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HomeMy WebLinkAboutPermit Electrical 2010-8-19 Electrical Permit Application ~~~l}~tiF:~~PRiNdEtEtD,~OR~:GON . 225 Fifth Street. Springfield, OR 97477. PH(541 )726-3753. FAX(541)726-3689 This permit is issued under OAR 918-309-0000. Permits are noutransferahle. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 'ic'..1'.1;~~iJ)J0i\!I!:OCA.I!:JGOVERNMENT.~APRROVA.t'iJlti,JJ]~Ii\Jili4 Zoning approval verified? 0 Yes 0 No "]Jlj!l!.!....1]i\~CATEGORY,::OF.iCONSTRUCTIONi'1..,],iJl]]!5]]I.!',!] o Residential Government 0 Commercial i]~,]l!:1!"OB:iSI:rE'.iINFORMA.:rIONiA.NP)'L:0.CATlON'.E!:4!]'..ij Job site address: 32/p ~I'li~ BluJ City: ifltld State: De.. ZIP:0041=J. 1I V\ '(Y\ 5 E-mail: :rhis installation is heing made on residential or farm 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). 440-2584-1 (9/08/COM) . ',FEE SCHEDUlE] ',:' .,-j;] pi]'>, ..>.Toti..... i~,,\ CO$(i',jb 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 $81 $ $ $ $ $ 20 I to 400 amps (2) 401 to 600 amps (2) 601 to 1,000 amps (2) Over 1,000 amps or volts (2) Reconnect only (2) $ 95.00 $158.00 $205.00 $469.00 $ 63.00 Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ 20 I to 400 amps (2) $ 87.00 $ 401 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. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $) b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder not incll!ded Each pump or inigation circle (2) Each sign or outline lighting (2) Signal circuit or a limited-energy panel, alteration, or extension (2) Each additional inspection: (I) $ 63.00 $ $ 63.00 $ $ 63.00 $ $58.00 $ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) (C) Technology Fee (5% of [A]) TOTAL rees and surcharges (A through C): $q't $lf.(J1 $ .<15 $//5.83 I.,: "":'." ~ ',1 . :: ~. , ~l 0' , 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 Phone: 541-726-3753 Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cL.pringfleld.or...PERMITNO:81.1_SPR2010_00099pennltcentec@cL.pr.lngfleld.or.us I! 11" ~,._',~.. \. IVR NlJil'l,~er~~~:~1,~854_1489 '-f"",\' , '"'; PROJECT STATUS: Issued ISSUEir:,i8i19/fb',:' EXPIRES: 2/14/2011 APPt:i'ED: 8/19/10 VALUE: $0.00 SITE AqDRESS: 326 CENTENNIAL Springfield ASSESOR'S PARCEL NO: 1703263406200 SCOPE: WORK INVOLVED: lYPE OF STRUCTURE: PROJECT DESCRIPTION: Replacement of ballpark lighting towers and lumina res OWNER: ADDRESS: SPRINGFIELD SCHOOL DISTRICT 19 525 MILL ST SPRINGFIELD OR 97477 Phone Number: ":.. " . CONTRACTOR INFORMATION ~ Contractor Type Contractor Name LANTZ ELECTRIC INC Lie Type eeB BUILDING INFORMATION ~ Lic No 84679 Lie Exp 07/14/2012 Phone 541-726-0659 # of Units: I o # of Stories: , Height~,~r~tructure: ,I Type <i1itl~at:a'ii,\.h",k, wa~r,~~~:~~~:f=}l:f:~~~~~f' ':,1:.:("\ Rangel"rype::'nI:.