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Home My WebLink AboutPermit Electrical 2011-5-10 (2) CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00785 IVR Number: 811179439671 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 05/10/2011 05/10/2011 Issued 05/10/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us 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: Branch Circuits for readerboard sign and lanscape lighting Phone Number: OWNER: ADDRESS: WlllAMAlANE PARK & RECREATION DISTRICT 250 S 32ND ST SPRINGFIELD OR 97478 Contractor Type Electrical Contractor Contractor Name OWNER CONTRACTOR INFORMATION I Lie Type OWNER Lie No 0000000 Lic Exp 08/12/2025 Phone # of Units: : '1: '..~'\J; ?regon law i!pnr,rr",!3U1LDING INFORMATION I _ "," ac.Opted by the 0 ; -" <U in o.~: f~l ~;ent8r. Those rl//::1~f6hlJiililY 00';0' '\/0' ~-001-001O through HelU"li't%~51<Ai!/aJre: ~ - u may 01 t ' Uf-d'riJ~rn nf!l Galling the J am Copies OiY~e..o .~.' . - ,center (N t ,~ U es by number for t' 0 - 0 e: thEVli.t..,T~<>.e' tle regon Ut'j' --'1""""'9 Cen"er ' Illy RIrn'-'Ii"",n,. I IS 1-800-332_2:<"';," """"",h "liazmat: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: # of Bedrooms: Municipal I Development Code: Sprinkled Burr&~~JCE; Plumbing Specially Code Edition: Fire Alarms: THIS PERMIT SHALL EXPIRE lJ'!el"1~"I'I'~~cially Code Edition: Energy PathAUTHORIZED UNDER THIS PE~!l'Hqt4'S1~e"Fially Code Edition: i~~;;v~~vg~~ ~E~:~;tJAl~ULJIVtU rUH Site Information Engineered Fill: " Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit S/10f2011 10:0B:13AM. I Lot Size: Sq Ft1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement Sq Ft Garage: Sq Fl Carport: Sq Ft Other: Occupancy load: 2011 o ~ Page 1 of 3 SPi~.~~L~ ~l~ ~ORfGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00785 IVR Number: 811179439671 www.d.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued pennilcenter@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: Branch Circuits for readerboard sign and lanscape lighting DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Valuation Description Descriotion Tyoe of Construction Unit Amount Unit Tyoe Sidewalk Type: Downspout/Drains: ~ Unit Cost Value FEES PAID ~ Description Branch circuits without service or feeder. each additional -- - - - -. --. .-.---- -_.. ~ign o~ ~u~I~~: !i~t0!! . _'_ __._._ Technology fee (5% of permit total) Branch circuits without service or feeder - 1 st circuit State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid Date Paid ReciDt # $6.00 05/10/2011 2011000911 $63.00 05/10/2011 2011000911 ..--.-..--------..,--....--,---.-----.--- .---.----. -- .-. $6.20 05/10/2011 2011000911 ~._-- $55.00 05/10/2011 2011000911 $14.88 05/10/2011 2011000911 $145.08 Springfield Building Permit 5/10/2011 10:0B:13AM Page 2 of 3 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00785 IVR Number: 811179439671 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 05/10/2011 05/10/2011 Issued 05/10/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 641-726-3676 permitcenter@ci.springfield.or,us EXPIRES: VALUE: 11/06/2011 $0.00 StTE ADDRESS: 250 S 32ND ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702310000502 SCOPE: Electrical Only WORK INVOLVED: Alteration lYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Branch Circuits for readerboard sign and lanscape lighting Plan Review , Deoartment Application Acceptance Due Date 05/10/2011 Comoleted 05/10/2011 Result Over the Counter Received 05/10/2011 Reviewer Chris Carpenter Electrical Review 05/10/2011 05/10/2011 05/10/2011 Not Required - ill' ~.' C" 7~-"-;~'t+ - - ',<$:~~'~-Y--,-; Comments: Over the counter permit l!f~tj'~r~'RevJew .:~,i ,~. ~~~<~~f::'~-~/fO~20'~A'~~~~~~~:~:?'~~:I>:'05~:1,9{~~~;1 0__;:~~~:~._~~:.~~-g~;~!_~'r,-._. ~~;,"~_,;~~. '\9.:~hl~~~.p,~rpen,Je7'.', _~ ~S~,', -:::.' ~~ ~.'