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
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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
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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
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"~\ 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_'
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~, ,~, 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', '
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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~..
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.;\~ 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