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Home My WebLink AboutPermit Electrical 2011-7-29 Z25 Fifth StrccC+Springtield, OR 97477+PH(54l)726~J75J+FAX(S4J)726-36S9 8PAlNC,"U!U). c=~n ~,--,~~....,G~JI .?;::-~, "''',1 '_. _.~ _e"_..... \i!.iIJV " . "~'-'. . ..., .~ ".' . R~PARtM~~T USE;ONLW'T0 '7"?6_--,i~............-:-,~'.-<.C__:_ Pennit Sl/ -0 I gC{ '7 no. Date: 7 - Z I' . 1/ 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. LOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No 'CATEGORY OF,'CONSTRUC:TIOW' . Name: Phon: 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: ;"~"'O Business name: Address: City: Phone: E-mail: ZIP: CCB license no.: BCD license no,: ,0 r\ 1\'- C P e uires you to ~\\ OJ ATTENTION: Oregon la~~e 6regon Utility lJ '':. ~ toll ow rules adopte~h~e rules are set forth ""lP.' Notification centoe~1 0 through OAR 952-00~ - r':' ~ . In OAR 952-001- . 0 ies of the rules Y \J'- 0090. '(ou may obtain ~oie: the telephone calling the center. ( Utility Notification the Oregon '440.258'l\UlWillfuf$' "5 1_800-332-2344). Center . Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: ,. - ,FEE SCHEDULE " . - .~ ,.. ,~ 'NiJm~er ~f ~nspcctio-nsper:jtemJ\ 0 Qty ~:costt Totar.. : ea.i.. cost'r 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) Sen'iccs or feeders: installation, alteration, relocation 200 amps or less (2) I $ 81.00 $ 6 ( 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; instal/a/ion, aI/era/ion, relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 40 I to 600 amps (2) $126.00 $ Over 600 <Imps or 1,000 volts. see services or fceders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuilS wilh 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 $ '6' , ..~~Ianeous fees: se J\ir M l>~ ((j'!l1 lE~fMm~iof; , :s2E.f\W' ,~", $ 63.00 $ , j;qch . . '0 hfj'l\\i\lllDO\'l~' $ 63.00 $ i\&n~lctf&~~~f.r~~energy panel, $ 63.00 $ ) Iteratl(\nr~r -\0 ' ~~cbti.iiditionaJ inspection: (1) $58.00 $ , "/,' c,,". ,".APPLiCANTlJSE,t,;"~>' .' (A) Enter subtotal of above fees $ (7 (Minimum Permit Fee $58.00) (13) Enter 12% surcharge (.12 x [A]) $ II r 0 (e) Technology Fee (5% or fA]) $ I.(~l TOTAL fees and surcharges (A through C): $ ",Z .. J CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-5PR2011-01847 IVR Number: 811165878895 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/29/2011 ISSUED: APPLIED: 07/29/2011 07/29/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us EXPIRES: VALUE: 01/24/2012 $0.00 SITE ADDRESS: 245 21ST ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703361305800 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Change service panel and rewire 3 circuits Phone Number: OWNER: ADDRESS: DIER DAVID l 245 N 21ST ST SPRINGFIELD OR 97477 Contractor Type Electrical Contractor Contractor Name OWNER 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' Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lie No 0000000 Lic Exp 08/12/2025 Phone Lot Size: Sq Ft 1 st 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 HazarA1'\f~iNTION: Oregon law requires you to land HazalfMt:e,~:rules adopted by the Oregon Utility Retaining WllQijication Center. Those rules are set forth Soils Repqrt lMjiliOOi<-001-001 0 through OAR 952-001-. 0090. You may Dbtain copies of the rules by calling the center, (Note: the telephone number for the Oregon Utility Notification . Center is 1-800-332-2344). ,~.,I.;,..?' "- NOTICE: IRE IFlHE WORK THIS PERMIT SHfl,~~ ~~S PERMIT IS NOT AUTHORIZED UONRD,S ABANDONED FOR, COMMENCED . : ANY 180 DAY PERIOD. . . Springfield Building Permit 7/29/2011 9:40:51AM Page 1 of 3 . SPRIN.. G FIEL~ .--' ~- ~~ -' "OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 WNW .ci,springfield.or.us Building I Residential Permit PERMIT NO: 811-SPR2011-01847 IVR Number: 811165878895 pennitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/29/2011 ISSUED: APPLIED: 07/29/2011 07/29/2011 EXPIRES: VALUE: 01/24/2012 $0.00 SITE ADDRESS: 245 21ST ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703361305800 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Change service panel and rewire 3 circuits DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Orive 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 Tvee of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Description State of Oregon Surcharge (12% of applicable fees) Technology ree (5% of permit total) Services 200 amps or less Branch circuits with service or feeder each circuit Total Amount Paid Amount Paid $11.86 $4.95 $61.00 $16.00 $115.83 Date Paid 07/29/2011 07/29/2011 07/29/2011 07/29/2011 Recio. # 2011002141 2011002141 2011002141 2011002141 Springfield Building Permit 7/29/2011 9:40:51AM Page 2 of3 SPRINGFIEL.~ ..~ ':= ~ .^ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01847 IVR Number: 811165878895 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 07/29/2011 ISSUED: APPLIED: 07/29/2011 07/29/2011 EXPIRES: VALUE: 01/24/2012 SO.OO SITE ADDRESS: 245 21ST ST, Springfield, DR 97477 ASSESOR'S PARCEL NO: 1703361305800 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Change service panel and rewire 3 circuits Plan Review ~ DeDartment Application Acceptance Received 07/29/2011 Due Date 07/29/2011 ComDleted 07/29/2011 Result Over the Counter r~~~it Issuance <'; ::' :,07/29/2011 Electrical Review 07/29/2011 Comments: Over the counter permit fiilitlal'Review -07/29/2011 I Comments: Over the counter;peJm~! Reviewer David Bowlsby 07/29/2011 Issued' . .; ~ ;~. 07/29/2011. 07/29/2011 07/29/2011 Not Required 07{29/2011 ' 07/29/2011 Over the,Counter , . ~, ~ '- INSPECTIONS REQUIRED ~ Inspections. 4210 Service Change 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. . D~vid Bowlsby . ";" l j , David Bowlsby David Bowlsby , 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. Do~ 'lO 0;, 7-2 cr - / I Owner or Contractor Signature Date Springfield Building Permit 7/29/2011 9:40:51AM Page 30f3 SP~II.4.G FIE~ .'~ ."..~ t., OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-5PR2011-01847 245 21 5T 5T CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 permltcenter@cLspringfield.or.us RECEIPT NO: 2011002141 lDESCRIP-TION Branch circuits with service or feeder each circuit RECORD NO: 811-SPR2011-01847 .K____~AcCOUNtCODE 224-00000-426102 224.00000-426102 821-00000-215004 100-00000-425605 TOTAL DUE: DATE: 07/29/2011 AMOUNT.DUE 18.00 81.00 11.88 4.95 115.83 : AM()UNT PAID 115.83 ,I Services 200 amps or less State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) U""YMENJ liYe.E ' . ':i;~!\ Y-C)R :CASHIER: DBOWLSBY . Credit Card DIER DAVID L 987110 CQMMENTS TOTAL PAID: 115.83