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Home My WebLink AboutPermit Electrical 2011-2-4 ~;,.. . '~'" Electrical Permit Application . 225 Fiflh Streett Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 bER~RTMENT USE ONLY Permit no. 5/! -I ~ 3 Dale: 2/1-/ II 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.' , :";EOCAVG0VERIIIMENT"AP,PROVAIf!,:~\?,?';.i(;''i''l'''1: Zoning approval verified? DYes D No :1; .)!i;i~L/;}cATEGORY;tc5F :;CONSfRUCorION't,i""";';,, '. Residential D Govemmenl D Commercial f~f{j\:r1tOe~SITEiiINF,:ORMAJ:I:OIII~:'Alllb!iiCOGA$iON~~'ji~~{) Job site address: 'l)t:J.. st. City: State: D(<?' ZIP: 0747 :3 2- Taxlot.:62.YD . 'DESCRIPTION OF ,WORK":I,:,,\;'i,\l.(\';!.:\" -N l-w. tAO 'PROp,ERTYOWNER Name: City: 0 62. ZIP: 'f740') Phone:?1I{ -'1 Fax: 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 INSTALLAl'ION' Business name: ClJV\nZk ~l ec . c.. Address: City: Phone: E-mail: CCB license no.: BCD license no.:;Zu!f'f',;v:? Signing supervisor's license no.: Print name of signing supervisor: Ksc . LLdL~'1q~ PL(l; I~ 1 -*J\ ~ \.JD\I ~ 'D"f{\ ~ ~~ ~lt\ 440-2584-J (9/08/COM) ~ .~-:."" . (.. . --- .- .. ._.--0'- - ~ J0~~4~~~~'~~~1~EE~S~HEPO~~~~~~ft~~~\~lW~~ . ,.,' . . ,...',.... ,-. :' ~~"', '.,. i' ':"~'~.' Cost" . Total ,Numberofinspecti';.s per It.I1>O, c.'. Q'ty.' ,,' !,. ':\ ~,,,,'..,, .:v:. :'" ....". ,,<.:;-r:,', :J.-;i/ <>( ,." \~.','~".. '.., "" .,;'.'!-ea/,:. '~: ',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) l $ 81.00 $'(j/,dt> 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 60] to ] ,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] 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 4 $6,-00 $ 21.0D 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 ,:ot 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 extension (2) Each additional inspection: (I) $58.00 $ i~1~~rt~~~\~~:~~}AR~lic~N;rT*US'E~~~~~~r~4'i!;~~\~i~:UI;t5",'.,~;,: (A) Enter subtotal of above fees $ (Minimum Permil Fee $58.00) iD,C;.oD (B) Enter 12% surcharge (.12 x [A]) $ 1;4 lJo (C) Technology Fee (5% of [A]) $ 5,;;'>S TOTAL fees and surcharges (A through C): $ \d:).~ ... ,.J . S~N.~.LD.. .~~ A.. "'~<':\ ~1 . ..;1'. OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00183 IVR Number: 811122516029 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 02/03/2011 EXPIRES: VALUE: 08/03/2011 $0.00 SITE ADDRESS: 1512 8TH ST, Springfield, OR 97477-3124 ASSESOR'S PARCEL NO: 1703264202802 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service change and 4 circuits OWNER: ADDRESS: FIRST FRANKLIN MORTGAGE LOAN TRUST 3815 SW TEMPLE SALT LAKE CITY UT 84165 Phone Number: CONTRACTOR INFORMA rlON ~ Contractor Type Contractor Name CONRICH ELECTRIC LLC Lic Type Lie No ELECTRICAL . 20-482C BUILDING INFORMATION I Lic Exp 07/01/2011 Phone 541-607-3447 # of Units: o 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: Mechanical Specialty Code Edition: ATTENTION: Ore'lon law reouires you to Municipal I Development Code: _. _ _ follow rules adopted by the Oregon Utility Plumbmg Specialty Code Edlllon: Notification Center. Those rules are set forth Residential Specialty Code Edition: in OAR 952-001-0010 througll OAR 952-001- Structural Specialty Code Edition: 0090. You may obtain copies of the rules by ~llil"\l'I +hn "',.... + 1\11"'1+1"\' +hn 1"\11"\.... Site Information n be;- for the Oregon Utility N~iii;~ation Center is 1-800-332-2344). # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # 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 2/4/2011 11 :38A8AM 'IOTlCE: PIS PERMIT SHALL EXPIRE IF THE WORK iTHORIZED UNDER THIS PERMIT IS NOT ""i,ENCED DR IS ABANDONED FOR '~() DAY PERIOD. ,'..,',;' Page 1 of 3 i ~ ,-, www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00183 IVR Number: 811122516029 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: 155 ued 02/04/2011 ISSUED: APPLIED: 02/04/2011 02/03/2011 EXPIRES: VALUE: 08/03/2011 $0.00 SITE ADDRESS: 1512 8TH ST, Springfield, OR 97477-3124 ASSESOR'S PARCEL NO: 1703264202802 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 4 circuits DEVELOPMENT INFORMA TION ~ 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 Tvoe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Description State of Oregon Surcharge (12% of applicable ~ees) Technology fee (5% .~!J:ermit~~__.. Services 200 amps ~~!:.,Ie..~__~__ Branch circuits with service or feeder each circuit Amount Paid $12,60 $5,25 $81.00 -~-- $24.00 $122.85 Date Paid Reciot # 02/04/2011 2011000233 02/04/2011 2011000233 -~------~~--_._-,.~-~-- 02/04/2011 2011000233 02/04/2011 2011000233 Total Amount Paid Springfield Building Permit 2/4/2011 11:38:48AM Page 2 of 3 .. ..j" www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00183 IVR Number: 811122516029 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 02/03/2011 EXPIRES: VALUE: 08/03/2011 $0.00 SITE ADDRESS: 1512 8TH ST, Springfield, OR 97477-3124 ASSESOR'S PARCEL NO: 1703264202802 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service change and 4 circuits Plan Review I Deoartment Received Inspection 02/04/2011 Comments: Inspection in process Due Date Completed 02/04/2011 02/04/2011 Result In Process Reviewer Chris Carpenter Permit Issuance Initial Review Comments: Over the counter permit INSPECTIONS REQUIRED I Inspections 4500 Rough Electrical Rough Electric: Prior to Cover Fina! Electric: When all electrical work is complete. 4999 Final Electrical 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 Qregon 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 11:38:48AM Page 3 of 3