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Home My WebLink AboutPermit Electrical 2011-1-13 Electrical Permit Application e . 225 Fifth Streel'Springfield, OR 974774PH(541)726-375HFAX(541)726-3689 , ,,,,.,?;.,,'.'.. .' ..'.'.,.. " ~;' . , ,DEP~RTMENT USE ON.LY .' d","" . ' 8f-L - 5m2-e-t ':is'' Penn it no.: Date: \-\~-\\ This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of iss~ance or if work is suspended for 180 days. Y,' - ":L!OCJl.L::GOVERNMENT:AIW:R:OVAtF\~,\:'J'f~'tji1.',\:;c. Zoning approval verified? 0 Ves 0 No U,:!r.f:'~;:.S(;lCATEGORYd;bF}CONSTRUCmlbN);;).'.::ii' '. ,,; D Residential I D Government I 'Il'lCommercial ri'li!i'iY~fi(0I3~:SJ;r:E~iINF;bRNiATI:ONr:J,XN[j~110.CA1iION~~.~:ift:E Job sile address: rR I!J f<l~\}1 ~ ~ City: S'~.l~ Grt ~Lj) State: fIR... T ZIP: '11-l-A-":f Reference: \1 QI'-P\,....~ \ I Taxlot.:D"'A:N . o. ' "" 'DEScR'IPTION:'OF-',WORKi~~"~:;,,,;;,;';&':i:';'i,.;" f'tl);9 frl"t>~ rn='F\ C'k , " . 'PROPERTY. OWNER NameK,\- -\ ~(,PJ\ l'M~~CV\ili"1 Address:~AA\ \}Ptl ( v-,ll ') \. \(~ · City C(.l 'Yl f'J\ of' ~ Statel<')Q..... I ZIP:U1l\C9, - ~- I Fax: Phone: E-mail: This installation is being made on residential or fann properly owned by me or a member of my immediate family. This properly is ,not intended for sale, exchange, lease, or rent. OAR 479.540(1 land 479.560(1). Signature: . , ftCONTRACl;QR INSTALlATION. ' Business name: J>J t;LFaR\c~'- 'E,bRl.llcES u..c:: Address: .'~ 0- '50,", g3'6 City: ~\ I State: o~1 ZIP:'??-ot>::. Phone:5<B ESl7--lt9~ I Fax: 503>-~-<(?o <. E-mail: CCB license no.: !CH c..::;y::: I BCD license no.: Signing supervisor's license no.: 4'1"2...1 S Print name of signing supervisor: W ~i.U S l'.I\. \C," To:'I. ,;-. _ Signature of signing supervisor: , _ I / ~COA\rP ~~ ()} 440-2584.) (9/08/COM) ;,t':~';~::'5ijJ;j'~:~~~rJ\,;~,f~JRf]~H:~';'~SGHEb_U~I;_~~~1f~~€yM~}?~~~~;'f5 ,Number ofinspecii,ins:peritJm'()'<} Q~Y: " Cost " 'Total "'.co ',3",', Y':;} ":. .j.;;~~.--:-"':,;,;'~~~;!i ""<f"'" :\;::~~: '. ,'0'; .,;:'I..~~/; '< 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) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81,00 $ 201 to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 60 I 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 Jess (2) 20 I to 400 amps (2) 40 I to 600 amps (2) $ 63,00 $ $ 87.00 $ $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 se'rvice or feeder fee: Each branch circuit $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) Each additional branch circuit , 4 $ 55.00 $ sS- $ 6.00 $ :2..4 Miscellaneous fees: service or feeder ':lot included Each pump or irrigation circle (2) Each sign or outline lighting (2) $ 63,00 $ $ 63.00 $ Signal circuit or a limited-energy panel, alteration, or extension (2) Each additional inspection: (I) $58.00 $ ;~~k~~~$t~1!S~~~\'01~~~R.J~,i1TCi\Nt~}lJS'E~fJI~X{f~~~?!~~'f.:~1~f~~;;2'~;:~ $ 63.00 $ (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 fees and surcharges (A through C): $ ~~ $ q AP. $:'; .a.~ $Qn AO .~ e , SPRIN~~~ ,>\, " , R~,~r~ . /,.~ /'1~ OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00055 IVR Number: 811166246297 www.ci.s~ringfield.or.us 225 Fifth 51 5pringfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 p'ermitcenter@ci.springfield,or,us !l PROJECT STATUS: STATUS DATE: Issued 0111112011 ISSUED: APPLIED: 0111112011 01111/2011 EXPIRES: VALUE: 0711012011 $5,000.00 SITE ADDRESS: 1815 MAIN ST, Springfield, OR 97477-5053 ASSESOR'S PARCEL NO: 1703363107401 SCOPE: Interior WORK INVOLVED: Alteration lYPE OF STRUCTURE: Industrial PROJECT DESCRIPTION: Add 12'x14' interior office to existing B/5-1 occupancy. Phone Number: OWNER: " ADDRESS: KIT & KAREN CHAN FAMilY lLC 3881 MEADOW VIEW DR EUGENE OR 97408 CONTRACTOR INFORMATION ~ Contractor Name Lie Type Lie No Lie E?CP Phone NORDIC HOMES & CONSTRUCTION LLC CCB.s '10~.