HomeMy WebLinkAboutPermit Electrical 2010-2-23
Electrical Permit Application
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225 Fifth StreeftSpringlield, OR 97477+PH(541)726-3753tFAX(S41)726-3689
DEPARTMENT USE ONLY
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Penn it no.:
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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.
:ijt.~LOCAl"-GOVERNMENT:APPROVAL'. ,
Zoning approval verified? 0 Yes 0 No
._' CATEGORY OF "CONSTRUCTION
o Residential
"'..:'JOBSIT
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Phone:
E-mail:
This installation is being made on residential or rann property
owned by me or a member cfmy immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1). .
Signature:
:":,:,:f~"L'CONTRACTORjINST ALlATION "
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440-2584.) (9/08/COM)
;;\....i I . '. .'c.... FEE' SCHEDULE
'\N"~'~~~'~. oil'~;~';~:ig~cpe'~<it;'~ l) Qty~
Residential, per unit, sen'ice included:
Cost Total
e.. cost
$134.00 $
$ 25.00 $
$ 32.00 $
$ 63.00 $
1.000 sq.n. or less (4)
Each additional 500 sq. n. or portion
thereof
Limited energy (2)
Each manufactured home or modular
dwelling service or feeder (2)
Sen'ices or feeders: installation, alteration, relocqtion
200 amps or less (2) $ 81.00 $
201 to 400 amps (2) $ 95.00 $
401 [0600 amps (2) $158.00 $
60t [0 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: i,!stalJation, alteration, relocation
200 amps or less (2) $ 63.00 $
201 to 400 amps (2) $ 67.00 $
40 I (0600 amps (2) $126.00 $
Over 600 amps or 1.000 volts, see services or feeders section above
Branch circuils: 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 pur(.:hasc of a service or feeder fee;
First branch circuit (2)
Each additional branch circuit
) $ 55.00 $6'<
$ 6.00 $
Miscellaneous fees: service or fieder not included
Each .pump or irrigation circle (2)
Each sign or outline lighting (2)
$ 63.00 $
$ 63.00 $
$ 63.00 $ (:;.2
Each additional jnspeclion: (I) $58,00 $
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(A) Enter subtotal of above fees
(Minimum Permil Fee S58.00)
Signal circuit or a limited-energy panel, I
alteration. or extension (2)
(B)EnierI2%surcharge(.12x[A]) .
(e) Technology Fee (5% of[A))
TOTAL rees and surcharges (A through C);
$ II;:' ~
$ )-7, ~
$ S, 'JJ
$ )3.r- tJ"P
-..;,."' ....".. ....,-, CITY OF SPRINGFIELD
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.....' ~ Building/Combination Permit
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Status Issued PERMIT NO: COM2010-00233
225 Fifth Street, Springfield, OR ISSUED: 02/23/2010
541-726-3753 Phone APPLIED: 02/23/2010
541-726-3676 Fax EXPIRES: 08/23/2010
541-726-3769 Inspection Line VALUE:
SITE ADDRESS: 280 S 2ND ST Springfield TYPE OF WORK: Electrical Work Only
ASSESSOR'S PARCEL NO.: 1703353207800
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Install phone line for fire alarm panel. Install tire alarm monitoring panel and
receptacle.
Owner: HEX ION SPECIALTY CHEMICALS INC
Address: 180 E BROAD ST
COLUMBUS on 43215
I CONTRACTOR INFORMATION ~
Contractor Type Contractor License Expiration Date Phone
Electrical NEW WAY ELECTRIC INC 51088 06/27/2011 541-686-2365
I BUILDING INFORMATION ~
# of Units: # of Stories: Lot Size:
Primary Occupancy Group: Height of Strnctnre Sq Ft 1st Floor:
Secondary Occupancy Group: Type of Heat: Sq Ft 2nd Floor:
Primary Construction Type Water Type: Sq Ft Basement:
Secondary Construction Type: Range Type: Sq Ft Garage/Carport
# of Bedrooms: Energy Path: ! Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
I DEVELOPMENT INFORMATION ~
REQUIRED I'ARKING
Front yard Setback: Overlay Dist: Total:
Side I Setback: . # Str'eet Trees Rqd: Handicapped;
Side 2 Setback: Paved Drive Rqd: Compact:
Rearyard Setback: % of Lot Coverage:.
