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Home My WebLink AboutPermit Electrical 2010-8-11 , -.' Electrical Permit Application . I (CU'[J')Y@[P~!PTI~~ 225 Fifth Street.Springiield, OR 97477.PH(54l)726-37S3.FAX(S4l)726-3689 I~ DEPARTMENT USE ONLY ~((-SPtlZOl()-OOO 3S" Permit no.: Date: 8- /(-(0 This permit is issued under OAR 918-309-0000. Permits arc nontransferable. Permits expire if work is not started within 180 days ofiuuancc or ifworl{ i~ suspended for 180 days. $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ I' ~ :Q.ver-6,OO amps or 1,000 volts, see services or feeders section above n ,Z 'Vi...... CONTRACTOR INST ALLA TION AIr ifi Br""t!k';'j.'e~,l/~w. alteratio" extension per panel Business name: 5<-.,,, 9't- f.1., ..,r~... J: "... . 117 c.<], :~f/R;t l?e~Y.Rfolit!:a~dt'lwif&g~,r~hase ofa service orfeooer fee: Address: L.j 3 43 1"\ d i" 5;1"00" S # ,: .~~( o/~tlQ;t'l'i~p:eiM.ii;^'ne Or,,~es YOll '- $ 6.00 $ City: S ,r;"q +'\\ A I State: {J t<. ZIP: '17n'kllfh. n I1I~e"'!6CliJ~De'(. (i;M.",ir ~1!l,w{ch"til!f,)' service or feeder fee: PhoneS~/. 71f~ ?,gg S- FaxS01.7/'. 1 B '/ er OlFltiilij ~h (irRWR~ r::~R 95;>: 0"/11 $ 55.00 $ 55' E-mDiL .s Itw\S~'T ~)(q('l( I<l <:-."'c.ott. ~''T'Il@.rel\s<< lfiQ,e"j ;;;'P,?p&~j;erllle8'fk $ 6.00 $glJ CCBlicenseno.: /'>8 8~~ I BCD Ii 0-518(.. MiseeUaneODs'f1id{J~!/ii..~9rieJ("c1lided Signing supervisor's license no.: lS:io..6.-tr? /" Each pump or irrigation cj~~(2) ~(/01; $ 63.00 Print name of signing supcrvisoI% ~~ A .J~(\_\. Each sign or outline lighting (2) $ 63.00 Signature of signing supcrvisor:~ P.-/ AYi( S.ignal,circuit or a,limited-energy panc~ I $ 63.00 $ 1...'2. .: , ~ /7 ./ - ~tlOn. or extension (2) U'...; C j l-/ .~ ~v\~.\rr f:1.'~ V\Jt~ ",.\0 Each additional inSP~~o;~;~ANT USE o ~f1'" (A) Entersubtotalofabovefees NOTICE- ~...l (Minimum PennitFee$58.00) THIS PERMIT \)'. (B)Ent~rl2.~.sureharge (.12 x [A]) AUTHORIZED SHALL D(PI _eehnOl08Y Fee (5% of[A]) COMMENCED OUNDER TH/S . nQ~l'ehal'ges (A thl'ough C): ANY 180 R IS ABAN I' ,:; NOT DAY PER/OD. DONED FOR LOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No CATEGORY OF CONSTRUCTION o Residential I 0 Govenunent I 0 Commercial JOB SITE INFORMATION AND LOCATION Job site address: 3 3~ S-R'''' -!'rp~;- City: ~Or~"d~.Irl. I State On. ZIP:<Jl~f9 Reference: ,I I Taxlot.: DESCRIPTION OF WORK ^J~ ~ Clrc.....!t~ d I':ow VOIf II. I PROPERTY OWNER Name: S>>,..;M .(.;d6. Sc\".o\ O;~1'r'c:.'1" #Jq Addl'ess: S~~ Mill ~1'r(\'" City:5pri....(;.la I State: 01\ ZIP: Q7'177 PhoncSlJI-7J.' - ] ~S'Lj Fax.. E-mail: This installation is being made on residential or fann property o\'med by me or a member of my iImnediate family. This I property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: 440-2584-J t9/08/COM) FEE SCHEDULE Number of inspections pCI" item () Qt)'. Cost 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) J Sel"Vices or fecders: 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) $205.00 $ Over 1,000 amps orvolL<; (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary sen'ices or feeders: installation, alteration, relocation 200 amps or less (2) $ $ $58.00 $ $ jli~""" $ ~ .04 $ ?,O $11.(, II{ Sl.fI.-711f -V1 J/" S~R....ING.FIE~. ~;.. ". ..