HomeMy WebLinkAboutPermit Electrical 2011-2-2
225 Firth Street. Springfield, OR 97477.PH(541)726-3753.FAX(54I)726-3689
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DEPA~TMENT .USEo.Nl y.
fPt2Z-0/! - 60,
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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 .'
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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 $
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(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......-
$4L 17
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$ 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.~ .
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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
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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.;'.., ,_
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-.. .'..~~...." :
.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 ; "
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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
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Date
Springfield Building Permit
2/2f2011 1:41:25PM
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Page 3013
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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