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Home My WebLink AboutPermit Electrical 2011-9-8 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. ~ I '." "'lKOCAVGOVERNMENTAP.PROVA8;~,\"':'7 .;"1 Zoning approval verified? 0 Yes 0 No ".,:::. ,- ,:".CATEGORYJ'ClF,:'cONSTRUCTIONEli,' "'" ,,' ,.: , @,esidential I D Government I D Commercial ~4ii'j<;~\{I,OB;i'srrE~INF.OR.N1ATION":AN[j~120.CAl;ION';1'~Y;H1 Job site address: I :s {n I t? I; J U^ /K <.. :1 City: ,<).()L 10/ I State: 0K--' I ZIP: 4-7 n 71 Reference: //]03 2.5>52.... I Taxlot.: /uQ) 0 I , . DESCRIPTION OF WOR.K' ""':,.:,, ".:"1 (' h.A ~r Me;.. ,)-.1 q. o../e..1 ONI Y I . ~~~ Electrical Permit Application 1_ ~. .~_ ';::='it. _,_-, -":'. .-.... <t'?_.- -~.~~. ._~""," , .c F~TY~OF;S?RI~,G~.I~lt~~U~}?G<?~~,:; - r 225 Fifth Street+Springfield, OR 97477tPH(541)726-3753+FAX(S41)726-3689' () 'PROPERTY OWNER Name: MAr,>,.fC I..J,4';rzl'Al Address: 9::,- 3. V ~ City: '3 P f2-\.,J I State: 'iP7L Phone: ~r- 'JYf, ')...0 ~-.;: I Fax: - E-mail: I I ZIP:,? '}'-f77 i I ! 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: CONTRACTOR INSTAllATION Business name: 'I< 4" I.I~ l:17,..~ f2L,f Address: .:J-' 1//' -:;?...~ B/D$"~If5____ City: 50./.'''/ I State: d rz- I ZIP: . Phone: ~.v-. 'J! Y5- 7.f 7~ Fax: - - E-mail: IIA... j, /. I,Q~ /., ., CCB license no.: 1~2.'1"'tp I BCB'license no.: Signing supervisor's license no.: r.. C"'"7 P Print name of signing supervisor: 4~'" ~ ~ -J / // L' / .~ ~O\\ V +~ I I '17'111 I ,- ,j, ~""'. (;(,151-- I I Signature of signing supervisor: 440-2584-J (9/08/COM) DEPARTMENT USE ONLY " ,~" ' Permit no.: <;;11 - 20 (ff y )~ Date: 9 ;:~<:,~.~';i~/';~L~:'r~'~J.w;,~t~1?7.:FEE.*SCH ED.U liE~rf}~~~!t;~.~~:rNi~'M{~t:~~ . '. '...:' .' . . '-.. Cos!' Total ::~~~~er_~.~;~n:sp~<:tlo.,~!,~~r;,~t~.rr, p,:,.':~;., ~!~. \' 'ea;~._ ,cost Residential, per unit, service included: 1,000 sq. ft. or less (4) Each additional 500 sq. ft. or portion thereof $134.00 $ $ 25.00 $ Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) $ 32.00 $ $ 63.00 $ Services or feeders: installation, aiteration, relocation 200 amps or less (2) 'I $ 81.00 $r;;j .2:1- 201 to 400 amps (2) $ 95.00 $ 401 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/at ion, alteration, relocation 200 amps or less (2) 201 to 400 amps (2) 40 I to 600 amps (2) $ 63.00 '$ $ 87.00 $ $126.00 $ Over 600 amps C?r ] ,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 circuit $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder ~ot included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (I) $58.00 $ 1>~rjW' J.*-$,~?!fiJ};L!.!t'~i.ii?:i;i;JA" "'p"oi"IC' ;A1N""T" Jf"U.... SE'-r,:Y'O\>."'l,~"'':;;;::;,'':''~i!'~'-"'r ;.j"'.. '.: 'Ei.;~i~l,/~<<~~gJ,xiiell.\tt~':r~~f'~ _ :-:IV&,;; ,f'!' .'. ;,} .. :;,:ii,;.,~,! i~ll{:';f/f!