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Home My WebLink AboutPermit Electrical 2011-6-17 \. Electrical Permit Application 225 Fifth Streett Springfield, OR 97477tPH(541)726-3753tFAX(541)726-3689 'bI1 - Pennitno: SP~WII- 01'1<6'1 Date: '-17-// 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. This installation is being made on residential or farm property owned by me or a member of my immediate family. Tbis property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Business name: Address: City: Phone: E-mail: CCB license no.: Signing supervisor's license no.: Print name of signing supervisor: Signature of s~gning supervisor: . .,,' bU t6 .. . I, W rGf\\.,IIY .S ~ .\.\\\\~ I't oregon .P IDC or~~,Q' '. u lorl\'\ ,.,,,\:.\'\11,0 adopled bY 8 ru\6~ !:\reli;.~"Q \ ~ VI TU eS lDos. oP.\' B~',-'" .. toll?j'calion cenleo~~ 0 Itlrou.g\\ I Itle !C!\~,.,l'l 1'101\1 Po 9S2-00~- ain caples 0 lelerl.(,.," in 01>- 'IoU TlIe.,/ obi '1'1018'. .'\\e l'Ioll\\o),li01\ 0090. . II.e cerMT. \ on Utili\'! callIng II,e or~9. _33'2-'2344), number lor ler Is "\ _bUO cen 440-2584.J (9/08/COM) ZIP: \9" 'V:-^Y. ~ ~~ y;Y?r ~ 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 S Each manufactured home or modular $ 63.00 S dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $%i V 201 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 S Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) 201 to 400 amps (2) 401 to 600 amps (2) $ 63.00 S 87.00 $ $126.00 $ Over 600 amps or 2,000 volts, see services or feeders section above Branch circuits: nel11, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $gO,QiJ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 S Mhcellaneous fees: service or feeder not in~luded 3.00 $ S $ (B) Enter 12% surcharge (.12x [A]) $ (C) Technology Fee (5% of [A]) $ TOTAL fees and surcharges (A through C): $ < S~~N~~ ~;X~ ",. ~";Z, "". _,ii'. OREGOH CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01489 IVR Number: 811191285565 www.cLspringfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 06/20/2011 06/17/2011 Issued 06/20/2011 EXPIRES: VALUE: 12/16/2011 $0.00 SITE ADDRESS: 470 S 2ND ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353300500 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTI<;>N: Re-wire cooling tower and associated equipment Phone Number: OWNER: ADDRESS: MOMENTIVE SPECIALTY CHEMICALS INC 180 E BROAD ST COLUMBUS OH 43215 Contractor Type Electrical Contractor Contractor Name OWNER CONTRACTOR INFORMATION ~ Lie Type OWN ER BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal f Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 0000000 Lic Exp 08/12/2025 Phone Lot Size: Sq Ft 1st Floor: Sq Ft2nd Floor: Sq Fl Basement: Sq Fl Garage: Sq Ft Carport: Sq Fl Other: 0 Occupancy Load: Site Information ~ NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT" COMMENCED OR IS ABANDONED FOR : ANY 180 DAY PERIOD. Engineered Fill: Filiyolume: Flood Hazard Area: Land Hazard Area: . R ta"" ..11=11 ENTION: Oregon law requires you to e mmg WEill' 0 Ut;l"t Soils Repd~IwMM!a:s adopted by the regol1 , I Y Notification Center. Those rules are set forth In OAR 952-001-001 0 through OAR 952-001, 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notific~tj9n Center is 1-800-332"2;344), Springfield Building Permit 6/20/2011 11:16:41AM , .....,;~'>_,yc,. .', " Page1of3 . www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01489 IVR Number: 811191285565 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: 155 ued ISSUED: APPLIED: 06/20/2011 06/17/2011 EXPIRES: VALUE: 12/16/2011 $0.00 06/20/2011 SITE ADDRESS: 470 S 2ND ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353300500 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Re-wire cooling tower and associated equipment 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 Accepte~: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Type of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ DescriDtion Branch circuits with service or feeder each circuit St~te of Oregon Surcharge (12% "f applicable fees) Technology fee (5'%"f permit total) ~:!:yices 200 a~p~51r less Elewctrical Plan Review (25% of electrical fee) Total Amount Paid Amount Paid $30.00 $100.80 $42.00 $810.00 $210.00 $1,192.80 Date Paid 06/20/2011 06/20/2011 ----~-~_.^ 06/20/2011 06/20/2011 06/20/2011 ReciDt # 2011001680 2011001680 2011001680 2011001680 2011001680 Springfield Building Permit 6/20/2011 11:16:41AM Page 2 of3 . SPRINGFIE, l~ U::- ' ~~EGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01489 IVR Number: 811191285565 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfietd.or.us PROJECT STATUS: STATUS DATE: Issued 06/20/2011 ISSUED: APPLIED: 06/20/2011 06/17/2011 EXPIRES: VALUE: 12/16/2011 $0,00 SITE ADDRESS: 470 S 2ND ST, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703353300500 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Re-wire cooling tower and associated equipment Plan Review I Deoartment Application Acceptance Received 06/17/2011 Due Date 06/1712011 Comoleted 06/1712011 Result Application Accepted Electrical Review.:. ': ,,- 06/1712011 <:co". ,,'/_~L -. L _" CQmnlents: _oKt9:~ssue permit~-. ~; '06/17(2011 :06/.17/2011' ~ Apprpv_ed ;<-- , Initial Review 06/17/2011 06/17/2011 06/17/2011 Approved Reviewer Bryan Richardson Gliy,Qixon Bryan Richardson Ipermit Issuance':" , 06/1712011 '06/17/2011 .' 06/20/2011 , Issued ",- David Bowlsby , I " "'-j ~ '-. INSPECTIONS REQUIRED ~ Inspections 4225 Service or Feeder 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. ~-d 0-1/ Date Springfield Building Permit 6/20/2011 11:16:41AM Page3of3 II BCD - Contractor/Individual License Holder Search Page 1 of 1 Your query for: License no: 55375 BCD Search Results of your search Displaying 1 - 1 (1 total) Prey I Next CHRISTOPHER 5 MARTIN SPRINGFIELD, OR 97478 County: lANE Employer: MOMENTIVE SPECIALTY CHEMICALS CE required (CR':+ CC): 24 Of the total CE required, you must have at least: 12 CC Currently you ti'ave CC: 0 CR: 16 Total CE: 16 license/Registration No: 55375 Type: S.General Supervising Electrician Status: Active Expiration Date: 10/01/2013 CC = Code Change CR = Code Related CE = Continuing Education Displaying 1 - 1 (1 total) Prey I Next Total Records Returned: 1 Go Back to Ouerv myJic _search .search. gel_name _results http://www4.cbs.state.or.us/ex/all/mylicsearchlindex.cfin ?fuseaction=search.get_ name_res... 6/2 7/20 11 II TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 WWN.ci.springfield.or.us 811-SPR2011-01489 470 S 2ND ST permilcenter@ci,springfield.or.us RECEIPT NO: 2011001680 RECORD NO: 611-SPR2011-01469 DATE: 06/20/2011 tDESC:~Ri~TION~jl~-';P~~/o.< .,;' ~L::;~-,>: '0~';'- . . ",. 'Ac_co\iN':r~C0DE~f~;'<'/~~!i.;,~~~::AivrblJNT.:b_UE.:,,"~~L::-..:} Branch circuits with service or feeder each circuit 224-00000-426102 30.00 Electrical Plan Review (25% of electrical fee) 224-00000-426102 210.00 Services 200 amps or less 224-00000-426102 810.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 100.60 __Technology fee (5% of permit total) 100-00000-425605 42.00 TOTAL DUE: 1,192.60 L~AYME~fji~E0Jl'. ~/':\y.oj{~0:'2ASHIERDB6w{SBy;~j;~~>"';;";:(QMrvfE~[~,!Fi:i' .>. >'; .~>jf.0AMOUNT PAID'. . "I Credit Card thomas curtis 1,192.60 061475 TOTAL PAID: 1,192.60