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