\~~~,;.,'f:;:;:i'.tt." .: (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) (C) Technology Fee (5% of[A]) TOTAL fees and surcharges (A through C): $gl $ CJ?3- $ 'IoC $ 9i 22- SPR...I NGFIE, ~ ~\ .,', ".... _L" ~ ~~. - OREGON I CITY OF SPRINGFIELD Building I Resid~ntial Permit I PERMIT NO: 811-SPR2011-02088 IVR Number: 811141635804 , ISSUED: i APPLIED: www.ci.springfield.or.U5 PROJECT STATUS: STATUS DATE: Iss ued 09/08/2011 09/08/2011 09/08/2011 SITE ADDRESS: 1367 OLYMPIC ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703253210500 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 03/05/2012 $0.00 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: -R\:l'....laC~~1l ..,.........1 OWNER: ADDRESS: RICHARD & MAXINE WARREN REVOCABLE TRU 953 V ST SPRINGFIELD OR 97477 Contractor Type Electrical Contractor CONTRACTOR INFORMATION ~ Lie Type eeB BUILDING INFORMATION ~ # of Stories: , . I Height of Structure: Type 01 Heat: I , Water Type: Range Type: Hazmat: Contractor Name ROGUE ELECTRIC LLC # 01 Units: o lie No 192346 Lie Exp 11/17/2012 Phone 541.285-7374 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy load: o I Electrical SpeciallY Code Edition: 2011 Springfield Fire C~de Editiol}; TTENT/ON' Mechanical Specially Code Editio.n;'U/eS ~dOretgon law requires you to I -"I""" op ed by the Ore U Municipal roevelopment qOde': Ication Center Tho gon Wity I m ()AR Q52 00 . se rules are set I th Plumbing Special1Y Code dition~' - 1-0010 through OAR or . U;iO. You may obt . 952-001 Residential Specially Code 'C;diliol); th am copies of the rul b - I '" IfI~ e center (N t es y Structural Spe,ciaily.code !i'!/j!!99in lor the Or~nn~ ,~;}~e.~el~phone I Site hilormation ""flllr is 1-800-332:234'4)'."'~allon # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: VDTlCE: r~'S PERMIT SHALL EXPIRE IF THE WORK THOR/ZED UNDER THIS PERMIT IS NOT ACOMMENCED OR /S ABANDONED FOR NY 180 DAY PER/OD. Springfield Building Permit 9/8/2011 11:18:03AM Page 1 013 PROJECT STATUS: STATUS DATE: Issued I I I CITY OF SPRINGFIELD Building I ResidJntial Permit I PERMIT NO: 811-SPR2011-02088 I IVR Number: 811'141635804 I ISSUED: I APPLIED: 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 s.rRINGFIE.L~ .~ -h ~ ":~ .~ OREGON www.ci.springfield.or.U5 permilcenter@ci ,springfield. or. us 09/08/2011 09/08/2011 09/08/2011 EXPIRES: VALUE: 03/05/2012 $0.00 SITE ADDRESS: 1367 OLYMPIC ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703253210500 I I SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replace main panel DEVELOPMENTlNFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd:1 I % of Lot Coverage; Highest point on structurel' to north property line: I PUBLIC IMPROVEMENTS REQUIRED PARKING Total: Handicapped: Compact: ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ I Unit Amount Unit Tvee I , I FEES PAID Unit Cost Value Descriotion Tvee of Construction I Description Services 200 amps or less State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid Amount Paid $;8100 .