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Home My WebLink AboutPermit Electrical 2011-1-19 . '" '. 225 Fifth Street. Springfield, OR 97477< PH(541)726-375H FAX(541)726-3689 ;':"; ,.. .. bE~f.~TMENT USE ONLY -0'1 J 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!OCALJ'GOVERNMENTiA,P.PROVA,lC'i?","'['iy,ry;:y _... "". ........ ... '_ ,_ {' ,'.. . '. ..u' ,.. '.'. :__, Zoning approval verified? DYes D No ,Zi,:cATEGORY(;OF,\CONSTRUCTION";\j' '"'" ';"', Residential 0 Government 0 Commercial 2~1i&'l'i)I~J.'tOB;i1SITEq:JNFORMA"I'ION~'AN[jfJUocA'liION"il!\!1tI~fi1 2.<!:) 3 C/ "l-f ,( C; City: ZIP:q? I.{ 7 7 ~rv~<'C-<L 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), ZIP: CJ7ffj Phone: E-mail: CCB license no,: '7'3 qq <;; BCD license no,: '2.d-2.q'( Signing supervisor's license no.: Print name of signing supervisor: ~rkRf l Signature of signing supervisor: ~~ gf 440,2584-J (9108/COM) ~1~0~~~1f,}f~:rly~%1jl:1R;ii';~FEE~S'CRE_p_u~e_fI;~~J1'~~f~~~~:~~~~~r45i' ,N um~er Ofi;';P~~iio~s~er,ii~:';'(Y;~!',Qty, ,:.;:~~~t':':, Total , .. '. ,",.".,'" . _" ",. . .,,_,,", .."'1, 't' ,....j.. '..,.",..~ _'" ," 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) 1 $ 81.00 $ il 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 $ 201 to 400 amps (2) $ 87,00 $ 40 I 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 3 $ 6,00 $ /b b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55,00 $ Each addjtional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder ':lot 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, Dr extension (2) Each additional inspection: (1) $58.00 $ -~ (A) Enter subtotal of above fees $ 90;- (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (,12 x [A]) $ /I ~ (C) Technology Fee (5% of [AD $ 1jqs- TOTAL fees and surcharges (A through C), $ } / ~:".::!.- ~ .~ SP~I\N~~ (.~ -c OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00091 IVR Number: 811152509937 www.ci.springfield.or.us PROJECT STA TUS: STATUS DATE: 01/19/2011 01/19/2011 Issued 01/19/2011 ISSUED: APPLIED: 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 07/18/2011 $0.00 SITE ADDRESS: 2538 H sT, Springfield, OR 97477-4327, AssEsOR's PARCEL NO: 1703361102304 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: OWNER: ADDRESS: Service change and 3 circuits C-BAss MORTGAGE LOAN ASSET-BACKED CERT 2141 5TH AVE SAN DIEGO CA 92101 / Phone Number: 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: Electrical Specialty Code Edition: 2008 Springfield Fire Code Edition: F-c-~'r:,)N: Oregon law requires youto " ,- . ,'. hOe on Utility Mechanical Specialty Code Edition:io;;ow rules aoopted by t erg t f th N t". fon Centar Those rules are se or Municipal I Development Code: 0 IIICa I '" '10th gh OAR 952-001- ,. , . in OAR 952-001-00 rou Plumbln9 SpecIalty Code Edition: 0090. You may obtain copies of the rules by Residential Specialty Code Edition: calling the center, (Note:,the telephone Structural Specialty Code Edition: number for the Oregon Utility Notification C~,,:~: Ie 1 g90-'l'l?