HomeMy WebLinkAboutPermit Electrical 2010-11-22
225 Fifth StreettSpl"ingfield, OR 97477tPH(54J)726-3753t FAX(54 1)726-3689
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Permit no.:
S IcJ-"'jt;S
Date: I(
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.
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Zoning approval verified? DYes D No
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esidential D Government D Commercial
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Job site address:
City: ..4'/
Reference: Taxlo!.:
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Name:
City:
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).'
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Signature:
~!",~~~{C'ON:rRA:tTO~~ l ST;~~l?A'TION~~A~~
Cd
CCB license no.:
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
~~~
~
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440.2584.) (9/08/COM)
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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) f $ 32.00 ifoJ5
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 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 I $ 6.00 I $
b. Fee .for branch circuits without purchase of a service or feeder fee:
First branch circuit (2) $ 55.00 $
Each additional branch circuit $ 6.00 $
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 panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection: (1) $58.00 $
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(A) Enter subtotal.of above fees ~'!P
(Minimum Permit Fee $58.00) $
(B) Enter 12% surcharge (.12 x [AD $ ")~
(e) Technology Fee (5% of[AD $ 3'S
TOTAL rees and surcharges (A through C): $ IT? ~
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~..OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00765
IVR Number: 811161540905
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pennitce nter@ci,springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
11/22/2010
ISSUED:
APPLIED:
11/22/2010
11/22/2010
EXPIRES:,
VALUE:
OS/21/2011
$0.00
SITE ADDRESS: 978 W L ST, Springfield, OR 97477-2841
ASSESOR'S PARCEL NO: 1703273401806
PROJECT DESCRIPTION:
SCOPE: Electrical Only
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
Low voltage for. alarm wiring repair
Phone Number:
OWNER:
ADDRESS:
DALBY FERN VELORE
978 W L ST
SPRINGFIELD OR 97477
Contractor Type
CONTRACTOR INFORMATiON ~
Contractor Name
APX ALARM SECURITY SOLUTIONS INC
Lie Type
CCB
Lie No
173349
Lic Exp
01/03/2011
Phone
801-377-9111
# of Units:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
o
BUILDING INFORMATION I
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
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:
Lot Size:
Sq Ft1 st Floor:
Sq Ft2ndFloor:
Sq Ft Basement: . you to
_ - law requires . .
A"'TEI~~IIJ\G,arage~On Oregon Utility
,\ '--'~d by the I th
I \low ~~\~t,Carport:" ules are set or
o . . . _ ~-nIPr. Those r 952-001-
NotlllGtSq.Ft Olher:01 0 throl!gh OAR
. OAP ""0_n01-0 . I the rules by
In Occupancy Load; COpIeS 0
OOon You may 0IJC~'" te' the telep\1One
~1qR~g the Genter. (~~ Utility NotiliGation
number lor the, or1e~00_332-2344).
Center IS -
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
Site Information
11/22/201 10:03:14AM
~
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Page 1 of3
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11[.. '" OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00765
IVR Number: 811161540905
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
11/22/2010
ISSUED:
APPLIED:
11/22/2010
11/22/2010
EXPIRES:
VALUE:
OS/21/2011
$0.00
SITE ADDRESS: 978 W L ST, Springfield, OR 97477-2841
ASSESOR'S PARCEL NO: 1703273401806
SCOPE: Electrical Only
WORK INVOLVED: Repair
. TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Low voltage for alarm wiring repair
DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I
PUBLIC IMPROVEMENTS
I
Street Improvements:
I
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
I
Descriotion
Tvpe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
I
DescriDtion
Other Limited Energy
Technology fee (5% of permit total)
State of Oregon Surcharge (12% of applicable fees)
Total Amount Paid
Amount Paid
$63.00
$3.15
$7.56
$73.71
Date Paid
11/22/2010
11/22/2010
11/22/2010
ReceiDt #
374951
374951
374951
Springfield Building Permit
11/22/201 10:03:14AM
Page 2 of 3
SP~IHGFIEL~
.~'
'i/!1!
"":"'~ORfGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00765
IVR Number: 811161540905
www.ci.springfield.or.us
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
11/22/2010
ISSUED:
APPLIED:
11/22/2010
11/22/2010
EXPIRES:
VALUE:
OS/21/2011
$0.00
SITE ADDRESS: 978 W L ST, Springfield, OR 97477-2841
ASSES OR'S PARCEL NO: 1703273401806
SCOPE: Electrical Only
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Low voltage for alarm wiring repair
Plan Review
~
Deoartment
Permit Issuance
Received
11/22/2010
Completed
11/22/2010
Result
Issued
Due Date
11/22/2010
Initial Review
11/22/2010
11/22/2010
11/22/2010
Over the Counter
Comments: Over the counter permit
1ApplicatiO!l~Acceptance ~,.'" ~ ':,_1:1/22/2010: 7:.117227~, ,11'j'2.212010'-~~ Q,veLthe__C~,q~_nt~~~;r
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Reviewer
Chris Carpenter
Chris Carpenter
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INSPECTIONS REQUIRED ~
Inspections
4550 Limited Energy
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 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 plans will remain on the site at all times during
ro~"""OO ;/~ t2
Date
Springfield Building Permit
11/22/201 10:03:14AM
Page 3 of3
www.cLspringfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00765
978 W L ST
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
perrnilcenter@cLspringfield.oLUS
RECEIPT NO: 2010000888
RECORD NO: 811-SPR201O-00765
DATE: 11/22/2010
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224-00000-426102 $63.00
1 00-00000-425605 $3.15
821-00000-215004 $7.56
TOTAL DUE: $73,71
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lQE$GRIBTION;'J.i#;~;+i;7I.; 'if,"'"
Other Limited Energy
Technology fee (5% of permit total)
State of Oregon Surcharge (12% of applicable fees)
,,.;. ,.j
- J
Credit Card
022533
APX ALARM SECURITY
SOLUTIONS INC
$73.71
$73.71