Solar Setbacks:
. 0'1 ",W n!,p.UBllIC:IMkIlOVEMENTS ~
-\ni'l. OrrKL
re-r-rI'N\ ' ' ' " , the v'v,,- th
Street Improvem nts: \' '," :;1(,');,\8(' [J f . '\e5 are set lor Sidewalk Type:
101lQW tL .0", i\t.~r. T\",ose I u 52-001-
Storm Sewer A n'll,able:',IOl1 Ge 1-0010 tnro\Jgh OAR 9 les by Downspouts/Drains:
SpeciallnstructiRn:,AR 952.00 obtain copies 01 thle thane !. "
090 You may (N te' the te ep ,
, 0 liing the center, 0 U\i\IIY Notification NOTICE:
Notes: ca h oregon )
number 10r:^~iS 1_800.332-2344 . THIS PERMIT SHALL EXPIRE IF THE WORK
I jU I HUKILl:D UNDl:K I HI;; Pl:KIVIII I;; NU I
Valuation Description OMMENCED OR IS ABANDONED FOR
. $ Per Sq.Ft " S ~N~ 180 DAY PERIOD,
Description Type ofConstruch~n . :., ..,... 'I': i: qua.re 00 age Value Date Calcnlated
. ...............~, "" or mo tip ler or BId Amount
. .
Page] of 2
_.,_.~. ~'
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00233
ISSUED: 02/23/2010
APPLIED: 02123/2010
EXPIRES: 08/2312010
VALUE:
225 Fifth Street. Springlield. OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paidj
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add. Alter. Extend Circ
Low Voltage - Commercial Indus
Amount Paid
Date Paid
Receipt Number
$14.16
$5.90
$55.00
$63.00
2/23/10
2/23/10
2/23/10
2123/10
3201000000000000061
3201000000000000061
3201000000000000061
3201000000000000061
Total Amount Paid
$138.06
I Plan Reviews ~
To Request an inspection call the 24 hour recording,at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day. . .
L Reouired Insoections ~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company e,nergizing 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 Springlield and the Laws of the State of 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 he used on this project.
I further agree to ensure that all required iuspections are requested at the proper time, that each address is readahle 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.
Owner or Contractors Signature
Date
Paee 2 of 2
Electrical Permit Application
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DEPARTMENT USE ONLY
CITY OF SPRINGFIELD, OREGON
2ZS fi'iI\h Strel!t.Spl'ing(Jt!lldl on 974'77. PH(S41 ~72&.]7Sl. "'Ax'(54 J)726-JlS1I9
PcnnH no.:
Datl~:
This permit is isslItld under OAR 918-309-0000. Permits are Jlontrunderoble. P~rlUits expire ifwurk is not shll'ted within 180
day' of j8Su."ce or if wOI'k is suspended ror 180 days.
____. LOCAL GOVERNMENT APPROVAL
Zoning .pproval verified? 0 Ye, 0 No
CATEGORY OF CONSTRUCTION
o Residential 0 GClvcrnrnr.::nt 12:1 Commercial
JOe SITE INFORMATION AND LOCATION
Jobsiteilddr~!is: 280 S. 2ND STREET
City: spri,~~_~~e!~
Subdivision:
ZIP~ 97477
DESCRIPTION OF WORK
INSTALL PHONE LINE FOR FIRE ALARM PANEL.
INSTALL FIRE ALARM MONITO~ING PANEL AND RECPET.
PROPERTYjiwNER
Naln~: HEXJ:O}J Sf'!::C:J:AJ:,'l'Y CHSM'IC~:("S
Address: ,1',0 S. 2r1lD S1'Rl;;BT
City: SPRINGFIELD Stole: OR ZIP: 97177
Phon~: 54-1~7-46.6692 f'aK: 54l:-74'1-6692
E-mail: JON.eltI::.Gt::RIi5Il-U~XIO~.COM
'fhis im;htllOitloIl is b~ing made on resld<::nlia.l Or farm property
ownt;u b~ mt: o~ a nlt:m~r ol'lny immediate family. This
propef~Y IS not" lntend~d fOI' sa)!!, exchange, lease, or rent. OAR.
479.540(1) ond 479.560(1),
Sjgna.lOre~
CONTRACTOR 'NSTAL~~~N ,
Business nalll~: N8w W<:I.y Electric Ine.
Addross:
_Cily:
pO Box ~1503
Eugene
ZIP: 97402
f~x: 541-686- 2715
..,'-~-_.._-_._-
Phone: 541.686.. 2365
E~mail: bra.ndon@nt~wway81~ctric.com
~,CCB license Fla,: 51088 __ '.liCD license no,; :20-14Sc
Sj~!:.~~_supel'vj5ur'$licr.mscno.; 5~52S ex.p, 10/01/10
~:'nl mUll~ of signillg supervisor: aslay
Signature ot!.igning :)upcrvisor;
44U-2S~~"J (9/0B/COM)
/:0/10 3:'Jlid
FEE SCHEDULE
COSI Towl ....
