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Home My WebLink AboutPermit Electrical 2010-8-9 CITY or SPRINGFIELD. OREGON ._'NO....... iiii ZON Wi.::: INITIALS ~ DATE ~ SOURCE 215 FlITII STREET. SPRINGFlEW, OR 97477 . PII:(541)726--3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPUCATION City Job Number ~ II - Sf" (L -z..o I <:) - C> C CO l/ I. LOCATION OF INSTALLATION: 6f9 f \(J Date 3. COMPLETE FEE SCHEDULE BELOW Ybto ('<'cllo"\ S-\- .5tG y[)O LEGAL DESCRIPTION: /102 3ZlI Z. o-c:.zoo A. New Residential -Single or Multi-Family per dwelling unit. ~S-\al( n{,uJ MlLJ+(o.h<'~"" ("q~ip. Servieelncluded JOB DESCRIPTION: 1000 sq. ft. or less $121.00 Each additional 500 sq. ft. or portion thereof $ 22.00 Permits are Don6transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACIOR INSTALlATION ONLY Electrical Contractor ~,*IOV\ {-leckc Address ;::2\1-1 is,rch,;J:XI:\ ~ City ~~( ~ Phone "S'-i I - ~ -836 \ Supervisor License Number 5~ L( :rS Expiration Date to I () \ 110 Conslr. Conlr. Number (, ~ '5LJ Expiration Date 11 \ { \ t Signature of Supervising Electrician / \ fCtO[.f, ~hul~ Owners Name Ilr/A- J l?u~r.....~r Address .p~ Roy 7:561 City t:"ts. w-,v~. 61\. Phone 9- /<(01 OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Each Manufact'd Home or Modular Dwelling Service or feeder $57.00 B. Senices or Feeders - Installation. Alterations or Relocation: 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only c. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit ,-:s.5 8f .$-'13.00 $ 86.00 $143.00 $186.00 $426.00 $ 57.00 B! $ 57.00 $ 79.00 $114.00 $ 50.00 $'00 2/0 E. Miscellaneous (Sen'ice/feeder not included) -Each Installation Pump or irrigation $ 57.00 Sign/Outline Lighting $ 57.00 Limited EnergylResidential $ 29.00 Limited Energy/Commercial $ 52.00 Minimum Electric Permit Inspection Fee is $52.00 + Snrcharges 4. SUBTOTAL OF ABOVE 12% State Surcharge ~ 191L\d...;..;~L4:.", P..:,,,, 5% Technology fee Z 11 3-1( n If.{ }-r '3l.JD ~ TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application 7-08.00c t f ------~- CTry "" ~il.",,: ""'[~TQil . ;;';'<NTI( SVc ~ .' "',~ '" S7>{ STo.:... ~"r. > ....[IICr[Q :'C" (~~ D, OR 97'1l;> ~1J ~-3191 ' [u, [009 Sal~ :~~~Ilt: 70046Sa :-""'11/. 1tiS1ERcMo S14lJSSSss14(OJ4 ~ Code; f$44J; 1014/; 08:19:34 6P;~ll /nvoi~I!; J 1340. 41 199,-e-O!'too 4r:c<Jrd~"9 tQ 4y cobol/to tot,flJ O'1~rc:h",lIt C4t'r/ i~~r 'lit "'5r-P'f1fJr ~'t-t''''''"l t~ ,;,:/ '~I.rJ ~q~ Itso".;;;;-.... 1'Ir"C:h..f1/ C ~ YQ; OOy --~ -.., / '-. ( "" . SPRING FIEl~ ~4! __ '-!:/J . .., OREGON CITY OF SPRINGFIELD 22S Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 WNW.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2010-00004 IVR Number: 210181183889 permilcenler@ci,springfield,or.us PROJECT STATUS: Issued ISSUED: 8/9/2010' APPLIED: 8/9/2010 EXPIRES: VALUE: 2/4/2011 $0.00 SITE ADDRESS: 4660 MAIN ASSESOR'S PARCEL NO: Springfield 1702324200200 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Electrical Only Addition Commercial PROJECT DESCRIPTION: 'nstall new MCC, transformer and equipment OWNER: ADDRESS: HYLAND BUSINESS PARK llC PO BOX 7867 EUGENE OR 97401 Phone Number: CONTRACTOR INFORMATION ~ Contractor Type Contractor Name REVOLUTION ELECTf3.IC INC Lie Type cce Lie No 179066 Lie Exp 10/30/2011 Phone 541-505-8351 BUilDING INFORMATION' # of Units: I o # of Stories: , Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: # of Bedrooms: Sprinkled Building: Fire Alanns: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Energy Path: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 8/912010 3:53:15PM Page 1 01 3 SPRIN GFIEL;.ij ~- .