(t;' j,i":. ~" Hazmat: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Sp~cia.l,o/ 'C~de ~Edition: Struc~~~r~~ ~p;~i~I~:~~~e Edition: 'I ;,-;i",[,.!.j t: S,'t'e In'f' O'nnall'on ;, .r,~!:<~". ,j ~ Engineered Fill: Fill Volume: Flood Hazard Area: ATTENTION: Oregon law requires you to Land Hazard Area: follow rules adopted by the Oregon Utility Retaining Wall: Notification Center. Those rules are set forth Soils Report Require~n OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies btthe rules by calling the center, (Note:,l/'i~jteJ~8~pn~" ,.' number for the Oregon UtjJj~,,~lottfj~atlon ,', Center is 1-800-33~,el,~4hl q., ;i( NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 1" ::.I,'<<....\;./;:'.~,~,. Springfield Building Permit 8/19/2010 3:14:28PM Page 1 of3 www.cLspringfield.or.us CITY OF SPRIt-.!GFI,ELD I ,i' ...~\ Lt,:" , Buildin9,.{jy?mmep;ial Permit :"-'.' PERMIT NO: 811-SPR2010-00099 IVR Number: 811158541489 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 SP. R. ING FIEL~ ~.h-. .* i. .'...,: OREGON permitcenter@ci.springfield.or,us PROJECT STATUS: Issued ISSUED: 8/19/10 APPLIED: 8/19/10 EXPIRES: 2/14/2011 VALUE: $0.00 , SITE ADDRESS: 326 CENTENNIAL Springfiel~ "',dt. >\,'f"'i ASSESOR'S PARCEL NO: 1703263406200 ., r"", i;~~V~,~;,: F.;~,'}'f,,- .YVORK INVO~~~~:E: 'TYPE OF STRUCTURE: 't. . .~. PROJECT DESCRIPTION: Replacement of ballpark lighting towers and lumina res DEVELOPMENT INFORMA TION ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of lot Coverage: Highest point on, structure to , north property line: ':,:; . :\,(:; ",! REQUIRED PARKING Total: Handicapped: Compact: \ '" . ..: ' ,..~, 01 'PUBUCIMPROVEMENTS ~ .' Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: ';':0-! (' ,";}! : ,', , ,II., li,1 , Valuation Description ~ Descriotion Tvee of Construction Unit Amount Unit TVDe Unit Cost Value F. ..";'~: ',' . ;"1 . ~..-:.:~;; .'':6;> '" -.-"" """-','-'" ..,."........." -' -.;' "'- .~ "~'cEr;r;Il.p....ID.:.:...... ~ .~,' Amount Paid $81.00" . . $18.0.Q.... ,. $11188 . $4,95 $115.83 .. :;..~~c<:t-;;',~,;'~~tE. ~~'!;' -.J' "", J Descriotion Services 200 amps or less Branch circuits with service or feeder each circuit ~ , ' State of Oregon. Surcharge (12% of applicable fees) . i";,';fj\~;'~ Technology fee (5% of permit total) t,_ .~'''','''' - ,,' Total Amount Paid Date Paid 08/19/2010 08/19/2010 08/19/2010 08/19/2010 Receiot # 299276 299276 299276 299276 ..;"jl~_;' ";~Ij. . ( .~'t'71 ,;.'" .~'-' , Springfield Building Permit 81.19/2010 ;,'?: 14:28PM Page 2 of 3 ........... .-:.'~;,\. ,.t>.~.,.' . "';i-r1'" " CITY OF SPRINGFIELD Building I Commercial Permit WWN.ci.springfield.or.us PERMIT NO: 811-SPR2010-00099 IVR Number: 811158541489 , PROJECT STATUS: Issued .",: ISSU~D:8/19/1.0., ... APpLIED: 8119/1 Q!- EXPIRES: 2/14/2011 VALUE: $0,00 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitce nter@ci,springfield.or.us SITE ADDRESS: 326 CENTENNIAL Springfield ASSESOR'S PARCEL NO: 1703263406200 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Replacement of ballpark lighting towers and luminares ~..- ~ .~::;~p -'-:'PlaniRe'/iew~:~f%:?~'""~,'~';';:;:,:~';*\'., ,~- i:"~' ......~," -r,',,,^, "~'" ~ '0 "F 'Z- ..~- "..,". _ '_"._v ~.X....