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Home My WebLink AboutPermit Electrical 2011-4-7 Electrical Permit Application 8 225 Fifth Street. Springfield, OR 974770 PH(541)726-3753t FAX(541)726-3689 DEPARTMENT USE ONL.Y .<.. . . g tL - sftZ.7-&t.-L- Penn it no.: Date: 4-- 7- - 1i 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. ; < ;'l':OCAVGOVERNMENTAPF>ROVAL':'.,/'i::.':;' j: Zoning approval verified? 0 Yes 0 No :.:,<' . ;;CATEGORY::bf,CONSl'RUCTION~,.,,' mesidential I 0 Government 0 Commetcial ~~~i;1!:!J0B!!$I"[I:\IN FORIViATIQ NFAN[j!:EO'CAf;IO N~~{\:~l:Ti Job site address: j~ l!'2- h1!:L 51,,@ City: 5nfJ'r.<+h 'J State()K I ZIPJ11f./J7 Refeten~e: --117-7" Z-G 34- I Tax!ot.Qe.J..gG- DESCRIPTION OF WORK:" ."i:: 5e.rV;Q0 (II.. . ~ +-' I~ .r~1<< GfrrS /' PROPERTY OWNER Name: S-f-e0Jn ^ '5t.u' Pl?i-D-etl-Je< Address: AfJ' \':) (~<l D--.\-----:rliL ~ n) Cit)\: hI'\( )\'\\1~he ls:ate:~ I ZIP:1~'J:2C:::W, Phon&;' - - Fax: - - ~ E-mail: This installation is being made on residential or fann property owned by me or a member of my immediate family. This ptoperty is not intended for sale, exchange, lease, at rent. OAR 479.540(1) and 479.560(1). Signature: CONTRACTOR INSTALLATION Business name: t:lie~ IlnlJ C}{c:tnc. ->2rv1c.J! II\G. Address: 1.14'12- <,,,~j,,, Plaa- J City: 00'1'eJ i()" Cit V I State: O't, T ZIP: 9144 '9: Phone5~/ -?/L- 1-9 \7 I Fax: - - E-mail: CCB license no.: 1?(,)7 / I BCD license no.:J-6-L{41 C Signing supervisor's license no.: Lf O'S?' 5 Print name of signing supervisat: 1/')"y1/ /~7f. Signature of signing supervisor: ~ itJ,{~ J L. t1id~ I \~ '0/ rx.~ ~ 440-2584-J (9/08/COM) ~~<''i-;;.'};\:/,:<I'f\K~tl{f!,~,:~i;~tF~,EE~~~$~H E.P.d tE:f('~':!}~i ~';;f,~<:;~Ft\j,5~~?~1~~f . .CO.S! .Nuni~er of,inspect;'ons p~ritem' 0 Q'ty. . . . " _.'.' , '. ., ':.' d.. ~a", Residential, per- unit, service included: Total. cost 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 ~IP 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Ovet 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) ~, (\,.,t. Tv $ 63.00 $'10.. /L ~ 201 t0400ampS(2)~ ~.< 87.00 $ 401 to 600 amps (2) W I ~ v$126.00 $ Over 600 amps or 1,000 volts, see se~ices or feed~rs section above Branch circuits: new, alteration, extension per panel a. Fee for branch circu!ts with purchase of a service or feeder fee: Each branch circuit ~ $ 6.00 I $ 60 b, Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) Each additionaJ branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder I!-ot inclu.ded Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit Dr a Jjrnited-energy panel, $ 63.00 $ alteration, or extension (2) Each aaditional inspection: (1) $58.00 '$ :;~~~::fH;l~~*~~YJ0f~g:~~~~;'~f{~ARj~',uIcANT~;T;~OSES:~::;?f<{t~}~;:!~;i.~~~~~:f~:~;}f~':'<~:,~ (A) Enter subtotal of above fees I. [, ^ ,..., - (Minimum Permit Fee $58.00) '~'Y~~ ~ l ~ (B) Enter 12% surcharge (.12 x [AD \2\! u;: $ - - y (C) Technology Fee (5% of[AD 7f.::; ~ - TOTAL fees and surcharges (A through C): $11, 7 f- \A\.~~ i~o..~& \\0. 6 \\{)A.' . f\.O .:. S.P....RI.N. ..G. FIE.~ ~_. ,J~'~ ~'-:\.\.!EGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00566 IVR Number: 811130152988 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 04/07/2011 ISSUED: APPLIED: 04/07/2011 04/07/2011 EXPIRES: VALUE: 10/04/2011 $0,00 SITE ADDRESS: 1442 6TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703263400100 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New Service Phone Number: OWNER: ADDRESS: ACE SECURITIES CORP HOME EQUITY LOAN TRU 4875 BELFORT RD STE 130 JACKSONVILLE FL 32256 CONTRACTOR INFORMATION ~ Contractor Type Contractor Name EVERYDAY ELECTRICAL SERVICE INC Lie Type CCB # of Units: BUILDING INFORMATION ~ # of Stories: . .' o Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: No 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: Lie No 136371 Lic Exp 08/1212011 Phone 541-912-2957 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 O~cupancy load: 2008 Site Infonnation ~ Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: :aTfCE: -HIS PERMIT SHALL EXPIRE IF THE WORK \UTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR 'I/IIY 180 DAY PERIOD, ATTENTION: Oregon law requires you to foUow rules adopted by the Oregon Utility ,Notification Center. Those rules are set forth rn OAR 952-001-0010 through OAR 952-001- 0090" You may obtain copies of the rules b caUrng the center. (Note: the telephone y number for the, Oregon Utility Notification Center IS 1-800-332-2344). Springfield Building Permit 4f712011 11:30:58AM Page 1 of 3 ". SP~..