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Home My WebLink AboutPermit Electrical 2011-5-18 Electrical Permit Application I t 225 Fifth Streett Springfield, OR 97477.PH(541)726~3753+ FA-X(541)726-3689 "xi::-~'" ~f';-;'DEPf:Rt~;~~,~Lq~I(9,~~;f~~\? Permit no. gU - 57t-~1i ~ Date: 5 - 1-$2 -- J L 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. t.~~ii~~~~~G'~M~R:J\j5MNw!{~gp.:~~~s;\~~!if~~~i~ Zolling approval verified? 0 Yes 0 No ~Y2~]I<<~i~~]:r;f1@Ry{i~~)ft~~r~]B)1J~ITf(~rN~~).~~~t~~; ~.~fI':_~gft~~,~.g~~@w~rf;:R~41tlii[!t~r~~Jl?~~~~l~ Name: Si"""P.....t<::...l't.-'l1 \...L.C.. Address: '-!, c.. $C--J City: f? ",01 VVlcvt vi Phone: 5'''''' I r"2-'2. '0: Q~2.1 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). Address: City: Phone:SZ 11-311 -191" E-mail: CCB license no.: 'J BCD license no.: Signing supervisor's license no.: S Print name of signing supervisor: ZIP: .n . ~" Signature of signing supervisor. 'v~(Q~ 1 t5~~ ~ 440-2584-J (9/08/COM) 1,000 sq. ft. or less (4) ~ $134.00 Each additional 500 sq. ft. or portion 7 $ 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 $ 20 I to 400 amps (2) $ 95.00 . $ 40 I 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) 20] to 400 amps (2) 401 to 600 amps (2) $ 63.00 $ $ 87.00 $ $126.00 $ Over 600 amps or 1,000 yo Its, 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 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) Each sign or outline lighting (2) $ 63.00 $ 63.00 $ $ Signal circuit or a 1irnited~energy panel, alteration, or extension (2) Each additional inspection: (1) $58.00 $ ~~~_~>t'W~tW~]lff~~m,J~"~~i~~;:;~~~~~~~~~ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) $ 63.00 $ (B) Enter 12% surcharge (.]2 x [A]) (e) Technology Fee (5% of [A]) TOTAL fees and snrcharges (A through C): o .... CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00961 IVR Number: 811104122740 www.cLspringfield_or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 05/18/2011 05/18/2011 Issued 05/1812011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield.or.us EXPIRES: VALUE: 11/13/2011 $0.00 SITE ADDRESS: 3550 GARDEN AVE, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1802064202604 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single Family Dwelling Electrical Phone Number: OWNER: ADDRESS: KNIGHTS DUANE A & SUSAN E 3600 GARDEN AVE SPRINGFIELD OR 97478 CONTRACTOR INFORMATION ~ Contractor Type Contractor Name TOP NOTCH ELECTRIC INC Lie Type CCB BUILDING INFORMATION ~ # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Buil~ing: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residentia,1 Specialty Code Edition: Structural Specialty Code Edition: Lic No 172366 Lic Exp 09/29/2012 Phone 541-317-1998 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2011 2008 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: NonCE: Retaining Wall: . THIS PERMIT SHALL EXPIRE IF THE WORK SOils Report ReqUired: AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ,''-..; Springfield Building Permit 5/18/2011 9:36:56AM --.. 