~W31 07/09/2011 541-521-9324 BUILDING I PIY4A 'to. '" Ole 0\\ e\'i~(\\"I ~ \ v - \El~' ule5 "ies _00\- o # opS'ibriefi.l\es adOPl11\"10Se I \"I Of>..? 95~ Lo\,Sjze: He~ffi\0~_Strut1&'r~r\~o\O \\"IIOU~s 0\ \\"Ie l~~~\ft 1st Floor: Type VB o\\1\v~" 0'2. 00 ,- '\\ COp \eleP v' B Ty i~ '5p!~~CJ \J-Ii\a~ o\:>\a\ l\,\o\e', \\"Ie \,\0\ilic,~ij,'1it\2nd Floor: 168 sJ, interior office Watl:f.)lJpe~O \\"Ie ce(\\el. <'\0(\ U\\I\\X"II'~)' Sq Ft Basement: \\1(\<;) '-eOle", "'.3'2.-{.'; Range ItYPeber 10\ \" .s 1_BOO''; Sq Ft Garage: Hazmafl\J1i\ ce(\\91 \ Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Contracto~ Type # of Units: Construction Type Occupancy Type Occupancy CommentS # of Bedrooms: Sprinkled Building: No 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: 2008 2010 . Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: 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 1/13/2011 1:08:27PM Page1of4 . CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.s.pringfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-00055 IVR Number: 811166246297 p'ermitcenter@ci.springfield.or.us PROJEC;r STATUS: STATUS;DATE: 155 ued ISSUED: APPLIED: 01/11/2011 01/11/2011 EXPIRES: VALUE: 07/10/2011 $5,000.00 01/11/2011 SITE ADDRESS: 1815 MAIN ST, Springfield, OR 97477-5053 ASSESOR'S PARCEL NO: 1703363107401 SCOPE: Interior WORK INVOLVED: Alteration TYPE OF STRUCTURE: Industrial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Add 12'x14' interior office to existing 81 5-1 occupancy. OEVELOPMENT 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 ~ Street Improvements: Storm Se~er: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Description Bid Tvpe of Construction NA Unit Amount Unit Tvpe 5,000.00 Bid Unit Cost 1.00 Value 5,000.00 5,000.00 FEES PAID , Description Amount Paid Date Paid Recio! # State of Oregon Surcharge (12% of applicable fees) . $10.47 01/11/2011 2011000079 Tect;';;i~Yf;;~-(5o/;-~fp';';;;ttot;.l)-"-~----"--------" $43-6 ----~--"-o:;mi2011------ -- 2011000079 Slilldi;g" p';;:;;'it Fee - ------- -. ----- ~-_~_~.~6725-..-.-=--- 01/11/2011 -. --?011.0000,?fl. Technology fe::J:;% of perm~ total) ..-!?:~___.___. 01/13/2011 2011000099 State of Oregon Surcharge (12% of applicable fees) "~_____~~3!.2011 2011000099 Branch circ'uits without service or feeder - each additional $24.00 01/13/2011 2011000099 Branch circuits without service or feeder - 1st circuit $55.00 01/13/2011 2011000099 Total Amount Paid $194.51 Springfield Building Permit 1/13/2011 1 :08:27PM Page 2 of 4 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00055 IVR Number: 811166246297 www.ci.springfield.or.us PROJECT STATUS: STATUS pATE: Issued 01/11/2011 ISSUED: APPLIED: 01f11/2011 01/11/2011 :...~. :~ 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us EXPIRES: VALUE: 07/10/2011 $5,000.00 SITE ADDRESS: 1815 MAIN ST, Springfield, OR 97477-5053 ASSESOR'S PARCEL NO: 1703363107401 SCOPE: Interior WORK INVOLVED: Alteration TYPE OF STRUCTURE: Industrial PROJECT DESCRIPTION: Add 12'x14' interior office to existing 8/5-1 occupancy. Plan Review ~ DeDartment Application Acceptance Received Due Date 01/11/2011 01/11/2011 Comoleted 01/11/2011 Result Over the Counter Reviewer Kip Kaufman Electrical Review Comments: Over the counter permit Plumbing Review 01/11/2011 01/11/2011 01/11/2011 Comments: Over the counter permit Not Required Kip Kaufman I"::'; t:~KipKa'Ufri1an 1C'::{ '.:-~ i~~< '''l'r',>:~":;_:, ,.",: ' '~,. ~ ' . .t..j::;.