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Home My WebLink AboutPermit Electrical 2011-5-10 5P;I;::;~ ~.~ ~OREGOH CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00784 IVR Number: 811116958710 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued permilcenter@ci.springfield.or,us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 05/10/2011 05/10/2011 05/10/2011 SITE ADDRESS: 250 S 32ND ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702310000502 EXPIRES: VALUE: 11/06/2011 $0.00 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Six circuits for reception area Phone Number: OWNER: ADDRESS: WILLAMALANE PARK & RECREATION DISTRICT 250 S 32ND ST SPRINGFIELD OR 97478 Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: Electrical Specialty Code EdltTcT.r:NTION: GlpjQjon law requires you to Springfield Fire Code Edi"f!ti!.ow rules adopted by the Oregon Utility 'UotlflGatlon Center Th I Mechanical Specialty C09li lOdillon; ,ose ru es are set forth UMh ,,52-001-0010 through OAR 95 Municipal I Development Olig@):.YoumaYObtal'n.2-001- , . copies of the rules by Plumbing Specialty Code E6ilii!,,,-,g the center. (Note: the telephone Residential Specialty codl\!\ffilow: for the. Oregon Utility Notification Structural Specialty Code Edition: Center IS 1-800-332-2344). Contractor Type Electrical Contractor Contractor Name OWNER CONTRACTOR INFORMATION ~ Lie Type OWNER BUILDING INFORMATION ~ # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Lie No 0000000 Lie Exp 08/12/2025 Phone lot Size: Sq Ft 1st Floor: Sq Ft2nd Floor: o Site Information ~ Engineered Fill: Fill Volume: Flood Haza rd Area: land Hazard Area: Retaining Wall: Soils Report Required: ~ NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK ,l\UTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR M!Y 180 DAY PERIOD. Springfield Building Permit 5/10/2011 9:52:50AM Page 1 of 3 SP~IN..G FIEL. ~ ~'\4__ ....'<~ ;.~'>Z, 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-SPR2011-00784 IVR Number: 811116958710 permitcenler@ci,springfield,or.us PROJECT STATUS: STATUS DATE: Issued 05/10/2011 ISSUED: APPLIED: 05/10/2011 05/10/2011 EXPIRES: VALUE: 11/06/2011 $0.00 SITE ADDRESS: 250 S 32ND ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702310000502 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Six circuits for reception area DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north properly 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 Descriotion Tvpe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID I DescriDtion State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Branch circuits without service or feeder - 1 st circuit Branch circuits without service or feeder - each additional Total Amount Paid Amount Paid $10.20 $4.25 $55.00 $30.00 $99.45 Date Paid 05/10/2011 05/10/2011 05/10/2011 05/10/2011 ReciDt # 2011000909 -------. 2011000909 .._,,--_._-- 2011000909 2011000909 Springfield Building Permit 5110/2011 9:52:50AM Page 2 of 3 CITY OF SPRINGFIELD 225 Fi~h SI 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-SPR2011-00784 IVR Number: 811116958710 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/10/2011 ISSUED: APPLIED: 05/10/2011 05/10/2011 EXPIRES: VALUE: 11/06/2011 $0.00 SITE ADDRESS: 250 S 32ND ST, Springfield, OR 97478 ASSES OR'S .PARCEL NO: 1702310000502 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Six circuits for reception area Plan Review ~ Department Application Acceptance Received Due Date 05/10/2011 05/10/2011 ComDleted 05/10/2011 Result Over the Counter Reviewer Chris Carpenter Electrical Review Comments: Over the counter permit ftQ~~~I~;~~Vj~~~ ~'~~::~~~~;~~'r~~~T~1:~,.~1,'~~Q5~J~/2'(j" "~?ili?:.