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Home My WebLink AboutPermit Electrical 2011-5-13 Electrical Permit Application . . 225 Fifth Street. Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689 !,': /:J..., Date: 5//3/1 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. ',~OCAL:'GOVERNMENT' AP.P~OVAI!!;;;r'~r~'),:);'Y Zoning approval verified? 0 Yes 0 No fi.;I'{1'~,ta,CArEGORXfOI';1CONST:RUCTI()N~;"";i: "":: o Residential 0 Government Commercial ~~;];jJOI3;K$I;r:E;:lINFQRIIiIA;r:IQNf'ANbli[()_CWI!ION~:\~if:\,;:~;!~ Job site address: 143 )\J, '2...\ g, t, City :-Re.ld O~ P,7Y77 Taxlot.: 'DESCRIPTION;OFWORK';,t, b e: \ -r \ 2- Gl,c.t.L:+S Name: Address: Lj 't> tJ. City: C;; - ..\ J Phone:.,5 ~ 1..:3 z.- II i '7 E-mail: This insta tion is b ng 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). ZIP: '11'171 ZIP: '1.1<{D Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: ~ \\ S:\'.o'AiD ~~ \; 440-2584.) (9/08/COM) ;;'..l....'<""':;..,.'W~t~mr.oit~~'"''"' EE"i.'S' ,- ....-.-] ...."~'"''''..-_._.'''':~...~-''.-''7~~.~~~.. ~~~)~::iH,tE<~);;<.'flf1':,- ,~iJ,{,:tfrl;': .. ~, CHE_p"Vl!lE~:~~~!J~f:.nZj)l~\W(i'~~":(..:d !N u ~ ~er;,o.f;irsp'~~~io'~j~,~r~t'~~ ()\':/':';,,"" Qt;'. ,Cosf, Tollil. _ ':.-,.,""..' .....:"".c',...,,'. ',.",: .",,\. 'IJ.ea:t;: . ,:"'\~9.st, ~".: Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thefeo[ Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amRs or less (2) I $ 81.00 $~f 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158,00 $ 60] to ] ,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] 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 1:2- $ 6.00 I $1'- b. Fee for branch circuits without purchase of a, service orfeeder-fee: .--- ---- First branch circuit(2) ( $ 55.00 $ ---I> 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 additionaJ'inspection: (1) $58.00 $ , ;r,,'>>':)~j'ii!l:''''''fW1;i.iii;,'i?'''ARI'!I.iCANt''BsE'''iJ'ti!,\~;2(i',;o'i!"'!{""~'"'_ f'l,'i'~'W<r'y)..,.,~j;"~,,,~:'~:';")1i:; ,,'C.i' -m' ...' h:, _ ,":i:-"'~ii>,,;,"7:t,t,'7:;il.l.\;t<:JtWM~:;fi:,',} (A) Enter subtotal of above fees /5-::> (Minimum Permit Fee $58.00) $ .-- (B) Enter ]2% surcharge (.]2 x [A]) $ IK, , (e) Technology Fee (5% of [A]) $ '7, ;> TOTAL fees and surcharges (A through C): $/ /<t ,/ " , 6>'--'" t ----' -, 0/ SPh:..~.. F,lElD .,~<..~ ~~ ">70. OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00812 IVR Number: 811177860000 www.d.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 05/13/2011 05/13/2011 Issued 05/13/2011 EXPIRES: VALUE: 11/08/2011 $0.00 SITE ADDRESS: 143 21ST ST, Springfield, OR 97477 SCOPE: ASSESOR'S PARCEL NO: 17033642027?~ ,-~o<I( WORK INVOLVED: }1\"5k~' L~ TYPE OF STRUCTURE: PROJECT DESCRIPTION: I~n of 100 amp sub-panel and 12 circuits. Electrical Only Alteration Commercial OWNER: ADDRESS: PARAMOUNT CENTER LLC PO BOX 26125 EUGENE OR 97402 Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lic Type Lie No Lie Exp Phone # of Units: BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanicaf Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: 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: I Site Information I ATTENTION: Oregon law requires yout,o 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). Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall... _ 1'I.'lrI1r'..". So,ls ReportReqUlred: EXPIRE IF THE WORK THIS PERMIT SHALL NOT AUTHORIZED UNDER THIS PERMIT IS COMMENCED OR IS ABANDONED FOR, !I,I,IY 180 DAY PERIOD. Springfield Building Permit 5/13/2011 11 :44:28AM Page 1 of 3 S.P.RIN~.FIE L.O~. ~lll.". " ~'* -::=. . OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00812 IVR Number: 811177860000 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/13/2011 ISSUED: APPLIED: 05/13/2011 05/13/2011 EXPIRES: VALUE: 11/08/2011 $0.00 SITE ADDRESS: 143 21ST ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703364202700 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Insualtion of 100 amp 5ub.panel and 12 circuits. DEVELOPMENT INFORMATION ~ Overlay Dist: # StreetTree. 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: DownspoutJDrains: Valuation Description ~ Descriotion TVDe of Construction ./ Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Descriotion State of Oregon Surcharge (12% of applicable fe~~) T~,~hn~l~gx J:: i5.% '?.f ~~~m.!!..t~t~~L_'__0__~_____~" ~,~rvi:.:s 200_~m!:s_~ l:;i~~"__ . Branch circuits with service or feeder each circuit ---.-~-~-- Amount Paid $18.36 $7.65 $81.00 ----~,~ $72.00 $179.01 Date Paid 05/13/2011 05/13/2011 05/13/2011 05/13/2011 Reciot # 2011000938 2011000936 -'._"--"~'~._-"_.'-"'-"""- 2011000938 2011000938 Total Amount Paid Springfield Building Permit 5113/2011 11:44:28AM Page 2 of 3 SP~IN_ G_F__IE_~D. .. .- " '., i!!JJl.. ~~^_. OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00812 IVR Number: 811177860000 www.ci.springfield.or.us 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilce nter@ci,springfield,or.us PROJECT STATUS: STATUS DATE: 05/13/2011 05/13/2011 Issued 05/13/2011 ISSUED: APPLIED: EXPIRES: VALUE: 11/08/2011 $0.00 SITE ADDRESS: 143 21ST ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703364202700 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Insualtion of 100 amp sub.panel and 12 circuits. Plan Review I DeDartment Application Acceptance Received Due Date COnlDleted Result 05/13/2011 05/13/2011 05/13/2011 Overthe Counter Electrical Review 05/13/2011 05/13/2011 05/13/2011 Comments: Over the counter permit jni!i~~~~J~~;,::1!~~~:;""~ t,> jg?!2~~?~1'. ~~~~3i~O~? :Q~:~20;1 ;;,,^Commehts:'?i~Over.ttletcountet peimll~#jLf :J~~ @%m~ :"'''i-'~;.~,-::';~~lh;; 'if\.. ,'""._~," .. ':"..~",: ", ,'"",":'''.'~:'0'''''''i,:.;'''~,' .1'''><",::'",,;,,.,.:::..:',.' +."'a::n......;,:;.::, Not Required Reviewer Nancy Machado. Nancy Machado INSPECTIONS REQUIRED Inspections 4220 Electrical Service ,;-""".-., : %~j^ ,o;;J:}' ',tv 4500 Rough Electrical 4999 Final Electrical Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, , 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 ag'ree 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. .~ ~ 5//3/1\ I f Owner or Contractor Signature Date Springfield Building Permit 5/13/2011 11 :44:28AM Page 3013 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00812 143 21ST ST CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2011000938 RECORD NO: 811-SPR2011-00812 DATE: 05/13/2011 lDESCRIIHlON"- p ~","::.-;S5",.#(). ; ."~""i _[50';" (,1;<__ ,:: >"l!iJ,\CCdUNTICQOE "l",l:'i:::',,:/-'i-..;:ANfduMj:)(JEIi:1Ji,- ~-' Branch circuits with service or feeder each circuit 224-00000~426102 72.00 Services 200 amps or less 224-00000-426102 81.00 State of Oregon Surch_arge (12% of applicable fees) 821-00000-215004 18.36 --2,,-chnolo~'y fee (5% of permit ~otal) 100-00000-425605 7.65 TOTAL DUE: 179.01 i'"::~e~){IVI~NI~txR~' ':t..~~j~AX5~f~c~c,::~CAsi0HtER~NMACH'ADo~:i1t~~~G_c:>MM~:Nr~~;;:c:~,~:':~~?t,;, ~~,'" -~$L :::,:L IfkAMOUNT~PAID.-;t,:0V02':;' ,.' ,>~,! Credit Card Ingrid k. Tucker 26.01 872788 Check glory days antiques 153.00 TOTAL PAID: 179.01