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HomeMy WebLinkAboutPermit Electrical 2011-2-17 :Electrical Permit Application ~ 225 Fifth Streett Springfield, OR 97477.. PH(541)726~3753. FAX(541)726-3689 SPRING~IELD ~'~J L~~~' ,::1 l~~;~t~~ -;;~~i!a., ~ . DEPARTMENT liSE ONLY Pennitno. $/1- 2& 2 Date: 2,- / f) I ( SeE rrLSQ 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. . '. LOCAL. ~OVERNMENT'APPlwvAL;,' . Zoning approval verified? 0 Yes 0 No C,titEGORYOF.CQNSTRUCTION . City: 6 fI Reference: \110 .' DESCRIPTION OF WORK' .' '(,vI! /3/Z/pfcH ctfctdT) ~'f;;t 7ltv/tIIIT Nf'/~L - c.t>;vV II/:J'ic{ ''j;; mt€.-t PROPERTVQWNER Name: t7I1~ / Address: ( ]' s c.; J, City: H-A-rf"i VI..-L- Phone: E-mail: This 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). LC- ,.orPf'-T/.- yt- t-I p v1 G'w {/L ZIP: Signature: CONTRACTOR INSTAllATION Business name: Address: City: Phone: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: 5iti ~S'O jJiPnLI ~~\~ 5/!2-l/)/O .-(!)@:J/ g 1~~ pI- A/UN <i#-IIIU-\)' ~ . 440-2584-J (9/08/COM) , "'i'<:.,'i,:."FEE:ScHE.[)lll.fE'; .' .-' ~ Number" of inspections per i.te_m.(). Qty. .... .' . ..., Residential, per unit, service included: , "'<T-\:;~'. ;'~'::...::;;~~:~:;~,;.:' Cost Total .:'-ea.:' '~ost 1,000 sq. ft. or less (4) Each additional 500 sq. ft. or -portion thereof $134.00 $ $ 25.00 $ Limited energy (2) Each manufactured home or modular dwelling service or feed.er (2) $ $ $ 32.00 $ 53.00 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 less (2) 20 I to 400 amps (2) 40 I to 600 amps (2) $ 63.00 $ $ 87.00 $ $126.00 $ Over 600 amps or ] ,000 volts, see services or feeders section above Branch circuits: new, alte~ation, extension per. panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit -:- $ 6.00 $ p. Fee for branch circuits without purchase of a service or feeder fee; First branch circuit (2) Each additional branch circuit I Ij,I) $ 55.00 $ .tit? - $ 6.00 $!2CJ - Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit or ~ Iimited-'energy panel, alteration, or .extension (2) $ 63.00 $ $ 63.00 $ $ 63.00 $ Each additional inspection: (I) $58.00 $ .Y>:,'c;r;C;2).:'ti:i;ARl'l.::iC,Atilt,iJ!iE',\,c."',;' '."; (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [AD (C) Technology Fee (5% of [AD TOTAL fees and surcharges (A through C): $/75- $ 2.-1- $ '6.75 $ :J-ot-l,15 ."..i .. '.... Sl::~N... G.~.f.IE.LD . .. ~."...b """~ "~\ OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-00262 IVR Number: 811161892265 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 02/17/2011 ISSUED: APPLIED: 02/17/2011 02/17/2011 EXPIRES: VALUE: 08/16/2011 $0,00 SITE ADDRESS: 1408 MAIN ST, Springfield, OR 97477-4921 ASSESOR'S PARCEL NO: 1703363203400 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: New branch circuits for tenant infill OWNER: ADDRESS: EMMITT PROPERTIES LLC 13593 SE PORTLAND VIEW PL HAPPY VALLEY OR 97086 Phone Number: Contractor Type Contractor Name L1VEWIRE ELECTRIC INC CONTRACTOR INFORMATION ~ Lic Type. ELECTRICAL BUILDING INFORMATION I Lic No 20-99C Lic Exp 07f01/2011 Phone 541-344-4928 # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Sq Ft Basement: Sq Ft Garage: Sq FI Carport: ATTENTION: OrE~lllAt~tft<fr'~qlJires:Y(ilJ.i,~, . follow rules adopoc(ju'pi\~:;Y'L<6~~~~n.Y\I~!y' , , .M Hf~ation Cenlm Those rules are set fortH Elect"cal Specialty C~de ~allro~, 52-001<'\)'0810 through OAR 95200qi: S . fi Id F' C d Ed"t1n OAR 9 f .h- '''1-- "<I prmg Ie Jre 0 e "05'90. You may obtain copies 0 t":"r.~~~ "'1 Mechanical Specialty Code E!J!!!p,r,:::l the center. (Note: the lel~8~(J~~ Municipal f Development Colletmber for the Oregon Utility NotlflliatleR Center is 1-800-332-2344', Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: lot Size:, Sq F11 st Floor: Sq Ft2nd Floor: Site Information I 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 2f1712011 2:59:24PM Page 1 of 3 . S.