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Home My WebLink AboutPermit Electrical 2011-1-14 Electrical Permit Application . 225 Fifth Stre'et+SpringfieJd, OR 97477.PH(S41)726-3753.FAX(541)726~3689 I'!,. bE'~Nn:NiENT USE ONLY gt 1- 5)','Z..:Z-'iJL! -,-7-2- Pennit no,: Date: J ~ J 4- . U 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. ,',' ,'. "'IlOCAL;'G0VERIIIMENn;o;~f!ROVAt!~',,:t'i'l:;1"J:;'::~ Zoning approval verified? 0 Yes 0 No ,!:::,;,:t.:\;';:CA'!:EGORYXOF,':CONSTRUCTIONM' esidential 0 Government 0 Commercial ~~}:J!~'J0E3};:SITEJlINI70RMA:rI()NrtJi.IIID;1110G'A'li10111~4!f:Wfn Job site address: :7'&'''(' T City: S7J t-tJ&1'; State: 67...... 3b 7-- ~ <DESCRIRtIONOF 'WORK' ~A:z... 5~~e +- Cr'r<..u .1>- Reference:].: u 'PROpERTY.OWNER r, 'fT'S" City: Phone: E-mail: This installation is being made on residential or fann 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). ZIP: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: \~ ~IJ,-\ 440.2584.J (9/08/COM) ~f:t~~~~~~~~11?~~E%SCHEpO~E~~~~~~~~~~~~~~ ;,N ~'"\~~(i:f;j~i.I?~~,~~~:?} :,~~ri~~?'~"'~"):>:'~;: 9~~' ",!=oSt:. ,,'Total l:':~e.~/t "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: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) I $ 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) $ 63.00 $ 20] to 400 amps (2) ;7~ ~ $iS"'1) 40] to 600 amps (2) / .,' $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 $ 6.00 $ b. Fee for branch circuits without purchase ofa service or feeder fee: First branch circuit (2) /I:, ~ d. ~ $ 55,00 $ Each additional branch circuit 3 .$ 6.00 $1Sgs Miscellaneous fees: service or feeder not inc!~ded 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: (I) $58.00 $ ,,,,,,~~~~,,g~lii,,,,jARl"mCJi."NtJ;'OSE"0: ,'{P"itj",,:,eoj"';;1(" ", 'B,\I,>~, "",~~ ti _ ,,~-;:...,t'!'l~~I'lJ:;:\ , _ ~,-", - _..' ;:-:'"~_ _ _ ~~P'\~;": :',+::: '~'t:<t,ij;;~;:;'::i!...,l'-',;;~' '...~ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) $ (B) Enter ]2% surcharge (.]2 x [A]) $[3.S~ (C) Technology Fee (5% of [A]) $ S./, :;- TOTAL fees and surcharges (A through C): $1-32-.2 I..' .. CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00072 IVR Number: 811163280239 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/14/2011 ISSUED: APPLIED: 01/14/2011 01/14/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 InspecUon Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE:. 07/13/2011 $0.00 SITE ADDRESS: 589 14TH ST, Springfield, OR 97477-4842 ASSESOR'S PARCEL NO: 1703362303800 SCOPE: TrioPlex WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service upgrade 201 to 400 amp service Phone Number: OWNER: ADDRESS: PITTS GREGORY B & MARY JO 987 TRAVIS AVE EUGENE OR 97404 CONTRACTOR INFORMATION ~ Ni HICEIIUllDING INFORMATION THIS Pi=RNIJ ' I'I~t 1'- VORK . AU1~(Jmml'UN ER THIS PERMIT IS NOT LotS,ze: m~MF71r~ri'rB~~: ABANDONED FOR Sq Ft 1st Floor: C Type of H~~. \:: 100 Sq Ft 2nd Floor: ANY I RQ nAY t'ER . Waler Type: Sq Ft Basement: Range Type: Sq Ft Garage: Hazmat: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Contractor Type Contractor Name EVERYDAY ELECTRICAL SERVICE INC Lie Type CCB # of Units: o Occupancy Type. Construction Type R-3 Type VB # of Bedrooms: Sprinkled Building: Fire Alanns: 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: I .Sil:.I,!'~9m'!