~011 ~:i~~ i'~~.er'1~~"~'~:~i~e~~"~;, Cg9~""~~~t,~,::Cti9v~rith~~~!€J~pe!Il],~V__", .", ,^':,_, ~:. :t:4;,_ ' ?:::,. ';',t'.P"":i"k~ ~ I INSPECTIONS REQUIRED ~ ,?~ls:~ajp~Qt~t;,'1c. "I- . ..cf;:~ t~!;4.f.;;':. f'''{S'' 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 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. G~7)~J1t/ .5/IP/U(/ Owner or Contractor Signature Date Springfield Building Permit 5/10/2011 9:52:50AM Page 3 of 3 Electrical Permit Application j -; . ~ . en,v OF.SPR1N~FIEL'D~ QREC~O~ 225 FUIh StreetoSpringfield, OR 974770PB(541)726-37SJoFAX(54I)726-J689 DEPARTMENT USE ONLY ~L~ 1Ytf ) This permit is issoed ooder OAR 918-309-0000. Permits are oootransferable. Permits e"Pire ifwork is oot started within 180 days of issoaoce or if work is suspeoded for 180 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No CATEGORY OF CONSTRUCTION Job site address: 2. :;0 City:S Reference: :::10 " r>e.. F~f'.)---r- .'->--,. . CO: )--e... PROPERTY OWNER Name:'v"( ..I (::;; -". r- ~ Address: ZSo S.. 5~L V City:s. ~ r= "Ie-. Phone;>G(/-;>.x,c 1,<<:""'" E-mail: This inslallation is being made on residential or limn 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 Business name: iW ZIP: <'('1 ,-+P)~ Phone: E-mail: CCB license no.: J Signing supervisor's license no.: Print name of signing supervisor: \ Signature of signing supervisor: 44O-2584-J (9108/COM) r ~J)~ ~~\\I_'f~ ~~ FEE SCHEDULE Number of inspectioDs per item ( ) Qty. Coot Total ea. cost Reoidential, per uuit, service iududed: 1,000 sq. Il or less (4) $134.00 $ Each additional 500 sq. Il or portion $ 25.00 $ thereof Limi1ed energy (2) $ 32.00 $ Each manufacIured home or modular $ 63.00 $ dwelling service or feeder (2) Servifts or feeders: installation, alterot;on, re/Qanion 200 amps or less (2) $ 81.00 $ 20 I to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ RecoIlllCd only (2) $63.00 $ Temporary services or feedcn: installation, alteration. relocation 200 amps or less (2) $ 53.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $125.00 $ Over 600 amps or 1,000 volts. see services or feeders section above Branch cin:uib: new, alteration, extension per panel a. Fee fur bnmcIi circuits with pun:base of a service or feeder fi:e: Each Immch cir<:uit . $ s.oo , b. Fee for branch circuits without purchase of ~ service or feeder fee: FUSl bnmch cir<:uil (2) I $ 55.00 $55 Each addiIional bnmch cin:uit 5 $ 6.00 $~o MisceUaDeous fees: service or feeder not included Each pump or inigaJion cirele (2) $ 63.00 $ Each sign or ou1line ligbIiog (2) $63.00 $ Signa) circuit or a limited--energy panel, $ 63.DO $ altera1ion, ore_on (2) Eu.b udditiooal inspectioo: (I) $58.00 $ APPUCANT USE (A) EnlersubtotaIofabovefees $~5~ (Minimum Permit Fee $58.(0) (B) Enter lZOlosurchaIge (.12 x [AD $ iD7.<2 (C) Technology Fee (5% of [AD $ 4,2'$ TOTAL fees und su",barges (A tbroogh C): $"1</..1-5 SP~IN.G FIEL~ .~- ""'?' ,~ '--'~ ,,<', OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 81 Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-5PR2011-00784 250 5 32ND 5T perm itcenler@ci.springfield.or.us RECEIPT NO: 2011000909 RECORD NO: 811-SPR2011-00784 DATE: 05/10/2011 lbE5CRI~TldN'-"~"" ",' "y::'\" . ':;.- -- "~ ", -.: ,- ACCQUNLCODE' , ;' ,: AMOUNT.DUE-:......~._.:-.: Branch circuits without service or feeder -1st circuit 224-00000~426102 55.00 Branch circuits without service orfeeder - each additional 224-00000-426102 30.00 State of Ore90n Surcharge (12% of applicable fees) 821-00000-215004 10.20 Technology fee (5% of permit total) 100-00000-425605 4.25 TOTAL DUE: 99.45 ", 'AMOUNT PAID 99.45 . ;...,. . " C,Q.MMEi!IS " , , ~, Of,. UAXMEHLT:YJ'Jo"":' ~k:X.oR 'CASHiER: CCARPENTER Check W1LLAMALANE PARK & 86480 RECREATION DISTRICT TOTAL PAID: 99.45