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Home My WebLink AboutPermit Electrical 2011-7-27 , Ele'ctrical Permit Application t 225 Fifth Street. Springfield, OR 97477+ PH(541)726-3753+FAX(541)726-3689 DEPARTMENT USE ONLY Permit no. S I ( -0 ( gZL( Date: '7 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. .tOCAl~GOVERNMENJ APPROVAL"'"";'-".:;,, Zoning approval verified? 0 Yes 0 No "'CATEGORYYc5FCONSTRUCTlOI'l:,':" , /' Residential 0 Government 0 Commercial ~if~flF;~.OB;;SI;PEFlNFORMJl.TfOl'lf;AN[')jil1c5:CA:tION;;~)jii,\T,! Job site address: 33 C ~ E( /( )T, ' City: State: elL. ZIP: ') 74'T7 Reference: \ 70 Z "3 3,. Taxlot.: 0 C>! (D , DESCRIPTION: OF wc5RK.:, ::',,:':'i", '(nJC(i.O'vv!J'vE e>iic..\JI-r -IWD Ol.f'i(OS II'-l /(\1ClVcN - I\..De) LE IN I'/lI'Ylll'r /I. PROPERTY, OWNER ' Name: 'Ll vv1. Address: J c:::c::{c.. City: State: o/L. . j 71{ 77 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: . 'CONTRACT,OR INSTAllATION Business name: E'~S7S wE t"l..(jC.1f?1C Address: "5?iJS:3 lSOSGAGE W, City: 5'P~CD State: oil ZIP: qlV7~ Phone:S'lI-1lft. (Y"1<?( Fax:SV/-736 y.q c;o E-mail: RI~{cGf..Sf5(()€@.rl..l{00.cOM CCB license no,: 1 It 7 7 0 BCD license no.: ),6 -V () ~ c. ' l{)) 75 ROG-GI? f:::/~(;. ~ 1(;< \e\1>,/olJ .~ \a.oN leo.\.\ I onVi\I\. . 0le901' \\'Ie 0le9 e se1 \g! _ _f-\,\1\0\'\' clo~\ecl '0'/ e 1\.\le5 a.~ 95'4..Q@~: p::\ , U\8S a. . 1\'105 \'I Of''' -' \~5 ~ \OI\OoN t '01'1 Cel'\e\O\\'IlO\.\Q 5 01 \\'I~ 1\l0\'€ \,\0\\IICa.~o2_00\'OO:o\a.\1' cOll,e \\'Ie \ale?\'I ,,~~ 0"'1'-" ,,0 '\,\o\e. IC\o\'\\<Oi;." \1' '(OU tlIlli, \el. \ \)\\I\\'! '~ 0090.. ,,\\'18 eel' OleQol' ,,??.'3AA~" \\ ' Ca.\\II'", \01 \\'Ie. \ .sOO.'3J ' ;..eX':;: l\utll'oelcel'tel \5 . 1"\:1lk:; '~~ Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: 440.2584.) (9/08/COM) ("-~':'f.";:~tri';.:~~f;.~'W1~*m:;;~{'~:!;,,~F,EE~~,SC~ EOJj l3.'E;:Wi~}:.~.~'ltf,~Q!fi1:~f~~'~~~!~:~~~ ,Nu, m,b.e, r of,,inspe.c.',t.io,'o,,'.,,pe,r,,,it, .,m, , (, ) Qty".' ,Coil I 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 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 I to 400 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) 20 Ito 400 amps (2) 401 to 600 amps (2) $ 63.00 $ $ 87.00 $ $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 ofa service or feeder fee: Each branch circuit ",~;i$ ,p\~1 $ b. Fee for branch circuits witho~t purchase ~~~,ce~hqer fee: First branch circuit (2) .<1~ 'of ~ ~f,.:qo $ 5 S' Each additional branch circ~i 'V': ,,' ,~-k\:'Y6.00 $ I "6 Miscellaneou,,~ r. "'!!id''''N--'i>>.luded Each p~!l'P).~~~~'iY),!~\S _n $ 63.00 $ Each sign\b}:ti1t!\fil:~\lfu~~<0\V $ 63.00 $ Signal circujt.~r~~Jli~t~'Q~~).gy panel, $ 63.00 $ alteration, orrt?'te.1!~ioF:<~) Each addition~l~ih~pection: (1) $58.00 $ ~f.~~X~,j~iJ:Yit~0i\.liJf~;~:~:1~~~(A:R.ei]ic:AN*~ius-Et:~\!~::~{:.t:.:{~i;fU.~'~~1~\lt~f.';:'.: ., (A) Enier subtotal of above fees (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [AD (C) Technology Fee (6% of [AD TOTAL fees and surcharges (A through C): $75 $ B--.,r; $ <;('5' $ r_ <",,':L p .J SP~~N~~ WJ~;- ~ 31iL.tr"- OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01824 IVR Number: 811139994085 www.cLspringfield.OLUS 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: 155 ued 07/27/2011 ISSUED: APPLIED: 07/27/2011 07/27/2011 EXPIRES: VALUE: 01/22/2012 $0.00 SITE ADDRESS: 1433 CHEEK ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703243300110 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Add I alter 4 branch circuits Phone Number: OWNER: ADDRESS: Kl YM JERRY DEAN & HEATHER JO WilSON 1433 CHEEK ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor Contractor Name EASTSIDE ELECTRIC INC Lic Type CCB BUILDING INFORMATION ~ # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: 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 10/04/2011 Phone 541-741-1499 Lot Size: Sq Ft 1st Floor: Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2011 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard ^'I"lIENTION: Oregon law requires you to Retaining W~t!lIow rules adopted by the Oregon Utility Soils Repo~ilkil'll!!ln 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). NOTICE: . :<',~...r_, 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 7/27/2011 9:.16:02AM Page 1 of 3 www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01824 IVR Number: 811139994085 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcente r@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 07/27/2011 07/27/2011 EXPIRES: VALUE: 01/22/2012 $0.00 07/27/2011 SITE ADDRESS: 1433 CHEEK ST, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703243300110 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Fronlyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Add I alter 4 branch circuits DEVELOPMENT INFORMATION 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: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID I Descriotion Amount Paid State of Oregon. Surcharge (12% of applicable fees) $8.76 Technolo_gr fee (5.:!>. of permit total) _~_._.__ _.__ $3.6~________ Branch cirCUits without service or feeder - 1 st circuit $55.00 Branch circuits without service or feeder - each additional $18.00 --_. _&_*~-~ Total Amount Paid $85.41 Date Paid 07/27/2011 07/27/2011 07/27/2011 07/27/2011 ReciDt # 2011002118 2011002118 2011002118 2011002118 Springfield Building Permit 7f27/2011 9:18:02AM Page 2 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01824 IVR Number: 811139994085 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: 07/27/2011 07/27/2011 EXPIRES: VALUE: 01/22/2012 $0.00 07/27/201.1 SITE ADDRESS: 1433 CHEEK ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703243300110 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Add I alter 4 branch circuits Plan Review I DeDartment Permit Issuance Received Due Date 0712712011 0712712011 ComDleted 0712712011 Result Issued Reviewer David Bowlsby Initial Review 0712712011 0712712011 0712712011 Over the Counter David Bowlsby Comments: Over the counter permit ApplicaJiQn A_cceptailc'e.-. " .!-,,:07/274201,;1.;:';07/27/2011''''v;Q7j27/2011,'. '~"I'"~?:\0:>~;' m~i~,:~S:'o" ~. ,'. _.' ~..~:. ;':: r:~~:t~~: ~:~:2::;~:~:~'~i":)t,'; or . ~,~'~ :0ver~theCou-nte~rym~'(;,,.:i. ":D'aVjd'..B6wls6~,;::"::;",,:.:~ ::"...' ,:'r-::i*0>:" "~"~;~~~~'*'~>~:Jr:";I" '~"',.~;;""j'..~. .~; "~'.' '.'~;::i~{r ;;i}~~~i~rHi~::~~'~~~?ifl~~ v;. ~ '4: INSPECTIONS REQUIRED ~ 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. Owner or Contractor Signature Date Springfield Building Permit 7/27/2011 9:18:02AM Page3of3 . . SP!~:~~~ at~ !':EGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01824 1433 CHEEK ST CITY OF SPRINGFIELD 225 Fifth $1 Springfield,OR 97477 541-726-3753 permitcenter@ci,springfleld.or.us iZRP":(J...i~~I:.illE:~RA YO~""\CiSHIERl)BOW[5:'~':'~';d"::'F~ Credit Card EASTSIDE ELECTRIC INC RECEIPT NO: 2011002118 RECORD NO: 811-SPR2011-01824 DATE: 07/27/2011 lDESCRI~TION_:_l_~_ _'._ ::":.::-:~:.~sS;i ?':':,.,?i'-::/ _ _ .AC.COUNT~CODE:':" ~:., i~A' -,:",;t\MOUNT:buE.'. "" _:__J Branch circuits without service or feeder - 1st circuit 224-00000~426102 55.00 Branch circuits without service or feeder - each additional 224-00000-426102 18.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 8.76 Technology fee (5% of permit total) 100-00000-425605 3.65 TOTAL DUE: 85.41 CClMM~NTS :,":'\; :C;;:,.i:]2.:~PA1D;::s-.._:'- ...~ ,'j 85.41 060494 TOTAL PAID: 85.41