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Home My WebLink AboutPermit Electrical 2011-4-18 Electdcal Permit Application 225 Fifth Streel.Spdngfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 DEPARTMENT USE ONLY Permit no.: r;: ( - t,;2 2.... 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: GOVERfIIMENT ApPROVAl;"':":"':>:' ~i.'>~""..!'<:.?~~:;.~~'J~~rr~~~.?t': I5E~~S-CH E (jQ~E~~~,;~$~X~~ff~\~.~:~~~r~~j~~f;~ Zoning approval verified? o Yes ONo . . '", ,',' . Cost Total ,Nuniber' oOnspectio'ns per item' (.) . Qty. .i."ea.'. cost .-.'. '. .,: /CATEGORY::OI'CONSTRUCTION<" . . ,',,'.., , _.___" _' .: 1_._' "':' lo"'.' f.p, Residential, per unit, service included: -!SJ Residential I 0 Government T 0 Commercial ~~1~OB~'SITE'INFORNlATIOflli"AN[j!"':OC'ArIOfll,.:;:,xri, 1,000 sq. ft. or less (4) $134.00 $ ":-. -,'i.' Itl ~ ..,,~. .. '__ -, _ . _ ..;,. _ ," . - .. .""' _ _ . ~ _ _ _..-:,\,',.' '!d.S:'_ ,.. Each additional 500 sq. ft. or portion Job site address: ;;..~O. N. stI'I (A) So....'\h .\ thereof $ 25.00 $ City: SDr ~ . l':. dI I State: 0(. I ZIP: Limited energy (2) $ 32.00 $ Referenc'e: /'70 '3 2&21 I Taxlot::O s-S--OO Each manufactured home or modular $ 63.00 $ DESCRIPTION OF WORK' .,: . ,'" dwelling service or feeder (2) T .;~ ,.,. '2. l?.f) vnl+ ,J..+... .c..., "".ll I I Services or feeders: installation, alteration, relocation \ I.,"?""o\~ ,\,,l- .c...r ,.,-,'.:"", . .\ . 200 amps or less (2) $ 81.00 $ PROPERTY OWNER -::;- . 20 I to 400 amps (2) $ 95.00 $ Name: l ". ~"n~ ~ \ .n.." <~'^ &\..u'~ . 40 I to 600 amps (2) $158.00 $ Address: 4.09,.~ -S:.J~ ~\^-L _.l'~' 601 to 1,000 amps (2) $205.00 $ City: C I Stat.9f I ZIP:Cfl"\f)r Over I ,000 amps or volts (2) $469.00 $ Phone: ~ I Fax: Reconnect only (2) $ 63.00 $ - . . - E-mail: Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less (2) $ 63.00 $ owned by me or a member of my immediate family. This 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 40 I to 600 amps (2) 479.540(1) and 479.560(1). $126.00 $ Signature: Over 600 amps or 1,000 volts, see services or feeders section above . CONTRACTOR INST ALLA TION Branch circuits: new, alteration. extension per panel Business name: IJ. ~ \. t.- ~1. Ik_' a Fee for branch circuits with purchase of a service or feeder fee: Address: c:,")...... ., \ J.. .,d .U. Each branch circuit $ 6.00 $ City: F" A. 'i Stateb.,. I ZIP:Cn.4-\:l1 b. Fee for branch circuits without purchase of a service or feedeilee: Phone: 5tH ~ S5'0'" I Fax: - - First branch circuit (2) ( $ 55.00 $(r;".;'1- E-mail: Each additional branch circuit a $ 6.00 $ I' CCB license nol'K(;} 7 ':;7 I BCD license no.: ~~S-c. Miscellaneous fees: service or feeder ':lot included Signing supervisor's license no,: 315'0 S- Each pump or irrigation circle (2) $ 63.00 $ Print name of signing supervisor: s.r-~~ 0 ~~ Each sign or. outline lighting (2) $ 63.00 $ Signature of signing supervisor: ~.....,k~\&:>\>.lo......d Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each aaditional inspection: (1) $58.00 $ \}Y\6.\'9 .{i~I~,~~L~z~~t~Jf~ltt~~:r~)~l~e~lc.ANT~~tJS.I:W,~~l/~:,':;::;f'{,:0~{t\~~i;;;('~':'".: (A) Enter subtotal of above fees 7'3 eo ~. ~ (Minimum Permit Fee $58.00) $ ~~tvV (B) Enter 12% surcharge (.12 x [AD $ 6' '/.,S.. (e) Technology Fee (5% of [AD $ ~1ii5 \.;~ TOTAL fees and surcharges (A through C): $X)~ 60 440-2584-J (9/08/COM) CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00622 IVR Number: 811118590178 www.ci.springfield:or.us PROJECT STATUS: STATUS DATE: Issued 04/18/2011 ISSUED: APPLIED: 04/18/2011 04/18/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us EXPIRES: VALUE: 10/15/2011 $0.00 SITE ADDRESS: 2220 5TH ST, Springfield. OR 97477 . ASSESOR'S PARCEL NO: 1703262105500 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Three circuits for wall heaters and washer Phone Number: OWNER: ADDRESS: lARSON & lARSON llC 4085 EDDYSTONE Pl EUGENE OR 97404 lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Fl Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Electrical Specially Code Edition: 2011 Springfield Fire Code Edition: Contractor Type Electrical Contractor CONTRACTOR INFORMATION I Lie Type CCB BUilDING INFORMATION I # of Stories: Contractor Name KNIGHT ELECTRIC LLC # of Units: o Occupancy Type Construction Type R-3 Type VB Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lie No 186759 Lie Exp OS/22/2011 Phone 541-556-5587 Mechanical Specially Code-eajliol>'10N 0 . 