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Home My WebLink AboutPermit Electrical 2010-4-6 ... 4l Electrical Permit Application CITY OF SPRINGFIELD, OREGON 225 Fifth StrcettSpriogfield, OR 97477tPH(541)726~3753tFAX(541)726-3689 DEPARTMENT USE ON(Y SPhO":O ~ ~~ Permit no.: IO~2'lC. This permit is issued under OAR 918-309-0000. Permits are nontransferabie. 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 Ves 0 No CATEGORY OF CONSTRUCTION :2 Name: Address: ZIP: Phooe: E-mail: This installation is being made on residential or rarm 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 IL Print name of signing supervisor: Signature of signing supervisor: ~~~ .n.~ (X"<.' ~ ~~ ~~ 440-2584-J (9/08/COM) FEE SCHEDULE Number of inspections per item () Qly. Cost Total ea. cost 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) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 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: installation, alteration, 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 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 circuit zJ $ 6.00 $/2- b. Fee for branch circuits without purchase ofa 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 limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (I) $58.00 $ .... APPLICANT USE (A) Enter subtotal of above fees $ /2-- (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) $ IW (C) Technology Fee (5% of [A]) $ 1J.a4 TOTAL fees and surcharges (A through C): $ /~~ i Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 117 S 14TH ST ASSESSOR'S PARCEL NO.: 1703363204401 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00276 ISSUED: 03/04/2010 APPLIED: 03/04/2010 EXPIRES: 09/04/2010 VALUE: Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Add Electrical Circuits for Stage Owner: CROMBIE DOUGLAS G Address: 33328 HOWE LN CRESWELL OR 97426 Contractor Type Electrical Contractor BHM ELECTRIC # of Units: Primary Occupancy Group: A2 Secondary Occupancy Group: Primary Construction Type VB Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction I CONTRACTOR INFORMATION ~ ~j~!l!'-tlJ\res E'XY,J~ tion Date NiION: or<:?or\(4Q,Q5 Oregon U\I \ /2010 BUI J\ N rUh OAR 952-001- 952.-00~ - . co \~s oHM rules by A~~i:maY obtain 1'1 ie' the te\epMr~ize: R9~~\i1 &.!W<Oeiltel. (o~ Utility Notit~~ljql\st Floor: Ty fi f4t>T the. 01~~00_332-2344). Sq Ft 2nd Floor: W er y~ntellS ~ Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building:' No Occupant Load: Phone 54 I -686-0905 I DEVELOPMENT INFORMATION ~ -;;'i, REQUIRED PARKING DownspoutsfOrains: I Valuation Description ~ $ Per Sq Ft or multiplier Square Footage or Bid Amount Date Calculated Value , . Paee I of 2 ?-C-(;2W/ i---'J .;. Status Issued ~':;;::' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00276 ISSUED: 03/04/2010 APPLIED: 03/04/2010 EXPIRES: 09/04/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid _ \. Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $8.76, $3.65 $55.00 $18.00 $1.44 $0.60 $12.00 3/4/10 3/4/10 3/4/10 3/4/10 4/6/10 4/6/10 4/6/10 2201000000000000195 2201000000000000195 2201000000000000195 2201000000000000195 2201000000000000327 2201000000000000327 2201000000000000327, Total Amount Paid $99.45, ;;,r', ':if I;;! . :'), ,yr! 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. Reouired Jnsoections ~ Rougb Electric: Prior to Cover , , Final Electric: When all electrical work is complete. By signature, 1 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 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 be used on this project. I further agree to ensure that all required inspectiOll,s}"re ~eit"~.ested at the proper time, that each address is readable from the street, that the permit card is located at the front of'the:projie'i'tY, and'the approved set of plans will remain on the site at all es during cons tion. ,~ 't!! i.JJ<'J' ~'P' b) c20 Iv Date Paee.2 of 2 -. 225 Fifth Street Springijeld, Oregon 97477 541-726-3759 Phone , I ," .~, . ..' '. . I#~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000327 12:00:3IPM Date: 04/06/2010 Job/Journal Number COM2010-00276 COM20 I 0-00276 COM20 I 0-00276 Payments: Type of Payment Cash Change Description Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By GOODFELLAS Amount Due 12.00 1.44 0.60 $14.04 Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid cJc In Person In Person Payment Total: $20.04 ($6.00) $14.04 Job/Journal Number COM2010-00276 COM2010-00276 COM20 1 0-00276 Description Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Amount Due 12.00 1.44 0.60 $14.04 . .,~ . \'!'~){ ,:'.f.! if, ....\ !~.'. '" ",., , .j~ 4i1'!' Item Total: ,." Payments: Type of Payment Cash Change cReceint I Paid By GOODFELLAS t~ ,', Check Number Authorization Received By Batch Number Number How Received Amount Paid cjc In Person In Person Payment Total: $20.04 . ($6.00) $14.04 : .~~,C. "",.,~ ..... ""..-, , !~. . . Page I of I 4/6/20 I 0