The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2011-2-22 ElectticalPermit Application I ~Ir1i'1 (Q)1}f ~~@IP1J~~ (Q)~~ 225 Fifth Street. Springfield, OR 97477. PH(541)726-375~ FAX(541)726-J689 I~ .DEPARTMENT USE.ONLY " Pennitno,: S.t 1- J-~Q 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 GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No CATEGORY OF CONSTRUCTION o Residential 0 Government Commercial JOB SITE INFORMATION AND LOCATION Job site address: City: Subdivision: 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 INSTALLATION Address: City: Phone: / E-mail: CCB license no.: I Signing supervisor's license no.: Print name of signing supervisor: . Signature of signing supervisor: ~/-;{,~ ~~~(':(: r7J1e.e~ci.. ~~/_ 5"-20 -'17 7 ~ ~~ FEE SCHEDULE Number of inspections per item () Qty. Cost Total ea. cost Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. f1. 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) '7 $ 81.00 $.1.&. 20t to 400 amps (2) $ 95.00 $ 40t to 600 amps (2) $158.00 $ 601 to t,OOO amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: instal/ation, a'teratio~, relocation 200 amps or tess (2) . $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, se~ 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 /'1 $ 6.00 $//'1- b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 $ Each sign or ootline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Eaeh additional inspection: (I) $58.00 $ APPLICANT USE (A) Enter subtotal of above fees ~76 (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (, t2 x [A]) $ 33,/') (e) Technology Fee (5% of [A]) $ / 3 9() TOTAL fees and surcharges (A through C): $71)f)? 2. '2 .~- CITY OF SPRINGFIELD Building I Commercial Permit PERMIT. NO: 811-SPR2011-00280 IVR Number: 811135722283 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 02/22/2011 ISSUED: APPLIED: 02/22/2011 02/22/2011 225 Fifth St Springfield.OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield,or.us EXPIRES: VALUE: 08/21/2011 $0.00 SITE ADDRESS: 2310 MAIN ST, Springfield, OR 97477-5157 ASSESOR'S PARCEL NO: 1703364101700 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: New 200A services & sign circuits Phone Number: OWNER: ADDRESS: CALDWELL AUTOMOTIVE & 2310 MAIN ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION I Contractor Type Contractor Name SCQTTYS ELECTRIC INC # of Units: o lie Type ELECTRICAL BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: 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: Lic No 9-260C Lic Exp 07/01/2011 Phone 541-419-3663 Lot Size: Sq Ft 1 st Floor: tfr~~'1'lof~~bregon law requires you to f~~;F,! ~i!~2!J''!!'Jbpted by the Oregon Utility NlS.q:~t.Garag.:Hlter. Those rules are set forth in S'I'F.t Carpo'rt11-00 10 through OAR 952-001- Ors'WFt'b1~.may obtairo copies of the rules by Gallina the cegter. (Note: the telephone nu'ffi'lJ'e"r"J"d'r1W!J Oregon Utility Notification 2008 Center is 1-800-332-2344). Site Information Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: No Springfield Building Permit 2/22/2011 1 :53:21 PM ~ NOTICE: I THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERiOD. Page 1 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-SPR2011-00280 IVR Number: 811135722283 permilce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE:. Issued 02/22/2011 ISSUED: APPLIED: 02/22/2011 02/22/2011 EXPIRES: VALUE: 08/21/2011 $0.00 SITE ADDRESS: 2310 MAIN ST, Springfield, OR 97477-5157 ASSESOR'S PARCEL NO: 1703364101700 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: New 200A services & sign circuits 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: Downspout/Drains: Valuation Description I Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I DescriDtion State _of Oregon Surcharge (12% of applicable fe~s) T ech!,~1.02Y fe~ J~'/~_o!J)ermit .lota_l) Services 200 amps or less Branch circuits with service or feeder each circuit Total Amount Paid Amount Paid $33.12 $13.80 $162.00 $114.00 $322.92 Date Paid 02/22/2011 02/22/2011 .._..,.,.,..._,---,.._.",_._._~-"-,,-- 02/22/2011 02/22/2011 Reciot# 2011000328 2011000328 2011000328 2011000328 Springfield BUilding Permit 2/22/2011 1 :53:21 PM Page 2 of 3 ~S.~~~NGfIELD :,~ . . m , ""+~':'OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00280 IVR Number: 811135722283 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone, 541-726-3769 Fax> 541-726-3676 www.ci.springfield.or.us permitcenler@cLspringfield,or.us PROJECT STATUS: STATUS'DATE: Issued ISSUED: APPLIED: 02/22/2011 02/22/2011 EXPIRES: VALUE: 08/21/2011 $0.00 02/22/2011 SITE ADDRESS: 2310 MAIN ST, Springfield, OR 97477-5157 ASSESOR'S PARCEL NO: 1703364101700 SCOPE: Electrical Only WORK INVOLVED: Alteraiion TYPE OF STRUCTURE: Commercial . PROJECT DESCRIPTION: New 200A services & sign circuits Plan Review ~ Deoartment Permit Issuance Received Due Date 02/22/2011 02/22/2011 Com Dieted 02/22/2011 Result Issued Reviewer Chris Carpenter Initial Review 02/22/2011 02/22/2011 02/22/2011 Over the Counter ,Chris Carpenter Comments: Over the counter permit ~P~ic.~ll2.n,:t'csep-'~nse". if. . "~~02/~21~bl1~"Ff!.?/2~(201,1. g;TI~;'}~~>~~~ ~'~~ir:t,,~"'Ph.Ti;;r:;'2:s:::\;:,~?},,~,~~~...t'( .--' "':'>l'\' '.~ ~. ~",. . ,"-'" ~. " , _e~"s,?~~rb:~ <:..:~~,~.h~ls,Q.?JP,~~~er',";~>%~[~4\;;&7j' ~:;;K:,_,,;h;jt;~i"~,L', ,~, ",;,-.__).~ :l,--rii'i%tt '~iifP;E,,,'5<~-'*'ih~::r,,-:,_.. - - ~;' _tct~,i\,."'LJ":.i' tkfZ::C}/';;';'},';--~f;/;."ij ,__;:~:w_j; ,,,,'J , 1 :", ," INSPECTIONS REQUIRED I Inspections 4225 Service or Fe~der 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 I h~ve 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 peJiormed 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. . , ,:;.",< ~ ~ ;// Owner or Contractor Signature Date Springfield Building Permit 2/22/2011 1 :53:21 PM Page 3 of 3 www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2011-00280 2310 MAIN ST CITY OF SPRINGFIELD 225 Fifth $\ $pringfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2011000328 RECORD NO: 811-SPR2011-00280 DATE: 02/22/2011 tOESCRII1.TioN;:0,1 ;~':'-~'7T-.\~'~'"_'#:iqjy;.7i;":""T;;' "'-",;;'":. -:-';ACC:OUNtIcoOE,ii--,'Ct2~'~;Y~; ;:'h.iVfOUNTjjlie,'! _. '.'. -', Branch circuits with service or feeder each circuit 224-00000-426102 114.00 Services 200 amps or less 224-00000-426102 162.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 33.12 Technology fee (5% of permit total) 100-00000-425605 13.80 TOTAL DUE: 322.92 UPA YM~~J~TXPEtt>T~"6' ,'~4'tQJi;~CAsHiitR::'CC'Ji.R~:12i:C.Q.M"M',~~!$~;'{?-.F '~:f- -.,~ ~r, ij'~='t::;. <:AM()UNI:~~Q~2;:~::&'~;' -0 :1 Check CALDWELL AUTOMOTIVE & . 322.92 5193 TOTAL PAID: 322.92