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Home My WebLink AboutPermit Electrical 2011-8-5 .. DEPARTMENT USE ONLY SPAIHO'U!1.0 ~ .-.. - r ;\,t,.-._/.....!, ,-=7"" ._ ! I,.~.~ '''-J \..,~,. Permit no,: 5/(-0 ('102 225 Fifth Streett Springfield, OR 97477. PII(541 )726.3753. FAX(54t)726-3689 ?_o::"' - Date: 0 ..;> 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 N CATEGORY OF CONSTRUCTION Residential )11.'<-. 1$<:> Name: Address: PROPERTY OWNER .J1-. City: 5 Phone: I E-mail: This installation is being made on residential or farm pr owned by me or a member of my immediate family. Th property is not intended for sale, exchange, lease, or ren 479.540(1) and .560(1), Signature: A Address: City: Phone: E-mail: CCB license no.: BCD license no.: Signing supervisor's license no.: Print name of signing supervisor: ~ignature of signing supervisor: ZIP: <1 ZIP: , .i , FEE SCHEDULE 0 Number of inspections per item () Qty. Cost Total ea. cost Residential, per unil, scn'ice included: lercial N 1.000 sq, ft, or less (4) $134,00 $ Each additional 500 sq_ ft_ or portion $ 25,00 $ thereof i"'7iUQ Limited energy (2) $ 32,00 $ I (..5GC 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 $ 201 to 400 amps (2) $ 95,00 $ 401 to 600 amps (2) $158,00 $ 601 to 1,000 amp' (2) $205,00 $ 1'., ,i? Over 1,000 amps or volts (2) $469,00 $ Reconnect only (2) I $ 63.00 $t... S Temporary scn-ices or fceders: inswllation, alteration. relocation operty 200 amps or less (2) $ 63.00 $ is 201 to 400 amps (2) $ 87.00 $ t OAR 401 to 600 amps (2) $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 of a service or feeder fee: Each branch circllit $ 6,00 I $ 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 limiled-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (1) $58,00 $ '. : ,- APPLICANT USE - Y (A) Enler sublotul of above fees $/:,'3 th (i\'linimum Permit Fee $58.00) 1- by (B) Entcr 12% sun..:harge (.12.x [A D $ 7Sb [I! :!<!ll'CsEhltology Fee (5% oflAJ) $ 31'>- ~ ~rO''''.'.'~''"'~~R<'' 'T $ 7~.2 . '.LJTHORIZED UNDER THI~ PI: K Nil I 1:5 NU J , COMMENCED OR IS ABANDONED FOR ~ ANY 180 DAY PERIOD. . I requires you to ATTENTION: Oregon b a~he Oregon Utilit follow rules adopted :!se rules are set for Notification cent~~'16~hrOUgh OAR 952-00 in OAR 952-001- 'co ies of the rules 0090. You may obtam Nofe: the telephone calling the center. l Utility NotificatlO number for the. or1e8gg~_332-2344). . {'1 Center IS - '1f.'j I \l 440-2584-J (9/08/COM) ~ \J .4 SPRIN.G..F IE.~ 1tE\~ ~ . .,,~ "~,,<"' OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01902 IVR Number: 811124687873 www.ci.springfield.or.us 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/05/2011 ISSUED: APPLIED: 08/05/2011 08/05/2011 EXPIRES: VALUE: 01/31/2012 $0.00 SITE ADDRESS: 591 S 51ST PL, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802042101300 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service reconnect Phone Number: OWNER: ADDRESS: BOOTH JAMIE D 591 S 51ST PL SPRINGFIELD OR 97478 Contractor Type Electrical Contractor Contractor Name OWNER CONTRACTOR INFORMATION ~ Lic Type OWNER BUILDING INFORMA TION ~ # 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 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 Site Information ~ ....