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HomeMy WebLinkAboutPermit Electrical 2010-8-10 .' , r ..,+. ':l r I " . ,-'."'."'" ....."'ri..- This permit is issued under OAR 918-309-0000. PerIiilt~ ~~e;;~'ntransferable. Per';'its expire if work is not started within 180 days of issuance or if work is suspended for 180 days:'~' "';':;,? . ;::.It~'f, '. 'I..OCAI: GOVERNNlENTAPPROV At' Zoning approval verified? 0 Yes 0 No CA'tEGOR'f OF CONSTRUCTI0N . .' Elect'rical Permit Application 'CITY (9]fSRRINGFIEEB,. @Ri<:iON~ ~',: __ ~~ ~ .-% iff 6~~ ". ~'" 't~.J',#,,~"%,'~:'M4"" ',; 225 Fifth Streett Springfield, OR 97477. PH(S41)726-3753tFAX(541)726-3689 D Residential D Government D Commercial JOB"SITE' INFORMATION.'AND'LOCATION' ,S Job site address: 2,?:>o1- (\.1 A "" .",--r- City: -:'Y e..l......~ \-0,,,,.,, Reference: ZIP: '( 7,/ DES.CRIPTION J)!;';'WORK 'i="1'l. ,.. Address: 191 City: 4rlI'1 Phone: E-mail: This installation is being made on residential or farnn prop~rty 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 JNSTALLA:rION ".:;,.<.~ €r\...\(.\,,"'~ Address: ?-D ~u,.. City: c:.. e........s""" \ \ Phone:S<(1 .er>: Lf '-16 (., E-mail: c.. - '7>€R..,c'~.s CCB license no.:/7 SI '7' Print name of signing supervise . Signature of signing supervisor: ..... ----:-:"--i ~ ~ r-b~ ~<7 . "..;....'s. . .~H\. iN. "".~~ ~..~o;f; .,,' ,,~\\j \s) 440.2584.) (9/08/COM) . SPRINGP'IELO .:-:;<-':::< - , H Ft' ,__~:""}{ [: ...1h,~'_J. 'j 12':::( ., '<~ ".:: DEPARTMENTUSEONL Y. Pernnit no.: !I/( ...)jt7i?;;?,Vl 0 ... tb ~ Date: '5110 (0 ,'"'~-,- ~, " " . FEE' SCHEDULE ' ,,' Number o.f!nSpect!~nS'per'i!em ():'" Qty. Cost' . Total . ea; ,;.) ..'cost,' Residential, per unit, service included: 1,000 sq. n. or less (4) $134,00 $ Each additional 500 sq. ft, or portion $ 25.00 $ thereof ' lOimited energy (2) $ 32.00 $ 'iEach manufactured home or modular $ 63.00 $ 'dwelling s.ervice 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 $ 60 I to 1,000 amps (2) $205.00 $ Over t ,000 amps or volts (2) $469.00 $ R~fonnect 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. F;~ for branch circuits with purchase ofa service or feeder fee: E~ch branch circuit $ 6.00 $ ?', Fee, for branch circuits without purchase of a service or feeder fee: First branch circuit (2) I $ 55,00 $ 5'5' Each additional branch circuit "'2. $ 6.00 $ /2- 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 panc1, $ 63.00 $ alteration, or extension (2) ~a.~h -ad,ditional inspection: (1) $58,00 $ ;, "",, ;,':,- ..:....',:;'iApf,>L1CANTUSE." '.. '. :"\,,r..e (A) Enter subtotal of above fees $~1r:g (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) $ g P'f (C) Technology Fee (5% oflA]) $ J~ TOTAL rees and surcharges (A through C): $ 78 3:1... ,~, '.", .hi ~.. ~ ... www_ci.springfield.or.us CITY OF:,$P;RI,~GFIELD Building I i~o,~',rO'in:;fCial Permit , 1.