HomeMy WebLinkAboutPermit Electrical 2010-6-7
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. Electrical Permit Application
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225 Flftb Street.Spdngfield, OR 97477tPH(541)726-3753HAX(541)726-3689
DEP~RTMENTUSE ONLY
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 180 days.
LOCAL-GOVERNMENT ApPROVAIj'
Zoning approval veriFted? Yes 0 No
'CATEGORY,OFCONSTRUc'tIOW}'
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ZIP:'7?y?S'"
Address:
City: -=- p
Phone'
E-mail:.
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 479.56 (I).
Signature:
Address:
City:
Phone:
E-mail:
CCB license no.:
Signing supervisor""s license no.:
Print n~ of signing supervisor:
Signature of signing supervisor:
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440.2584.J (9108/COM)
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N~m.~er orins~~ciio'n,s per;t~~O:IQ~..! ~i~t' .... ~~t~I'
. - ---
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, altiration, relocation
200 amps or less (2)
201 to 400 amps (2)
401 to 600 amps (2)
601 to 1,000 amps (2)
'Over 1,000 amps or volts (2)
Reconnect only (2)
/ $ 81.00
$ 95.00
$158.00
$205.00
$469.00
$ 63.00
(]V
$0/'
$
$
$
$
$
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2)
201 to 400 amps (2)
401 to 600 amps (2)
$ 63.00 $
$ 87.00 $
$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 hranch circuit $ 6.00 $ (#{).
b. Fee for branch circuits without purchase of a service or feeder fee:
ou
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)
Each sign or outline lighting (2)
Signal circuit or a limited~energy panel,
alteration, or extension (2)
Eacb additional inspection: (I)
1,'!;;;j}':':~!V!:'''>;t;!'''.i,~,.i'A' 'P"pi.iI'C'A'N" ,.",,'U"S"E' "
it-~w.':<.<\l:'::"O);.;J,z;"'~1!'''.t,,~.1C''~,. ,\~ .:.:1.:;_ ",', ". ::1':;;;'_ " " _ i~
$ 63.00 $
$ 63.00 $
$ 63.00 $
$58,00 $
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(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
(B) Emer 12% surcharge (.12 x [A])
(C) Technology Fee (5% of [A])
TOTAL fees and surcharges (A through C):
$ /Lf- oV
$ /C,..f;2-
---
$ '7 < ~
$ 1&4;r7
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line'
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00598
ISSUED: 0512012010
APPLIED: 05/12/2010
EXPIRES: 12/03/2010
VALUE: $ 5,000.00
Status
Issued
SITE ADDRESS: 657 54TH ST
ASSESSOR'S PARCEL NO.: 1702331304300
Springfield TYPE OF WORK: Garage
TYPE OF USE: New
PROJECT DESCRIPTION: Garage nn existing slab - see COM2003-01186 for original permit.
Residential
Owner: WALKER HORA no LEE & IV ALO N
Address: 657 54TH ST . . .
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION .
Contractor Type
General
Electrical
Plumbing
Contractor
OWNER
OWNER
OWNER
License
Expiration Date Phone
BUlDDlNG INFORMATION ~
';.J" J",. '; . ,~
# of Units:
Primary Occupancy Group:
Second"ry Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
#,,~f Stories:
Height of Structure
'Type of Heat:
"'''tel' Type: .
R"nge Type:
Energy Path:
Sprinkled Buildine:you to n/"
t~E~~~
N,otl~~952-001-oo10thrOUgh OAR 952-001.
o You may oJillB\n1dl.l!lpu:of the rules by .
Ong the ce~t.ftlO1Elie\Qi!:::-
_ fortl)~~Du.\!iti' 9t
~OO Center 1l%1~ ~~
2.50 .
VB
U
13.00
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaJ':lge/Carport 576
Sq Ft Other:
Occupant Load:
Fronty"rd Setb"ck:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Yes
27.10
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
.,
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, 1\\]1\-101'\2 0 OR IS t>.6t>.N
COMMC\'lCo~'l p~RIOD.