- Engineered Fill: Fill Volume: Flood Hazard Area: Land Ha~~rJ'~iON: Oregon law requires you to Retalm~91101!''V:rules adopted by the Oregon Utility Salls 'WBw:l~"i\'Ilf'l9bnter. 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: .{, '.';;,'" . 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 8/5/2011 1:31 :44PM Page 1 of 3 .- SPRING FI.E~ - .... ...... ~:: ~ . ,F. OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01902 IVR Number: 811124687873 225 Fifth SI 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 08/05/2011 ISSUED: APPLIED: 08/05/2011 08/05/2011 EXPIRES: VALUE: 01/31/2012 $0.00 SITE ADDRESS: 591 5 51ST Pl, Springfield, OR 97478 ASSES OR'S PARCEL NO: 1802042101300 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service reconnect Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: OEVELOPMENT INFORMATION ~ Overlay Cist: # 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 ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ DescriDtion Amount Paid ?~~~vice r~~n~~~t only-_ _ u.__ ____ ____ __ __~63.00. ~Iale o! 9r_eg~n ~urcharge (12o/~ .~f ap.!'.lic:a_ble f,:e~_ _ __ _ __ $7.56 ____._ Technology fee (5% of permit lotal) $3.15 Total Amount Paid $73.71 Date Paid 08/05/2011 08/05/2011 -- ----- . -.- 08/05/2011 ReciDt # 2011002199 2011002199 -- ---- 2011002199 Springfield Building Permit 8/5/2011 1 :31 :44PM Page 2 of3 .:.. SPRIN..G.. FIE~ .~' .~, .~ <\\!~IlEGON CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541~726-3676 www.ci.springfield.or.us Building I Residential Permit PERMIT NO: 811-SPR2011-01902 IVR Number: 811124687873 pennitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/05/2011 ISSUED: APPLIED: 08/05/2011 08/05/2011 EXPIRES: VALUE: 01/31/2012 $0.00 SITE ADDRESS: 591 S 51ST Pl, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802042101300 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service reconnect Plan Review ~ DeDartment Permit Issuance Received Due Date ComDleted 08/05/2011 08/05/2011 08/05/2011 Result Issued Reviewer David Bowlsby IElectrical Review" '.C' : ' 08/05/2011 08/05/2011 08[05/2011 ~;" Com~~n'ts;, .o\ie,t~tb~ .coub~~rperT~-'<.' . Initial Review 08/05/2011 08/05/2011 08/05/2011 Comments: Over the counter permit (PPllcation Accep~an~e 08/05/2011. 08/05/2011.-. 08105/2011 Not,l3equ~r~<;l D,avid. Bowlsby . ""'"f' '\,1' - ,r~-, '" ;;.,,,, .1 Over the Counter David Bowlsby Over the',Counter" ';' " David Bowisby J INSPECTIONS REQUIRED I Inspections 4200 Reconnect Service 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. .Q..... . b .~c::;;f- 8'- s - / / O~ Contractor Signature Date Springfield Building Permit 8/5/2011 1:31:44PM Page 3 of 3 L , . .. SP;G~~. ... ~.,~ 'r ~ ..\ OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01902 591 S 51ST PL CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541~726-3753 pennitcenter@cLspringfield.or,us "", .., ACCO.UNtceDE 224-00000-426102 821-00000-215004 100-00000-425605 .._-----~._._,_._.,-- TOTAL DUE: DATE: 08/05/2011 'AMOUNJ~DOE 63.00 7.56 3.15 73.71 AMOUNT PAID 73,71 RECEIPT NO: 2011002199 lDESCRI~TION~ ..:... _~~~ce reconnect only __ _ State of Oregon Surcharg:..(_12% of app~cable fees) _ _~chnology fee (5% of ~~mit~_ ___. __ RECORD NO: 811-SPR2011-01902 e...Y.MEf:lITY~E_ - Cash p~.Y.Q13 CASHIER: OBOWlSBX, jamie booth C.O.MMENTS ~- .:..-.J TOTAL PAID: 73,71