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Home My WebLink AboutPermit Electrical 2011-8-16 ..em\:'. o",:s~RiNGFIELD,fuRE~'oN . i ~ . l _ il' _ ~ , Electrical Permit Application DEPARTMENT USE ONLY SPRINOPISLO . ' ~ .' .---~-. ."" ......, '1"-- - !'7"""'-",~ ~-...._ ;:! ''''-'''''. L _. ~_~_ilo. . Permit no.: >!I-lqL[~ 225 ""ifth Streett Springfield. OR 97477.1)11(541)726-3753. fAX(541)726-3689 Date: 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] 80 days. LOCAl GOVERNMENT"APPROVAL .. ii( FEE SCHEDULE Zoning approval verified? DYes DNo N~mbe.r of inspections per item () Qty. Cost Total e.. cost CATEGORY OF CONSTRUCTION , R~sidential, per unit, service included: o Residential I 0 Government I 0 Commercial 1.000 sq. ft. or less (4) $134.00 $ JOB SITE INFORMA TIOIt'AND ..l.OCA TION .., Each additional 500 sq, ft. or portion Job site address: ':;c? [) ~ ( , , <- thereof $ 25.00 $ City: ~ () F/) , I State: I ZIP: Limited energy (2) $ 32.00 $ Reference: I TO 2- 0 G 2} I Taxlot.:{ "3 DO Each manufactured home or modular $ 63.00 $ . DESCRIPTION OF WORK dwelling service or feeder (2) (OW P:-57 f:J,jU/~ I e-r; .1:: TA-G Sen'ices or feeders: ins/allation, alteration, relocation 106 /tu.-r p. 200 amps or less (2) ( $ 81.00 $5r1 '. . PROPERTY OWNER 20 I to 400 amps (2) $ 95.00 $ \ '. Name: '&-A-l n.... \) 40 I to 600 amps (2) $158.00 $ Address: 'Is, 1 .\ 5'.2JV'" ,pC- 601 to 1.000 amps (2) $205.00 $ City: Sri> Ft.....\\ I State: OYL I ZIP: Cj '7 't 7 ~ Over 1.000 amps or volts (2) $469.00 $ Phone: IAN'/G.- I Fax: Reconnect only (2) $ 63.00 $ - , E-mail: Temporary sen'iees or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less (2) $ 63.00 $ owned by me or a member of my immediate family. This 20 r to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 40 I to 600 amps (2) 479.540(1) and 479.560(1). $126.00 $ Signature: Over 600 amps or 1,000 volts, see services or feeders section above CONTRACTOR INSTALLATION" Branch circuits: nell', alteration. extensio11.per panel Business name: L- i T'"'F- ~ L--;;-U7V ~ , a. Fe~ for branch circuits with purchase ~f a service or feeder fee: Address: ,f 6 . !?tP}< /I/?'<=} Eflch branch circuit $ 6.00 I $ City: ~t:> c...-,v~ I State:6/Z_1 ZIP:,/ /'f'lt b. Fee for branch circuits without purchase of a service or feeder fee: Phone:S-0( (, S:~ gCffb I Fax: - , First branch drcuit (2) $ 55.00 $ E,mail: Each additional branch circuit $ 6.00 $ CCB license no.: 5'Q 7 'I ~ I BCD license no.:"ZO -'ZKC Miscellaneous fees: service. or feeder nor included Signing supervisor's license no.: ~C;7?5 Each pump or irrig"ation circle (2) $ 63.00 $ Print name of signing supervisor: Tb~Y /Lo7H Each sign or outline lighting (2) $ 63.00 $ Signature of signing supervisor: / Y- ;:. ,ft. Signal circuit or a limited~cnergy panel, $ 63.00 $ ~-/ . ~ A alteration, or extension (2) (/ ~ Each additional inspeclion: (I) $58.00 $ II.;' 'c. ,. APPLICANT USE . , .' ~~ (A) Enler subtotal of above fees $57 (Minimum Permil Fee $58.00) (8) Enter 12% surcharge (.12 x [A]) $ g?!::. (e) Technology Fee (5% of[A]) $ '{O> TOTAL fees and surcharges (A through C): $ 1"11']. 440.2584:j (9108/COM) ~~ CITY OF SPRINGFIELD SP~IN. .G FIE?ij .~ " ,~ ,\ OREGON Building I Commercial Permit PERMIT NO: 811-SPR2011-01946 IVR Number: 811195514697 www.ci.springfield.or.us 225 Fifth 51 Springfield,OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 Fax: 541-726-3676 permilcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 08/16/2011 08/16/2011 ,Issued 08/16/2011 EXPIRES: VALUE: 02/11/2012 $0.00 SITE ADDRESS: 790 S 32ND PL, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802062101300 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service for Owest Phone Number: OWNER: ADDRESS: BAIRD DONALD M 790 S 32ND PL SPRINGFIELD OR 97478 Contractor Type Electrical Contractor Contractor Name TONY KOTH CONTRACTOR INFORMATION I Lie Type CCB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: # of Units: o Water Type: Range Type: Hazmat: Lie No 59748 Lie Exp 05/19/2012 Phone 541-688-8996 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 TIC ' ~---~~ 10'"' requires you to ATTEN Occupancy Load: 0 n Utility II "'~e adopted by the rego Electrical Specialty Code Edition: fo .oW r2011C' t Those rules are set forth NotificatIOn en er. 01 Springfield Fire Code Edition: in OAR 952-001-0010 through OAR 952-0 - Mechanical Specialty Code Edition(): 090 You may obtain copies of the ruh,es by . (Note' the telep one Municipal I Development Code: calling the cen~~~ on uiility Notification Plumbing Specialty Code Edition: number for the. 1 8g00 332 2344) Center IS - - - . Residential Specialty Code Edition: Structural Specialty Code Edition: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 8/16/2011 11:47:39AM l~~MIT SHAll ETXHP\SIR~~~~~{\~~~~ -'ORIZED UNDER 1:v1ENCED OR IS ABANDONED FOR , 180 DAY PERIOD. Page 1 of 3 SPl~~. =~ L~~ ~OREGON www.ci.springfield.of.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01946 IVR Number: 811195514697 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 Fax: 541-726-3676 permilcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/16/2011 ISSUED: APPLIED: 08/16/2011 08/16/2011 EXPIRES: VALUE: 02/11/2012 $0.00 SITE ADDRESS: 7905 32ND PL, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802062101300 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service for Owest Fronlyard Setback: Interior Setback: Sideyard setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMA TION ~ Overlay Cist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Tolal: 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 Description Amount Paid Date Paid ~ale of Or,:gon _Su~~~e (12%of applicable fees) $9.72 08/16/2011 Services 200 amps or less $81.00 08/16/2011 i~E~~~iY f~~ (5'';:;;ip~rmil to~~-- ----------- - -$~OS:__=___.I!8/16/?011___ Tolal Amount Paid $94.77 ReciDt # 2011002248 2011002248 2011002248 Springfield Building Permit 8f16f2011 11:47:39AM Page 2 of3 SPRI.NG.F IEL.?ij .' '.~ ~._"'- OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01946 IVR Number: 811195514697 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@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/16/2011 ISSUED: APPLIED: 08/16/2011 08/16/2011 EXPIRES: VALUE: 02/11/2012 $0.00 SITE ADDRESS: 790 S 32ND PL, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802062101300 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTtON: Service for Owest Plan Review ~ DeDartment Permit Issuance Received Due Date Comoleted Result 08/16/2011 08/16/2011 08/16/2011 Issued rElet;ncal Review r-, .,08/16/201l l ~:Commen~: _ ov~i:t~e -(;'ounte.r Cp~rmit Initial Review 08/16/2011 Comments: Over the counter permit Applicalion Acceptance 08/16/2011 Reviewer Chris Carpenter 08/16/2,Q11- 08/1E/2011 ~ :'~:_:~;: '~~,"\~;-:-:-: ---~ c;hris-Carpentt?~ -r Not Required, , .. r - .'" ,:.1"', . Over the Counter 08/16/2011 08/16/2011 08/16/201,1 " 08/16/2011 ,,~, ,; Over -tti~ Counter, :.\1 . ......_lV' < , INSPECTIONS REQUIRED ~ Inspections 4225 Service or Feeder Chris Carpenter , Chris Carpenter" C .' :~<' >' 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. cr. (~ f - /6 _( ( Owner or Contractor Sigb\ure Date Springfield Building Permit 8/16/2011 11:47:39AM Page 3 of 3 TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-01946 790 S 32ND PL permitcenter@ci.springfield.or.us RECEIPT NO: 2011002248 lDESCRIFtTI0N' ,;,,"" ,t",;, ::'", ,," ' Services 200 amps or less State of Oregon Surcharge (12% of applicable fees) Technology fee (5.?o of per~,it total) RECORD NO: 811.SP~2011'01946 , ," J " ,'.ACCo.UN:tC.ODE"," 224'00000.426102 821 '00000.215004 100'00000-425605 TOTAL DUE: DATE: 08/16/2011 "?AM0,lJNiJIJUE . ,,_ 81,00 9,72 4,05 94,77 .:AMOUNT pAID;.-. ' 94,77 j L~6Y.Mf:NT ~pit'" ';2S:PA YQ8"LfASHiER;CCARPENTER:,,"!., Check TONY KOTH / Lite Elect 7574 ';:\COMMENTW.;2;'.: 1 " ~ TOTAL PAID: 94,77