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 Notification Center is 1-800-332-2344). Page 1 of 3 .. sp~. IN.G. FIE~ ~Li-'. " N" .... b> " 'f,;.OREGON www.cLsprlngfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00961 IVR Number: 811104122740 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769. Fax: 541-726-3676 pe rm itcenler@ci.springfield.of.US PROJECT STATUS: STATUS DATE: Issued 05/18/2011 ISSUED: APPLIED: 05/18/2011 05/18/2011 EXPIRES: VALUE: 11/13/2011 $0.00 SITE ADDRESS: 3550 GARDEN AVE, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802064202604 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Single Family Dwelling Electrical DEVELOPMENTlNFORMA 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 I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: DownspouUDrains: Valuation Description I Descr;Dtion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID I DescriDtion ~ add;>d_.5QO sq. ft. or portion ~t~e_o!.<?!~~O~ ?u~c~argej"~?o/~~pplic~ble fees) Technology fe:J~% of permit,~:>taJ)_ Residence wir~ng 1,000 sq. ft. or less Temp services 200 amps or less Amount Paid Date Paid ReciDt # $75.00 05/18/2011 2011001103 $32.64 05/18/2011 2011001103 ...._---,_._-~-_.._".~----"^"-,,-.,._""" - -~-- -,..--. $13.60 05/18/2011 2011001103 -----'$134.00------ 05/18/2011--- 2011001103- -----~--.--$6Too__----o5718ii0i1--- -- - 2011-601103 ~-'._'-~----- $318.24 Total Amount Paid Springfield Building Permit 5/18/2011 9:36:56AM Page 2 of 3 Co S;~RIN.GF IE~.." . ~~~. ,~ . ~:~X'OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00961 IVR Number: 811104122740 www.ci.springfield.or.us 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/18/2011 ISSUED: APPLIED: 05/18/2011 05/18/2011 EXPIRES: VALUE: 11/13/2011 $0.00 SITE ADDRESS: 3550 GARDEN AVE, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802064202604 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single Family Dwelling Electrical Plan Review ~ Electrical Review 05/18/2011 05/18/2011 05/18/2011 Not Required Kip Kaufman Comments: Over the counter permit IhitialJleview\. ' .,;r -.s:c'"" ,',QS/;18L2P;11 ;.'05/18/~PJ:r,,'05/18/20M,:, ,: Ov~r the ~o~nter: ,,:., '._ K!p Kaufman ~ '.' .':"; "\ -Comments: ~O~~Nh~"c~S~t~lp;r~'it *'~~'.~~/'{'~":"~.:*;'f'~~".'" F~~.._':t.:. ':.'~'~" : !,,:~~", .,~?:-:: ;,~~.t;" '.. ..' ,>..,/,,).-~" ~.' <~ ~';..'; .. ~W"'~ ' .., ~ _~ ~ _.J e~ , ~ ~. ... .,. "";-"'. . ,. "",' DeDartment Application Acceptance Received Due Date 05/18/2011 05/18/2011 Result Over the Counter ComDleted 05/18/2011 INSPECTIONS REQUIRED ~ Inspections 4000 Temporary Power Service 4120 UFER Ground Reviewer Kip Kaufman ~. .. " ".'~ 4140 Underground Electric 4225 Service or Feeder Underground Electric: Prior to cover 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. 6-(~~t{ Date Springfield Building Permit 5/18/2011 9:36:56AM Page 3.of 3 SP~U-4GF.IE~ .A~.,_ ..~. OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 2.25 Fifth St Springfield,OR 97471 541-726.3753 www.ci.springfield.or.us 811-SPR2011-00961 3550 GARDEN AVE pennitcenter@ci.springfield.or,us RECORD NO: 811-SPR2011-00961 DATE: 05/18/2011 ""n ";~~i',':";*"ACCQUNiiLC6DE"\ . ",".ii.'~fAMOUNrf;OUE '..' ~::"1 224-00000-426102 75.00 224-00000-426102 134.00 821-00000-215004 32.64 100-00000-425605 13.60 224-00000-426102 63.00 TOTAL DUE: 318.24 L:;:eAil','ig'f[tlYB~:'d \ ':B~iQR0iiif"CA~HIEi<!KK"ilFMA~."'.:;'f~'--1' .c_QMMEff,i:r~.,1J;:<:'.:- -"'.._" ;,;....?-?j.,'AMOUNT Pf.ID", ::,<' · --, Credit Card Simplicity Home 318.24 011745 RECEIPT NO: 2011001103 lDESCRletioN~i:.:-: ~-;, -._-.., ','';:!r ;.~::,?9T:.j.-"G-, Each added 500 sq. ft. or portion Residence wiring 1,000 sq. ft. or less State of Oregon Surcharge (12% of applicable fees) .--IechnologY fee (5% of permit total) Temp services 200 amps or less TOTAL PAID: 318.24