1"\,.' c"': :. regon law reqUires you to. Municipal I DeveIOpmen~p..!!'n ~ules adopted by the Oregon Utility' Plumbing Specialty CodlJ<E'dllllffi:On cenler. Those rules are set forth' Residential Specialty c~'d'~~!2-001-0010 through OAR 952-001- Structural Specially co~eOllQwOl~u may obtain copies of the rules by t<l'illnq the cenler. INole' 1ft" tplpnhr'ln" I Site Intormatl<l~m.ber lor 1', Oregon Utility Notiiication" B;:.: ~l~ "I,S.J -?~q-?~~-?~'t4). ,. ~m1l't{s:r:: Tftlmg1fi1MKli If~t>IDt~ IRIf flHlHWWUR K A lA'UWmR~ft~ r1!JNfJl:jljh~~ 18EiJiliflM il611l000 T CQM~~~I@..!'M~fll~ 18~m:romR 113302A~~PYN1fl~8~f.ij ~~Ib D. # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: S,oils Report Required: . Springfield Building Permit 4/18/2011 Page 1 of 3 'SPRI.\N.~F.IEL':iJ ~~' .. ;;'>:t ,~ '<;x, . ~, F. ~ OREGON www.ci.springfield.or.U5 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00622 IVR Number: 811118590178 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.U5 PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 04/18/2011 04/18/2011 EXPIRES: VALUE: 10/15/2011 $0.00 04/18/2011 SITE ADDRESS: 2220 5TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703262105500 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Three circuits for wall heaters and washer DEVELOPMENT INFORMATION ~ Overlay Cist: # 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 Tyee of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Descriotion Branch circuits without service or feeder. each additional Technology fee (5% of permit total) Branch circuits without service or feeder - 1 st circuit State of Ore~~urcharge (12% of applicable fees) Total Amount Paid Amount Paid $18.00 $3.65 $55,00 $8,76 . $85.41 Date Pa id 04/18/2011 04/18/2011 04/18/2011 04/18/2011 ReciDt # 2011000736 2011000736 2011000736 2011000736 Springfield Building Permit 4/18/2011 11:33:02AM Page 2 of 3 ~~~N~~E~~ ~,?t; ~OREGON www.ci.springfleld.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00622 IVR Number: 811118590178 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: 04/18/2011 04/18/2011 EXPIRES: VALUE: 10/15/2011 $0.00 04/18/2011 SITE ADDRESS: 2220 5TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703262105500 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Three circuits for wall heaters and washer Plan Review ~ DeDartment Permit Issuance Received 04/18/2011 Due Date 04/18/2011 Comoleted 04/18/2011 Result Issued Reviewer Chris Carpenter fElectricalRevievr - -'" .,04/18/201.(~ 041.18/2011 "'04/18/2011': . t-'co~Tfnts:'~':6v~,rtheLf9u~tetJe~ii",\:;~_ ,'r~;"'~;;"0" ~. . .,,:' ~. Initial Review 04/18/2011 04/18/2011 04/18/2011 Comments: Over the counter permit .Application Accep!ance":, '.04),18/20,1.1', 04"18/2011 '.',04/18/?011J I: . .. ' , " .. " - "',. --L-__ '~N6t:-~,eq~jr.ed . '- .- -'. - ~ c'.. '--"-; .. '_ ,~'5;:." ,Y, .. Ct\ris C~a~ei;' -.-1.. . n.,," ". -, .r-~~_1 , 'e. .~ .1 Over the Counter Chris Carpenter " .:pver Jhe,Counter : ,'fChfis' Ca"rp~nteri-:" -;: INSPECTIONS REQUIRED I Inspections 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 st~ucture 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. <;,,~ ~JBn\l ,~\wc9 Owner or Co ractor ignature ~ Date Springfield Building Permit 4/18/2011 11:33:02AM Page 30f3 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00622 2220 5TH ST CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541~726-3753 permitcenler@ci.springfield.or,us RECEIPT NO: 2011000736 RECORD NO: 811-SPR2011-00622 tOESCRIf'.TION,' '{,. ."..::;~> ' ,'. -.~', ;;~"W~ACCODNfEcODE,,~' % , ," Branch circuits without service or feeder - 1st circuit 224~00000-426102 --'---'.-- ~ Branch circuits without service or feeder - each additional 224-00000-426102 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 Technology fee (5% of permit total) 100-00000-425605 TOTAL DUE: LPAY-N1ENT,i&e:g';;:'EAiQ~~C'A5HiER!ccARPENT~~fi'J"7'fi'C_Q.MM@I~"Y:;'::Y": ,. . .... ,=, . Check KNIGHT ELECTRIC LLC 3056 DATE: 04/18/2011 '7J'~'AI\II6uNtpUE~ 55.00 18.00 --_._~~- 8.76 3.65 85.41 .AIIIIOUNTPAID: .,:' 'co"'-,', . 85.41 "I TOTAL PAID: 85.41