~, '." . PERMIT NO: 811-SPR2010-00029 IVR Number: 811145937783 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: 8/10/10 APPLIED: 8/10/10 EXPIRES: 2/5/2011 VALUE: $0.00 SITE ADDRESS: 2302 MAIN ASSES OR'S PARCEL NO: Springfield 1703364203000 SCOPE: WORK INVOLVED: TYIlE:'OF STRUCTURE: PROJECT DESCRIPTION: . "i.: ~ ~ 3 circuits for HVAC syst~m'~,. , ; ';, ,; ~. ':" OWNER: ADDRESS: JAROGAMOON l l C 191 PEACHTREE ST NE STE 1500 ATLANTA GA 30303 {; Phone Number: Contractor Type Contractor Name RITE ELECTRIC INC CONTRACTOR INFORMATION ~ Lic Type eeB Lic No 178518 Lic Exp 09/25/2011 Phone 541-895-4466 # of Units: o BUIUJING.INFORMATION ~ ATTQ:;;;PfIi\\';1f<'-'f[Qn, law'r,eijlitffiEwruJtm f#, ol,Stories:, ,<;~k))J\<1d :l;Wtth:e CQ)HgJDllI UllIIiIU'6t Size: I\Heiii~~9fiStructure:. [!m1BflliIleSJal1ffisettfbrsIQ1Ft 1st Floor: ,\~,D~fif~f.ft9li1-i!i~::~l\l'r~iDtUgjiil (i)'P.i819152,'([Bm- Ft 2nd Floor: @i"~~', ','6)1" ":'1111 6115t<\II"' COP'9S: oiitlile, nudes: 13% ~~:~gri<\''if ~lwife~:, ~N'0te:: the tel'epho~eSq Ft Basement: mnllY.sWiLO(. iffe Oregon Utility N'otlflcatlo6q Ft Garage: H t Ceme( is HlOo-332-2344). Sq Ft Carport: azma: Sq Ft Other: # of Bedrooms: Sprinkled Building: Fire Alarms: .....;.,---. Occupancy Load: Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Electrical Special~.S9~e E~.ition: Springfield Fire Code,'Edition: Me~~,~'niba'l Specia'liy Code Edition: MUnicipal.! Development Code: Plumbing Specialty Code Edition: "", ~~~iflk:~~~~'tyC cO~~;;:;F~~~~OR1< 'I if HIS P IS NOT , AB fOR COMMENCED OR IS ANY t81i! DAY- PERIOD. :..l~g' t~i~t~;~t~j~: .:, ,; ~. '.. ~;~'nin- ~};':1~~?; 'j " 11.~ ,(~i'; Energy Path: Springfield Building Permit '8/10/20'10 3:1?:62PML.\ . ;" , I' ~~Y,",;:,:,~;.,", _, l~ i\:;( L ~ ",,1 . ~ ~t: T':~!',:;r;i,~ i~ ",' Page 1 of 3 ','II i .j" CITY OF SPRINGFIELD Building I Gc;>mmercial Permit. t l~!~. - ,:)~' ~'P,; '. _.,1 'j PERMIT NO:'8f1,-Sp,~201 0-00029 IVR Nurtib~r: 811145937783 www.ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/10/10 APPLIED: 8/10/10 EXPIRES: 2/5/2011 VALUE: $0.00 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726-3676 permitcenter@ci.springfield.or.us SITE ADDRESS: .2302 MAIN ASSESOR'S PARCEL NO: SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Springfield 1703364203000 PROJECT DESCRIPTION: 3 circuits for HVAC system DEVELOPMENT INFORMATION ~ . t l".'1. . ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: '-- ,,~.' >e" O'verlay'Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coyerage: Highest point on structure to north properlY line: REQUIRED PARKING Total: Handicapped: Compact: PUBliC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: - ,- . - -,. .8::[1" l{PHt'lf' "1.\)1 '. './,'j~ ,^. : ',- . ~ Sidewalk Type: J.!t?tn.::- . ';j'~ 1'i ".. l?ownspoutlDrains: Descriotion .t.Valuationp~~,c'ription I , ., <".j"f" L ... " ,,"'\' ,,,"'~~'..' . ;.,',. . Type of Construction:_;;::, Unit Amount Unit Tvpe Unit Cost Value Descriotion Branch circuits without service or feeder ~ 1 st circuit Branch circuits without service or feeder - each additional State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid ".. "'-<. "',". *<, f'!/;'{~- !~1 ;:;;-f:,~ '..,- ~_.~, %J;:;-;:;\j{5f.gl;_~~..p"'~!P' - ~_. - -;;'"7 Amount Paid Date Paid 06/10/2010 06/10/2010 08/10/2010 08/10/2010 , ";;1.-<',,,',> $55.00 $12.00 'l~~t ,$8.04 J .,~;; ~~~'~":'.~$..,.$'37-. 8;:~.'33,59'~~,1' ")'-~.';h c . ~~h<35t .:. '~'l 1 ' -- 7 .-...... ',; - -" 'p,".; Receiot # 224412 224412 224412 224412 Springfield Building Permit 8/10/2010 3:15:02PM L,: 'i,' 'i,:{;ji~:;""" ;: Page 2 of 3 S_.P..RI..NG. FIE~ .