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HomeMy WebLinkAboutPermit Electrical 2011-2-2 225 Firth Street. Springfield, OR 97477.PH(541)726-3753.FAX(54I)726-3689 ~ DEPA~TMENT .USEo.Nl y. fPt2Z-0/! - 60, ~ Pennit no.: Date: d -2- 2-01( This permit is issued under OAR 918-309-0000. Permits are nontransferable. Per",its expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . lOCAL GOVERNMENT ,APPROVAl" '.. Zoning approval verified? 0 Yes 0 No CATEGORY OF CONSTRUCTION ,.... esidentia] D Government D Commercial " JOB 'SITE INFORMATION AND lOCATION .' q " City: Reference: Name: City: Phone' E-mail: This installation is being made on residential or fann 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). Signature: ", CONTRACTOR.INSTAlLA TION Signing supervisor~s' license no.: Print name of signing supervisor: Signature of signing superviso . ,..,..,,', :FEE;SCHEDUlE. ." '.',. .;' Nu'mbe;-ofi~~p~ct~ori~ ~.e~)t~m:<)' ~tyf-.~t._Ct~. ~~~~I.' Residential, per unit"service included: 1,000 sq, ft. or less (4) $t34.00 $ 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) I $ 81.00 $'ii{.fY\ 201 to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $t58.00 $ 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: ins/al/alion, al/era/ioil, reldca/ion 200 amps or less (2) $ 63.00 $ 20 I 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 $ 6.00 $ b..Fee for branch circuits without purchase ofaservice or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or fteder not 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: (1) $58.00 $ [,,;,;., ." i l,i;';: ".".... Al?Pt/CANPUSEF: ';'~,:;i ,;-,';,e'''r ;\',..#,> . . ..,'~-' .....< .-.' '--"" ,,', ,- '.1",:',;-;;~".'<",":,'"..,.,."._;.)..,,".f'~\"" v- (A) Enter subtotal of above fees &'// :ro (Minimum Permit Fee $58.00) $ I. - ~ (B) Enler 12% surcharge (.12 x [A]) $ '--7' 0 (C) Technology Fee (5% of[AJ) $ '1- 7 2......- $4L 17 { (' $ 63.00 $ ATTENTION: 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 NOTI CE' TOTAL fees and surch~~g~~ (1rt~n~~gh C): Center is 1-800-332-2344). . II EXPIRt It' I nc ,"V"" ~ THIS PERMIT SHA R THIS PERMIT IS NOT 440-2584-J(9/08lCOM) ~ \ AUTHORIZED UND~ ABANDONED FOR ;--." COMMENCED OR Iu '&~ ANY 180 DAY PERI(1\1 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00166 IVR Number: 811107811459 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 02/02/2011 02/02/2011 02/02/2011 SITE ADDRESS: 545 FLAMINGO AVE, Springfield, OR 97477.7584 ASSESOR'S PARCEL NO: 1703224200300 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenler@ci.sprlngfield.or.us EXPIRES: VALUE: 08/01/2011 $0.00 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service/Panel Change Phone Number: OWNER: ADDRESS: LAWRENCE MERL L & BONITA L 545 FLAMINGO AVE SPRINGFIELD OR 97477 Contractor Type Contractor Name MAG ELECTRIC INC CONTRACTOR INFORMATiON ~ Lie Type CGB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of'Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lie No 149834 Lie Exp 12/13/2011 Phone 541-461~0387 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: Site Information I N' oregon law, f~:" '\',~'on utility 1'1 \ t:.I' ,,0 ' 0 ted by t"e Oleg sellorth lallow rules ~~,t~r. Those rU,les a~ 952-001- Notilicatl~~_~01_001 0 throUg~ ~fthe rules by in Op.,R ~ou may obtain cop~e~hB telephOne 0090.. the center. (NotUt'TlY Notilicatlon callIng Oregon I I number lor the l_BOO-332-2344). center IS Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining W~lf:OT~ C E: Soils Report~?m.\irf~:RMiT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT C:JM~1E~ICED OR IS ABANDONED FOR '''1 'W1 Di\Y PERIOD Springfield Building Permit . 2/2/2011 1:41:25PM Page 1 of 3 5P~.. ING~IE..l.~ . .-~.~. ",,&<' Jil!d .