HomeMy WebLinkAboutPermit Electrical 2010-6-30
Electrical Permit Application
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225 Fifth Street. Springfield, OR 97477t PH(541)726-3753 tFAX(541)726-3689
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COtN\'Z.oo8'-O/E,47
Pennit no.:
Date: 6-30 -/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. '
~
ATTENTION: Oregon aw requires you to
. follow rules adopted by the Oregon Utility
~ '. Notification Center. Those rules are set forth
W In OAR 952.oo1.00101hrough OAR 952.001.
X 0090. You may obtain copies of the rules by
~ calling the center. (Note: the telephone
~. 'number for the Oregon Utility Notification U
Center is 1-800-332-2344). ....".J
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, , lOCAl'GOVERNMENTAPP.ROV Al!" " ..' .
Zoning approval verified?, DYes 0 No
. ' CATEGORYfOFCONSTRUCTION:'
D Residential D Government ~Commercial
~g,:~;,~;:,j.OI3S:SrrE' INFORIViATIONrAN[j;'I1QCA'fION~i1';';?"
Job site address: /lcJJ'-m IJ
City:
ZIP: 71('7
70.:nS3L Taxlol.:Of{O/
. DESCRIPTION OF WORK" .:".
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CNL t-xr T7~ CrIZUI.,
PROf>ERTYOWNER
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Name:
Address:
City:
Phone:
E-mail:
This installation is being made on residential or fann 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).
ZIP:
Signature:
. CONTRACTOR INSTAllATION.
Business name:
Address:
City: '
Signing supervisor's license no,:
Print name of signing supervisor: _ ,.
Signature;of signin+g supervisor:
440,2584,J (9/08/COM)
,~'. : ::' .1 ~':;:~~'~.:":'7~};r:5C~":'F-EE'2SCH ED.(Jtjet:.:.';'!~:;t(f.;W;~}}:p.;f~'t;.~t~!~i~~t'f
,.Nu~~er' or.Y~specti~'~s .~~.~ .~,t~~, (.) . Qiy. Cosi' .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 $
401 to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $2.05,~0> $
Over \,000 amps or volts (2) ,.., 'Sj/,', "'$'469.29.\ $.
<-'i'fl"1 .~~.
Rec~~~~ i!~2) ~m\Ul \f . $~. .
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Tem~;~~!:y~f'\v.\'I'\'llln~~~ ' r:'~catlOn
200 "l\'P\s\o,!\tJ~\@D ._.... ~RJ\N ONt'U$' 63.00' "$
201 t~;1P,q)i.",psNi)tu. ~~\Q\nD. ...--,
$ 87.00 $
401 to,6M''ari.Iis'.!N/-\\ , $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 $ 6.00 $
p. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2) / $ 55.00 $ 5f-
Each additional branch circuit ,;J.. $ 6.00 $ IZ>----
Miscellaneous fees: service or feeder ':lot included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a Iimited.;energy panel, $ 63.00 $
alteration, or .extension (2)
Each additional inspection: (I) $58.00 $
,ir?;,:,}~'.[~~3:~t~~~1~'~~;'fr/t~~:'AR}~,cicANti:i'U'S EIL,~;~.: '.;UI.,: ~;>..',
(A) Enter subtotal of above fees $~7-
(Minimum Permit Fee $58.00)
(B) Enter 12% surcharge (.12 x [A]) $ 'l..olf
(e) Technology Fee (5% of [A]) $ 3,35
TOTAL fees and surcharges (A through C): $7ff.31 /'
. ,,, ~ ,.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01649
ISSUED: 11/12/2008
APPLIED: 11/12/2008
EXPIRES: 12/30/2010
VALUE: $ 3,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 112 A ST
ASSESSOR'S PARCEL NO.: 1703353201101
Springfield TYPE OF WORK: Carport
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Enclose East side of coyered hreezeway
Owner: SLACK TODD P & JOY L
Address: 112 N A ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION .
r': ~ OJ 11.
Contractor Type
General
Electrical
Contractor License
OWNER
LIVEWIRE ELECTRIC'INC 56697
BUILDING INFORMATION ~
Expiration Date Phone
05/16/2012 541-344-4928
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
U
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:..; -
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
18,295
VB
No
I DEVELOPMENT INFORMATION .
REQUIRED PARKING
Front yard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
- Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o~o_ of Lot Cove~age:
'l'-,"'
.' ;;J.t~";t, '~~';"'::;""':_~'_:'.. "
Total:
Handicapped:
Compact:
I PUBLIC-IMPROVEMENTS,
Notes:
Street Improvements:
Storm Sewer Availab,.hTTENTlON: Oregon law requires you. to
. . 'f6now rules adopted by the Oregon Utlll1y
SpecIal InstructIOn: Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001.
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center Ie 1-800-332-2344).
Sidewalk Type:
DownspoutslOrains:
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NOTICE: . , '0"'_"
THIS PERMIT SHAll EXPIRE IF THE WORK .,,:
AUTHORIZED UNDER THIS PERMIT IS NOT,,:;
~OMMENCED OR IS ABANDONED FOR "<<'
\NY180 DAY PERIOD. -
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225 Fifth Street, Springfield, 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: COM2008-01649
ISSUED: 11/12/2008
APPLIED: 11/12/2008.
EXPIRES: 12/30/2010
VALUE: $ 3,500.00
Status
Issued
I V alu~tion Description I
Bid Amonnt Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
3,500.00
Value
Date Calculated
Description Tvpe of Construction
Total Value of Project
$3,500.00
$3,500.00
11/1212008
~
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid'
Date Paid
Receipt Number
$6.97
$8.37
$3.49
$69.72
$8.04
$3.35 ,
$55.00;-::;:'
$12,00';,:'-
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11 /12/08
11/12/08
11/12/08
11/12/08
6/30/10
6/30/10
,6/30/10
., 6/30/10
1200800000000001129
1200800000000001129
1200800000000001129
1200800000000001129
2201000000000000777
2201000000000000777
2201000000000000777
2201000000000000777
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Total Amouut Paid
$166.94.".
I Plan Reviews ~
.
.
To Request an inspection call the 24 hour rec?rding at'726;3,769. All inspections requested before 7:00
a.m. will be made the same working day, inspections re.quested after 7:00 a.m. will be made the following
work day. . ,,,.,; '.' ".f "t
~en'liih~1Jnsnections ~
Shear Wall Nailing: Before covering sheathing with finish materials,
Framing Inspection: Prior to cover and after all rough'in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete,
Rough Electric: Prior to Cover ,
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Final Electric: When all electrical work is coillplete~.. ~..':' .....
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Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01649
ISSUED: ll/12/2008
APPLIED: 11/12/2008
EXPIRES: 12/30/2010
VALUE: $ 3,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
''':>~ ,
:,:
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the La", o(th'aSta'te of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure'(;,iiiioutpermission of the Community Services Division, Building Safety.
I further certify that only contractors and employe'e!'Y,ho are'in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable 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
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000777
Date: 06/30/2010
I :42:20PM
Job/Journal Number
COM2008-0 1649
COM2008-0 1649
COM2008-01649
COM2008-0 1649
Description
Add, Alter, Extend Circ Hi'"",,,
Add, Alter, Extend Circ Ea Add N\\?:
!''''''''''
+ 12% State Surcharge '''1'11-:'
+ 5% Technology fee '\\~h;'
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Item Total:
Amount Due
55,00
12,00
8,04
3.35
$78.39
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Payments:
Type of Payment
Check
Paid By
L1VEWIRE ELECTRIC lNC
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
13138
In Person
Payment Total:
$78.39
$78.39
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