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Home My WebLink AboutPermit Electrical 2011-1-10 '. . ~ Electrical Permit Application 225 Fiftb Str\",USpringfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 '*'t'$?:"<;:t,:~,~~,!~,,,",':,,~I;;~J,~~~~:;. S'g0"i;QEPAIP'.MENfti19SE\PNIb'tC_~ 1i'~,':>;: ,~,:,,::, "',' :'"",~~,:-~<;ot,;k~~"",*~~~;, 51(-0 co S 'Z- Permit no.: I - I 6 - f ( Date: 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. . Each pump or irrigation circle (2) Each sign or puUine lighting (2) Signal circilit~r a limited~energy panel, alterapon."otSct'lonsion (2) Eatii<i ditional inspection: (1) ~...... ..... .....v... follow rules adopted by,. J OregiJn UI ,ity ~. ..~~ . . - ... . ",:eg,ltlilt~~_s: Notification Center. Those rules ar. . se'. forth 0/. ((Al v'I2.~; subtotal ofahovefees . In OAR 952-001.0010 through OAR ~2-001- ,'v "" (M'5:\. p't F S5800) . ~v , IDlmum erml ee . 0090. You may obtain caples of the rules by x."- ~<0 \:;,.- calling the center. (Note..the telephone~. t;. C:) '0"",<:::3 ~ ,lB) Enter 12% surcharge (.t2 x [A]) number for the Oregon Utility Notlflca~~ k,.<0~ x.-<:::) r:::,<0 ~ ,(C) Technology Fee (5% of [A]) Center is 1-800-332-2344). ~<;:, c_<< ~-V y,<:::) <<<<; \ to.. {'\ ~ ~' \ " '\Y:--'~,\y:--'0 ~"",\j . ~ TOTAL fees and surcharges (A through q: \\Y" \' \~ ~ ~~ ror:::, <:::) ,,'0 _.\, "- 440-2584-1 (9108lCOM) ~ ~ Address: City: Phone: 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: ~.o .-e'eN, ;R:4:€m.€F''''rli,fsjJfJf~i!7hiffi.ti.",''''!)'~\\'EWr7'i,t~;'<~i _"', _,,> ..ffii,t:"".,..j<",,(&~ftL,__ ~,"'''_''~_''_~..' ,~,_'!;~~~~;"'_~~,4.-r. Business name: S[ LA.{ Address: City: Phone: E-mail: CCB license no.: ~ Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: 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) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 60 I 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: i1JStallation, a/terat.ion, relocation 200 amps or less (2) 201 to 400 amps (2) 401 to 600 amps (2) $ 63.00 $ $ 87.00 $ $125.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: .ne-w, 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 brooch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder not included $ 63.00 $ 63.00 $ $ $ $ 63.00 $58.00 . "' CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00052 IVR Number: 811109479757 www.cLspringfield.or.us PROJECT STATUS: STATUSUATE: Issued 01/10/2011 ISSUED: APPLIED: 01/10/2011 01/10/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perrnitcenter@ci.springfield.or,us EXPIRES: VALUE: 07/09/2011 $0.00 SITE ADDRESS: 447 32ND ST, Springfield, OR 97478-5829 ASSESOR'S PARCEL NO: 1702312406300 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Rewire house Phone Number: OWNER: ADDRESS: KLAPPERICH KIM L 6898 THURSTON RD SPRINGFIELD OR 97478 CONTRACTOR INFORMATION ~ Lic Type ELECTRICAL BUILDING INFORMATION I Contractor Type Electrical Contractor Name JEM ELECTRIC INC # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: 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: # of Bedrooms: Sprinkled :Building: Fire Alarms: Energy Path: Lic No 20-527C Lic Exp 07101/2011 Phone 541-746-7174 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: land Hai'ard Area: Retaining Wall: ATTENTION: Oregon law requires you to Soils Report Required:foilow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by cailing the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 1/10/2011 12:09:09PM . ". , "..' <:J~~ . ~~~<:J\ \'<' {o x..