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Home My WebLink AboutPermit Electrical 2011-6-9 Electrical Permit Application CITY OF SPRINGFIELD, OREGON 225 Fifth.Street+Springfield, OR 97477+ PH(541)126~3753. FAX(541)726-3689 ~ji DEPARTMENT USE ONLY Date: Permit no.: This permit is issued under OAR 918-309-0000. Permits arc nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No CATEGORY OF CONSTRUCTION o Government o Commercial Name: Address: City: Phone: E-mail: o -Cor<. Signature' Business name: Address: City: ZIP: Phone: Fax: E-maiI: ATTENTION: Oregon law requires you. CCB license no.: follow ru e Ie I 10 r Signing supervisor r c 01-00'10 through OAR 952-0 1 Print name of signiilllilQ>er'(Qu,rfTlay obtain copies 0 e ru b Signature of signing 8a In r~ on Uiilit Notilicati n Center is 1-800-332-2344 . . "",/ ~.. J" > NOTICE: E 1FT HE WORK THIS PERMIT SH~~~ ~~~ PERMIT IS NOT AUTHORIZED UN ABANDONED FOR COMMENCED OR IS ~ NY 180 DAY PERIOD. . :<y 440-2584-) (9108~OM) ~ 0,,\\ ~\(i~ FEE SCHEDULE Number of inspections per item () Qty. Cost Total ea. cost Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof J..imited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) I $ 61.00 $If{t 20 I 10400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 60 I to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less' (2) $ 63.00 $ 20 I to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: ne1v, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee; First branch circuit (2) $ 55.00 $ . Each additional branch circuit $ 6.00 $ ~ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 $ , Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (l) $58.00 $ APPLICANT USE (A) Enter subtotal of above fees $ 61.c:C (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) $ ~ :-y".,., (C) Technology Fee (5% of[A]) &\.rf TOTAL recs and surchargcs (A througb C): $/1,. ........~ ~ vit, \)\}J~ S,U\X, w. ~ ~ \)\'W'{\ ~ ~ \ SP~~.G.~E~ ~ ~OREGOrl CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01358 IVR Number: 811151693908 www.ci.springfield.or.LlS 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 06/09/2011 ISSUED: APPLIED: 06/09/2011 06/09/2011 EXPIRES: VALUE: 12/05/2011 $0.00 SITE ADDRESS: 268 35TH ST, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1702313108000 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install Pedestal Power Meter Base Phone Number: 541-954-1336 OWNER: ADDRESS: RADOSEVICH JOHN 3290 KINNEY lOOP EUGENE OR 97408 Contractor Type Electrical Contractor Contractor Name OWNER CONTRACTOR INFORMATION ~ Lic Type OWNER BUilDING INFORMA nON ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Cod~ Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 0000000 Lic Exp 08/12/2025 Phone 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 NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR 1473o'.;JY 180 DAY PERIOD. ATTENTION: Oregon law req~lres you talite Information Engineered ~!Iow rules adopted by the OltlYUII VIIIILY Fill Volume: Notification Center. Those rules are set fDrth , Flood Hazar~fl952-001-001 0 thro~gh OAR 952-001- land Hazar~\l, You may obtain copies of the rules by R la'. W "calling the center. (Note: the telephone 5 e'l In~ng rta~1:1,w. for the OregDn Utility Notification 0.5 epo Center is 1-800-332-2344). Springfield Building Permit 6/9/2011 ~ Page 1 of3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01358 IVR Number: 811151693908 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 0610912011 ISSUED: APPLIED: 06/09/2011 06/09/2011 EXPIRES: VALUE: 12105/2011 $0.00 SITE ADDRESS: 268 35TH ST, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1702313108000 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Install Pedestal Power Meter Base DEVELOPMENTlNFORMA TION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PROJECT DESCRIPTION: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I DescriDtion TVDe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID I DescriDtion State of Oregon Surcharge (12% of applicable fees) Services 200 amps or less Technology fee (5% of permit total) Total Amount Paid Amount Paid $9.72 $81.00 --~~..~~-~---~ $4.05 $94.77 Date Paid 06/09/2011 06/09/2011 06/09/2011 Reciot # 2011001510 2011001510 2011001510 Springfield Building Permit 6/9/2011 1 :47:36PM Page 2 of 3 S~~I.N7E~~ ~~ ~OREGON CITY OF SPRINGFIELD. Building I Residential Permit PERMIT NO: 811-SPR2011-01358 IVR Number: 811151693908 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 06/09/2011 06/09/2011 Issued 06/09/2011 EXPIRES: VALUE: 12/05/2011 $0.00 SITE ADDRESS: 268 35TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702313108000 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install Pedestal Power Meter Base Plan Review ~ DeDartment Permit Issuance Received 06/09/2011 Comoleted 06/09/2011 Result Issued Due Date 06/09/2011 Reviewer Nancy Machado "~~""'>"-"""""'M.{~' . l~J.~~tncah~ev~e~ ~~1v~~Zb~:..:~?~/09?P11., L ~~r:n_"!..~n~~~,>~,g~;~~~~unt~~m!J>L ~l.~::: Initial Review 06109/2011 06/09/2011 06/09/2011 Over the Counter Comments: Over the counter permit ~plicatiof'1 Accepta~Ce ;;.,_,::' ':f:.:p6i09/201J,.., "06/09i20,1.,1,;~:"'06/()9/2Q11, OveYthe,Counter.";. ~ .w _ f~;:"-~-' ~.':i_ _.'hd'.,_,:_+'-0>_,.-',".-':-~-:~\h",C'",.:'" _:. """':.' t-.",d,,~~ 1:,:'.<_', " r" :R9mm_e_~t~~ ;~Ope~Y:I.S}O_;'~_,;lo~~~nsltYTeSjd~nti~lfi+0~;"~~~', '7w r.~ _'~ INSPECTIONS REQUIRED ~ Inspections 4225 Service or Feeder Nancy Machado Nanc;y' Machado; '::"': ..".; ~~'::,-l'<- . ~ . . ~.:.;' -.'~<~ M O. ' ._ -.; -1:::-\~- ,:.~. - "i''''".- 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. Y)/77 ~ 7~~ Owner or ~ntractor Signature 6- ('-J/ Date Springfield Building Permit 6/9/2011 1:47:36PM Page 3 of 3 S:A~N=;~ ~ ~OR.EGOI'l TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-01358 268 35TH ST perrnitcenter@ci,springfield,or.us RECEIPT NO: 2011001510 tOESCRIP.JIClN.:, ,,' 'L_" .' '.. .. ~ Services. 200 a~ps 9~1~~ State of Orego~ Surcharge (12% of applicable fees) Technology fee (5% of permit total) RECORD NO: B11-SPR2011-0135B DATE: 06/09/2011 ,..', . .,f;.1'" ;"k~""~;:y:t';~ACCClUNif:c.oOE:2:::--r:=,,, ~'AI\/1.oU'NJ"[)UE'"", " .1:] 224-00000-426102 81.00 - ~-----_.-....-.- 821-00000-215004 9.72 100-00000-425605 4,05 T.oTAL DUE: 94.77 PAYOR :..' CASHIER:'NMACHAoo;;L"~~~~i>.~; "COMNh~:Nis~~;', "'.z;{;; " ",^<41', } , \t :~,.~.:AivlP~NTPAIDY",:~ftjA> ~f~ :::J RADOSEVICH JOHN 94.77 !;c;.PAYII,fEllT trg!:;,,,,,.-. Check 3379 TOTAL PAID: 94.77