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Home My WebLink AboutPermit Electrical 2011-3-31 Electrical Permit Application e t 225 Fifth Street> Springfield, OR 97477 > PH(54t)726-3753 > FAX(54t)726-3689 bEP,ARTMENT USE ONLY Pennit no.: '5 f ( - )2 7 Date: 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':.-,t,.,/ Zoning approval verified? 0 Yes 0 No "',.iCATEGORV:Yc5F:CONSTRUCTION'? .. [2(Residential 0 Government 0 Commercial ~~;f~iQJOB;;-SITE(INFQR.IViATJONrAN[j&110CAf:loN~j;:ii')\! Job site address: 'Z ;. 'i- hi 1/1-- ST City:> fl.,;"" h~t> State: ()It, ZIP:'!>'f'l'7 7{) 2: Taxlot.:05:J>OO DESCRIPTION OF WORK"" 'c, !, ~ 1/1 t..E /2-eU/ I n. if Name: ZIP: o;?Lf 7 Phone: E-mail: This installation is being made on residential or fann 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: S/;:;(U.' I c.G E-mail: CCB license no.: C;CJll/ f Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: ~ ~~ ~~. 440-2584-J (9/08/COM) 1;.~'~i':;:':~'l~:-:.;::~i':f:;;~~1~~~}!:~:~{iA~,E-E~t:S'CH E_DJi OE\j~ {\sf~\f;A~~~~;:~l'7~"~~~~1;~;}~~" ,.' <. '.' .... : ':. Cost : Total' .Nuni~er of inspections perite~q .. Qty. .. -ea:. cost c"" . "0.' '_ _..' 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 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, e;r;tension 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 of a service or fe-eder"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 limitedMenergy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (I) $58.00 $ 'i~t;f};1f.tA~~t\;-~hf:~fill~~tf:;\~ARe.~I~AN;t~i:::t.i$f:1~~~iE~:~',::~!~:,~':i~!;?:,t;\;~[,,\;; ,~,.''',:' ,:,' ::;,",;.':".-:' (A) Enter subtotal of above fees - ~ (Minimum Permit Fee $58.00) $ 9/ (B) Enter 12% surcharge (.12 x [AD $ 4'1<- (C) Technology Fee (5% of [AD $ '-f~ TOTAL fees and surcharges (A through C): $ ql.f'70 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00529 IVR Number: 811112770322 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: 0313112011 0313112011 Issued 0313112011 ISSUED: APPLIED: 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.U5 EXPIRES: VALUE: 09/27/2011 $0,00 SITE ADDRESS: 1234 MILL ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703274400300 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace 200A Service Phone Number: OWNER: ADDRESS: WALTERS JOSHUA A & EILEEN M 1234 MILL ST SPRINGFIELD OR 97477 Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 10 Occupancy L'?jJ'IeClU\leS ~o~I\I\W nOn Ill. Olegon In Electrical Specialty Code Edition: .,...2(!AA', Ole", cI b" Ine Ie sel \01 ..\n:\~\\ clO?le ' ules a " OO~- Springfield Fire Code Edition: ,.... ,,' ru\es e. I inOse I '" Op..'i'- 95..- "''' 10110," , cenle . "'loU9" lules u, Mechanical Specialty Code Edition~1 '\\\Cal,on O' -OO~ 0'" ',eS 0\ lhe "'One , \~o' 952.0 I 'n coil lelell" Municipal f Development Code: \n Op..'i'- rna~ obla\ l\,\ole"lne , ';'Iicalion Plumbin9 Specialty Code Edition: 0090. '(O~ne eenlel. "on Ut\liIY3~~)\ II\n9 ' Ole" 32-2 "" . Residential Specialty Code Edition: ell. "'el \01 tne, ~ _800-3 nurnu tel \s Structural Specialty Code Edition: cen Contractor Type Electrical Contractor Contractor Name TONY KOTH CONTRACTOR INFORMATION ~ Lic Type CCB BUILDING INFORMATION ~ # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Occupancy Type Construction Type R-3 Type VB # of Bedrooms: Sprinkled Building: Fire Alanns: Energy Path: Lie No 59748 Lie Exp 05/19/2012 Phone 541-688-8996 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Site Information ~' Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report ReqUired: ," . ' ,,~ :'10\\t<. ,.d 'T".