~ ~'0 <:J~ -:{8~ {(<v~ f:v'V 'Y, iN'" <<;. '\~S ~<:J~ . S'0~ ~~ ~~ \\.,~,;. #' "\::,~\j 0 ~ ~~~ {(<v~ 1-<V'V <:J~ \<:J'V' , ~S <:J0 !V<v'V {(<v~ '\ ':0'\'<' ~<v~ 'V~ ~ ,,<:J~ \'6~ 'r~ Page 1 of 3 . ;. 5P~I.!N G.~. ::~ ~_4 ". '~?!>^"- ~ H",'"_'.M< \.u- " -~~ OREGON www.cj.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00052 IVR Number: 811109479757 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: 155 ued 01/10/2011 ISSUED: APPLIED: 01/10/2011 01/10/2011 EXPIRES: VALUE: 07/09/2011 $0.00 SITE ADDRESS: 447 32ND ST, Springfield, OR 97478-5829 ASSESOR'S PARCEL NO: 1702312406300 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residentia' PROJECT DESCRIPTION: Rewire house Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION' 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 ~ Descriotion Type of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID ~ Description Amount Paid Each added 500 sq. ft. or portion _.,.______._...Ji~~_. Technol~~r.!~5% of per!"it tota~__________._._..___ $7.95 Residence wiring 1,000 sq. ft. or less. .. .___.~2.~~_ State of Oregon Surcharge (12% of applicable fees) $19.08 Total Amount Paid $186.03 Date Paid Reciot # 01/10/2011 2011000076 '~'~~'._-~_._- 01/10/2011 2011000076 01/10/2011 2011000076 01/10/2011 2011000076 Springfield Building Permit 1/10/2011 12:09:09PM Page 2 of 3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00052 IVR Number: 811109479757 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/10/2011 01/10/2011 01/10/2011 ISSUED: APPLIED: 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: 07/09/2011 $0.00 SITE ADDRESS: 447 32ND ST, Springfield, OR 97478-5829 ASSESOR'S PARCEL NO: 1702312406300 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Rewire house Plan Review I Deoartmerit Application Acceptance Comoleted 01/1012011 Result Over the Counter Received 0111012011 Due Date 01110/2011 Electrical Review Not Required David Bowlsby 01/1012011 0111012011 01110/2011 Comments: Over the counter permit ~aLReijj~W ~:;; ;'~:": "':~" ". .":'~ "01/1:0(~91J,":0:WJ.~-f~'O);1ii::l:q,1!,1 O/20J)Jf~~!iE",,;Oie!ithe:CE:UQ~J'::~'d"~';' (:;,' c:'o_m ~:ekf~,: "~6~~'r't.Ke~~u~t~,;'p~'rYn'ii',~~~%:ft~':'::'j;;_j',~;:;'0y,;/]?t:~~::~:;"t;:~j;+;":~~;~, -, ^ ,~'"\ INSPECTIONS REQUIRED ~ Inspections 4220 Electrical ~ Service Reviewer David Bowlsby .DavidBowlsbY ,:~----rJ:" ,...."'7;;----:;,) 'j . :~'1t":~' j':~~~I~~~:,~;~' :'w..r .;M " ; ~~'~.. '::':;;::,t1:i;"~": '. 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 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 property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractor Signature Date Springfield Building Permit 1/1012011 12:09:D9PM Page 3 of 3 . , :. TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfleld,OR 97477 541-726-3753 www.ci.springfield.or.us 811-5PR2011-00052 447 32ND 5T permitcenter@ci.springfield.or.us RECORD NO: 811-SPR2011-00052 DATE: 01/10/2011 -'-':~ -2c~~~:::':P,.CCQUNT,CODE' ,~C1;__ . 1!;j;~~:6;MOUN'LDUE:'::':_:"::-:'3 224-00000-426102 25.00 224-00000-426102 134.00 821-00000-215004 19.08 100-00000-425605 7.95 TOTAL DUE: 186.03 11:;:pA'LM~N[i;T~!1J;~;,.J>A Y(~>-BI;;:;;-;:iCASHIER;DBOWLSB~.~~:':C_OMM~~:rSJ!,,;A1;:~",', ""'-'*" ~MO(JNT.i'8!P;~' ':,'d,.: -"~~i Credit Card JEM ELECTRIC INC $186.03 RECEIPT NO: 2011000076 l -.. '.'.. '., -. -,".-;C' "",,""'7"""'''-''''''''':7 ';,,,,-,,,""j;''''tj .DE5"CRIDTION- _.' ',,-._'. __''.M.-'..' " . r_ -.-,"'......,. ."""~v . ".,",,~, Each added 500 sq. ft. or portion Residence wiring 1 ,000 sq. ft. or less State of Oregon Surcharge (12% of applicable fees) Technolo~y fee (5% of permit total) 120120 TOTAL PAID: $186.03 "