The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2011-5-23 Electrical Permit Application 225 Fifth Street. Springfield, OR 97477.PH(541)726-3753.FAX(541)726-3689 "~~;:~-;;'iF_".f_;;''''''~'':;~''~'''H",_\.".,,;:\t'I<'';~~jX6ii!;"~~:~-h(,S''':.1.~ 'i;;"il;X~@ART!VIE!'!!'1!l~.5i9l'1~'- . $'.lI-..s;-:fL W'1---! - 1,.:7 7 .PennIt no.: jA.7:7- DateS - :Z-: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. City: Phone:o B-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: ll!laiilll\'i'ljl':oJqj\jmB.;A,:Glli(!jR)i)llSjjJ~~w~liitc:.ij\j__~~,!~~~f: Business name: E~ .f7!2fi!. LL c: Address: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: ~ 440-2584-) (9/08/COM) 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 $ 20 I to 400 amps (2) $ 95.00 $ 40 I 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) 201 to 400 amps (2) 40 I to 600 amps (2) $ 63.00 $ $ 87,00 $ $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 $ b. Fee for branch circuits without purchase of a service or feeder fee: dJ . First branch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) Each sign or outline lighting (2) $ 63.00 $ $ 63.00 $ Signal circuit or a limited-energy panel, alteration, or extension (2) Each additional inspection: (I) $58.00 $ ill"",,-,,"_~'!'g!ll",,,,,~,,,,,"r~.~,..+,,",,,....l!t..,...._._,,,,__ ~~~~}Xggj1;tO'-~!Illf~',l'J.$.I;1;l!iiJl!'i)11~1,.'!li_l'l'il=- (A) of abo inimum Permit Fee $58.00) $ 63.00 $ (B) Enter 12% surcharge (.12 x [AD (C) Technology Fee (5% of [AD TOTAL fees and surcharges (A through C); CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01032 IVR Number: 811192447331 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: Issued OS/23/2011 OS/23/2011 OS/23/2011 SITE ADDRESS: 225 5TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353103300 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci,springfiefd.or.us EXPIRES: VALUE: 11/18/2011 $0.00 SCOPE: Office WORK INVOLVED: Alteration TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Add Control circuit for entry lights Phone Number: OWNER: ADDRESS: CITY OF SPRINGFIELD 344 NORTH A ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION I Contractor Type Contractor Name CONRICH ELECTRIC LLC # of Units: o Lic Type CCB BUILDING INFORMATION i # of Stories: Occupancy Group Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: B # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical SP.ecialty 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 149509 Lic Exp 11/02/2011 Phone 541-359-1192 lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy load: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: NOn C E: Soils Report Requi'Y~i1S PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS ~ERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 5/23/2011 10:03:31AM ATTENTION: Oregon Jaw requires you to fol/.ow r~les adopted by the Oregon Utility Nolilieatlon Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090.. You may obtain copies of the rules by eallmg the cenler. (Note: the telephone number for the. Oregon Utility NOli/feation Center IS 1-800-332-2344). Page 1 of 3 "i> .. SP,~:~=~~ .~th ,4-:' 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.of.us Building I Commercial Permit PERMIT NO: 811-SPR2011-01032 IVR Number: 811192447331 perm itcenler@ci. 5 pri ngfield. or. us PROJECT STATUS: STATUS DATE: Issued OS/23/2011 ISSUED: APPLIED: OS/23/2011 OS/23/2011 " EXPIRES: VALUE: 11/18/2011 $0.00 SITE ADDRESS: 225 5TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353103300 SCOPE: Office WORK INVOLVED: Alteration TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Add Control circuit for enfry lights DEVELOPMENT INFORMATION ~ 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: DownspoutfDrains: Valuation Description ~ Description Tvoe of Construction Unit Amount Unit Type Unit Cost Value FEES PAID I DescriDtion Amount Paid ~,,-te 0!S'!e~~n~urcha~~.02% of ap~~~.