-':' :.. ' ~' , .i'7:l Deoartment Received Due Date Comolete Result Reviewer Comments Application Acceptance 08/19/2010 08/19/2010 08/19/?010c\ . Oyer;. th~ Counler Chris Carpenler Initial Review 08/19/2010 08/19/2010 08/19/2010 . Over the Counter Chris Carpenter Over the counter permit Electrical Review 08/19/2010 08/19/2010 08/19/2010':' Not'Required Chris Carpenter Over the counter permit Mechanical Review 08/19/2010 08/19/2010 08/19/20.10. Not Required Chris Carpenter Over the counter permit Plumbing Review 08/19/2010 08/19/2010 08/19/2010 Not Required Chris Carpenter Over the counter permit Planning Review 08/19/2010 08/19/2010 08/19/2010 Not Required Chris Carpenter Over the counter permit Fire Review 08/19/2010 08/19/2010 08/19/2010 Not Required Chris Carpenter Over the counter permit Public Works Review 08/19/2010 08/19/2010 08/19/2010 Not Required Chris Carpenter Over the counter permit Energy Code Review 08/19/2010 08/19/2010 08/19/2010 Not Required Chris Carpenter Over the counter permit Traffic Review 08/19/2010 08/19/2010 08/19/2010 Not Required Chris Carpenter Over the counter permit Structural Review 08/19/2010 08/19/2010 08/19/2010 Not Required Chris Carpenter Over the counter permit Permit Issuance 08/19/2010 08/19/2010 08/19/2010 Issued ',/'.; Chris Carpenter INSPECTIONS REQUIRED ~ Inspections 4140 Underground Electric 4225 Service or Feeder I, <.~. , ..l" ,,,-:.: ,ci.,,,-> ',.,; " \, 4500 Rough Electrical 4999 Final Electrical By signature, I state and agree, that I have carefully examined the compleled application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed sliall be done in accordance with the Ordinances of the City of Springfield and the Laws of th~'9t~'t~ orLqr~fj,'?PP7.rtaining to the work "described herein, and that NO OCCUPANCY will be made of any slructure without perrTii~Sf6n o(theCommunity Services Division, Building Safety. I further certify that only contract.ors and employees who are in cqfuplj~nc~ ';;Vjt~rbRS 701.005 will be used on this project. I further agree ;',!u II'.' "'k'(-I_," /' to ensure that all required inspections are requested al tlie proper time~ that each address is readable from lhe slreet, lhat the permil card is located at the front of the property, and th~;~pproved set of plans will remain on the site al all limes during CJl" ~ ~ 1)11//(2 -~,~". ~ , '1~! "'; , 'I!" '\1.:~'< ,., 'J ' '-I "-il Springfield Building Permit 8/19/2010 3:14:28PM Page 3 of 3 ....: sr~~L~ IL~~ ~~EGON TRANSACTION RECEIPT CITY Of SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726.3753 www.ci.springfield.or.us permitcenter@ci.springfield.or.us RECEIPT NO: 2010000097 RECORD NO:.8II-SPR20IO-00099 DATE: 08/19/2010 '.6iCCQUNLCQDE'-,.c" I..' "':M().l.INtD_UE~..!..._____'::-,-'J 224-00000-426102 $81.00 224-00000-426102 $18.00 821-00000-215004 $11.88 100-00000-425605 $4.95 TOTAL DUE: $115.83 !d::;j:i~E~tyj:iE\r-::;:""AYOR",0;'~CASHIE~:;C:CAR~ENfER:;i:;'C:()MMENIS~,,;,I .,,~:; '1;:"",,+;,_,; iM:vto.UNTDPt<I!lc ,ti' .:' -- Check LANTZ ELECTRIC INC $115.83 f:DESCRIPtI9N~ ~ ,X<,,;.,; y~~\L:,i~ -<'0":" :,_~<),'0'~"~h~~%~F;;fik~:t;r Services 200 amps or less Branch circuits with service or feeder each circuit State of Or~Qon Surcharge (12% of applicable fees) Technology fee (5% of permit total) i 183 f); ~;I! c:PIClijf).", '. '; .t"\l'I'" . t,: Y11 ':ll'f,-:~{! i i'~. , '.. :;ij'5'.::;'~ ""