~:~EL~ ~"~~ ,:...\,'... OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00566 IVR Number: 811130152988 225 Fifth St 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 04/07/2011 ISSUED: APPLIED: 04/07/2011 04/07/2011 EXPIRES: VALUE: 1 0/04/2011 $0.00 SITE ADDRESS: 1442 6TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703263400100 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New Service Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION I Overlay Dist: # StreetT rees 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 ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID I DescriDtion State of Oregon Surcharge (12% of applicable lees) Branch circuits with service or feeder each circuit -, ._."".~-_. ~-"'_._--_._,._. State of Oregon Surcharge (120/0 of applicable fees) Technol,,-gy fee ~'l> of permit total) Se~i~=-~~_O_~~ps .or less ~~h_nology fee (5% of permit to!al) Total Amount Paid Amount Paid $9"72 $60"00 .--.,-.-..............,--..-.- $7.20 $3.00 $8UO $4.05 $164.97 Date Paid Reciot # 04/07/2011 2011000679 04/07/2011 2011000679 --.---..-. 04/07/2011 2011000679 04/07/2011 2011000679 --- 04/07/2011 2011000679 "04/07/2011-- - ---2011000679 Springfield Building Permit 4f712011 11:30:58AM Page 2 of 3 . l. SP~~~,~~ ~~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00566 , IVR Number: 811130152988 www.ci.springfield.or.us 225 Fifth 51 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 04/07/2011 ISSUED: APPLIED: 04/07/2011 04/07/2011 EXPIRES: VALUE: 10/04/2011 $0.00 SITE ADDRESS: 1442 6TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703263400100 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New Service Plan Review , Deoartment Application Acceptance Received Due Date 04/07/2011 04/07/2011 ComDleted 04/07/2011 Result Over the Counter r,4e~!t~ssu~q?,~.;'c-";-;; ..P.i,:1~4:07B91:~_i-04/0~/t~)~_;, 0~i2r~20i!'" '. .~_ ;":..,,, _:.~-". ;:,,_, - ':""- / ~'~,-..~"-. -.~ _ < ';.ir " ";,'Z,S:' Electrical Review 04/07/2011 04/07/2011 04/0712011 Comments: Over the counter permit InitialReview =.7,.. ','. 04/07/2011' "' 04/07/2011:.' 04/07/2011 C;,mments:. O'v~r the".co:un!er permi!;.. .~:'" ::c Reviewer Kip Kaufman "~I . , : ,s " ,... " I ---_.--~'-.! 1~~~~~~"":$:;:'~_"~'7 ~f::\",,- _'\i"Ki~;Kauf~alJ" b,~, . "_ ~.,!' " -. . 'lc Not Required Kip Kaufman Ov~f,:the.C()'uiiterh : "-"'-"'''-, -,-i.'.. > I INSPECTIONS REQUIRED I Inspections 4210 Service Change KiilKa~fman , ':, '-I By sign,ature, 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 J 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. ~""~~~ L//Z/26/J Date Springfield Building Permit 4f712011 11:30:58AM Page 3 of 3 s.p~:~. ~~ ~~ ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726.3753 www.ci.springfield.or.us 811-SPR2011-00566 1442 6TH ST permitcenter@ci.springfield.or.us RECEIPT NO: 2011000679 lDESCRIP..TION -,~ , -~ Branch circuits with service or feeder each circuit RECORD NO: 811-SPR2011-00566 DATE: 04/07/2011 ; -"",'.'; "'w ._~,. ,',,- ~. AC.CQUNJ_C.O[)E":' ~ AMQUNTDUE- . 224-00000-426102 60.00 224-00000-426102 81.00 .821-00000-215004 16.92 100-00000-425605 7.05 TOTAL DUE: 164.97 . ::'"AMOUNT PAID" 164.97 I __Services 200 amps or less State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) L:J~~YIV!!:NT~15'.~~~E4YQE~CA!iHIER:'KMUFMAN Credit Card Everyday Electric 002241 ~ t'Orw:.t~i;NI~' 2i\c'"" -. " , I TOTAL PAID: 164.97