- '"!l'>2&'~ 1r<_,<~.....' OREGON www.cLspringfieJd.OLU5 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00035 IVR Number: 811129429371 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: Issued ISSUED: 8/11/10' APPLIED: 8/11/10 .;. EXPIRES: 2/6/2011 VALUE: $0,00 SITE ADDRESS: 333 58TH ASSESOR'S PARCEL NO: PROJECT DESCRIPTION: Springfield 1702343200100 SCOPE: Electrical Only WORK INVOLVED: Addition TYPE OF STRUCTURE: Commercial Add 5 circuits and low volt panel Phone Number: OWNER: ADDRESS: SPRINGFIELD SCHOOL DISTRICT 19 525 Mill ST : ..1.'>:" SPRINGFIELD OR 97477 Contractor Type Electrical Contractor # of Units: CONTRACTOR INFORMATION ~ Lic Type CCB BUilDING INFORMA TION ~ Contractor Name SUNSET ELECTRIC INC o # of Stories: I Height of Structur,e: Type of Ijeat: Water Type: . Range\Type:,"' (: ;.\'.- H'~fri,~'tr- # of Bedrooms: Sprinkled Building: Fire Alanns: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specially Code Edition: Residential Specialty C.ode Edition: Stru~~~~_Spe~,~~~!r 90de Edition: )~!}~!; Site,irtformation - ,~, ~ --"~'~- . 0 on law requires you to ATTENTION: reg the Oregol1 Utility follow rules adoPte1hb~e rules are set forth Notification cente~1 0 t~rough OAR 952-001- In OAR 952-001-Obt . 'copies of the iules by 0090. You may 0 all1 ate' the telephol1e calling the center: ,\tkuiilitYNotificatiol1 number for the.qg~"'O_332-2344). Center \S ~.'o~, 8/11/2010 2:50:44PM "Hl: Lic No 156859 Lie Exp 02/27/2012 Phone 541-741-3885 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: ~ NOTICE_ THIS PfRMIT . . 'A", . ~THORlZED JHALL rxPIR~ '''',Itt'i,o.;1jI":., AN~~~~c;pO~~%~:Z::V~f:Jn~~S~O~K .:,' fR/OD. NED FOR ..J . _~,~,:~:;.:~.;;.. ;~'j\'" '. Page 1 of 3 ~u..;; ~ :. .:""f;,;j"', : 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 SP,\~INGF.IE~ Ii.l~ _. '".",~ OREGON CITY Of;:;SRR:INGFIELD www.ci.springfield.or.us Building ,f$~,om.m"ert:ial Permit ,c..;~.. ",., r ' , ';;:'l~ . PERMIT NO: 811-SPR2010-00035 IVR Number: 811129429371 permitce nter@cLspringfield.or.us PROJECT STATUS: Issued ISSUED: 8/11/10 APPLIED: 8/11/10 EXPIRES: 2/6/2011 VALUE: $0.00 SITE ADDRESS: 33358TH ASSESOR'S PARCEL NO:' Springfield 1702343200100 SCOPE: Electrical Only WORK INVOLVED: Addition TYPE OF STRUCTURE: Commercial " ' ~ ,.... PROJECT DESCRIPTION: Add 5 circuits and lo.w~xolt,panel DEVELOPMENT INFORMATION ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point OI1~str.uc.tur~, to,. f north property~line~:'. ~.1\,:,~+h,,-t J , l ,I i' r. i . . ;, ,", I: '~.1' ." " REQUIRED PARKING Total: Handicapped: Compact: ;'. PUS'tiCIMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: \:.,(' "'\., !P "~c~" .-" ~ ~j .:j'". ~:Valuation Description ~ Descriotion Tyoe of Construction Unit Amount Unit Tvpe Unit Cost ~ r. ;;-;; .~~T,.C'/:'; ~..~_"_d' __;>'TI._;,,, '.fE];S':p'~ID DescriDtion ~.:Amount Paid Branch circuits with service or feeder each circuit . ',;tfr~t;R-' ,..',"}f;'$-24~o6 ;',~", I, Branch circuits without service or feeder -1st circuit L([.~_~":\~~'~.9.o Signal circuit(s) or limited-energy panel, alteration, or exte(}f!1~{t. '~':if$?~"OO State of Oregon Surcharge (12% of applicable fees) f!:f::jl t'l '$17.04 Technology fee (5% of permit total) $7.10 Total Amount Paid $166.14 Date Paid 08/11/2010 08/11/2010 08/11/2010 08/11/2010 08/11/2010 ReceiDt # 224417 224417 224417 224417 224417 Springfield Building Permit 8/11/2010, 2:50:44PM' Page 2 of 3 .. /'_:5 j~;: .' S!"RIN..G...FIE~D., . ~'1"_' ~'''''::' .w " ,~ _J:.,~'. OREGON .,....\\.,:\.'/ CITY OF'SPRINGFIELD Building I Commercial Permit www.cLspringfielct.or.us. PERMIT NO: 811-SPR2010-00035 IVR Number: 811129429371 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or.us PROJECT STATUS: Issued :j;D.,"/(:.,J.._. .., ISSUED::8/,11t1,tl<' t!