<.~' " \\X. W ,,, ~O\ ~~~\~~~~11 ~~'-~{;~~6~~~~ r~\\ 1\\l\\10\\ll\D 0\\ IS 1\01\ , CO~~(NC ({ ?I'.\\IOD. ,,~'1 ~ 8G D~ Springfield Building Permit 3/31/2011 11:56:17AM Page 1 of3 S~~I\~G.:~.~ ~c'"i'~ {.,., ~"'." OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00529 IVR Number: 811112770322 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci;springfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/31/2011 ISSUED: APPLIED: 03/31/2011 03/31/2011 EXPIRES: VALUE: 09/27/2011 $0.00 SITE ADDRESS: 1234 MILL ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703274400300 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Re:place 200A Service 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: DownspoutlDrains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Amount Paid $9.72 $81.00 $4.05 $94.77 Date Pa id 03/31/2011 03/31/2011 03/31/2011 ReciDt # 2011000591 2011000591 2011000591 Springfield BUilding Permit 3/31/2011 11:56:17AM Page 2 of3 S.~RI.NG;:~L~ ~'Ll"'.' .0;"~ ......~ ?i:;'''~'OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00529 IVR Number: 811112770322 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/31/2011 ISSUED: APPLIED: 03/31/2011 03/31/2011 EXPIRES: VALUE: 09/27/2011 $0.00 SITE ADDRESS: 1234 MILL ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703274400300 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace 200A Service Plan Review ~ Deoartment Permit Issuance Received Due Date Comoleted Result 03/31/2011 03/31/201.1 03/31/2011 Issued Reviewer Chris Carpenter !Electri6-:al'Reviewr"'1;0i;;::~:0;S0:>;03j31i26r~\'":o3'13112b,17i:~3131/201'1o<l~.:: ",Not Required::::: ~~~fIID;~l~f:'\~~~;lJ~~~g~'~;~~~S~~?~,_~'~~~~~~~:~:~ ~:,~~t:~il:'~:;~:':~.:, ~:i!i~:~?~".~.. Initial Review 03/31/2011 03/31/2011 03/31/2011 Over the Counter Comments: Over the counter permit Chris Carpenter INSPECTIONS REQUIRED Inspections 4225 Service or Feeder 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, tf: /). / . !~~ t/ - (- (( Owner or cont'a{tor Signature Date Springfield Building Permit 3/31/2011 11:56:17AM Page 3 of3 sp. ~'N Gf..' ELi) -~ - 4..L . t0~ .\.:;;..JI' .. ,== OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00529 1234 MILL ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@cLspringfield,or,us RECEIPT NO: 2011000591 RECORD NO: 811-SPR2011-00529 DATE: 03/31/2011 lriESCRIP.,TION::3.:'. \i. -.::];:,;>- .:!:2,_.J.:2::C:,:;'..;.:i}_iL.~::::'jACC-ODN.t~CODE::'" > .... \~'- ;~i!':AI\IiODNIbuE..:..:L ':'-..J Services 200 amps or less .___.___-E4-00900-426~02 _State o~ Ore90n Surcharge (12% of applicable fees) __~21-00000-215004 Technology'fee (5% of permit total) 100-00000-425605 TOTAL DUE: trPAYMErifi;TYRE~;''Ji'PAy'6R;i!':CASHIER-CCARPENTE~.KQMMENTS~"\''\;li}t:'ti~~:;:_ '. Check TONY KOTH Lite Electr 7456 81.00 9.72 4.05 94.77 :~_MOUNT,~AID ".',.'-:. 94.77 ;"J^ ",' "-;Veil TOTAL PAID: 94.77