~~_-,',* ' ~ ~ _"~(.,' , 'l. ' I" C9mments>:",.O.verthe-c9unter{p~rmt~i:kl<r>)~',1.'V,' ~;. >''::'" :~;;.:;'.J.':. ,,>:z. "" "~'.' ....;,."'_ ."""'.. _. . .' L~._.__~"~~' . _.._,"""~'" .._.".__0C'....y !! ' ,_",;;,~ ,..",~ I I INSPECTIONS REQUIRED Inspections 4500 Rough Electrical 4610 Electrical Sign 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, . .r~v/{:;JJt 5//tJ/Y/!l Owner or Contractor Signature Date Springfield Building Permit 5/10/2011 10:08:13AM Page 3 of 3 i Electrical Permit Application . CITY OF SPRINGFIELD, OREGON SPhG~~LD ttII ~. DEPARTMENT USE ONLY Pennit no.: 5" /1- 7'ii r:; 225 Fifth Street. Springfield, OR 97477+ PH(S41)726-3753+ FAX(S41)726-3689 Dale: This permit is issued uuder OAR 913-309-0000. Permits are uontransferable. Permits expire if work is uot started withiu 180 days of issuauce or if work is suspeuded for 180 days. / ~J).~ . ~~~ D'~~ ~\S' LOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No CATEGORY OF CONSTRUCTION o Residential Government 0 Commer JOB SITE INFORMATION AND LOCATION Job site address: Z 56 S. City: SI": Reference: 5r c. .v i>-A \:( ca. ~Fv.: !l.L l.,."",sc". PROPERTY OWNER L .! Name: Address: Z. City:SPR t=1&b '1 PhoneS''7'( -73(..- 'r'S~ E-mail: This installation is being made on residential or farm prop owned by me or a member of my inunediale family. This property is not intended for sale, exchange, lease, or rent. 479.540(1) and 479.560(1). Signature: CONTRACTOR INSTALLATION Business name: I\) Address: City: Phone: E-mail: CCB license no.: Signing supervisor's license no.: Print name of signing supervisor: {(; _ ~~ Signature of signing supervisor: <( ZIP: 44O-2584-J (9/08ICOM) FEE SCHEDULE Number ofinSpectiODS per item () Qty. Cost Total ea. cost cial Residential, per uoit, senrice included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof ''-177 Limited energy (2) $ 32.00 $ -\/1 2- . 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 $ 40 I to 600 amps (2) $158.00 $ 60 I to 1,000 amps (2) $205.00 $ 47'7 Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: instal/ation, alteration, relocation erty 200 amps or less (2) $ 63.00 $ OAR 201 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 Brancb circuits: new, alteration, extension per panel a Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit I $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) I $ 55.00 $~ Each additional branch circuit \ $ 6.00 $ ,,~ Miscellaneous fees: service or feeder not inc/utkd Each pump or irrigation circle (2) $ 63.00 $ LL Each sign or ontline lighting (2) I $ 63.00 $ ~.3= 11 11 Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Eacb additional inspection: (I) $58.00 $ ~~ ;;'+'1;'Xk:~f;~;;'r;-}"i!'i)iAp,plilcANt::iJSE'.., .' .... '. u -(i<) Enter subtotal of above fees $ (Minimnm Permit Fee $58.00) I Z 't91 (B) Enter 12% surcharge (.12 x [All $ 14~ ~ (C) Technology Fee (5"10 of [All $ ,,~ TOTAL fees aod snrcbarges (A through C): $~-I .. ",!>A, 4$'~ ~ SP~~G.=~ ~ ~OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00785 250 S 32ND ST CITY OF SPRINGFIELD 225 Fifth 5t Springfield, OR 97477 541.726-3753 permitcenler@ci.springfield.or.us [),,,,YMENT]X~E}~d_':..~AY,Q[l.1. CASHIEB,CCARPENTE"R'., Check WILLAMALANE PARK & 86294 RECREATION DISTRICT RECEIPT NO: 2011000911 RECORD NO: 811-SPR2011-00785 DATE: 05/10/2011 lDESCRIP.TION ". "'.4 . ,.-. . ACCOUNLCODE . .AMOUNT_D.UE Branch circuits without service or feeder - 1st circuit 224-00000-426102 55.00 Branch circuits without service or feeder - each additional 224-00000.426102. 6.00 Sign or outline lighting 224-00000-426102 63.00 State of Oregon Surcharge (12% of applicable fees) 821-00000.215004 14.88 Technology fee (5% of permit total) 100-00000-425605 _ _m__ _._ 6.20 TOTAL DUE: 145.08 ,'" C.o.IiI1!I'LENIS.:;' '-.;,,,,. .-' . . "-AMOUNT PAID. . Check Amount 151.28, 6.20 145.08 change TOTAL PAID: 145.08