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Home My WebLink AboutPermit Electrical 2011-3-21 225 Fifth Street. Springfield, OR 97477+ PH(541)726-375H FAX(541)726-3689 DEPARTMENT USE ONLY Pennit no.: Sf I -l.( S Date: '( ./ 1/ 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. , " <~OCAL:. <;;OVERNMENT .Ap,PROVAl'.>.' Zoning approval verified? DYes D No '.i,,:CATEGORY.OFCONSTRUCTION:'c .. esidential 0 Government 0 Commercial ~.;&ili~~:,.tOB;;'SIJ;~rINF.'bRMM:IQlIlfANt5'.jEQCA'1'101ll'~);'f;:: ,. Job site address: 2- C\.{ J"t& City: k:: ZIP: Reference: ~~'" Name: Address: -'" 0,""1 Phone: ~: ,,:;,.t( ~I..\-ul -'-12..5"") 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: Business name: Address: ZIP: 1)71(9 E-mail: CCB license no.: '<.0- 2- q't c'. BCD license no.: 7391\?- Signing supervisor's license no,: ~c,,~> Print name of signing supervisor: 0 ("''''-' A e ~ La Signature of signing supervisor: ~, ~~~ ~~ 440-2584-J (9/08/COM) $ ~ ~~''::?'';,;;~'k:';~::::;l~~;t~~:mm~::i'~tEE::+SG H I:,P_O CE:{~(!lil~'~ft~1(~H1.i'[4';~~~~~~:FH~ ,. Cost' Total ,Number" ofJnspectio'ns per it~m' (.) Qty. . ...."" ..... '. '. ,'."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 energi (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) l1( - $ 81.00 ~ 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 $Uo ~ Temporary services or feeders: installation, alteratjon, relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 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 $ 6.00 $ b. Fee for'branch circuits without purchase ofa service or feeder"fee: First branch ~ircuft (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 aClditional inspection: (1) $58.00 $ ,)%t;i":;i~~~~'~%l;~~\;!1~'1~{t~f~rAR)?JIGANI:t;:'liSE~:\;:t;::~;,:~,'i::,:~g;:I;rT~f;'.';?;-~7H:;.~.'::>:: (A) Enter subtotal of above fees $ fj o;!!- (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) $ 77'[3' (C) Technology Fee (5% of [A]) $ J~ TOTAL fees and surcharges (A through C): $f. ;, '71 d :........ . SP,.R,.IH,.G,F,IE~LD" , ~lLl_", ..' tlU. "" ~ ,,<Jf"0~. OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00457 IVR Number: 811151595290 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 03/21/2011 03/21/2011 EXPIRES: VALUE: , 09/17/2011 $0.00 03/21/2011 SITE ADDRESS: 2455 CLEAR VUE LN, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703271202100 SCOPE: Electrical Only WORK INVOLVED: Re~air TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair service meter base from'storm damage OWNER: ADDRESS: SCHWABL JAMES J & PATRICIA M 405 KOURT DR EUGENE OR 97404 Phone Number: CONTRACTOR INFORMATION' Contractor Type Electrical Contractor Contractor Name A CAMPBELL ELECTRIC Lic Type ELECTRICAL BUILDING INFORMA TION ~ Lic No 20-299C Lic Exp 07f01/2011 Phone 000-746-8385 # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Occupancy Type Construction Type R-3 Type VB # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: No Sq Ft Basement: Sq Fl Garage: Sq Fl Carport: Sq Ft Other: , Occupancy load: ATTENTlo~r' nregon law requ'rres y t Electrical Specially Code Edition:, 2008 - au 0 , , , , ''''lOW rules aaopted by the Oregon Utility Springfield Fire Code Ed'tlon:Notification Center. Those rules are set forth Mechanical Specially Code Edition:,fi 952-001-0010 through OAfi 952-001- Municipal I Development Cod,\l,090, You may obtain copies of the rules by " " calling the center. (Note' the teJephon Plumbmg Specialty Code Edition: '. e '" .'"umber for the Oregon Utility Notification Res'dentlalSpec'al1y Code Ed,t,on: Center is 1-800-332-2344). Structural Specialty Code Edition: No o Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: No No No No NOTICE: HE WORK THIS PERMIT SHALL EXPIRE 1FT T AUTHORIZED UNDER THIS PERMIT IS NO COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 3/21f2011 11:31:19AM Page 1 of 3 "...I.