Number of Illspec-UODlt p'.' iUlQl ( ) Qt)'. ea. cost
.-
ResidcDtiol, lIef 1~lllt. 5Cn'illa: lnl:Jud~d: -.-,--.....
1,(01) sq. fL or 1t;f;lS (4) $13.4.00 S
Elt\Jh addiHonul 500 5q. 11:. or p(.rtiufl ~ ZlS.DO ~.
thcrl';\:or
Limited ~IU::rgy (2) $ 32.00 ~
-
Ench llumufa.c(Prtd hlJl1ll:: or moduluf S 63.00 $
dwelling s~,rvh:e or feeder (2) -,-",-.,,-,
Sunricl':/i or fceder..!;: in:UoIlQritJh, ",fte,.,diulI, r~{ocatilm
. , 200 .o.mps or le~~ (2) $ 81.00 $
... ... -'-.' , '.-.~ _mn__
201 to 400 Ulll(lll (2) $ 95.00 $
..- ...... "..--
401lo (IOO lunpli (2) sa 68.00 $
d~,__~ . -. ...--..-
60 t 10 1,000 ump!i (2) $2U5.00 $
--..
OVe-r 1.000 1111JpS or vults_~2) . $469.00 $
Reconnecl on I)' (2) $ 63.00 $
'remporlJfj strvice:. ul' recdi:..s:.~'~.l'mlfati(J/l, affi:I'{Jlil)Il.~I"~/!~~~~~~.ln_
200 amps Of 1(:55 (2) .$ 6J.00 $
_. -
20 I [0 400 urnps (2) $ 67,00 j;
~_._" ....--. ~
.,OJ to 600 I1mp~ (2) _, .,,_ ~.:~.~~~:~.~_.",.~.' .......
Oror 600 lJ.mp~ Of 1,000 volls, ~.cc st.:f'lict::s nr Ic~cit.:f:) section lJboVl~
Urulu'h circuits: new, IJlleraJiall, c.xfensioll pel' p(Jllt!l
- .~_.
a, Fcc 1(lf bfl1m:h ~ircuill; with p\JTdHti~ ora scrviL.:t: ur ft:t::dt;r Ib.::
Eaclllll'3.nch r.:irL'uil -'.."1"' $: 6,00.'1 .$
b. Fee for bl1U1ch circuil~ wilhoUl purt:h:js~ ofu l,;~l'vic~ or fr.:t!der l1:t:
.. -
l~irst blunch cirQuil (2) 1 +--i"-7~OO' .~; 5 S . 00
e-...-.... _ ~_......."......~,...h_
Encn addilkmul brullch circuit S 6.0e ,'j;
.,..,.. . -
MllSccllDDcuu!l fce:/; san'{ci! ol'ji:f1dal' f1()I.ind/,ld~d
.,...- .-
~ach p\Jmp Of irrigution -.:ircle (2) $ 63.00 $
~~ch sign or ou!H,.e lightIng, (f) S 63.00 $
. .$ ~;.-,;.; j $63.00
SittflUJ ch'l::uil Of U linlit~d.encrg:y poUlt:!, I
llllt:rution, !;It ~,,(cnsil,Jl1 (2)
. - ..,
Ellcll udtUtioDUI inslpccthm: (I) $58.00 $
APPLIcANT USE ., .-
(AI Enh;;r ::iubwtul ufnlmvl': Ice:> tIle,QO
(Minimum Permit Jlei: $~!!I.UU)
--.:......-... - _...__~u_ "----..-
(B) Enler 12%l:Ourchurge (,12 x I,Aj) ~ 1-J . 16
Ie) Technolo.~l' Fee (S% oflAIl S 5.90
-
TOTAL ree, and surcbHtee. (A throueh C); .$ 138,06
...----=.~
S 1L/:-989-1PS
EP:80 010/:/EG//:0
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
an~~.;_:
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000061
10:01:25AM.
Date: 02/23/2010
Job/Jourm,1 Number
COM20 I 0-00233
COM20 I 0-0023 3
COM20 I 0-00233
COM20 I 0-00233
Payments:
Type of Payment
CreditCard
cReceintl
Description
Low Voltage - Commercial Indus
Add, Alter, Extend Circ
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
JUSTIN PASLEYINEW WAY
ELECTRIC
Amount Due
63.00
55.00
14.16
5,90
$138,06
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
nJlTI
213200 Phone
$138,06
Payment Total:
$138,06
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Page I of I
2/23/20 I 0