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Home My WebLink AboutPermit Electrical 2011-1-6 Electrical Permit Application 225 Hfth Street. Springfield, OR 97477 +PH(S41)726-37SH FAX(S41)726-3689 '. . , DE":.N~TMENt USE ONLY 8//- 0 Pennit no.: Date: / --- h -- / 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. CCB license no.: BCD lice no.: /" Signing s l'er,vj~'?~Glljc<gls~(~9" law requires yo to P . -----t '-'1-"" ....r._" ""~~brl hy the uregon UlIlIlY nn name Ol"Slgnmg_sup'ervl$,qr:___ ~..[~.... ......,..., <:"0+ frwt 1\I01l11C:Cl.lIUll V"C'lllIJI. ",,,-,...,-, ~.---. Signatur~ p.fg;,i~lJ!~,ge~l1eryjs.oS::hrough OAR 952-001. 0090. You may obtain copies 01 me rUle' calling the center. (Note: the telephi'lne number for the Oregon Utility Notiticalion rl/. _ 1 Center is 1-800-332-2344). "t~~ NOTICE: , PIRE IF 1 THIS PERMIT SHAi.L ~IS PERM t,uTHORIZED UNDERABANDONEO I U', ".CI!VI!ViENCED OR IS -SW 180 DAY PERIOD. :\ , ':LOCAVGOVERNMENTI~PF'ROVAt:1'h"g'i['::;;;i~\'(:. Zoning approval verified? 0 Yes 0 No 'f!,...:l,,:',.':,2. (::CATE GORyii<:>Ii)CClNS'fRUCJ"IClNYYi" ':;:i' j.';' o Residential 0 Government 0 Commercial [~~:~,~!1JoBl1.SITE0INtQRIIJIAT:IQNt;'AN[j~Ii.O_C-AJ;ION~~'ij)i,:i(!}: Job site address: c: I ) PROPERTY OVYNER Name: ~ E-mail: This installation is being made on residential or farm property i 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). N Business name: Address: Ci . Phone: E-mail: 440.2584-1 (9/08/COM) ~~i!f,':ci;a}ft+;1tr'*:,~P:,~~S1;~~JFf:E~'SCR E[jLJlfltl111i(~t~'t;,'12;:;';;i;~y~~~~~~!l~ , ..... ...' '":.:,x.,."~,.' . .-;: ';.~',;,",,':!'''I ;<. .0 ., "'0'"'' __ .. _ .. ,,~, n'.....".';,..').,__,...""_.., "-';" L" ~_, ,.t~",. " ,'-,' '"' .': ..,;. '-'~,,< .,-, .. '. .\.., ',,' >,,,"" ......: -,,'~-r. . Cos!":. . To'tal ,Number'ofinspeCtio'n"per.itein,{), ,.; Qty. _:;:.~ea;\ :" .; 'c:o.sf 'i.. ""1,," ~'--:': ',:" ."".F: _s.>.", ;:;;:~.:.,,;,:y'!:_-:Y.,:'~,/""JJ' "l;,'.::~,: -.":'CO 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) V $ 81.00 $ 'YJ 201 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 services or feeders: installation, alteration, reLocation 200 amps or less (2) $ 63.00 $ 20 I to 400 amps (2) $ 87.00 $ 40 I to 600 amps (2) $126.00 $ Over 600 amps or ] ,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a se'rvice or feeder fee: Each branch circuit $ 6,00 I $ 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 f}OI 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 ~xtension (2) Each additional inspection: (I) $58.00 $ -~ ~ (A) Enter subtotal of above fees zJ.. ( (Minimum Permit Fee $5~.OO) $ (B) Ent:~ }2% surcharge (.12 x [A]) $ \ I'r, I" '''''' $ (e) 'fectinology Fee (5% of [A]) ..n, IT'oTAL 'fees and surcharges (A through C): $'t~,/7 ~~n p-<J . . CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00034 IVR Number:,811129126386 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 01/06/2011 01/06/2011 Issued 01/06/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennitce nter@ci.springfield.or.us EXPIRES: VALUE: 07/05/2011 $0.00 SITE ADDRESS: 185516TH ST, Springfield, OR 97477-2508 ASSESOR'S PARCEL NO: 1703252401800 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace 200 Amp panel Phone Number: OWNER: ADDRESS: MAHAFFEY ROBERT G 185516TH ST SPRINGFIELD OR 97477 Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type Lie No Phone Lie Exp , ~Ol.lto laW 18C\\J\18Son \.)ti\iW _." n1890n, '''Po 0\89 _~\ 10lt\l /I-\\\:.~' I IV" z,clOllt8cI ~ 'se II.l18S "'~ 952-001' hlleS I \\10 . 0/1-.. '0,/ 10\l~:' 'tOllcellt8 ',ot\l101.l9" It\lell.l18S 1'l0til\Ga \ 001-00. ollies 0 I 1l\\OII8 ill O/l-R ~~~~z,,/ 0'ota\II\~ot8" t\,e ~o~\liGZ,tiO(\ 0090.. t\l8 cellt81. gon \.)t\\\t\44). ca\I\1I9 \01 t\le Ole 800-332-'2. ' 1I1.l(1\'o81 C811tel is 1- # of Units: o BUILDING INFORMATION ~ # of Stories: ; Height of Structure: Type of Heat:;; Water Type: Range Type: ,. Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Sp~cialty Code Edition: Residential s!becialty Code Edition: Structural Specialty Code Edition: Site Information Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area:,.. RK Retaining Wall: . d~c'.. o' EYJ'IRE IF lHE wO Soils Report Req.