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Home My WebLink AboutPermit Electrical 2011-7-20 225 F;f'h Street. Springfield, OR 9747HPH(541)726-3753t FAX(541)726-3689 . .' bEPARTMENfuSE ONLY -.f".;>, . . Elec.trkal Permit Application . . 0 7K7 Date: 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. 'fl,l'(V~r. ,i<j7rY~~~l;: .--\,"J.:'<..,.;;~:1'''''':~~1S.fu,"1:~:{4;4'-S'itJ~'FE1:''''':SCR i::otJ l!!EY;;14;1:~,t-,:~);'.:~t"d~'t':?'r,'L'W~) ""\0- f~I;'A~~~~ ,~j}'~'}i"il)iirf;:';':~'_1 .<; _.ii,' - _ ___ ___"_ __J'i;'l:_."\""<J:~h~,"fN:\'i,-~12~'<'i\~.;"'1 ,"': '., . ",' .', "",'" . ".,' Cost Total ,Number ofinspeciii;risper,item:O..". Qty. j~"{-.ea/. ,cost. .o',.,', "".. i:'c':r" :-"/~', ~- '\: '~'d:t:' "'-':,1, -:-.j...., -":',~'..... ....:'_. . Residential, per unit, service included: al 1,000 sq. ft. or less (4) -t~{YS:{;'~'; $134.00 $ Each additional 500 sq. ft. or portion thereof $ 25.00 $ 7-- Limited energy (2) $ 32.00 $ ;Ob Each manufactured home or modular $ 63.00 $ ':;',-,"''':: dwelling service or feeder (2) C'" . Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ '{7~ 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 $ 201 to 400 amps (2) $ 87.00 $ R 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 $ 6.00 $ 77 b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) I $ $ ., 55.00 :'l:\ f""\ Each additional branch circuit II $ 6.00 ${,~. = Z. 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 additional inspection: (I) ,0.$58.00 ,,$ ~~~;~~1~~7fr~~~g;t~;~lAR'eLTGANT~"" f;\~~l~~\:.::~;;;:}.,Jttf-; I i .:J I. ...'. ,,'I ,",",.'-.___", ~" .",_~. ,'.. ,'~__", 0 _' (A) 1~\5'\5~bitt~1 0~1lg~fl-\.<\ C'^" I'ERWI\i \\:)\W. (Minil"~!!', I'~~ e . 1\-\\~'''r\\\\H) OR $ 1'L-1. (B) En~'$r.~(\~x\f,\l)U'''' $ /'-I .S' ~. \\. (C) Tec!fr1.'ilfiJ~\N?'((~~\IJU. $ (. (f) )' rj..IJTOTAiN~;!dli'dsurcharges (A through C): $ 1 c.. :,\. ; ";(jOCA-VGOVE.RNMENT'AI?I:'J'~.0VA@'i"."'T:U Zoning approval verified? 0 Ves 0 No ;,,!/i":.".};"'~,CATEGORYi!,(jF.{CONSl'RlJ.CTION',;'\" Name: Address: City: Phone: E-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. OA 479.540(1) and 479.560(1). ZIP: f'7 Signature: CONTRACtOR INSTAtLA-TION tc.. ~'c.. L . Address: ~ 13(S~SO-- t)^'- (L if' 7'-( CCB license no.: I Signing supervisor's license no.: Print name of signing supervisor: (~ Signature of signing supervisor: I leq\liles u~II\\'/ N' OlegO(\ \De OlegO(\se\ 101\\\ fo-IIE.NiIO ~dop\ed b\f l\lles aJe ,,'2.-00~. to\\?~ f~~~Sce(\\e~~~~~~~\l9h otx~; (\lIes b\f t-1o\\I\Ca 95'2.-00~-O .(\ copieS 0 \6lephone ill Op--? 'IoU llIa\f ob\~\ \NO\e'. \he NO\\\iCa\\otYn. 0090. \De cen\e. on Utlll\\f ~A) calling 101 \he 0(e~OO_33?-'2.3i '. ~ (\UllIbelce(\\el is \- f\ ~ 440-2584-J (9/08/COM) ~ ~ I //,) CITY OF SPRINGFIELD S~~~N'::El~ ~~, ,~ .v,h' " ~.0': OREGON Building I Commercial Permit PERMIT NO: 811-SPR2011-01787 IVR Number: 811181298856 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 155 ued permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 07/20/2011 07/20/2011 07/20/2011 SITE ADDRESS: 971 KRUSE WAY, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703222000906 EXPIRES: VALUE: 01/15/2012 $0.00 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Add outlets for tv's Phone Number: OWNER: ADDRESS: DHALIWAL JASVIR S & PARAMJIT K 701 E HERON ST ABERDEEN WA 98520 Contractor Type Electrical Contractor Contractor Name ROGUE ELECTRIC LLC CONTRACTOR INFORMATION ~ Lic Type CCB BUilDING INFORMA TION ~ # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal' Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 192346 Lic Exp 11f17/2012 Phone 541-285-7374 Lot Size: Sq Ft 1 st Floor: Sq Fl2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2011 Site Information ~ Engineered Fill: Fill Volume: Flood l/liH"liltA,OQN: Oregon law requires you to land ltal!aM AitiLes adopted by the Oregon Utility Relailtll>Qiliwltion Center. Those rules are set forth soilsReCP~00fI-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), onCE: ... . 