The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2010-6-23 Electrical Permit Application ~ . :,,,,,,,,,...~;:., ,,- '., ~~ . + '.' .~~.."~' . '~~.;: "CITYOKSPRINGFIE-LD" OREGON: ~'- _:J.". l~'=""'2.-<":.l'~...;,J --~-"-,"':'"'<ct+:.,,,,"i-: ."<"11~;"~"'."!J":f\+';!:'. ,:-'l~\~". 225 Fifth Street. Springfield, OR 97477tPH(541)726-3753tFAX(541)726-3689 DEPARTMENT USE ONLY Co........ z..cco-c>ob7 Pennit no.: Date: t~Z-3' 0 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. 200 amps or less (2) $ 81.00 $ 20 I to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Or,er 1,000 amps or volts (2) $469.00 $ Y Phone: _ _ ATT rr:<%._ : _ ,':';';he (lreg n nect only (2) $ 63.00 $ E-mail: lUlI:-'" ' ion Center. Those rule,:! ~~ s ~rary services or feeders: installation. alteration. relocation This installation is being ma~ ~ ;;t'th 9:~s or less (2) $ 63.00 $ owned b)i me or a member o_!'l\lUIIlll!la~ . tbA te B~phil\ll8lo 400 amps (2) $ 8700 $ property IS not mtended for sal~'lll8 ~r.r . ~f.i!": .... . 479.540(1) and 479.560(1). IIIImber for the Oregon Utility Nc "" :&tllll!, 600 amps (2) $126.00 $ Signature: Center 111-800 332-234'. Over 600 amps or 1,000 volts, see services or feeders section above . CONTRACTOR INSTAllATION .' Branch circuits: new, alteration, extension per panel Business name: /7lJ /ir 7- ;: /t!?-IJ/'i' 'c. ~ L a. Fee for branch circuits with purchase of a service or feeder fee: Address: J'7 '?o IV '28"1J, j'f- Each branch circuit $ 6.00 $ City: _30,^;h~ -h'..!-!d 1 State';' oIL" -I ZIP: 7'7l( 7 ~ b. Fee for branch circuits without purchase ofa service or feeder fee; Phone:stfl -717- 2--z..1 '3 I Fax:s~ I -7U- 02.. -Z 1 First branch circuit (2) I $ 55.00 $ .''is;:''' E-mail: tr/t..--fe/ec. f.6J\IV10 c.-"'\.. Each additional branch circuit / $ 6.00 $I.~ CCB license no.: /:? '77 7.-- I BCD license no.: Zo -5 S' G Miscellaneous fees: service or feeder not included Signing supervisor's license no.: SDt,- 5 Each pump or irrigation circle (2) $ 63.00 Print name of signing supervisor: <-;; req /Id r k/,."r-tD Each sign or outline lighting (2) $ 63.00 S' f" ,/' / / Signal circuit or a limited-energy panel, Ignature 0 S1gnmg supervIsor: / /11/ "M/) alteration, or extension (2) $ 63.00 $ / V I v f Each.~~.~.i.!lqni'-hi~~pection: (I) $58.00 $ t$.\O NOT\CE~M1T S1-\t>.\J. '~~i~Jt~~;S~;:~::AIiITA;USE1;j;t; i{~;;:i;i~:;;;",::i;;,;;' \. \~ 1~~:iR\IEO UNW TMlil.f~1~~~Je;~~58.00) $ \'" ~OMMENCEO DR IS ~~tur~_harge(.12 x [A]) $ ~ P-.N'{l BO OP-.'{ PEfl.\UI(t;:) Technol~gy Fee (5% of [A]) $ TOTAL fees and surcharges (A through C): $ 'LOCAl'GOVERNMENTAPPRovAG',:..,.';':'" ;e" Zoning approval verified? DYes DNa i.: ,~" ; '::CATEGORY\,..OF, '-..CONSTRUCTION},;"," ':'-"~:" D Residential 1 D Government I..Q-E:ommercial ~-r.q:!i.:;,JOB'j:SITE:;INF.QRMATIOIil;'AN[j'C(jCATcION;i;'i!!~:f,; Job site address: 250 AI .ff. City: (D,/'."L:1.'.<.