<' APPLIED: 8/11t1tl .J:;c~-t::,:.:;,r: . '..,'1..'" SITE ADDRESS: 333 58TH ASSES OR'S PARCEL NO: '~~; 'f'. EXPIRES: 2/6/2011 VALUE: $0.00 Springfield 1702343200100 SCOPE: Electrical Only WORK INVOLVED: Addition TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Add 5 circuits and low volt panel E .s::"", ",! "-,,- ~"" . .,,~'-'-. ~';'w ..,,,-. .;~}:-',~: :F- , '_--: ~':~~"x'^!{' ;:, _ ~~ _~ .:~c ,> ]-~'~nlB~~il~W~ (:':":c Comments Deoartment Received Due Date ComDlete Result Permit Issuance 08/11/2010 08/11/2010 08/11/2010 Issued Application Acceptance 08/11/2010 08/11/2010 08/11/2010 Over the Counter Initial Review 08/11/2010 08/11/2010 08/11/2010 Over the Counter . '" '~'" 1 Electrical Review 08/11/2010 08/11/2010 08/11/20.10 Over the.Counter Mechanical Review 08/11/2010 08/11/2010 08/11/,2010 Over the Counter Plumbing Review 08/11/2010 08/11/2010 08/11/2010- Over the Counter Planning Review 08/11/2010 08/11/2010 08/11/2010 Over the Counter Fire Review 08/11/2010 08/11/2010 08/11/2010 Over the Counter Public Works Review 08/11/2010 08/11/2010 08/11/2010 Over the Counter Energy Code Review 08/11/2010 08/11/2010 08/11/2010 Over the Counter Traffic Review 08/11/2010 08/11/2010 08/11/2010 Over the Counter Structural Review 08/11/2010 08/11/2010 08/11/2010 Over the Counter INSPEcTIONS'REQUIRED ,.H-" '. ..>.,..~ Inspections "':r-'_ .. . .".~' l-. 4500 Rough Electrical ,EL~~. ':, ',~';:r-lii:: ~, .-i"....", " 4550 Limited Energy :.' t,~: 4999 Final Electrical ?-, '\1' ~"_"" ~ii.:;: ":. ,:,~~,,-t....~~_;S Reviewer David Bowtsby David Bowlsby David Bowtsby David Bowlsby David Bowlsby David Bowlsby David Bowtsby David Bowlsby David Bowlsby David Bowlsby David Bowrsby David Bowtsby 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 ~ 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 further 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 or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permiss,ion of the yommunity 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, that the permit card is located at the front of the property, and the approved set of pl.ans ~ill remain on the site at all times during construction. :iJ;i,. ,.l, "'L()(~~. i:ir?')],i,. ". ,.' u .,.,. Owner or Contractor Signature Date '4ji~~:'.,~{p'::fil);[i:~~'~: f,~ f, l:b'~1~~~ Springfield Building Permit 8111/2010 2:50:44PM Page 3 of 3 .r;: S~~~N~~EL~ L~ ~.OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 www.ci.springfield.or.us permitcenter@ci.springfield.or.us Signal circuit,s) or limited-energy pan~l, alteration, or extension State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) '7:;; ~CC_O,UN'(C_ODE;';c .'~. Ii 224-00000-426102 224-00000-426102 224-00000-426102 821-00000-215004 ~~0----'-0 100-00000-425605 TOTAL DUE: · ~ "pAVORiSt,fGt:SHiER D~()'f.ii,SBY:~":;t'e.QMl'iIENTS>.rt.;;;-;;,"< i''', ,; ;\. :~ SUNSET ELECTRIC INC '''k;AMc5.UNT~DJ:JE 'j $24.00 $55.00 $6300 $17.04 $7.10 $166.14 'AMOUNT;P.@1: --; $166.14 DATE: 08/11/2010 . .p...j RECEIPT NO: 2010000039 RECORD NO: 811-SPR20JO-00035 tOESCR!!'TION';k'7;_":i:r;':;',:c:t- '7-;;- - .7;+-~;:;;:l;;~:::., Branch circuits with service or feeder each circuit Branch circuits without service or feeder - 1 st circuit t,'';PAYMENT0TYP'E',- Credit Card 053941 .. '-1 \; ."" - ..______ ....__ .____,,_.. . ~ n' . ----~- ----.-...-- J::_~ll .l"L~()~I1..., - '---...---r- , , .~ .,'1 :i;;'il,::;:-:,:::.)":.' ';