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Home My WebLink AboutPermit Electrical 2011-2-4 ,. " Electrical Permit Application t 225 Fifth Street+Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689 " DE'PARTNiENTUSE ONi.. Y '" . "'::;- $flt. Z.CC{- 0 0 } 8G Permit no.: Date: 2-L(~ ( ( This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. co ,. ,'. ,". 'I1()CAL',GOVERNMENTAep.RO\lAI!F,"fO<!";i,iiW:Y'\', Zoning approval verified? DYes D No ,is ~~;"'u1}:cATEGORYii@r:C()NSTRUC1;tOt'6&"""k '. I'. J2lResidential I D Government I D Commercial i~~'tfj.()B1i1SITE;iUNI;()RMATIQN,i'!ANDQll()G'Aim()N;;\t1!?~~i: Job site address: h '1 J- A/ :5 71"h' City: C!,r.Hlt ~ ILl.. I State: 0(>.,. I ZIP: "11'/1?- Reference: I /'6 z.. 3,"3 {L{ I Taxlot.O 0]00 . ., " . 'DESCRIPiflOWOF WORK;t.,1-:,i,".'!~;,,,."" -Z<O,.,'~ .{/'/..-J&vI <!of L1.. .t'~ J,.. ....,v~-.., '/,~ -"nob'~ 2',%-_ ~,A...' <;i,IIT"L~ ,PROPERTY OWNER " . . 1.,11. /.u_ -r--ku-r...... h.._ b '1) <:7.f'- )"-r 5 prb I State:oL I ZIP: 971.08 I Fax: Name: Address: City: Phone: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: , '. CONTRACTOR INST ALLtiTION Businessname:,ri'-;;;/)y (6 .j Address: P /1. /"C 3 '7. City: C". J7 J I State:L:),cc I ZIP: <J 7 <1'77 Phone: 7.) z' -q.~Il.::3 . I Fax: - - , c:: E-mail: CCB license no.: .3 S- (y / I BCD license no.: Signing supervisor's license no.: .;t.. G. 7.' s ---c> Print name of signing supervisor: ~ -U?' ,'If:!i/,!J.I?)(;';'' Signature of signing supervisor: '-::/:2 ,/ h?M ./'A ( o on law requires you to ATTENTION: reg the Oregon Utility follow rules adoPte$h~~e rules are set 10rth Notification cent~~1 0 through OAR 952-001- in OAR 952-001- btain copies of the rules by 0090. You may 0 Note' the telephone .calling the cen~r. (on Utility Notilicati~n ",umber for the r1e8g00_332-2344). . Center IS . 440.2584-J (9108/COM) ~~ &: ~.~"~."......,',...,.. . -.'.. ".",' . "'.. ' ' Cost.. Total' ~:N~~.~~~:.9.,~,;',?~sP.~5~!~:~r~.'Pz!r~;~t~,~,p;;/,:",:.:q_!~. !;"~e~:t~....': ',:: . c_o~t;.". 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) $ 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: installation, alteration, relocation 200 amps or less (2) 20 I to 400 amps (2) 40 I to 600 amps (2) $ 63.00 $ $ 87.00 $ $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 se'rvice or feeder fee: Each branch circuit $ 6.00 $ b. Fee for branch circuits without purchase ofa service or feeder fee: First branch circuit (2) Each additional branch circuit $S:S- $/a. ...... $ 55.00 I", $ 6.00 Miscellaneous fees: service or feeder I}ot included Each pump or irrigation circle (2) Each sign or outline lighting (2) $ 63.00 $ $ 63.00 $ Signal circuit or a limited,.energy panel, alteration, or extension (2) Each additional inspection: (I) ~ $ 63.00 $ $ $58.00 ffi! (A) Enter subtotal of above fees , . '''''J'''J:.. m -. ~ v-/~ (MInimum Perfm.t Fee $?8..o.oi rvnlOt: 11' T~ t: WURT\, I .;;> (8) EnJ,flI2o/~ij,~~'!J[ie f\~~di' ]);~Ic,PFRMI IS mC}f .., b (C) Te~~ry;,H~:!1't,(~~o :($1~ ARANDONED FOR$ "36 J TOTAL~t~~s"'a~d'su'i-ch~-es"''''through C): $ Q Q-/1 ""IV IX1III .~'"i&""11~CJ. PTl-> > . SP=I.~~:~ .~~~ . 'A'..-\ - ; :*,e,: OREGON CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Residential Permit PERMIT NO: 811-SPR2011-00186 IVR Number: 811194943203 permitcenter@ci,springfield.OLUS PROJECT STATUS: STATUS DATE: 155 ued 02/04/2011 ISSUED: APPLIED: 02/04/2011 02104/2011 EXPIRES: VALUE: 08/03/2011 $0.00 SITE ADDRESS: 695 57TH ST, Springfield, OR 97478-6821 ASSESOR'S PARCEL NO: 1702331400300 SCOPE: Electrical Only WORK INVOLVE!): New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Add/alter 4 circuits OWNER: ADDRESS: THORNTON WAYNE A 695 57TH ST SPRINGFIELD OR 97478 Phone Number: Contractor Type Electrical Contractor Contractor Name DAVID ROBERT KIOp CONTRACTOR INFORMATION ~ Lic Type CCB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lie No 35651 Lie Exp 05f05/2012 Phone 541-726-9303 # of Units: o Lot Size: Sq Fl1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: SqH Other: 0 Occupancy Load: # 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: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: quireS you to Land Hazard Area: nENTION: Oregon laW ~e Oregon Utility Retaining Wall: '\ I rules adopted by t e les are set forth Soils Report ReqUiriWt~:ation Center. Those rUh OAR 952-001- ino~~R 952-001-001~th:~~i~S oHhe rules by 0090. You may obtain Note: the te\e~hone calling the center. (on Utility Notiltcatlon number for the.0~~~00_332-2344). Center IS , ..