___,_._"_!6,96 Date Paid OS/23/2011 ReciDt# 2011001171 --~-..- 2011001171 -<-_._... - -. - ..'-- 2011001171 ._,.-_._--_._.~ 2011001171 2011001173 2011001173 2011001173 2011001173 Balance of Minimum Electrical Permit Fees _ ._. _.. ..._.. ...._____ _._____,,____ no Branch circuits without service or feeder -1st circuit ~Io~!,,-e (5% of permit ~c:!al) Branch circuits without service or feeder. 1 st circuit Balance of Minimum Electrical Permit Fees State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid $3,00 OS/23/2011 . .-.. ._--- .._._."_.",....._._._.~".....__.~._--- $55,00 $2"90 $55"00 $3"00 $6,96 $2"90 $135.72 OS/23/2011 OS/23/2011 OS/23/2011 OS/23/2011 OS/23/2011 OS/23/2011 Springfield Building Permit 5/23/2011 10:03:31AM Page 2 of 3 if .. CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811.5PR2011-01032 IVR Number: 811192447331 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: OS/23/2011 OS/23/2011 Issued OS/23/2011 225 Fifth 5t 5prin9field,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilce nter@ci.springfield.or.us EXPIRES: VALUE: 11/18/2011 $0,00 SITE ADDRESS: 225 5TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353103300 SCOPE: Office WORK INVOLVED: Alteration TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Add Control circuit for entry lights Plan Review ~ Deoartment Application Acceptance Comoleted OS/23/2011 Result Over the Counter Received Due Date OS/23/2011 OS/23/2011 Electrical Review OS/23/2011 Comments: Over the counter permit IlhHjafHeV!~W" ",t,?, ,C H ~::::;~5723/22f1 " ,,<,^" '''',."' .".,,,~__".',:, ""',',~",,, ,,, r . r .Ci:Jmm'e~ts:T,;,Ox;r }h.e,~.9~~~tef'--peP:nit ~ OS/23/2011 OS/23/2011 Not Required OS/23/201 f ;'05/23/201.1 .: ,.. :';;:\":';,:!:f~'..,,;::,.'lj.' ~ ... ~: .' . Over the CO}.Jnter,,\ -'\~ . Kip~ ~au!~?li <,,;~'"" '... v:. '*'."'~ "~~'.;':" :,;r:~~' _ _~._,_ '.."r'''; "'"'.L" Reviewer Kip Kaufman Kip Kaufman , ~, , _ -.q7,:::,;_ _ _. . ". ! ., . - P'" ~ :'~ : 'J "",," INSPECTIONS REQUIRED ~ Inspections 4500 ROU9h 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 locat d at the front of the property, and the approved set of plans will remain on the site at all times during construction. ~J,sh / t' Date Owner or Contractor Signature Springfield BUilding Permit 5/23/2011 10:03:31AM Page 3 of 3 SP~~;~EL~ L-~~ ~OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-5PR2011-01032 225 5TH 5T CITY OF SPRINGFIELD 225 Fffth Sl Springfield,OR 97477 541-726-3753 permitcenter@ci,springfield.or.us RECEIPT NO: 2011001173 RECORD NO: 811-SPR2011-01032 DATE: OS/23/2011 tDESC;RIP..tION'0f04;;:'~ ",,,,,;:,,,,,.;:;:)';,,,. ,'~-t-!"~g?,,-di'.';j- 'i'GJ>:CC:6UNt~C.oi5E . _'~~-'h "'-'iJ>:M0jjNt~DffE:' Balance of Minimum Electrical Permit Fees 224-00000-426102 3.00 Branch circuits without service or feeder - 1st circuit 224-00000-426102 55.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 6.96 Technology fee (5% of permit total) 100-00000-425605 .___ _.2~0 TOTAL DUE: 67,86 -:C.orillM~NJ:S' ",Z:-H\f'; :-/.i.&'~ci::LM.9.l:'m:.!'AID, "', . ____.1 3956 67.86 i_,I>AXJIIIEN.U;V:EE:::~dE~,(()B."CASHiER:.KKAUFMAN _.:_~-'--7.~- Check Con rich Electric 3956 TOTAL PAID: 67.86