The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2010-11-19 ,Electrical Permit Application 225 Fifth Street+Springfield, OR 97477. PH(541)726-3753tFAX(541)726-3689 SPRINCFII'lL.D r~:~ ~~."- DEPARTMENT USE ONLY ?!::2 , Permit no.: S I Date: 10 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCA[':GOVERNMENT APPROVAL Zoning approval verified? D Ves D No CATEGORY OF CONSTRUCTION o Re'Sidential 0 Government 'Commercial 'JOB SITE~INfORMATJONAND LO AlION' ','-,f, Job site address: I' fY'\i:!.... .s t City: Wl..f. \c\ OR ZIP: 97'177 Reference: Name: Address: City:\)v.>, Phone: E-mail: This installation is being 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). ZIP:7)'.2-;2.- . Signature: COIljTRACTOR .INSTAI.I'Al;ION CCB license no: i'873-g7 BCD license no,: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: Wf\~ '0~ ~~ 440-2584-) (9!08!COM) " . .' " FEE SCHEDULE "; , ' Number of inspections per item ():,' Qty. Cost Total ea;' 'cost' Residential, per unit, service included: 1,000 sq. ft. or. Jess (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ noo $ 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 $ 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 or volts (2) $469.00 $ Reconnect 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 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or LOaD 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 $ 6.00 I $ b. Fee for branch circuits without purchase of a service or [eeder fee: First branch circuit (2) I $ 55.00 $sT Each additional branch circuit I~ $ 6.00 $ (ii::;: Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) ~ ~ $ 63.00 $ Each sign or outline lighting (2) ( $ 63.00 $ I.;) Signal circuit or a limited-energy pane], -, alteration, or extension (2) $ 63.00 $ Each additional inspection: (1) $58.00 $ .,.A, ;~:""::'!; iAPPI...ICANf';USE{, ,i"-;' ,:- " ',! (A) Enter sublota] of above fees (Minimum Permit Fee $58.00) $ ~(!p (8) Enter 12% surcltarge (.12 x [A]) $ f (.../ [1;> (C) Technology Fee (5% of[A]) $ J/'.A'?i TOTAL fees and sureharges (A through C): $ I"-"""'O~. o~ ~>IO I g3~~ CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00752 IVR Number: 811138157091 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/19/2010 ISSUED: APPLIED: 11/19/2010 11/19/2010 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci,springfield.or.us EXPIRES: VALUE: 05/18/2011 $0.00 SITE ADDRESS: 1396 MAIN ST, Springfield, OR 97477-4824 ASSES OR'S PARCEL NO: 1703363203501 . SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Exterior lighting retrofit to LED Phone Number: OWNER: ADDRESS: SKILLERN INV L TO PTRSHP PO BOX 711 DALLAS TX 75221 CONTRACTOR INFORMATION ~ Contractor Type Contractor Name LARRY WILLIAM FRENCH # of Units: o Lie Type CCB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Lic No 187387 Lic Exp 07/13/2011 Phone 503.339-6674 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: AnENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone' number for the Oregon Utility Notification ~ veOler IS 1-~UU-JJ~-~J44). NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 11/19/201 11:12:24AM Page 1 of 4 SPR~NG..~ IEL~ iii:"\ . · . .~ "'ffmOREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00752 IVR Number: 811138157091 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: STATUS DATE: Issued 11/19/2010 ISSUED: APPLIED: 11/19/2010 11/19/2010 EXPIRES: VALUE: 05/18/2011 $0.00 SITE ADDRESS: 1396 MAIN ST, Springfield, OR 97477-4824 ASSESOR'S PARCEL NO: 1703363203501 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Exterior lighting retrofit to LED DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Tvoe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I Description Branch circuits without service or feeder - 1 st circuit ._---,-~~., Sig~~tline lighting State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid Amount Paid $55.00 $63.00 $14.16 $5.90 $138.06 Date Paid 11/19/2010 11/19/2010 11/19/2010 11/19/2010 Receipt # 374940 374940 374940 374940 Springfield Building Permit 11119/201 11:12:24AM Page 2 of 4 SPR IHG.FIE..~. .~. .