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Home My WebLink AboutPermit Electrical 2011-7-28 " 225 Fifth Streett Springfield, OR 97477. PH(541)726-3753+ FAX(541)726-3689 I' ~[)E~,A,~TMENTUSE;ON,tiY~~: Permit no.: 5/1 ~o ( Fff( Date: 7 - 21 - / I Electrical Permit Application D 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. y iir" "<;~EocAI!/GbvERNIIIIENt"ApPROvALt' ',"ir. " i't''Jr't,1; L - FEE' SCHEDULE.. -,J'... .......' , Zoning approval verified? DYes DNo ~;'q\;;" ,"_:'h , '_,I;"'"''''''-''",0;,;,~,;-- ~",~:" :::-41 'e. ,'CO'stM.~i~<<Tofiit0~ ~l~;u~b~r,OfjnsJ~~ctio;n~,,~erj~~.n:f)t ;,g!y, e~:f:~'+ ,'~-co'st,h-' , .'" - .,CATEGORY- 'Ol'tcoNSTRIJC;TIONl ;c.,., Residential, per unit, service included: r:si Residential I D Government I 0 Commercial 1,000 sq. ft. or less (4) $134.00 $ l;.;:''':JOBSI;TEINFbRIIIIATION,ANDJ.:OCATloilll't'7: '. .. Each additional 500 sq. ft. or portion Job site address: 6tY!,6" 6'u.l1lcT? ~'IE, thereof $ 25.00 $ City: d'lo,. 'A Fi em State: ox: I ZIP: 9;71/?;R Limited energy (2) $ 32.00 $ Reference: {7/ gD 2. D :s 3C/ Taxlot.DOrEb Each manufactured home or modular $ 63.00 $ .,~~ ,;c "n.n"'~'DESCRI"'TjbNl.'6F1.WORK;ii;n1i."t.;n. dwelling service or feeder (2) "~" .',. BUILbj~r.> d j J""5' ;A} H""JT",,/7lI,s-/!o//""""'; Services or feeders: installation, alteration, relocation ",jp;ih ?Mk& "LA J /d,.D. / (li.';~"~' / 200 amps or less (2) $ 8t.00 $ ~,,~.. i.i;f.~1:::ijgcdi'PR6F!ER'T'li'OWNER .:......"...1~"', : f;'i:! ... 201 to 400 amps (2) $ 95.00 $ ,,~!ZJ0-5i2;:;>,':t '" , ' " ,::' ;Hi- " :,,~:'i':';;!J;::S",M;.! Name: .<:'/>./.// /?J. J10T'7_ LJ vc- ::1J!J,o,. ,/2. I' 401 to 600 amps (2) $158.00 $ Address: "f "" A ~T7 A lie;' . 601 to 1,000 amps (2) $205.00 $ , rieli) State: /v? I ZIP:97""';7X" Over 1,000 amps or volts (2) $469.00 $ City: .5t Phone~) -"fit Fax: Reconnect only (2) $ 63.00 S - - E-mail: ' ~.~~,..,j..".r L .-!. ,:6),,.,)ot'J. C'-,:;>M Temporary services or feeders: installation, alteration, relocation This instillation is being made on resid'Ofitial or farm property 200 amps or less (2) $ 63.00 $ owned by me or a member afmy immediate family. This . 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, e,tange, ease, or rent. OAR 479.540(1) a rei 479.560(1). 401 to 600 amps (2) $126.00 $ " Signature:... ^ A 7<_. ,A. )/ Over 600 amps or 1,000 volts, see services or feeders section above 10:,,1/, ii" 0...(1 ONTAACTOR)NS;TA!:lliATION ",;:~t::~'"_]t4:;s? L Branch circuits: new, alteration, extension per panel Business rt;.me: A'>,," " '" a Fee for branch circuits with purchase of a service or feeder fee: . Address: Each branch circuit $ 6.00 $ City: I State: I ZIP: b. Fee for branch circuits without purchase of a service or feeder fee: Phone: - - Fax: - - First branch circuit (2) I $ 55.00 Sc;S E-mail: Each additional branch circuit $ 6.00 $ : CCB license no".: I BCD license no.: Miscellaneous fees: service or feeder not included Signing supervisor's license no.: Each pump or irrigation circle (2) , $.,63.00 $ Print name of signing supervisor: ll~clYS/Mj{t~utline lighting (2) I $ ,~~ or' SignatGtlf,lF~lgAQ~s.g,~~91;:,a~~re9,u.ir:S y~u.}? S\&n.4ffifclilil.Mn~~~f {i'r\'~~? RM T $\liJtO@ $ al!er!'\1~l',.,~p.mi ~ER ,u"un' ". ."',. ". .1'!{il'}iOO~Ql Q\j3AND JNtL r'$5Il.00 $ 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 (A)- subtotal of above fees 6t number for the Oregon Utiiity Nolification (Minimum Permit ~ , Center is 1-800-332-2344). (B) Enter 12% surcharge (.12 x [AD $ brw (C) Technology Fee (5% of[AD $ 2 '0 TOT At fees and surcharges (A through C): $ L 7 gb 440.2584.) (9/08/COM) '''j .:/:- ~,t', CITY OF SPRINGFIELD S.PR,..fN.GFIE~ .. ~.sicl_ ~- ~ ;~,.