~\~~: EP.tJ\\1 0nfl,LL lH\S PERMI! \S jNOl ;,U1HORIlED U\~OE; fl,8fl-NOONEO FOR COMMENCED 01'. \~ fl-NY 180 Ofl,Y PERIOD. Springfield Building Permit ., 1/6/2011 2:07:31PM 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: Page 1 of3 ; . SPRINGFIE~ :~I~ liit~ . . ^';" 0~ OREGON www.ci. springfield.oLuS CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 81~-SPR2011-00034 IVR Number: 811129126386 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspec/ion Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/06/2011 ISSUED: APPLiED: 01/06/2011 01/06/2011 EXPIRES: VALUE: 07/05/2011 $0.00 SITE ADDRESS: 185516TH ST, Springfield, QR 97477-2508, ASSESOR'S PARCEL NO: 1703252401800 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replace 200 Amp panel DEVELOPMENT INFORMATION I Overlay Dist: " # Street Trees Reqd: 'I Paved Drive R~qd: % of Lot Cove~age: Highest point on structure to north property line: I REQUIRED PARKING Total: Handic~pped: Compact: PUBLIC IM'PROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valu~tion Description I Description Type of Construction Unit Amount Unit Tvpe Unit Cost Value ,FEES PAID I DescriDtion Services 200 amps or less State ?f_~~egon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid AmoJnt Paid $81.00 $9.72 $4.05 $94.77 Date Paid 01/06/2011 01/06/2011 01/06/2011 ReciDt # 2011000053 2011000053 2011000053 SpringfielCl Building Permit 1/6/2011 2:07:31PM Page 2 of 3 .. CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00034 IVR Number: 811129126386 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLiED: 01/06/2011 01/06/2011 01/06/2011 SITE ADDRESS: 185516TH ST, Springfield, OR 97477-2508 ASSESOR'S PARCEL NO: 1703252401800 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726~3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us EXPIRES: VALUE: 07/05/2011 $0.00 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace 200 Amp panel P'lan Review I DeDartment Application Acceptance Received Due Date ComDleted Result 01/06/2011 01/06/2011 01/06/2011' Over the Counter 01106f20111 " 01/06/2011 Not Required Comments: Over the counter permit IirimAA]~~~,',' ,',p?~~ft;,i: . :;~~61~wi,.\'OY06/201 ff01766f201-1'~ ",~-, .OVeTth'e'coTIhm7,~:" [>\'G\i<;~ .?:l~\:At'. _, - ~',+.,,!:-,.;""';.,:~;:-'t'.: -';'t", .; f - i:~;::,r:S::I _,' . , " J . ,,'" ,:~'f::""-.~z.:"yi./">~;~'''''' ( Comf!lents:;,'.Over-the,counter:permIL ":,+>.,"4, " "';",: 'S "_~ ~",~..' ~ -.;,., :"'" - ~ .",)<,::,:~,' .0+)~ {~~~~"".IJ .~::t4,','" '~"", ",L....x': ""',,,'... ,--, ""~" 'L-..::.......-~;:::i""--',",'"',.-.,,.::.;''' I INSPECTIONS REQUIRED I Inspections 4220 Electrical - Service Reviewer Nancy Machado Nancy Machado ~~--Na~cy Ma:~adO:"'-'" ,~;".~r:"~-,:'7 .;- .'-M -~~-" ~ ,) --'~ '~,,",-- ~-~~ ..-~, ."~ --,' i By signature, I state and agree, that I have carefuUy examined the'icompleted application and do hereby certify that aU 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 properl,time, that each address is readable from the street, that the permit card is located at the front of the property, and the approve~ set of plans will remain on the site at all times during construction. P/fG~/ ~ (~b-I/ Owner or Contractor Signature Date Springfield Building Permit 1/6/2011 2:07:31PM Page 3 of3 S~~~N;E~ ~~ ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 www.ci.springfield.or.U5 811-SPR2011-00034 1855 16TH ST permitcenter@ci.springfield,or,us RECORD NO: 811-SPR2011-00034 DATE: 01/06/2011 <:1I.f;-/ ,,;''',C;;i'C::::t;;-l~;';.ACCOUNj~C()DEli"':;~ ,- ,; '<.:::':AMbuN:r':Dl:JE.:';:'~_.:I:. J 224-00000-426102 81.00 _.~---_._-- 821-00000-215004 9.72 100-00000-425605 4.05 TOTAL DUE: 94.77 I. ''f'A'(M_EN:r-liYPE,';':;-;PAY.OR:.. i: leASH;E": NMAGHA.DO ';' ,- COMMENTS::.':.;;';;:,:.:;.:,:" ':-,'AMOl:JNTPAID~.:<--.f- . _ I b _,_ _ _" .' ~ _. _ ___.___-'-..- - _,-,~-",~,....J Cash Daniel Doulfet 'I $94.77 RECEIPT NO: 2011000053 [DESC RIFl.1:ION':'Z'- :"". -.ii; )'\-;;-,: ","':;',- Services 200 amps or less State of Oregon Surcharge (12% <:f applicable fees) Technology fee (5% of permit total) TOTAL PAID: $94.77