-.. ~ SPRINGFIELD' ~.. )d!:b .~,~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00457 IVR Number: 811151595290 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 03/21/2011 03/21/2011 EXPIRES: VALUE: 09/17/2011 $0.00 03/21/2011 SITE ADDRESS: 2455 CLEAR VUE LN, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271202100 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Repair service meter base from storm damage 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 l Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: . Sidewalk Type: DownspoutJDrains: Valuation Description ~ Descrietion Tvee of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID ~ DescriDtion State of Oregon S!'rcharge (12% of applicable fees) ~:rvi::e !:.co_n~ect ?n~~~,__"__~. ~:,::~_n.ology J:e (5o/"..~ permit total) Total Amount Paid Amount Paid $7.56 -,_.....~._---,.~---~ $63.00 ----,,--,- '-'--_..._-"-'-,-,- $3.15 $73,71 Date Pa id 03/21/2011 03/21/2011 03/21/2011 Reciot # 2011000518 2011000518 . -_._- 2011000518 Springfield Building Permit 3/21/2011 11:31:19AM Page 2 of 3 .. .-' www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00457 IVR Number: 811151595290 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 ISSUED: APPLIED: 03/21/2011 03/21/2011 EXPIRES: VALUE: 09/17/2011 $0.00 03/21/2011 SITE ADDRESS: 2455 CLEAR VUE LN, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703271202100 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair service meter base from storm damage Plan Review ~ Deoartment Permit Issuance Received 03/21/2011 Due Date 03/21/2011 Completed 03/21/2011 Result Issued Reviewer Chris Carpenter 03/21/2011 03/21/2011 Over the Counter Chris Carpenter Initial Review 03/21/2011 Comments: Over the counter permit Application"Accepta-hce,~'T 'i; 03/21/261~1;~- 03/21120t,1 ,,; ,03J21/ib1'1f;;;y\ 'w'~; ~-: r""<-, ~.~ "~,,,;~~~~~,,_:e:.:'l"'_;:":)_~,:., ": _,,~~,~::i~rJ:'1:.~,4c:':.;:~t~~5~~jllj:-:::'''. ,,'Qveifl1e:Gounter.': "'~'~Chris Carpenter. ~~:,m_:,<." 'w: ~,}::;;,; i: ::<.""':':':..:: -. -.-' -~ ",,'Z ~ F \,0.', ;c,<_ ~ h:C_q'<~,'::~"'-'~';:;_,,< -; -~ '. ,..' INSPECTIONS REQUIRED ~ Inspections 4200 Reconnect Service 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 $ervices Division, Building Safety. I further certify that only contractors and e~ployees 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. <~C{, C~ Owner or Contractor Signature 3/2, /11 Dat~ / Springfield Building Permit 3/21/2011 11:31:19AM Page 3 of 3 ........ TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t 5pringfield,OR 97477 541-726-3753 www.ci.springfield.OLUS 811-SPR2011-00457 2455 CLEAR VUE LN permilcenter@ci.springfield.or.us RECEIPT NO: 2011000518 tDESdRII~.TION" . ',,: :;;'::::0:", Service reconnect only State of Oregon Surcharge (12% of applicable fees) Technology ree (5% of permit total) RECORD NO: 811-SPR2011-00457 DATE: 03/21/2011 "/"...:'4"'1;' !i;:'~'~ ';;:.::'i:AddoUNfs:cODE",,,,;~,':;t: .' AMCllJNT=DUE-" -:'., \ -iJ 224-00000-426102 63.00 821-00000-215004 7.56 100-00000-425605 3.15 TOTAL DUE: 73.71 ~:4';'~' ~ :~A~0UNI,PAtD:''''7: Z...d 73.71 [i~~XM.E~fj:xIiE:'::;\ PAyg.~;;;'#CASHiERCCARPENTERt:::'..* G..Q.II'IM~N.IS'" " Check A CAMPBELL ELECTRIC 4646 TOTAL PAID: 73.71