~~IN..G F..IE~ ~4\4_' ,,'\~ ~, ,~, OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspecti~n Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-00262 IVR Number: 811161892265 perm itcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 02/17/2011 ISSUED: APPLIED: 02/17/2011 02/17/2011 EXPIRES: VALUE: 08/16/2011 $0.00 SITE ADDRESS: 1408 MAIN ST, Springfield, OR 97477-4921 ASSES OR'S PARCEL NO: 1703363203400 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: New branch circuits for tenant infill DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING PROJECT DESCRIPTION: Total: Handicapped; Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ . Description Tvpe of Construction . Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Descriotion Amount Paid Date Paid Redot # State of Oregon Surcharge (12% of applicable fees) $21.00 02/17/2011 2011000310 :r~ogy fee (50/""f perrn~t^t,,!~!L_^______________ _ ___'y8.7~__~.._._.02/17/2011______.._3011 00031 0 \ Branch circuits without service or feeder - 1st circuit $55.00 02/17/2011 2011000310 Branch circuits without service or feeder. each additional $120.00 02/17/2011 2011000310 ._-------~ -.,.-........-..-...- Total Amount Paid $204.75 Spril)gfield Building Permit 2/17/2011 2:59:24PM Page 2 of 3 . ~. CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-00262 IVR Number: 811161892265 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 02/17/2011 ISSUED: APPLIED: 02/17/2011 02/17/2011 EXPIRES: VALUE: 08/16/2011 $0.00 SITE ADDRESS: 1408 MAIN ST, Springfield, OR 974774921 ASSESOR'S PARCEL NO: 1703363203400 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: New branch circuits for tenant infill Plan Review I DeDartment Permit Issuance Received 02/17/201"1 Due Date 0211712011 ComDleted 02/1712011 Result Issued Reviewer David Bowlsby 0211712011 0211712011 David Bowlsby Initial Review 02/17/2011 Over the Counter Comments: Over the counter permit Applicati6irAcceptance: ,~\,' :,02/17/201 t.."l:02/,17/20'11- "02/17/2011--,' Over,the,Counter,' -: ," ~;':~'~:'~~" :'~,:~'~":>'~~:':j::;':~,' ~~i T"",' ;~"'~~1?~"'~'f:,;~;.~~'~:~~~,.~,:~,~:~"~~;I~';~:;.~~~\;;~"t~f,;~Lf:-:i:~":~}" bT;:"~~i' 9~'~ia:Bo:"lsby 1', ' ;Cf~">'~' ;...' c" '~;~s;P:,~-, . -,-'. ~ ' '" , "';.::,......-.L.^J.;"'. INSPECTIONS REQUIRED I Inspections 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that 1 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 construction. ' j-;}-/( , Date Springfield Building Permit 2/17f2011 2:59:24PM Page 3 013 Si~RIN.G..FIE~.. ~,A1i'_ -*: ~ .;\~ OREGON www.d.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00262 1408 MAIN ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@cLspringfield.or.us RECEIPT NO: 2011000310 RECORD NO: 811-SPR2011-00262 DATE: 02/17/2011 [DESCRIe.TloNy':::''''-.....J~~;;~n''.~r "f-'1i';{/r~~;.c:=L:::.:3~CCOUNT~CODE7'.L._.'., .,;:,,: i.~MOUNtbUE" .' ' ".1 Branch circuits without service or feeder - 1st circuit Branch circuits without service or feeder - each additional 224-00000-426102 55.00 '-- 224-00000-426102 120.00 821-00000-215004 21.00 100-00000-425605 8.75 . . TOTAL DUE: 204.75 .. ,:.",.. ...:'~I\II09~PA!D~d::;::1;:::,;,,;1 204.75 State of Oregon Surcharge (12% of_applicable fees) Technology fee (5% of permit total) !... .,~ . '..~.. .-,~., ~ ~,' """~.W' ':'~:~" ',"'~ . - "0..., d:,' ',""'.' 7" .. .... ~ """'-''''''''''''';'.':''::J0:+~0:''.}0>~.~.-':-'.'~',c'<'.:''''^''.:;,':',' LieA ,(MI;.f'IT"TY~I:~~ ~C::P.ffi';Q_I:!st.' CASHIER: D;iOWcSBy,:~~L~QII'!M_ENIS,:'-:;~,c .';, Check L1VEWIRE ELECTRIC INC 013466 TOTAL PAID: 204.75