 01/13/2011 01/13/2011 Comoleted 01/13/2011 Result Issued Reviewer Kip Kaufman Comments: Over the counter permit ~p1ication;'-Accep 'k~ 1; 01/13i2011 tfb 01/13/2011~01/13f2011 ~-::~"~Ov~the Cou"'nter~"t;~ ~ ~ilo Kip Kaufman ~ ~v";;~ "~: F'Yiw '~;~~~~\}. ~:~i~' ", ~E':<"'-":'~'~~' :;i~;j .~\ "':;~: ~:~-;'~:~:;Z~ ~t(~::':;:jl~J~"~Ji''fl:::~~ ;j'5J~""~~:1t\'~~ i~,~?:;5:#,~ ~~v.~~w~ ::'~:~~~:. ~ ;,~~,~:,;;.-:~~ , INSPECTIONS REQUIRED I Inspections 4120 UFER Ground 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 wHf 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 tiie 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, ~ ;/1.-3/11 Owner or Contractor Signa r Date Springfield Building Permit 1/13/2011 10:58:12AM Page 3 of 3