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Home My WebLink AboutPermit Electrical 2011-5-20 Electrical Permit Application 225 Fifth S'reet>Spr;ngfield, OR 97477.PH(541)726-3753+FAX(541)726-3689 'OEf,fRTMENTUS'E o.NL Y //-:- 5ftZ ennit no.: .' 'Dale: 5"- 2-d /tl This permit is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. i >'. "ILOCAL:GOVERNMEN;r:'AF1I"ROVALfrVP:+fi~.'(Yi;<Y Zoning approval verified? DYes DNa ',;~CATEGORYrfR5" ;:CONSTRUC;rIONj;"" '.. . Residential D Government D Commercial ~'i:I!t"OEl;li$ltEiiINI;0RIIIIAT:ION;:'ANP1Jt::O:c'A"tION~"~'i.1~~~}! Job site address: 11"3 Y- I r:I p(, City: SfC(cf) Reference: ~ Taxlot.: "e' . - .'OESCRIPTIONOFW0RK,.;\\:.;;.i.;"1?;:;:"" :3 ClIl<m1S 'w fJSMR. OirEI( REHIZ PROPERTY OWNER f?-o sC- t6H [\t!!) AN'.) Name: Address: r. D ' City: Phone: Fax: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: 'CONTRACtOR~INST ALLATION Business name: E't\s 1S /DE (;L6cTR.lC Address: "S~J.s-3 80$CAGE l../J. City: 5'r~W State: oR. ZIP: G1V7~ Phone:S'lI-llfl- t V"tttr Fax:SV/-736 y.q (,0 E-mail: RR{cE"-SiSIO€ <8 '(tI./l(JO,COM- CCB license no.: Ill? 7 (] Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: ~~\~I 'b"~~ ~ 440.2584-J (9/08/COM) :3::f;h:J;~,~~~W~~lf~~M~~t8F,EE'~!,SCR Et>LJIJEf~~~tg'~);Z1~~ftf~\i;'~~gr~~1~1J . _ .." ''''. ,......--:."..-. .':::r'" ~..,.. ":'.'<:.x: . . Cost': Total ,.Num~er' ~.f}~sp'e~~io:~s:p~.r.,ite,m'(.) ..~. Qty: . ;'''ea~'; . ',' :'c.ost. .:: , .. . _' .. _ ." .... . ^,,_. ., ~"" ,.r . ;..' .-' f "', I" ': . ,.. "_" _' _ '_' 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) $ 81.00 $ 20] to 400 amps (2) $ 95.00 $ 40] to 600 amps (2) $158,00 $ 601 to 1,000 amps (2) $205.00 $ Over] ,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 $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) I $ 55,00 $ 55 Each additional branch circuit ;) $ 6.00 $ Ill. Miscellaneous fees: service or feeder f}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: (1) $58.00 $ 'i"'''~ijl'~iilf~''.i!jifch:;C:ARf'L'[CANt'''D$E"'';'''';!'''''''''''''''''II,:""...., l"~",g,~,''iJ; '.' "-~tl.~i'f!;,:\~;~ ..." :'~. . .._', :~ '. l:ehc.;;.::~~~'dt;:~:;P~ji;1;'5,0,~::~~' "_~; (A) Enter subtotal of above fees (Minimum Permit Fee $58,00) $ f,.7,oo (B) Enter ]2% surcharge (.]2 x [A]) $ 9>. r'\A (C) Technology Fee (5% of [A]) $ a... '),r;.;. TOTAL fees and surcharges (A through C): $+R. 3" ; '-<. 5~~.. ~~._~~~ .~(~ ".~<:,*,"'I~ OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01019 IVR Number: 811166466910 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@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued OS/20/2011 ISSUED: APPLIED: OS/20/2011 OS/20/2011 EXPIRES: VALUE: 11/15/2011 $0.00 SITE ADDRESS: 11341ST PL, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703263300538 SCOPE: Single Family Residence WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Add 3 Circuits Phone Number: OWNER: ADDRESS: ROSE NANCY E PO BOX 1611 SPRINGFIELD OR 97477 CONTRACTOR INFORMATION I Contractor Type Contractor Name EASTSIDE ELECTRIC INC # of Units: o Lie Type GGB BUILDING INFORMA nON I # of Stories: Height of Structure: Type of Heat: Occupancy Group Construction Type R-3 Type VB 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: Lic No 117770 Lic Exp 10f04f2011 Phone 541-741-1499 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Fl Carport: Sq Ft Other: 0 Occupancy load: 2011 2008 Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: NonCE: . THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 5/20/2011 12:00:59PM ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone, . number for the Oregon Utility Notificatjon . Center is 1-800-332-2344). Page 1 of3 ~ .. ww.N . ci. springfield, or, us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01019 IVR Number: 811166466910 225 Fifth SI Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: OS/20/2011 OS/20/2011 EXPIRES: VALUE: 11/15/2011 $0.00 OS/20/2011 SITE ADDRESS: 11341ST Pl, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703263300538 SCOPE: Single Family Residence WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Add 3 Circuits Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 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 ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID I Description Amount Paid Date Paid ~ta.!.e.5:f.9..':~gon Surchar!J.~~%?l applicable fees) $8.04 OS/20/2011 T~chn_ol~gt feeJ.5%o!~e-,m~~?~L_________ ______ ______$335 ____.2.:;/3_0/:2.011 Branch circuits without service or feeder - 1 sf circuit $55.00 OS/20/2011 Branch circuits without service or feeder - each additional $12.00 OS/20/2011 Total Amount Paid $78_39 Recio! # 2011001159 2011001159 --....,..-...........-.. - 2011001159. 2011001159 Springfield Building Permit 5/20/2011 12:00:59PM Page 2 of3 -~ S:i~~VG.,~.~:'E~ ~~ ~OREGON CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspringfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-01019 IVR Number: 811166466910 permitcenler@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: OS/20/2011 OS/20/2011 EXPIRES: VALUE: 11/15/2011 $0_00 OS/20/2011 SITE ADDRESS: 11341ST Pl, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703263300538 SCOPE: Single Family Residence WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Add 3 Circuits Plan Review ~ Deoartment Application Acceptance Received Due Date OS/20/2011 OS/20/2011 Corn Dieted OS/20/2011 Result Over the Counter Reviewer Kip Kaufman Electrical Review OS/20/2011 OS/20/2011 05/20/2011 Not Required Kip Kaufman Comments: Over the counter permit ~~~W~)::":N:-;m >~'05/20/29H:'0~120/~01,h ;95/?91~9! f"" 'bv;'rthe~H- r,,:0i:-,'I,Kip Kaufma!,o Q~f-,m~~ti:,\ ';ove;,t~::~~~6,ii~pe[ri;ii~'" :;;:j;~?i)-:!,1:t~~~;:;~::~~~,,;'~-~~T~i~'~iIT":( ':::~ ,~,;;. \~: .,~' INSPECTIONS REQUIRED '_ _ .' <~_ /;7'0_,.~~ ":".".{ ","):-iy>,,".,+,t'.l (---':':';:';':-''':''5'",-,:,,,,,, ~'" _,", '",~ 'J. ". - ."~,,. ., . ~ . ".." ,. '" - "'''1 -f. ' :,_:..,-;:;;~:;/: :'S;; 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 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. ~J0 s- J.v - II Owner or Contractor Signature Date Springfield Building Permit 5/20/2011 12:00:59PM Page 3 of 3 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01019 11341ST PL CITY OF SPRINGFIELO 225 Fifth St Springfield,OR 97477 541.726-3753 pe rmitcenter@cl.springfield.or.us RECEIPT NO: 2011001159 RECORD NO: 811-SPR2011-01019 DATE: OS/20/2011 IDESCRll?jION;;: -:. . -::;f '::.10~,",~.,;:i~...;; '. :;;':T;:"1I.;ACC0UNt~C()bE:' S - _.;. ::;L,6.M()UNTJD.uC..:.~......_J Branch circuits without service or feeder - 1 st circuit 224-00000-426102 55.00 -.--. Branch circuits without service or feeder - each additional 224~00000-4261 02 12.00 --S;;;;~oi'Or;;-.;;;&;;charge (12% of ap~;r.;;;,-- --- 821-CiOiiCi0:21-S004 8.04 Technology fee (5% of permit total) 100-00000-425605 _n ____._._.__ 3.35 TOTAL DUE: 78.39 ,-:+' - .;-"'AMOUN'I'PAID,,_ 78.39 r:.-PAYMEN-r-:ryPE'- . l.L.__..__.__..._..............__...:;.>.._... Credit Card 084805 :-~. ~- -PA'{QRlf::;c~~HIER'~'i1<~uFMA't!:;j:t;-~1t~}C]?MM~N1$1~~~'l: Roger King I "-------' TOTAL PAID: 78.39