HomeMy WebLinkAboutPermit Electrical 2011-7-25
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Electrical Permit Application
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225 Fifth Street. Springfield, OR 97477. PH(S41 }726-375J. FAX{541)726-3689
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Permit no.: Sf (- ! ~ )I-I
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Tbis permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started witbin 180
days of issuance or if work is suspended for 180 days.
, ,.:i...ocAi...~GbVERNMENT:APRRbVAi...}'.:. 3, ".
Zoning approval verified? 0 Yes 0 No
":\ . . 'CATEGOR'f40~CONSTRUCfION" '",,.{: .
[lJJResidential D Government D Commercial
SITE:IN~bRMATIONAND:LOCA'T'lbN ;-,
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City: - \.
!h'i~,f;~.~t
Address:
City:
Phone:
E-mail:
CCB license no.:
ZIP:
BCD license no.;
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
440-2584.J (9/08/COM)
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:c.: . :::FEESC:HEDULE ,.. A ." '; .:
:;'N~~ber.ofinsp~:Jio~s;~;~fj~m~(~).><':'; Qty. .' '>Costf:~o '.'Total....
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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 $
Each manufactured home or modular $ $
dwelling service or feeder (2) 63.00
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 $
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) I $ 63.00 $/,,7~ ~
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
Branch 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) $ 55.00 $ .
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or feeder n~t 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: (1) $58.00 $
, <" ~ (;';S". .<,
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00) $ & 3'7.~
(B) Eoter 12% surcharge (.12 x [AD $ ?~
(C) Technology Fee (5% of [AD $ 3(~
TOTAL fees and snrcbarges (A tbrongb C): $ 'h?!-
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01814
IVR Number: 811159772258
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
ISSUED:
APPLIED:
07/25/2011
07/25/2011
EXPIRES:
VALUE:
01/20/2012
$0.00
07/25/2011
SITE ADDRESS: 817 S 31ST Pl, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802062110700
SCOPE: Electrical Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Temporary power for new home construction
OWNER:
ADDRESS:
FISHER W ROBERT & LINDA J M
4692 Holly
SPRINGFIELD OR 97478
Phone Number: 541-913-9007
Contractor Type
Contractor Name
CONTRACTOR INFORMATION I
Lie Type
Lie No
Lie Exp
Phone
# of Units:
o
BUilDING INFORMATION I
# of Stories:
Height of Structure:
Type.of Heat:
. Water Type:
Range Type:
Hazmat:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Electrical Specialty 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:
Sq Ft Basement:
Sq Ft Garage:
ATTEN~fI:liIl~l!l"~n law requires youto
f II 5'"'1;' !\lJ!llllIted by tho Oregon Utility
o ow r -",,,. . t forth
Notificatilrcn:G;faAW"i.dMse rules are se
In O~jJ,52-001-001 0 through OAR 952-001-
()Oso~'Y6u 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).
Site Infonnation
I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
NOTICE:" ..-.,
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR,
ANY 180 DAY PERIOD.
Springfield Building Permit
7f25/2011 1:07:40PM
Page 1 of 3
..
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01814
IVR Number: 811159772258
225 Fifth St
Springfield,OR 97477
Phone: 541.726.3753
Inspection Phone: 541.726.3769
Fax: 541.726.3676
perm itcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
07/25/2011
ISSUED:
APPLIED:
07/25/2011
07/25/2011
EXPIRES:
VALUE:
01/20/2012
$0.00
SITE ADDRESS: 817 S 31ST PL, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802062110700
SCOPE: Electrical Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Temporary power for new home construction
DEVELOPMENT INFORMATION I
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
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
I
Description
Tvpe of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
FEES PAID
I
Descriotion
Amount Paid
Date Paid
07/25/2011
07/25/2011
.._---'.-."-"'--"._~..
07/25/2011
Reciot #
2011002107
2011002107
2011002107
Technology f~ (5% of permit total) $3.15
TemP-3erv~:.~_?OO amps or I~~.~_ . ___.__..,.,_.____ $63~._
~~f Oreg~~Sur~~arge (:~ of applicable fees) $7.56
Total Amount Paid $73,71
Springfield Building Permit
7/25/2011 1:07:40PM
Page 2 of 3
..
SP~I.HG.f.IEL.~O-
.'
-~
. ". OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01814
IVR Number: 811159772258
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.springfield.or,us
PROJECT STATUS:
STATUS DATE:
Issued
07/25/2011
ISSUED:
APPLIED:
07/25/2011
07/25/2011
EXPIRES:
VALUE:
01/20/2012
$0,00
SITE ADDRESS: 817 S 31ST Pl, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802062110700
SCOPE: Electrical Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Temporary power for new home construction
Plan Review
~
DeDartment
Application Acceptance
Comoleted
07/25/2011
Result
Over the Counter
Received Due Date
07/25/2011 07/25/2011
Electrical Review 07/25/2011 07/25/2011 07/25/2011
Comments: Over the counter permit
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k;.;C_of!lme~t~: Qv:~rth~ counter permit} },. oj'. ~."",\f,~w>---"i::,~~~ "(~ "': ~ .
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I
Not Required
Reviewer
Chris Carpenter
Chris Carpenter
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Oyer:J,heCounter.." -.-. -_ChnsCarpenter~~_:.;__ _ &_ <:.r ,._..",'
;::;)1;i.o.~t,:. '~~~~:~:~~;;;":~~,;!~~:;~~::~f~\1,,~~J;j-(~~;~'.~.!~~~_..:~;~*: ' ".:" : ..,',::
~
INSPECTIONS REQUIRED
Inspections
4000 Temporary Power Service
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. 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.
?V,~.df ~
- V'
Owner or Contractor Signature
7/2S-IJ
Date
Springfield Building Permit
7/25/2011 1 :07:40PM
Page 30f3
..
www.cLspringfield.or.us
TRANSACTION RECEIPT
811-SPR2011-01814
817 S 31ST PL
CITY OF SPRINGFIELD
225 Fifth 81
Springfield,OR 97477
541-726-3753
permilcenler@ci.springfield.or.us
RECEIPT NO: 2011002107 RECORD NO: 811-SPR2011-01814 DATE: 07/25/2011
tDESCRIP..TIOr\i r "."~'.;:,.; '\;LL- ; v;;::~i'Z;;;::!it::_,...AAccOUNT,CODE_'\:" ~L__:'~AMOUNtJI).uE~:~~
State of Oregon Surcharge (12% of applicable fees) ____,~821-00000-215004 7.56
Technology fee (5% of permit total) 100-00000-425605 3,15
Temp services 200 amps or less 224-00000-426102 63.00
TOTAL DUE: 73.71
k' .." ':,~,
" "PAYMENT"TYPE""~,,
Credit Card
030853
:~ PAY()R',~BJ\sHiER::C'CARPE;N,TER2~?:1i~~"~ "~'~ccflVi'ME'N~~~~~;:'4"<~'--;~rAnII(jQN"tiP~I[);',;~;l _"',if~<~
FISHER W ROBERT & LINDA J 73,71
TOTAL PAID:
73.71