-?:144) Site Information ~ Contractor Type Electrical Contractor Contractor Name GLEN A CAMPBELL CONTRACTOR INFORMATION I Lic Type CCB BUILDING INFORMATION I # of Units: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 1/19/2011 2:11:38PM lic No 73995 Lie Exp OS/24/2012 Phone 541-744'0705 ,'''.' NOTICE: THE WORK THIS PERMIT SHAll EXPIREE\~MIT IS NOT AUTHORIZED UNDER THIS P COMMENCED OR IS ABANDONED FOR ^ NY 180 DAY PERIOD. Page 1 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00091 IVR Number: 811152509937 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/19/2011 ISSUED: APPLIED: 01/19/2011 01/19/2011 EXPIRES: VALUE: 07/18/2011 $0.00 SITE ADDRESS: 2538 H ST, Springfield, OR 97477-4327 ASSES OR'S PARCEL NO: 1703361102304 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Service change and 3 circuits DEVELOPMENT INFORMATION 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 Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I Description State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit_total) Branch circuits with service or feeder each circuit Services 200 amps or less Total Amount Paid Amount Paid $11.88 $4.95 $18.00 $81.00 $115,83 Date Paid 01/19/2011 01/19/2011 01/19/2011 01/19/2011 Reciot # 2011000128 2011000128 ..--.---.-- 2011000128 2011000128 Springfield Building Permit 1/19/2011 2:11:38PM Page 2 of 3 . . SPRINGfiELD' ~",i.\...., ..(~ )::~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00091 IVR Number: 811152509937 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 01/19/2011 01/19/2011 Issued 01/19/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmilcenter@ci.springfield.or.us EXPIRES: VALUE: 07/18/2011 $0.00 SITE ADDRESS: 2538 H ST, Springfield, OR 97477-4327 ASSES OR'S PARCEL NO: 1703361102304 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service change and 3 circuits Plan Review ~ Department Application Acceptance Received Due Date Comoleted Result 01/19/2011 01/19/2011 01/19/2011 Over the Counter Electrical Review 01/19/2011 01/19/2011 01/19/2011 Not Required Comments: Over the counter permit rrhiti~Ff3e\iiel;y.~:~j[:~1 +;&~( .:._ ~,~9~'/t9riqJ1~o/911J 9!2gJ!1~5171'W26j- ~V'':-l "., ;f', " "'1<~h~;1I,,__*':-:-'--'__\" - - " "", --,,,:",,,,,,,,,,f&Y---~!- iYil,comments: ~,Dvef."the:counter.permitt , ' :, :., ..~~:-"~"l':;;,'M-~-- -1"l4 e~" -..', ~,<,'J"^_',,,-~,,:::r~_"i'/l.f"": ,;;',," ,'""""",.,,',.~ ',' INSPECTIONS REQUIRED Inspections 4210 Service Change 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Reviewer Chris Carpenter Chris Carpenter -XCIWjs;G~lfp-enter f. ,~'" " ,,- 2~~~,-1' _~' :;v ;',.;<~.~ ~~' <!-~;'f'i: ~:,:~ _ "+1'1"" " '"" ~ -':~, . I 0",~ n I :._,~ 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 Springfjeld an,d 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. JL-.Q~. ~ lilt/I{ Da~ I Owner or Contractor Signature Springfield Building Permit 1f19/2011 2:11:38PM Page 30f3 SP~.~N;.;E=~ "0(,~ <ff;~ OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541~726.3753 www.ci.springfield.or.us 811-5PR2011-00091 2538 H 5T . permitcenter@ci.springfield.or.us RECEIPT NO: 2011000128 RECORD NO: 811-SPR2011-00091 DATE: 01/19/2011 [bE'SC~RI~ti(jN'L~~~~':Y1F)j;tti~'~i'l~4~;~~s0i\~~;t~J.t::~L.Ac:c~o.LfNJ~c6D'E~::;Iti5,:.;>~ f;,;!;;';'; ~~:~:AlVio.UNtD,UE~' ,;) ~:'~ :: Branch circuits with service or feeder each circuit 224~OOOOO-4261 02 18.00 -_._-~~..,_.~. Services 200 amps or less 224-00000-426102 81.00 ._,_"__,_._._.~_.~w State 01 Oregon Surcharge (12% 01 applicable le~L___.____ 821-00000-215004 11.88 Technology fee (5% 01 permit total) 100-00000-425605 4.95 TOTAL DUE: 115.83 t,t,'R~YMENT~YPE. ,,', .RAY9R~~q.6SHIER' CC~RPENTER::,.~Tc]lMM!;~tl:;"i;-;:._;":'_1w""~;,"~J'iI.illllHg~IP' <'~' ~', :,' ~ Credit Card GLEN A CAMPBELL $115.83 02048G TOTAL PAID: $115.83