~_~ _,;__.,;i__~_ , . ., '. ",,'..J~_' __ :- j_ .~ J Comments: Over the counter permit Energy Code Review 01/11/2011 01/11/2011 01/11/2011 Comments: Over the counter permit Not ReqUired Kip Kaufman Kip Kaufman Comments: Over the counter permit ~.~-'IT''T~"1l'"'7-'~:;':;:'''.-:''~~'-''''''-;--'-'''~~~ ," ~').;:.. -""7-~-W~~', .' .., .~'S-"~;---~~-:---,-,"':'''-H''':':--'';-F:-::-:~~-~ lflannjng Revlewb;~_'A/' ,!'~"" -VO.111'i1J2011 ';'01/1,1/20;1,1 01J11J~011;'\ -- NotR~quJred --"; .' ~A_; :?,"':;",KJp-,K~ufman" .-,,>,>: ~t'> - ,~~ 1 '" . ':-- "-. " Lc_o~~e~~~:' ~~;, O~~ti~i~9'~~ter~~!~,jj(S'~~0' ;~---. ~rti1';~':~J~~.i); ':.- ._i".:"};~hj:.:.: ;.>::;.'~~~:f~~;(:~ ':: :~: "~'r~~~~~:~-~.;t~[~~~. X ': :~~.~';~ :r~_::. ~.... _, ~_'~_~~~~~:~ INSPECTIONS REQUIRED ~ Framing Inspection: Prior to cov~r and after all rough in inspections have been approved. Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Final Building: After all required inspections have been requested and approved and the building is complete. . Rough Electric: Prior to Cover Inspections 1260 Framing 1540 Gypsum Board/Lath/Drywall 1999 Fina(Building 4500 Rough Electrical 4999 Final Electrical Final Electric: When all electrical work is complete. Springfield Building Permit 1/13/2011 1:08:27PM Page 3 of 4 . . SP.~IN.. G.,.fIE~ .G" ';:'<~ ,'~ OREGON www.ci.~pringfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00055 IVR Number: 811166246297 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfjeld.or.us PROJEC:r STATUS: STATUS DATE: Issued 01/11/2011 ISSUED: APPLIED: 01/11/2011 01/11/2011 EXPIRES: VALUE: 07/10/2011 $5,000.00 SITE ADDRESS: 1815 MAIN ST, Springfield, OR 97477-5053 ASSESOR'S PARCEL NO: 1703363107401 SCOPE: Interior WORK INVOLVED: Alteration TYPE OF STRUCTURE: Industrial PROJECT DESCRIPTION: Add 12'x14' interior office to existing 81 5.1 occupancy. 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 re ired inspections are requested at the proper time, that each address is readable from the street, that the permit card is loca d at the front of the pmperty, and the approved set of plans will remain on the site at all times during construction. " 1\ r3, 20 II Date Springfield Building Permit 1/13/2011 1:08:27PM Page 4 of4 S.P..RING. F..IE~ W " ~~ ,}:'2; OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 www.Ci.springfield.or.us 811-SPR2011-00055 1815 MAIN ST permitcenter@ci.springfield.or.us RECEIPT NO: 2011000099 RECORD NO: B11-SPR2011-00055 DATE: 01/13/2011 r2e.~;CI'iIENT.TYj5E~:.:",;pAYPB\10':'~:~CASHiER:KKAUFMAN:~';;eo.MM~~ts" Credit Card DJ Electrical lbES-CRiR:HON~' ~" .,;; .::T.:!;; ,~{t~4", ~!..,~L~~:~I:: :~~,i'~~'::j~':1t~~~~{~j:~ACrC0UN;frc~ODE~";-:7%~ft:~z~4:i~;\:'~Md.UNT",D_UE:~t:;-~ ,~::"~\~~J Branch circuits without service or feeder. 1 st circuit 224-00000A26102 55.00 _.__._..__~ ~_.._ .~_._~._w_._.. ..__...._____ Branch circuits without service or feeder. each additional 224-00000.426102 24.00 ,.__~___,_~____.___"____~_.______________..___..____'~w.w_"....___,_._ .__. __,___, .... _ _. ~_____. _. _~!~2-0regon_~.LJ~charge (22% of app~lcab'.:.f.:'esL _..____.~21-01!9.92.~~1~~~___. '___ ~~______.____ 100-00000-425605 3.95 ....~._._----~.,......-._... TOTAL DUE: 92.43 '-.'+:..'_':"-.;\'._:':'~';'-.',+ -'AM. 'O';U NT'P.A. ID< . 'i'-'" ;c. \" . I . .. ~. "" .' ._~_~;""j~--.!:~--:;&.;J $92.43 _ Technology fee (5% of permit total) . 090973 TOTAL PAID: $92.43