~ (.. OREGO" www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00004 IVR Number: 210181183889 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/9/2010' APPLIED: 8/9/2010 EXPIRES: VALUE: 2/412011 $0.00 SITE ADDRESS: 4660 MAIN ASSESOR'S PARCEL NO: Springfield 1702324200200 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Electrical Only Addition Commercial PROJECT DESCRIPTION: Install new Mee, transformer and equipment DEVELOPMENT INFORMATION ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Disl: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Streellmprovements: Stonn Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvee of Construction Unit Amount Unit Tvoe Unrt Cost Value DescriDtion Services 200 amps or_less _ _ _ _ _ Branch circuits with service or feeder each circuit - -..--- ~ate of Or~on Surcharg~ (12% of~pl!!icaJ>~f~sL Technology fee(5% of pe_mlit total) Total Amount Paid __ _ . FEES PAID Amount Paid $81.00 $210.00 $34.92 - ---- $14.55 $340.47 - - Date Paid 08/09/2010 08/09/2010 08/09/2010 """",,"--..- ._-..,,- 08/09/2010 ReceiDt # 224396 -.--- 224396 224396 -_.- 224396 Springfield Building Permit 8/912010 3:53:15PM Page 2 of3 5P~I~.. G~L~ ~~ ~ORf.GON WNW.d.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00004 IVR Number: 210181183889 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: APPLIED: 8/9/2010 8/9/2010 EXPIRES: VALUE: 2/4/2011 SO.OO SITE ADDRESS: 4660 MAIN ASSESOR'S PARCEL NO: Springfield 1702324200200 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Electrical Only Addition Commercial PROJECT DESCRIPTION: L_ Install new MCC, transfonner and equipment elan..l~e.v.i.e.w Deoartment Application Acceptance Initial Review Electrical Review Mechanical Review Plumbing Review Planning Review Fire Review Public Works Review Energy Code Review Traffic Review Structural Review Permit Issuance Received Due Date Comolete Result 08/09/2010 08/0912010 08/0912010 Over the Counter 08/09/2010 08/0912010 08109/2010 Over the Counter 08/0912010 08/0912010 08109/2010 Over the Counter 08/0912010 08/0912010 08/09/2010 Over the Counter 08/09/2010 08/0912010 08/09/2010 Over the Counter 08/0912010 08/0912010 08/09/2010 Over the Counter 08/09/2010 08/09/2010 08/09/2010 Over the Counter 08/09/2010 08/09/2010 08/09/2010 Over the Counter 08/09/2010 08/0912010 08/0912010 Over the Counter 08/09/2010 08/09/2010 08/09/2010 Over the Counter 08/09/2010 08/09/2010 08/09/2010 Over the Counter 08/0912010 08/09/2010 08109/2010 Issued INSPECTIONS REQUIRED Inspections 4225 Service or Feeder -- Reviewer David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby ~ I Comments Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit Over the counter permit 4500 Rough Electrical 4999 Final Electrical Signature language: By signature, I state and agree, that' 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 wor\< performed shall be done in accordance with the Ordinances of the City of Springfield and the laws of the State or 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 inspections are requested at the proper time, that each address is readable from the street, Ihat 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. Date Owner or Contractor Signature Springfield Building Permit 8/912010 3:53:15PM Page 3 of 3 SP~I~NG~L~ L~ ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541.726-3753 WNW.ci.springfield.or.us permitcenter@ci.springfield,or.us RECEIPT NO: 2010000023 RECORD NO: 81 I-SPR201O-00004 DATE: 08/09/2010 ,DESCRIPTION. _ _ __ Services 200 amps or less Branch circuits with service or feeder each circuit Slale of Oregon Surchar9<:..(12% of app~icable fee~L Technology feeJ5% of pennil total) __ _ ___ ACCOUNT CODE AMOUNT DUE_ _ 224-00000-426102 81.00 - - - -- - - 224-00000-426102 210.00 - -- 821-00000-215004 34.92 -- -- 100-00000-425605 14.55 ------- TOTAL DUE: $340.47 _ AMOUNT pAID_ ___ $340.47 . L.PAV,MENT.T.YP.E___pAV,OR Credit Card jared olsen 06443z CASHIER: DBO'^"-.SBY _COMMENTS_ . - .1