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Home My WebLink AboutPermit Electrical 2011-1-28 S[j~.:~.. ~"~ .i<~ ,,;'c-?D:'~ ~REGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00137 IVR Number: 811155863686 www.cLspringfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenler@ci.springfield , or. us PROJECT STATUS: STATUS DATE: Issued 01/28/2011 ISSUED: APPLIED: 01/28/2011 01/28/2011 EXPIRES: VALUE: 07/27/2011 $0.00 SITE ADDRESS: 660 FERN WAY, Springfield, OR 97478-6693 ASSES OR'S PARCEL NO: 1802051203100 SCOPE: Bathroom WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service Change and Plumbing fixtures Phone Number: OWNER: ADDRESS: CORNEJO-BLANCO SOFIA E 660 FERN WAY SPRINGFIELD OR 97478 CONTRACTOR INFORMATION ~ Contractor Type Contractor Name BEAR MOUNTAIN ELECTRIC LLC COVERT ENTERPRISES INC COVERT ENTERPRISES INC Lie Type CCB PLUMBING PLUMBING Plumbing Contractor General Contractor lie No 136298 PB6S8 PB6S8 Lie Exp 08/12/2011 07/01/2011 07/01/2011 Phone 541-741-8844 541-729-1649 541-729-1649 # of Units: BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o # 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 Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information ~ Engineered Fill: ATTE. . Fill Volume: follow ~J,J~N. Oregon faw requires you to Flood Hazard AWiliificati adopted by the Oregon Utilit Land Hazard A'iIi"bAR 9g~ Center, Those rules are set for~ Retaining Wall:0090 Vi 2 001-001~ through OAR 952-001_ Soils Report Reql!~flili o~ may obtam Caples of the rules by g e center. (Note: the tele hon number for the Oregon Utility Noul~catioe Center IS 1-800-332-2344). n . " ".>"~';'~~:.?~~'~ NOTICE: THIS PERMIT SHALL EXPIRE lF THE WORK. AUTHORIZED UNDER THIS PERMIT IS NOT :'.: COMMENCED OR IS ABANDONED FOR tINy 180 DAY PERIOD. Springfield Building Permit 1/28/2011 1:33:15PM Page 1 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 81.1. -SPR201.1. -001. 37 IVR Number: 811155863686 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/28/2011 ISSUED: APPLIED: 01/28/2011 01/28/2011 EXPIRES: VALUE: 07/27/2011 $0.00 SITE ADDRESS: 660 FERN WAY, Springfield, OR 97478-6693 ASSESOR'S PARCEL NO: 1802051203100 SCOPE: Bathroom WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Service Change and Plumbing fixtures DEVELOPMENT INFORMATION ~ Overlay Dist: # StreetTrees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north properly 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 Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Description Amount Paid Date Paid Recipt # Residence wiring 1,000 sq. ft or less $134.00 01/28/2011 2011000181 Each added 500 sq. ft. or portion --.$50:00.-..-.-. 01/28/2011 2011000181 sD6T,;;;;iS..;e;-Ad;;;inislra!io;;- F~' ---.. ------.- --- -$.39.20.--. '--01 i28i2Oi"i-'--' - -.--- 2011000181' SDC: Improvement Cost - Local Wastewater $257.16 01/28/2011 201100018"1 State of Oregon Surcharge (12% of applicable fees) $38.04 01/28/2011 2011000181 Technology fee (5% of permit total) $15.85 01/28/2011 2011000181 Fixture $133.00 01/28/2011 2011000181 SDC: Reimbursement Cost - Local Wastewater $526.88 01/28/2011 2011000181 Total Amount Paid $1,194.13 Springfield Building Permit 1f28/2011 1:33:15PM Page 2 of3 CITY OF SPRINGFIELD Building I Residential Permit . PERMIT NO: 811-SPR2011-00137 IVR Number: 811155863686 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 01/28/2011 01/28/2011 Issued 01/28/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci,springfield.or.us EXPIRES: VALUE: 07/27/2011 $0.00 SITE ADDRESS: 660 FERN WAY, Springfield, OR 97478-6693 ASSESOR'S PARCEL NO: 1802051203100 SCOPE: Bathroom WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service Change and Plumbing fixtures Plan Review I ~~i~~:~~~;~;~~ti~~;~~ir;.~1f~~2~.:~<':;~~:~P~~~:~/t2~1&::~;'.~~;~~f:~~~:ft~5;,_.:~:~)~tJI~q~;.t3_~~;?]jJ~!~:::I':, ~{J Structural Review 01/28/2011 01/28/2011 01/28/2011 Not Required David Bowlsby Comments: Over the counter permit ~lanhing' Revjew.;'\:~~~',#:,;::+:~:OJ /28/zd1'1:i;J"01/28/201Jz '#: 01/28/201.1""',' r,:rotRequjred~, ,;;p;J'"tir:A >'''Davia:Bowlsl5y'0J < 'iff ." "".'$.,:,.,..-rit. '.',.,~.'ij;",;t::.:",;.'l.,\>..,.J,t<:.~!_~;'":...<;"".,,.,y~..';',;4'-/'.....,,::.'. ,., ... ..,.",<;"....., "./00. "," f' ;c' Comments: ',Overithe,counter permit'", ':;''' :; -, ," >.. 'f,,-:;; . ~. ;,:. '~~"_'~;7~'~.~:i~;'.~..~,.,:!;i,~~'1~~t;iJ'2:.;'G..;~;~,~,.~".,:"': ~':~;'~:".J".'~ .