- . ;, ,~ , ':\ ORfGON www.cLspringfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 CITY OF ,SPRINGFIELD , "",,' J. Building I Commei'c,ial Permit . ~ . : ~ ,).''1; ~f"'.' PERMIT NO: 811-SPR2010-00029 IVR Number: 811145937783 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/10/10 APPLIED: 8/10/10 EXPIRES: 2/5/2011 VALUE: $0.00 SCOPE: .,:'';, ,'," "'n" ,WORK INVOLVED: i ( , :t'_ ~,fr;.:t \;;;<':-;;';T'YPE OF-STRUCTURE: ;t.: f" - j,:!!' , : ,<l'r:' 3 circuits for HVAC sys~emS~ .-~ 't' 1 ,.,',-e-" "_O'~"<"~'" '2, ~'t:J,"':,pian Revie'W:..-'''':t SITE ADDRESS: 2302 MAIN ASSESOR'S PARCEL NO: PROJECT DESCRIPTION: r; F "..... ' ~~.. ...~ :.~ i"'"' 1-,"'0'<:" ~"~-i-i'- DeDartment 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 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 Springfield 1703364203000 Due Date 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 ComDlete 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 0?11 P/2,~1? , 08/10/2010 . 08/10/2010 ,,",t;'::/." -.,,--, . ,:~~:..~ ~ *~"~\-..: .~=~__".--~~_~~~J Reviewer Comments Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Result Over the Counter Over the Counter Over the Counter Over the Counter Over the Counter Over the Counter, Over the Co~nt~r Over tt)e:Co~nierl: 1, '.!n ,...-" ; i, . Over the ~ounter Over.th~:Counter Over the Counter Issued 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 Inspections 4500 Rough Electrical 4999 Final Electrical ~ INSPECTIONS REQUIRED !;'1. \, 1<\ ,~"t' ..~~ .,. " ,,' By signature, 1 state and agree, that I have carefully exam,i~~q:th~~c.?!jWJ~ed.apPlication and do hereby certify that all information hereon is true and correct, and I further certify thcit1any al"!d all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the~&ate,or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permi~~iori 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 require .inspections are requested at the proper time, that each address is readable from the street, that the permit ca _ is located the front of the property, and the approved set of plans will remain on the site at all times during construe io Owner or Contractor Signature Springfield Building Permit "i- ~ /;D /ID Oat!' J '~ ' ; .~:r,:::~:;:;:iL:,',~ ' 1: f ...: ,\b . ,;-.~~'" ,. 'i.' '--~-~~~~', ': , ::"',1,;,1<811 O/2i:110ft:S':15:02PMP;. .,' n~3! I ,';~ ~I~::-';:;:' '. " ",.:-;~j&. ')(';"'_1:.; 1 .i2~TT' Page 3 of 3 . ~~, ,. . ." , SA~~N~E~ ~ ~'O'REGON TRANSACTION RECEIPT www.ci.springfield.or.us CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@cLspringfield.or.us DATE: 08/10/2010 RECORD NO: 81 I -SPR20 1 0-00029 RECEIPT NO: 2010000035 l!i~]::RIPTI()~~]>-"IJ,-Jit"",,~Ji-"'- ",. ", WC. _42,' Branch circuits without service or feeder - 1st circuit Branch circuits without service or feeder - each additional '; " )>.,r7~CCOljNT~CODE::; ,.''.. {"'j"MOUNU>:UE~~..:_;j 224-00000-426102 224-00000-426102 -.--------- 821-00000-215004 -------- 100-00000-425605 TOTAL DUE: ?tate of Oregon Surchar~l!?% of applicable fees) Technology fee (5% of permit total) l:PAY.IYIENTu-TVPE "",-'pAvOR" . CAStill~f C_CARPENiER:' _ (QiVlJ<1ENJ:S-, Credit Card rite electric 085708 ':::-,~ I::. .:,:;"...t. -f,",' \, ,- '-";',,-. ,...,. . ~, ,it.!'(',i... "t. '.-" $55,00 $12,00 $8,04 $3,35 $78,39 'AMOUNT pAID- ,~ $78.39 . .j