// State: Of2- 1 ZIP: 9'71//'7 Refere~~e: I? 0 '3 :3 S ~ 2 I Taxiot.: 0 l700 o , DESCRIPTION, OF WORK";'" :,;,;,' /JeJ.l Fb.'1.'W,A.,:T S";"'-h"/J', -I;'" J 71K Name: PROPERTY ..oWNER ' $0\ S 25'0 /1- ~T S.:j> F ~ State: 0-0- I ZIP: 7 Address: City: ~ ~ ^o...\;\ -/.);v 440-2584-) (9/08/COM) ;">: c~. ,i';i/?;P,!_f'~i;i}~}7;~,fJ;:"~:;::<f:'fJ:E'~1SCHi:b"QJj-E~,}\r;{!~-~-;,m~tW}\\~rr9~~~;fJ} . Cost Total ,', ea::" ~ost Num~er ofinspectio'os per it~m' i)..., Qiy. '. '.", - > ,.' ',: ....:-.~. " '.. \~" '--.~',' . 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 $ $ b( 71Z ')0.> 7/).21 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00676 ISSUED: 06/03/2010 APPLIED: OS/26/2010 EXPIRES: 12/23/2010 VALUE: $ 21,758.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 250 A ST ASSESSOR'S PARCEL NO.: 1703353202700 Springlield TYPE OF WORK: Oflice TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Relocate vacnnm teller nnit Owncr: SPRINGFIELD UTILITY BOARD Address: 250 N A ST SPRINGFIELD OR 97477 '., , Phone Nnmber: 541-744-3776 I CONTRACTOR INFORMATION ~ Contractor OWNER --..".. ALERT ELECTRIC INC 12772 I BUILDING INFORMATION ~ # of Units: ATTe-mON: Oregon law requirllSlN~\gries: Primary OccnpWftllWfa\lil3 adopted by the Oreg~ mmStrnctnre Secondary OccIlllftHlG'att6Al(];Jenter. Those rules ar ~\ _ eat: Primary Const,tt'l!iAPl1l52e()01-001 0 thro~gh OAR ;fIJ ~pe: Secondary Cont1l59!ltiOfbimlV obtain caples of thElt ~ tpe: # of Bedrooms: caliing the center. (Note:.t,he tel c"iJrfath: number for the Oregon Utlhty23N440) prniKled Bnilding: (:gn+6r iA 1 ~a00--332- _. I DEVELOPMENT INFORMATION ~ Contractor Type General Electrical., License Expiration Date Phone 05/22/2011 541-747-2213 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: . Occupant Load: n/n " ; REQUIRED PARKING Total: Handicapped: Compact: . ...."~........ ..._ ..-.,'. e',. ~ -- . - - -~.. . Front yard Setback: Side I Setback: Side 2 Setback: Rea."}'ard Setback: Solar Setbacks: O,v~rlaY:Dist: -#Btreet Trees Rqd: Paved Drive Rqd: 0;. of Lot Coverage: I PUBLIC IMPROVEMENTS ~ Street Improvements: Sidewalk Type: DownspoutslDrains: Storm Sewer Available: Special Instrnction: ~ ~ : e, ' ,'.'. NOTICE . ':0'\"",:;;ii.,~;<:"j..'~:;"'''' . 0" .. ".,.," THIS PERMIT SHAll EXPIRE IF THE WORK,. AUTHORIZED UNDER THIS PERMIT IS NOT ;~ COMMENCED OR IS ABANDONED FOR ."",', , . ANY 180 DAY PERIOD. Notes: . 'C" Pa2e.1 00 .U"i't' ;!J!..);,. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description Plan Review/Com,lnd,Pub Hourly + 12% State Surcharge + 5% Technology Fee Building Permit + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Initial Review OS/27/2010 Plaonine: Review OS/27/2010 Fire Deoartment Review OS/27/2010 ~.,~~ (1))~ .~V' ,;", 'Mt!','H ", "T"l', f',' I Valuation Description I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 21,758.00 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00676 ISSUED: 06/03/2010 APPLIED: OS/26/2010 EXPIRES: 12/23/2010 VALUE: $ 21,758.00 LLH EMM GRG Public Works Review 06/0112010 06/01/2010 APP EAW Structu ral Review OS/27/2010 06/02/2010 APP CJC SUB Review OS/27/2010 06/02/2010 APP JF ." Page 2 of 3 Total Value of Project ~' ..