~.".\"l;';:~.;,~.'::,..,,:,#,..; 'w 1~: ,,' ,-",.."",.... ~~"".:, ~,"';':;.;;"~;,.,-'~' ,.,. ,),....,. J?;i,.,;y.",", ". '" $i+.,/.,,;:?T;l(:c.:.L.....w. ... ....~. .:..:;,.' "_' '.' DeDartment Application Acceptance Received Due Date ComDleted Result 01/28/2011 01/28/2011 01/28/2011 Over the Counter Permit Issuance 01/28/2011 01/28/2011 01/28/2011 Issued Reviewer David Bowlsby David Bowlsby -~'" .. ,- Z:"i:-+-" I~,:O,,~>, : ';';;- '. - ~ I ,~ INSPECTIONS REQUIRED I Inspections 3500 Rough Plumbing 3999 Final Plumbing 4220 Electrical Service Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 4500 Rough Electrical 4999 Final Electrical 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 rant of the property, and the approved set of plans will remain on the site at all times during construction. . -z6 -= ~\ cz.o\\ Date Springfield Building Permit 1f28f2011 1:33:15PM 'Page 3 of 3 . . S~.~.I~N:-. m~ ~~ ~.OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00137 660 FERN WAY CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenler@cLspringfield,or,us RECEIPT NO: 2011000181 rDEsi::RII~IlbN,:,.,;';;F;' " "..\.;~ .',...-'~o' Each added 500 sq. ft. or portion Fixture RECORD NO: 811-SPR2011-00137 'r.;l;;l;'~~2.=;ACCQUN]:C.ODE' .'~~. 224-00000-426102 224-00000-425603 224-00000-426102 ....._-----~ 443-00000-448025 442-00000-448024 ---'.---.".-..------.----'-'------- 719-00000-426604 821-00000-215004 100-00000-425605 TOTAL DUE: DATE: 01/28/2011 "":~.;.(Pt..AMOUNLD(JE.""-'.--.. "1 50.00 133.00 134.00 ----~-- 257.16 526.88 39.20 38.04 15.85 1,194.13 e.MOWIJ;~e.ID:';_,.:... ';-/""';"71 1,194.13 Residence wiring 1,000 sq. ft. or less SDC: Improvement Cost - Local Wastewater sac: Reimbursement Cost - Local Wastewater -- - SDC: Total Sewer Administration Fee State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) ~li~YMEJ!j:tx~'~-~;: "~_i~r::~x.Q~',?t::CASH'I'ER~'D'B6wtsBY':';~ ~1F?1"Jl::COMMENTsfii-SA~.f.z:^~:;;Sf~~fJT,~1i:Ti) Check COVERT ENTERPRISES INC 1883 TOTAL PAID: 1,194.13 El~ctrical Permit Application -- 225 Fifth Street. Springfield, OR 9747.1. PH(541)726-3753+ FAX(541)726-3689 SPRINGFIELD ":.~<l-~,",~ ~-AL4!!l,;...s,-1k:~ ~~~fl:,...{ ~-'.< ",.i''''''-:!~;::~.:' ~'--"IJ:'.;:Y".:t-. "......, z', .'..'....:) _~~ ! ~ DEPARTMENT USE ONLY ?e(!if;,~(( ~ De)I "> 7 Date: J-Zg--I/ 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. LOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No CATEGORY OF .CONSTRUCTlON " .' FEE SCHEDULE' . . ~.:. Number of inspections per item () Total cost 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). Residential, per unit, service included: c:r "1 ].000 sq. ft. or less (4) ( $134.00 $ /3 Each additional 500 sq. ft. or portion I l. $ 25.00 $~d thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular S 63.00 $ dwelling service or feeder (2) Services or feeders: instQ!/ation, alteration, relocation 200 amps or loss (2) S 81.00 I $ 20] [0400 amps (2) I S 95.00 I $ 40] to 600 amps (2) I I $158.00 I $ 60] to ],000 amps (2) I $205.00 I $ Over 1,000 amps or volts (2) $469.00 I S Reconnect only (2) $ 63.00 I $ Temporary services or feeders: instalfation. alteration. relocation 200 amps or less (2) $ 63.00 I $ 20] to 400 amps (2) I S 87.00 I $ 40] to 600 amps (2) $126.00 I $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Ft:e for branch circuits with purchase of a service or feeder fee: Each branch circuit I $ 600 I $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 I $ Each additional branch circuit S 6.00 I S i Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 S Eacb sign or outline lighting (2) I $ 63.00 I S Signal circuit or a limited-energy panel. I $ 63.00 I $ I alteration, or extension (2) ;....o~ Each addition a! i'l!'PA*,,~. ]t'l1 I $58.00 I S .'i'/..?,W\r.. "~\ ANT USE '. ~~~\Wi\l;t\blb~\if\.~v\ ecs . . s r'Bl. ~ \NIl~'f~u1lS"il};~11 Fee S58.00) '\l1~"Gg% surcharge (.]2 x [All I S 2Z0, 172 .technology Fee (5% of[All S '720 TOTAL fees and surcharges (A through C): I $""'r~ <--'IJ 2> --- esidential ,f' Job site address: City: Reference: S(bIC- Name: Address: Signature: 1 .~ Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: ATTENTION: Oregon law requires you to follow 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 calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). 440.2584.J (9/08/COM) ....I).\\et.. ,~\:\ , ?t.?-\'" \\\\'2> ?-\l'l:: . ,,\fi\'l?~t.~C "()~,,, . ~.~{8S:.9l ~?i~~' ~.\.\\