~ ,,~ OREGOH www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00166 IVR Number: 811107811459 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perrnitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 02/02/2011 ISSUED: APPLIED: 02/02/2011 02/02/2011 EXPIRES: VALUE: 08/01/2011 $0.00 SITE ADDRESS: 545 FLAMINGO AVE, Springfield, OR 97477-7584 ASSES OR'S PARCEL NO: 1703224200300 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Service/Panel Change 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: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: DownspoutJDrains: Valuation Description I Descrietion Tyee of Construction Unit Amount Unit Tyee Unit Cost Value FEES PAID I Description State of Oregon Surcharge (~w2%. of applicable fees) ~~!Yices ,~~g_~mps or less _ Technology f:e (5% of permi~ total) Total Amount Paid Amount Paid $9.72 $81.00 $4.05 $94.77 Date Paid Reciot # 02/02/2011 2011000214 -""~"--"-'''-'._~.'''~ ._-",-- ._-"... 02/02/2011 2011000214 .-o2iCI2I2011- --.---.. uO--2011000214 Springfield Building Permit 2/2/2011 1:41:25PM Page 2 of 3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00166 IVR Number: 811107811459 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 02/02/2011 02102/2011 Issued 02/02/2011 SITE ADDRESS: 545 FLAMINGO AVE, Springfield, DR 97477-7584 ASSESOR'S PARCEL NO: 1703224200300 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726.3769 Fax: 541-726-3676 permilcenler@cLspringfield,or.us EXPIRES: VALUE: 08/01/2011 $0.00 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Service/Panel Change Plan Review ~ Deoartment Application Acceptance Received Due Date 02102/2011 02/02/2011 Result Over the Counter Comoleted 02/02/2011 Reviewer Nancy Machado :l Electrical Review 02/02/2011 02/02/2011 02/02/2011 Not Required Nancy Machado Comments: Over the counter permit 1..nJtial8eVie~ /i~l \~1< '~~7;:.?q:i02., /o2729\i.:~~02f02/?~1J1f:~;q2Ip'~2g~1j:",9i~~In:e;Cg-u~~~L~ -~: ~ "':;)~N~ngY:1\1~Cha-d9\",\~_~;'t.;'.., ,_ , L;;8'e4:'.,.,. ,"yJ'~" ....'.t.,.... '.:'.,.. "'.iw...f"""''"'t-;'':7".'';f'''!'1'It,\l~'~;1'oii&t~. '"..J'.,..'''""",,;;.l\, j;",,;~ <\.... 'SL!t:2..,.~,,,,,'4:.:+.^.. . ":":""""'W:"~'L'; -.. .'..~~...." : .sCommerits"":Overthe counter. permit :""'.::';J,~'>, -~1,"':,,+i i.tF,~~"y,:rr;,"::~i",'\:.t"o.j;j"1~ ,,~~{":t,',?: ',:.< :i'''. .no' ..,',"1'. ,'''~",j._ ... ~ .... "'" ~ -, .. . -\ ''-'i'?,.'';:.',/.."~ .. -" -.,- . '= '!" 7::r,.~1'.,i.l-'t: '\,~.L+Od... 1---"'''''1''''>';'' ,_',::.:ii:":f_,,,:',,,F' ':':"""l~"'i":'''''0' ,,' 'ji ; " ,". '~-/~".;(: ~ . ". '1:., ~."" By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true anp 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. INSPECTIONS REQUIRED ~ Inspections 4220 Electrical - Service ,-/fA/( c< Ie;( /II { I Date Springfield Building Permit 2/2f2011 1:41:25PM " ... '2]- '" ':,':;;4'~..~ + ;. ,,"'4~~:;"~; ..: .. A, "V '''''>--''~,,,..'-... .".- '~-,;;;"';i*i;;,"'" ~"t*, J .' ,;"' :I' /. /' Page 3013 Sr~II.l:..IE~.D. .~ .~..~ ., v;;g ~N,_ - Ol(EGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 81 Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00166 545 FLAMINGO AVE permitcenter@ci.springfield,or,us RECEIPT NO: 2011000214 RECORD NO: 811-SPR2011-00166 DATE: 0210212011 rOESCRlrWON" '{.l:t8t.;;.,::5~;;t:l~-,~:::t..' ;'gtID:j1h:3l.,Z'1:,ACCOUNtC"obE:~?'.'!l"_:t, .;;~'. ''AMOUNLDUEll "..:.l-':...~ Se(vices 200 amps o( less ._..___._~_~:.?0000-42~1l3..__.___ __ ___8.2.~1l.._____._ ~~ate of O(egon Su(cha(ge (12% of applicable fe=~) 821-00000-215004 _____.__. '_"". .. _.._ _E3_. _ _ _ . . . Technology fee (5% of pe(mit to~l) 100-00000-425605 4.05 _ _ ___ TOTAL DUE: 94.77 r~r-p AYMENT ~iY~~~ y ,t;;p~yJ>'Bj~C'AS-HlER':~NMACHADo-~1:~~~~:COMMEf.f:LSi>tJ;~J~-~-~~_~;:~~~41l;'~",l;i~'AIVJ9UNT~pAfb-;'~^,~:,,,)'i'-~ ." -- _ ;~ I C(edit Ca(d MAG ELECTRIC INC 94.77 532631 TOTAL PAID: 94.77