~. r!Jb ~" ;::;a!l . . ...f OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00752 , www.ci.springfield.or.us IVR Number: 811138157091 permitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 11/19/2010 11/19/2010 Issued 11/19/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 EXPIRES: VALUE: 05/18/2011 $0.00 SiTE ADDRESS: 1396 MAIN ST, Springfield, OR 97477-4824 ASSES OR'S PARCEL NO: 1703363203501 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Exterior lighting retrofit to lED Plan Review ~ Deoartment Application Acceptance Received Due Date 11/19/2010 11/19/2010 Result Over the Counter Comoleted 11/19/2010 Reviewe r Chris Carpenter Electrical Review 11/19/2010 11/19/2010 11/19/2010 Comments: Over the counter permit ~ec~~Bii:aL~~~V!~W~r<7,.1' ;'_~lJ1;/2D} o,y:,Jj~19):Il~bJl1;/J~/3,~1~;'1 , r1co~:;r:n~l]t~:~f-'.O.:Y~,~1~CJ.'~tery;~;;;(<~".:: ",s.1;,~:Y,,~";.\~; '~'_ '< ~,'~ '~"~ Plumbing Review 11/19/2010 11/19/2010 11/19/2010 Comments: Over the counter permit lperlTlir.I~~ ,,^:~,:.' . - ',: _11!19/?'0! O~:_"] ,1/J~9j?'9Jq'; "';;1 1'/19/201'0 . 'Issu~d ,-:...," ,. :/;~'('>~',><d2::;;"""'!:"= ..:.::..-;;;.....~~!":~..'" . .'. Not Required ~o~:,~~q,.u~r~dt:;. ;~: ~~~~'~"':";:'j~ Not Required 'f":} ., Fire Review 11/19/2010 11/19/2010 11/19/2010 Comments: Over the counter permit Not Required Chris Carpenter Chris Car~enter( '" ~+, . -~~.,,~ ~",; ".~ .. r'" --' . ".' F., ",,;,;, Y"~' -~{.~ ..' ." I Chris Carpenter '. .. "C~ris ~~rpenter.. ,- .... ~.. J;' '-:::;~:~l -...:~2~,:;~;"'':'.i_.~___~~.:,;~.",,.,;,.......J Chris Carpenter Energy Code Review 11/19/2010 11/19/2010 11/19/2010 Not Required Chris Carpenter Comments: Over the counter permit tTraffic. Review:;;::;;f:~,~-':, J~?'~::;~1719/2010rrTfll3"'9/201 0"'*-1'1/19/201 O~ .~. .'Ho(R~ciuir~~j.:ChriS:;C~rp'enter1"" '<~. '..f:,_', '.:r, yM ,:::;~.::~'~ ] !~t;B:o~;njn~'n't~:~~': q:~~;:'t~~t9(j~te~\p~;rm'it " ~:,:'::'<' .;:0:: f"::" '.. ',: .~~ .-~_~k ',' :<'~~:_ : J~~/~~i~;-~' :Lh.~~~';~~::;'~;: -'~~"~~~:~~~~~:~i~i:~~ ;:_,;-~ ~.~'. i>.' :~~L',<< .. .>;~ Structural Review 11/19/2010 11/19/2010 11/19/2010 Not Required Chris Carpenter Comments: Over the counter permit . PlaQniri~~evJ;~ f,; 11119'l20.10':~<i1/19!?,~.1:f :.;Co,mrJients: ~ Over th~ co~~teI perf!1ll_~ 't ~ q1r;:;",J' Not Required., ,., .." ..' " }~<< ~2T:~~~~~:!i~-:~~~~~:\,. 7, <',: J '11/19/2010 ", ~: ",:;,;";:,';:::.J< ':';"''({''':'. INSPECTIONS REQUIRED I Inspections 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Springfield Building Permit 11/19/201 11:12:24AM Page 3of4 SP.~~N~=~ ~~ ~OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00752 IVR Number: 811138157091 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/19/2010 ISSUED: APPLIED: 11/19/2010 11/19/2010 EXPIRES: VALUE: 05/18/2011 $0.00 SITE ADDRESS: .1396 MAIN ST, Springfield, OR 97477-4824 ASSESOR'S PARCEL NO: 1703363203501 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Exterior lighting retrofit to LED 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 permission of the Community SeNices 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 ens~re 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 t ro of the property, and the approved set of plans will remain on the site at all times during ~;tJ~ Owner or Contractor Signature 11/;9 )0 , Date Springfield Building Permit 11/19/201 11:12:24AM Page 4 of 4 S~~~N;:E~ ~~ ~OREGON www.cl.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00752 1396 MAIN ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 pe rmilce nter@ci,springfield.or.us RECEIPT NO: 2010000878 RECORD NO: 811-SPR2010-00752 DATE: 11/19/2010 tDESCRIPTION,.~'t:. '.:.....' _''':''''"'''.-''''';",-;r''!~-<-AL;;.2i:~(;:C.QU'NIj';j5[jE.--' '.C,c '-tiAI\IIQ,Ut-lill;PJ.JI';;' . ';':21 Branch circuits without service or feeder -1st circuit 224-00000-426102 $55.00 Sign or outline lighting 224-00000-426102 $63.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $14.16 Technology fee (5% of permit total) 100-00000-425605 $5.90 TOTAL DUE: $138.06 &,;;,gAY[VI~Nf::tYJ~.!t. ;;;'~J>..Y.()B-;::-liCASHIER;C~~ENTgR:' C9MI\III'N.f.s:zl,,- .:. 'f --,," '-'.;,f:A.M~(tlJNT [All);. .-;;. ;'!';-':j Credit Card 020814 LARRY WILLIAM FRENCH $138.06 $138.06