$9.72 $4.05 $94.77 I I Date Paid 09/08/2011 09/08/2011 09/08/2011 Reciot # 2011002415 2011002415 2011002415 Springfield Building Permit 9/6/2011 11:16:03AM Page 2 of 3 PROJECT STATUS: STATUS DATE: Issued I CITY OF SPRINGFIELD Building I ResidJntial Permit I PERMIT NO: 811-SPR2011-02088 I IVR Number: 811141635804 , ISSUED: I APPLIED,: 225 Fifth SI Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 . SPRINGFIE.L~: . . -- ~. ",,~m.. OREGON www.ci.sprlngfield.or.us permitce nter@ci.springfield.or.us 09/08/2011 09/08/2011 09/08/2011 EXPIRES: VALUE: 03/05/2012 $0.00 SITE ADDRESS: 1367 OLYMPIC ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703253210500 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace main panel Plan Review I Deoartment Application Acceptance Received .Due Date ComDleted Result 09/08/2011 09/08/2011 09/08/2011 Over the Counter Reviewer Chris Carpenter Electrical Review 09/08/2011 09/08/2011 09/08/2011:: '1'" ~;ReqU;;:~ Chris Carpenter Comments: Over the counter permit _.......~~H'''"~ '_ -~:.,." '::"!::~-'~""""""'~~""'~'-~~~_'''''~', f~~J~t~!~~;~yi~{i f_ :l",';, " ; ~ _<'P9/0~2:?t~ :'..'~Q9jQ%~~;1'1Jt~~/O~~~,gJ; ~ ';. ;i_9v~r;;;~~~~r;t~~;;'~ '.<, .." ,?h~~~:.G~r~;~t~t~rt:; "J L"'co~~ents:~_,:~y,~r)he);c.Ol:..~J~~[mlt." .,'t~_~,_ ;;~;..',~ _ >~;':> ,,-~hJ '~k..;.:: >-Yn""~_ -'; >',:: .- i.f:,:;_c~"3(, -"'_L~ '". ;~.".. INSPECTIONS REQUIRED ~ Inspections I 4225 Service er Feeder I By signature, I state and agree, that I have carefully examined the, completed applicatian and de hereby certify that all infermation herean is true and correct, and I further certify that any and all wark performed shall be dane in accardance with the Ordinances af the City of Springfield and the Laws of the State or Oregan pertaining to. the wark described herein, and that NO OCCUPANCY will be made af any structure withaut permissien ef the;Cemmunity Services Division, Building Safety. I further certify that only cantracters and emplayees who. are in cempliance with ORS 701.005 will be used en this preject. I further agree to. ensure that all required inspectiens are requested at the proper timJ, that each address is readable from the street, that the permit card is located at the frent af the preperty, and the appraved selt af plans will remain an the site at all times during ~~~.~ ~\~ o~~7- (( ~ '. _':5!~.:~ t. ,t 1 ~.~- " Springfield Building Permit 9/8f2011 11:18:03AM Page 3ef3 www.ci.springfield.or.us I I TRANSACTIO~ RECEIPT 811-SPR2011j02088 1367 OL YM,IC ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726~3753 perm itcenter@ci.springfield.or.us , RECEIPT NO: 2011002415 RECORD NO: ,811-SPR2D11-D2D88 DATE: 09/08/2011 [OESCRfIUiON'.K'ci-;:';.;,,\;f ~ -~', ,:"?"~;li: 'ivi.&i!t; ; :;Ji:,:j11,';'0JACC:Ot.JNi:t:ODE")k^", '!0"';/'010;,;:, 'J.lJinOUNJ.DUE' Services 200 amps or less J 224.00000.426102 81.00 State of Oregon Surcharge (12% of applicable fees) I 821-00.000.215004 9.72 Technology fee (5% of permit total) I 100.00000-425605 4.05 I TOTAL DUE: 94.7'7 lc,;PAYMENT TYPE]..' :':PAYOR;;'*CASj:IIER'CCARPENTER,",;;;:'~~j:9_9MM:~HJ:s.!f:.'~::,Z;c-'c,~--;:;;,.,~Mo.uNt{~AID~ do' "", "1 Cash ROGUE ELECTRIC LLC 94.77 TOTAL PAID: 94.77