~;..".,{' NOTICE: RE lFTHE WORK THIS PERMIT SH{l.ll ~~~ PERMIT IS NOT AUTHORIZED UND\ESR ABANDONED FOR, . COMMENCED OR . ANY 180 DAY PERIOD. . . . Springfield Building Permit 2/4/2011 1:36:57PM Page 1 of 3 .. ' '. www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00186 IVR Number: 811194943203 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: Issued 02/04/2011 ISSUED: APPLIED: 02/04/2011 02/04/2011 EXPIRES: VALUE: 08/03/2011 $0.00 SITE ADDRESS: 695 57TH ST, Springfield, OR 97478-6821 ASSESOR'S PARCEL NO: 1702331400300 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Add/alter 4 circuits 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 I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I DescriDtion Tvee of Construction Unit Amount Unit TVDe Unit Cost Value FEES PAID I Description Branch circuits without service or feeder - 1st circuit Technology fee (5% of permit total) Branch circuits with service or feeder each circuit State of Oregon _~urcharge (12% of applicable fees) Total Amount Paid Amount Paid $55.00 $3.65 $18.00 $8.76 $85.41 Date Paid 02/04/2011 02/04/2011 02/04/2011 02/04/2011 Reciot # 2011000234 2011000234 2011000234 2011000234 Springfield Building Permit 2/4f2011. 1:36:57PM Page 20f3 . SPR.'NGfIE.l~ ~:l'_ ,-'~ . m ;.' OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00186 IVR Number: 811194943203 www.cLspringfield.or.us 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: Issued 02/04/2011 02/04/2011 02/04/2011 ISSUED: APPLIED: EXPIRES: VALUE: 08/03/2011 $0.00 SITE ADDRESS: 695 57TH ST, Springfield, OR 97478-6821 ASSESOR'S PARCEL NO: 1702331400300 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Add/alter 4 circuits Plan Review ~ Comments: Over the counter permit 'Jnitjal'Review~';~;'-:;,;i'~'~,-~- 'I ,~,:-'~O~04/261!1>"1A02f6M201'1-'q02/D4Ti6,1'1:::~~erthe;C~€rr:?, 4;;:" ,to'aVid:l3bWlSb-y~;: .,: f t),: .\.~\J,.,";''" f''ff-+:;. 'riYi_,~l: . i -', '-" , ;;"bi"'~0""Z,^C\'?;'~" -, - ",' ,~-~'a.1E\:;::~"00,f.~/,r~- .,'T"_ i~$;'l:,,'S>~; 1;10;- }0::"~''^' Jl~'i:; -,~/, '" ": -~ ~- ',,~. ;~L;' 'i' ~ J. - ,,; , 'Comments: -,,,,,Over.:theicounterpermlt,,,' ~/ >:"r, -L' d'4t't~r)l-~~#-}< ~ ",";':XFy1:'''+'\';Jh/o <"'~ "'," "".~, ~i'~" ,-": ,_ f. \ c'.".. ..- L ", "'~ _ ",~".,.."" ';' '. """" ".." ';.,,"',." ',j " "'L?):'~;";""";) '";'''''''-.',j-''''''' ,"_ $'<'.,i'..J~,...-...,' ,'" o'~, '-1~~~~, ::\_ "._: INSPECTIONS REQUIRED I Deoartment Application Acceptance Received Due Date 02/04/2011 02/04/2011 Comoleted 02/04/2011 Result Over the Counter Electrical Review 02/04/2011 02/04/2011 Not Required 02/04/2011 Inspections 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all e,lectrical work is complete. Reviewer David Bowlsby David Bowlsby ~~ .-~-. "'~ ~' , '; ;:~,. ' '"c''' ,- ,-, .'~ ,.,... '. ~ " 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 2/4/2011 1:36:57PM Page 3 of 3 . ;, " SP~.:,N:'.IE.~.D- ~~ ~~O:fGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726.3753 www.ci.springfield.or.us 811-5 PR2011-00186 695 57TH ST permitcenter@ci.springfield.or.us RECEIPT NO: 2011000234 RECORD NO: 811-SPR2011-00186 DATE: 02/04/2011 tDES_CRIP~T"lb-N'~~~~~~~~~;'~i:?-'; ,;<.rt'~'-~-~: :'.~!mji:-;:~ ;;'.:7',':r't-:'''''Ac.c'6.bNJ~toDEf.~t:!:t~~~1~~NfoUNt:b.lfEL~;f;t4~i':'<~. 1 224-00000-426102 18.00 w__..__.__._ 224-00000-426102 55.00 "'-"-'''~-~-~~'----~~-~'''._~"'."--,-~-- ----_.~-- ..- - 821-00000-215004 8.76 100-00000-425605 3.65 _...--_....._-~-,.- TOTAL DUE: 85.41 li"eA_y_M....._EN._T.TYPE!,~ji;..'_...P.:A. '.vcfR'll4CA. iiHIER~i)BciWU1By;',~'?'-""@",;coM'ME_NT_S.'-1>''''_ii,,_'';:. "'-.', " :'fAMOUNTPAID.".,'. 'j' ;-tt. ..~ "1 Li.-~ __ =w.._',,__,,_ _ .'__ "'"--"-_. .__ _., ''':C~z'::A.".''.\'' ..,.'....,"'-'. Check kidd and company 85.41 1944 Branch circuits with service or feeder each circuit _H__~_____ Branch circuits without service or feeder - 1 st circuit __~tate of OL:9on Surcharge (12% of applicable fees) --2~ology fee (5% of permit total) TOTAL PAID: 85.41