AN'l ~ 80
Paee 1 of 3
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Status
Iss u ed
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00598
ISSUED: OS/20/2010
APPLIED: 05/12/2010
EXPIRES: 12/03/2010
VALUE: $ 5,000.00
I Valuation De.scription I.
r; :;'
Description
$ Per Sq Ft
or multiplier
$1.00
Estimate
Tvpe of Construction
Estimate
Square Footage
or Bid Amount
5,000.00
Value
Date Calculated
$5,000.00
$5,000.00
05/12/2010
Total Value of Project
'.','.-
$546.23" ,
I Plan Reviews I
05/19/2010 05/19/2010 APP DJB
05/19/2010 05/1912010 APP DDK Minimum setback from front
property line to garage is IS'.
05/19/2010 05/19/2010 A'PP LKW
05/1912010 OS/2012010 APP CJC
..
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Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Garage/Carport
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
SDC Storm - Reimbursement
Storm Sewer - 1st ]00'
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
$56.71 . i ;
$19..59 '. .
$8.16' .
$87.25
$119.00
$0.69
$13.86
$76.00
$16.92 ..
$7.05.~..~.L.,..,.",.... " .
$60.00"'..... ...... .....", ...
'I"l' "'}.
$81.0..0.,\:,;.::,'..:"', . '""',
. ",..,. ,""'f'"
Total Amount Paid
Initial Review
Plaonine: Review
Public Works Review
Structural Review
Date Paid
Receipt Number
5/12/10
5/20/10
5/20/10
5/20/10
5120/10
5120/10
5/20/10
5120/10
6/7/10
.6/7/] 0
. 6/7/]0
6/7/]0
2201000000000000490
2201000000000000545
2201000000000000545
2201000000000000545
2201000000000000545
2201000000000000545
2201000000000000545
2201000000000000545
2201000000000000644
2201000000000000644
2201000000000000644
2201000000000000644
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..I3eouiredJnsnections ~
Special: See Plan Reviewer Dr Inspectors N,~~~~,{fo.r.'.~P~~i~~ ~equirements. .
Framing Inspection: Prior to cover and afteiaIl rough in inspections have been approved.
.':';.-:';"},;'.; ;L1;:..l'-< .
Storm Sewer Line: Prior to filling trench. -.;,:.'
. "
,
Pa2e 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
"
'"
PERMIT NO: COM201O-00598
ISSUED: OS/20/2010
APPLIED: 05/12/2010
EXPIRES: 12/03/2010
VALUE: $ 5,000.00
Status
Issued
Final Building: After all required inspections have been requested and approved and tbe building is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
. .
By signature, I state and agree, that 1 have carefully.,examiued,the completed application and do hereby certify that all
information hereon is true and correct, and 1 furth'er'ceriitY'lhaiany and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the L~)ii;s\of the);tate of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made ofany stmcluie without' permission oftbe Commnnity Services Division, Building Safety.
1 further certify that only contractors and employeeTwho are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensnre that all required inspections are requested at the proper time, that each address is readable from the
street, tha't 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.
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Owner or Contractors Sign~ture
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ID
Date
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Paee 3 of 3
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, 'Oregon 97477
541-726-3759 Phone
RECEIPT #:
Date: 06/07/2010
9:01:14AM
2201000000000000644
Job/Journal Number
COM20 1 0-00598
COM20 I 0-00598
COM20 1 0-00598
COM20 1 0-00598
Payments:
Type of Payment
CreditCard
cReceintl
Description
Perm Serv/Fdr 200 amps or less'
Add, Alter, Extend Cire Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
81.00
60.00
16.92
7.05
$]64.97
Paid By
L H WALKER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
NJM
00707b In Person
Payment Total:
$164.97
$164.97
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Page I of I
6/7/2010