\\i",,"equires y~Wii~y AIIt:.I'l/.lh....... - b tneult;:;~v"J, tolloW rules adoPte~h:se rules are set for~ ~D~~~~~~_gg~:g~i ~ thr~ui~~ ~ft~e9~3~OsObY 0090. You may obtain ~ofe' the telephOne calling the center. ( Utility NotificatIOn number for theO~~~g~_332_2344). center IS Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: .Soils Report Required: Springfield Building Permit 1/14/2011 10:35:14AM Lie No 136371 Lie Exp 08/12/2011 Phone 541-912.2957 Page 1 of3 CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 WrNW. ci.springfield. or.us Building I Residential Permit PERMIT NO: 811-SPR2011-00072 IVR Number: 811163280239 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/1412011 ISSUED: APPLIED: 01/1412011 01/1412011 EXPIRES: VALUE: 07/13/2011 $0.00 SITE ADDRESS: 589 14TH ST, Springfield, OR 97477-4842 ASSESOR'S PARCEL NO: 1703362303800 SCOPE: Tri-Plex WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Service upgrade 201 to 400 amp service DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive' Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING PROJECT DESCRIPTION: Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Stann Sewer: Stann Sewer Available: Special,lnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description , Descriction Tvee of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID ~ DescriDtion State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of penn it total) Services 201 to 400 amps Branch circuits with service or feeder each circuit Total Amount Paid Amount Paid $13.56 $5.65 $95.00 $18.00 $132.21 Date Paid 01/14/2011 01/14/2011 01114/2011 01/1412011 ReciDt # 2011000102 2011000102 2011000102 2011000102 Springfield Building Permit 1/14/2011 10:35:14AM Page 2 of3 . ' y~~~;~ ~.... ~:OREGOH CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 \NWW .d. springfield. or. us Building I Residential Permit PERMIT NO: 811-SPR2011-00072 IVR Number: 811163280239 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/14/2011 ISSUED: APPLIED: 01/14/2011 01/14/2011 EXPIRES: VALUE: 07/13/2011 $0.00 SITE ADDRESS: 589 14TH ST, Springfield, OR 97477-4842 ASSESOR'S PARCEL NO: 1703362303800 SCOPE: Tri.Plex WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service upgrade 201 to 400 amp service Plan Review I DeDarbnent Permit Issuance Received Due Date Comoleted Result 01/14/2011 01/14/2011 01/14/2011 Issued Reviewer Kip Kaufman Comments: Over the counter permit INSPECTIONS REQUIRED Inspections 4210 Service Change 4120 UFER Ground 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 SelVices 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 ~rd is located at the front of the property, and the approved set of plans will remain on the site at all Umes during construction. ~Pnr DPr/2&/J Owner or Contractor Signature Springfield Building Permit 1/1412011 10:35:14AM Page 3 of 3 S ~.P,R..IN...G.FI.E.... :iI D . .' ~.., ....~. 'OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.cl.springfield.or.us 811-5PR2011-00072 589 14TH 5T permitcenter@ci.springfield.or.us RECEIPT NO: 2011000102 RECORD NO: 811-SPR2011-00072 DATE: 01/14/2011 18.00 95.00 13.56 5.65 ~~~~~~~~_~~~~~~~ ~~~~ ~_~,,~"'"'N"" TOTAL DUE: 132.21 l!liPUj:>AYMEN'T4ttYf1E~~i!A'I'oR'~]iilif~Cl\SHtER::j(KAUFi.WIl:l:~J'fctl:tMrt[ffijjil:4i!'d!tjir~::t~.:'Pi1hdr1:PiI~~MOUN1f[f1AID:h]01!1l:r:r:!lifr:illfi1011t:I]1 Credit Card Everyday Electric $132.21 005720 201 to 400 amps State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) 224-00000-426102 224-00000-426102 821-00000-215004 100-00000-425605 TOTAL PAID: $132.21