HomeMy WebLinkAboutPermit Electrical 2010-8-19
Electrical Permit Application
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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
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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
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IVR NlJil'l,~er~~~:~1,~854_1489
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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:
":..
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. 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.
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Springfield Building Permit
8/19/2010 3:14:28PM
Page 1 of3
www.cLspringfield.or.us
CITY OF SPRIt-.!GFI,ELD
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Buildin9,.{jy?mmep;ial Permit
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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~
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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.
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ASSESOR'S PARCEL NO: 1703263406200 ., r"",
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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:
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, Valuation Description
~
Descriotion
Tvee of Construction
Unit Amount Unit TVDe
Unit Cost
Value
F. ..";'~: ',' .
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Amount Paid
$81.00" .
. $18.0.Q....
,. $11188
. $4,95
$115.83
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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
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Springfield Building Permit
81.19/2010 ;,'?: 14:28PM
Page 2 of 3
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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
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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
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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
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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
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Springfield Building Permit
8/19/2010 3:14:28PM
Page 3 of 3
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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)
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