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Home My WebLink AboutPermit Electrical 2011-5-4 . "l.~ Eiectrical Permit Application -- 225 Fifth Stree,.Springfield, OR 9747HPH(541)726-3753. FAX(54 1)726-3689 DEPARTMENT USE ONLY Permitna.: ([{I ~ 7'-17 Date: :;-: ''I II 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. . ., 'l!OCAl' GOVERNMENTAPPROVAL\\+'''' Zoning approval verified? 0 Yes 0 No ...','''>.:CATEGORY)'OF.'CONSTRUCTION),' ..' D Residential D Government D Commercial !f~~!:tOB.~SrrEIINFQRJViATIONtAN[j\'12.0C'ATION\~ii+r;(i'i' Job site address: -;2-2:) )4 .5,- City: r:;PP<--l:> State: c))t- ZIP:<7'7lf?? Reference: Taxlot: DESCRIPTION; .oF WORK"',; ,.. . {, "',.' ' Name: OPERTY OWNER 0/7'( aF J t'tzltvC, n{;c.. /1 sM Sr Address: 2::Z-) City: ~ ""FL.-v ZIP: C;? 7'~? Phone: E-mail: This installation is being 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). Signature: CONTRACTOR INSTAllATION. c:.. Address: City:'- Phone: '/- r E-mail: CCB license no.: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor. ~~ ~ 440-2584-J (9/08/COM) c :( ,~r:;';~V:':;~!Af~:;~;~rff~f~.;?~FEE~.SCR EJj.l:1 ~Eti;~:,'\:.i(;?ffP~:~JKf1~e~1~~~t>Y: '. ",',". Cost Total .Number' of inspectio'ris per item (.). ,.: Qty. '. . . .~, .... .; .... '. ,: '. I .. _',' i ~a; cost Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ 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) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 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) $ 63.00 $ 20 I to 400 amps (2) $ 87.00 $ 40 I 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 ofa se'rvice or feeder fee: Each branch circuit $ 5.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) I $ 55,00 $ s<-;; Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder ':lot included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (I) $58.00 $ ;~1;i%'!;~V~t~~t~~lli'~~4~'ARFjiiicANTAtjJ S-Et)[~;)/~~"{j;:;';;~f-.~'~:~;;-;f'~, ,;~} (A) Enter subtotal of above fees ~d). (Minimum Permit Fee $58.00) $ (B) Enter 12% surcharge (.12 X [A]) $ b (.,~ (C) Technology Fee (5% of [A]) $ )c,o TOTAL fees and surcharges (A through C): $ I.")~ . 4 SPRI.H. G... FIE~ ~L'__ . ;'..~ ~tJ; i~.}~... OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00747 IVR Number: 811134087536 www,cLspringfield.or.U5 225 Fifth SI Springfield, OR 97477 Phone: 541-726.3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci,springfield.or,us PROJECT STATUS: STATUS DATE: Issued 05/04/2011 ISSUED: APPLIED: 05/04/2011 05/04/2011 EXPIRES: VALUE: 10/31/2011 $0.00 SITE ADDRESS: 225 5TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353103300 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Add 50A circuit for outdoor fountain Phone Number: OWNER: ADDRESS: CITY OF SPRINGFIELD 344 NORTH A ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor Contractor Name GONRICH ELECTRIC LLC # of Units: o Lie Type CCB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alanns: 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: Lie No 149509 Lie Exp 11/02/2011 Phone 541-359-1192 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: 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 Center is 1-800-332-2344). Site Infonnation ~ Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 5/4/2011 9:59:18AM :..'OTIGE: 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 . SP~lI..H. ~. FIEL 0 ~'\, ',',-. @1; ,,:' . "'; OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00747 IVR Number: 811134087536 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/04/2011 ISSUED: APPLIED: 05/04/2011 05/04/2011 EXPIRES: VALUE: 10/31/2011 $0,00 SITE ADDRESS: 225 5TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353103300 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Add 50A circuit for outdoor fountain DEVELOPMENT INFORMA TION ~ 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 ~ Street Improvements: Storm Sewer: . Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Do~nspoutlDrains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value 'I FEES PAID ~ Descriotion State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit t.9~al) Branch circuits without service or feeder - 1 st circuit Balance of Minimum Electrical Permit Fees Total Amount Paid Amount Paid $6.96 $2,90 $55.00 $3,00 $67,86 Date Paid 05/04/2011 05/04/2011 05/04/2011 05/04/2011 Reciot # 2011000871 2011000871 2011000871 2011000871 Springfield Building Permit 5/4/2011 9:59:18AM Page 2 of 3 SP~IHG. FIE~ ~_.. . " P"- ": . ~.....:t..1I . \ OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00747 IVR Number: 811134087536 www.cLspringfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 05/04/2011 05/04/2011 05/04/2011 SITE ADDRESS: 22S STH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 17033S3103300 EXPIRES: VALUE: 10/31/2011 $0,00 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Add SOA circuit for: outdoor fountain Plan Review ~ DeDartment Application Acceptance Received Due Date Comoleted Result OS/04/2011 OS/04/2011 OS/04/2011 Over the Counter Reviewer Chris Carpenter "-Issued :; .>-;;;: ~ '},~ ..,.. p. Perrfl~~'lssuance, .'''~,.,'' ,,^,.":"'iif'-,-:r;~ >,~,:.:__OS/04/2P11; : (.OS.!01JO,.,.,,; 0~~q4/2011 . ~ v .". Yi!ljj~:-.::::"o,~-~ :7~N'.:,>;;;."';;' . .'" -~ -" ,~~ .".- . Electrical Review 05/04/2011 05/0412011 Comments: Over the counter permit fnitialRev;ew ~---:-:". .' qS/04/2011.::.;OS/P4j20:1'f I Comments: Over the counter permit' 1....__ ,. , ___~' _ " ..... ,.. , . OS/04/2011 Not Required .~ -~ , , 05!?4/2011~eilh-e c,ounte~~.~:: .';. ,,~hr~~lCarpenter.' . _...J Chris Carpenter INSPECTIONS REQUIRED ~ 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 I 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 ofth~ 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 lac at the front of the property, and the approved set of plans will remain on the site at all times during construction. (if 0/. Date Springfield Building Permit 5/4/2011 9:59:18AM Page 30f3 SP. RIN.....G...FIEl;ij ~\~- ( ~ ->'"'-OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 www.cLspringfieJd.or.us 811-5PR2011-00747 225 5TH 5T permitcenter@ci.springfield.or.us RECEIPT NO: 2011000871 lDE5CRI~TION . .. '.', " . Balance of Minimum Electrical Permit Fees Branch circuits without service or feeder - 1st circuit RECORD NO: 811-SPR2011-00747 DATE: 05/04/2011 State of Ore,gon Surcharge (12% of applicable fees) Technology fee (5% of permit total) ACCQUNLCODE 224-00000-426102 224-00000-426102 821-00000-215004 100-00000-425605 TOTAL DUE: AMOUNUl.UE 3.00 55.00 6.96 2.90 67.86 AMOUNT PAID 67.86 LEIlYJVIEll.LLYEE Internal Transfer PAVOR ,i .CASHIER:'CCARPENTER" CITY OF SPRINGFIELD . COMMEN'rS~ 4206224810050 1 TOTAL PAID: 67.86