- " . .,-:";:2, ;,' tn! Amount Paida~:,,' "'-ro' ~i: . Date Paid $58.00 $30.36 $12.65 $253.00 $7.32 $3.05 $55.00 $6.00 5/26/10 6/3/10 6/3/10 6/3/10 6123/1 0 6/23/10 ,6/23/10 6123/10 $425.3.8"'0' I Plan Reviews ~ OS/27/2010 APP OS/27/2010 APP '~~:~1~~: :~l~"'~~~;,;, .-i'r-<~r ) ~~- j" ....,~ " 06/0112010 APP Value Date Calculated $21,758.00 $21,758.00 OS/27/2010 " Receipt Number 2201000000000000577 2201000000000000623 2201000000000000623 2201000000000000623 1201000000000000744 1201000000000000744 1201000000000000744 1201000000000000744 NOTE: Equipment Vendor for this project is Diebold, Inc - 503-469-1716 To be constucted per approved Final Plan for Planning case number DRC2010-00007, Please call Andy Limbird at 541-3784 for Final Site Inspection prior to operating system and Final Buildiug inspection. PLEASE GIVE 48 HOURS NOTICE Plans Review: relocation of vacuum teller equipment/unit. Job #COM2010-00676. Plans appear to meet code requirements. As submitted passes energy code review. Inspections to be conducted 203, 209 CITY OF SPRINGFIELD Building/Combination Permit Status Issued . r';}.Nii.' ~~~1:f';,~t: ,. ,. , 225 Fifth Street, Springfield, OR 541.726.3753 Phone 541.726-3676 Fax 541-726.3769 Inspection Line " .,.... ;'., ',;' PERMIT NO: COM2010-00676 ISSUED: 06/03/2010 APPLIED: OS/26/2010 EXPIRES: 12/2312010 VALUE: $ 21,758.00 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. Rea~.ired' InsDections ~ Framing Inspection: Prior to cover and after' all rough in inspections have been approved. Final Building: . After all required inspections have heen requested' and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. . SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspecti,o'f{s ha.ve~been requested and approved. -', . '.: 'I~- '.. :;'.~" .r^"" ", 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 furthei' '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 OilS 701.005 will be used on this project. I further agree to eusure that all required inspections 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 ~, . ,I .. ~~;l Date ~..".H " ,.. " . '. '~~~i~':' :.:~J \~~i2,~, to ; >.;'-"''''''-'. f'l~ ,~ ~'.~ 'I i .. Paee 3 of 3 J "::' ,'-':'. 225 Fifth St!:eet Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000744 Date: 06/23/2010 9:44:02AM Job/Journal Number COM2010-00676 COM2010-00676 COM20 I 0-00676 COM20 I 0-00676 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add ";,\:: ,.;;, + 12% State Surcharge ' + 5% Technology Fee 't, "t)' ", Amount Due 55.00 6.00 7.32 3.05 $71,37 Payments: Type of Payment CreditCard Paid By ALERT ELECTRlC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 023198 In Person Payment Total: Amount Paid $71.37 $71,37 ~,'j;,V.l'-.:'j Ii ,. ,!, ~ ,,;, :.'<' ; ......;; i1 ;I{;.W" !." cReceintl Page I of I 6/23/20 I 0