'HIS PERMIT SHflll EXPIRE IF THE WORK \UTHORIZED UNDER THIS PERMIT IS NOT ::;OMMENCED OR IS ABANDONED FOR . ' ~\NY 180 DAY PERIOD. Springfield Building Permit 7/20f2011 3:04:26PM Page 1 of 3 5P:IIN.G~l~ L~1f>> ~OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-01787 IVR Number: 811181298856 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/20/2011 ISSUED: APPLIED: 07/20/2011 07/20/2011 EXPIRES: VALUE: 01/15/2012 $0.00 SITE ADDRESS: 971 KRUSE WAY, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703222000906 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Add outlets for tv'. 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: Downspout/Drains: Valuation Description ~ Description Tvpe of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID , Descriotion Amount Paid Date Paid Reciot # Branch circuits without service or feeder - each additional $66.00 07/20/2011 2011002072 ---.---"....---. - Branch circuits without service or feeder - 1 st circuit $55.00 07/20/2011 2011002072 ~Chn;logy fee (5;io_~2e;0iit~al) -=-~~===--=--=--=:':=:~:~6:?L~:::-_-=:_... 07/20/2011 _____ 2011002072 ~tate of Oregon Surcharge (12% of applicable fees) $14.52 ..__.___~Z.O~~~!~ _______. ____ .2}!1W02072 Total Amount Paid $141.57 SpringfieJd Building Permit 7/20/2011 3:04:26PM Page 2 of3 Sr~It.l.G..FIEL ~ tiI; ~ .~ 0~ OREGON CITY OF SPRINGFIELD 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspringfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-01787 IVR Number: 811181298856 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 07/20/2011 07/20/2011 EXPIRES: VALUE: 01115/2012 $0.00 07/20/2011 SITE ADDRESS: 971 KRUSE WAY, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703222000906 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Add outlets for tv's Plan Review ~ Deoartment Application Acceptance Received Due Date Comoleted 07/20/2011 07/20/2011 07/20/2011 Result Over the'Counter Reviewer David Bowlsby Not Required David Bowlsby Electrical Review 07/20/2011 07/20/2011 07/20/2011 Comments: Over the counter permit ~~fVi7~0"L'/" i' ,...<i;,:~"},:'97/20/20J .1, ; ':~:7(fW~)9',1,ti~tg7~2,~{f9);~~:' Over t~e'_Q2~nter.:: >' :i~':'~~,lV,:~,~i,~~;l~~t~.~~~'~~: :~~;2 .~:_.~~f)~1,.~._'._ -_._,"'_N~_""'"___" _~,._,., ;'~()"ffi.~,><e'ii~~:~6.y~'r~m:,~?W7i~fpermit ...,0, .':;~::t1;:]~;;!>-':"ry~.<';~i~',~" ",;,.:..::~::d~.:~~".;~~,r~)' L '''.~' , ",,_,...0. ....m,. INSPECTIONS REQUIRED ~ Inspections 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, 1 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. 1 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. Owner or Contractor Signature Date Springfield BUilding Permit 7/20/2011 3:04:26PM Page 3 of 3 , . TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfleld,OR 97477 541-726~3753 www.d.springfield.or.us 811-SPR2011-01787 971 KRUSE WAY permitcenter@cLspringfield,or.U5 RECEIPT NO: 2011002072 RECORD NO: 811-SPR2011-01787 tOES.cRlflJIOIII,;iic'/; j~," ';:'ir' :'~'\> ,'1',<-;! ':&S4..:i, -, -,;"fj'~A.ccoulllt~cOOE:":": - Branch circuits without service or feeder -1st circuit 224-00000-426102 Branch circuits without service or feeder - each additional 224-QOOOOA26102 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 Technology fee (5% of permit total) 100-00000-425605 TOTAL DUE: " 'pAYMENT TYPE, ,~ pAYOR ": c, 'CASHtE'R:DBOWtSBYs--' "COMMENTS>:u .;""::/",, _~"~.., ,..,.._..._._..__._,_._,._,--"",~_y.._.,._. ___",_~~",--,,-"-"'._"_""""'__'_~~"',""'^U_"'__~~_"'''''_____'_~...w,..._-'-'-. ' Credit Card ROGUE ELECTRIC LLC DATE: 07/20/2011 , v :. .?',AMO!iIllT:b.uE" ", .- 55.00 66.00 14.52 6.05 141.57 A'MOUIIIJ'PAIO., $141.57 ~ ',I .-:,'-:':'r~~~ 710220 TOTAL PAID: $141.57