#-,-\-~ ,j'" "-~OREGON Building I Residential Permit PERMIT NO: 811-SPR2011-01844 IVR Number: 811166715748 www.ci.springfield.or.us 225 Fifth SI 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 07/28/2011 ISSUED: APPLIED: 07/28/2011 07/28/2011 EXPIRES: VALUE: 01/23/2012 $0.00 SITE ADDRESS: 6046 QUARTZ AVE, Springfield, OR 97478 ASSES OR'S PARCEL NO: 1802033400186 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Extend existing circuit for outside lighting Phone Number: OWNER: ADDRESS: BONCZKOWSKI JASON J & ROCIO 6046 QUARTZ AVE SPRINGFIELD OR 97478 Contractor Type Electrical Contractor Contractor Name OWN ER CONTRACTOR INFORMATION ~ Lie Type OWNER BUILDING INFORMATION ~ # 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 Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Editic:m: 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 Site Information ~ Engineered Fill: Fill Volume: Flood ~z1itd'1\~aN: Oregon law requires you to Land fulZar<l "'eeas adopted by the Oregon Utility . RetaDiU-gfitvation Center. Those rules are set forth soils!lIRep&f19iiq\ll1ed..001O 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: . "".." . 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 7/28/2011 3:16:12PM Page 1 of 3 .. SP~~N~.:,E.L~ L~~ ~ORE.GON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01844 IVR Number: 811166715748 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/28/2011 ISSUED: APPLIED: 07/28/2011 07/28/2011 EXPIRES: VALUE: 01/23/2012 $0.00 SITE ADDRESS: 6046 QUARTZ AVE, Springfield, OR 97478 ASSES OR'S PARCEL NO: 1802033400186 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Extend existing circuit for outside lighting 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 ~ Description Tvee of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID ~ Descriotion Balance of Minimum Electrical Permit Fees Technolog~ fee (5% of permit tot~l) Branch circuits without service or feeder -1st circuit State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $3.00 $2.90 $55.00 $6.96 $67.86 Date Paid 07/28/2011 07/28/2011 07/28/2011 07/28/2011 ReciD! # 2011002137 2011002137 .--- 2011002137 2011002137 Springfield Building Permit 7128/2011 3:16:12PM Page 2 of 3 SP~.~N~:. IE~ ~~ ~'~EGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01844 IVR Number: 811166715748 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@CLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/28/2011 ISSUED: APPLIED: 07/28/2011 07/28/2011 EXPIRES: VALUE: 01/23/2012 $0,00 SITE ADDRESS: 6046 QUARTZ AVE, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802033400186 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Extend existing circuit for outside lighting Plan Review ~ Department Application Acceptance Received Due Date 07/28/2011 07/28/2011 Completed 07/28/2011 Result Over the Counter Electrical Review 07/28/2011 07/28/2011 07/28/2011 Not Required Reviewer David Bowlsby David Bowlsby Comments: Over the counter permit lJn~,tiaJ'~~~}~~o/_.:' .~-.',",_ ,_,}:+">~ $"_1:t,,,:~,ci71.~t8!?911'~..107~?,,~!2.~1~ l~', OZ!f~L2()Jl-~~: '"' G~e-t~tQ~9,o,u~!~r ,"._~ ',~. ii;~~Vj~-:f3~~~Sby <, ;,~, .',,-~ ;>/,:~ '" _ r\,Coffil11ents,:.;; ~i:0v:.nhe;cpur]er.r:~~f!1i,t:\." '., it' )'i<~-' ',," \, ;. '~_~"t: '::_", ~ ~~:~P.,~"~,..,T '4-""~ ~ ,::'ii"0: ,~ "S t:,<: ' INSPECTIONS REQUIRED ~ Inspections 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. , , ,I j 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 Dr 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. ;(5i'T",lJf Date Springfield Building Permit 7/28/2011 3:16:12PM Page 3 of 3 . . TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.cLsprlngfield.or.us 811-SPR2011-01844 6046 QUARTZ AVE permitcenter@ci.springfield.or.us RECEIPT NO: 2011002137 RECORD NO: 811-SPR2011-01844 DATE: 07/28/2011 IDEl:fcRIP-TION;c.c~";';~PP," L ~', ~,Cd::';"-, ,- '-.' 'ACCOUI'H,CODE '.',.;,,'7f''';*,",';'7AMoI.iNr~5I.iE4''P::1 Balance 01 Minimum Electrical Permit Fees 224-00000-426102 3.00 Branch circuits without service or feeder - 1st circuit 224-00000-426102 55.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 6.96 Technology lee (5% ~I permit total) 100-00000-425605 2.90 TOTAL DUE: 67_86 q.A.YlVIENLIY.~E~~ilY.9~':'::';!:,/!.~Hlli,{OBOWI.s.!fi:';,'~' ;::' _C.OIVIMEjli:J;~: - -.,P.,:,,;;:;" ,'AMOUNT I?AIDA':i;', Credit Card BONCZKOWSKI JASON J & RC 67.86 966200 TOTAL PAID: 67_86