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HomeMy WebLinkAboutPermit Electrical 2011-7-25 . Electrical Permit Application D 225 Fifth Street. Springfield, OR 97477. PH(S41 }726-375J. FAX{541)726-3689 +'.'"~". \., '<'.1.'", ."." ':. : ',,',::: :'. ;',,' ,,,,y;:+.,W. .,":':^ :.:'.:':.:\,::,.:" :'<,.':'.':':' ..... '.'DERARTMENTUSE:6r:.iLy'::j:lc '.:'::"~j"';/:F/':L'J.?;;,;;:;2)p<,,; '" ',',,'<\>:'-s Permit no.: Sf (- ! ~ )I-I I' 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 ;-, i, S j'S1 i- 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) ~\\ ~.~ *W' :c.: . :::FEESC:HEDULE ,.. A ." '; .: :;'N~~ber.ofinsp~:Jio~s;~;~fj~m~(~).><':'; Qty. .' '>Costf:~o '.'Total.... '......0'.,'''.'':,-, .".,'".":.....,:.. .'<.':','" "...,,,:,,,,,...:..''''''''''; .:' " '.i'.,'~." '";~()st~:"' 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?!- ~ SPF~~.'E~ W~~~ L...} .>t\ m~ , . OREGON 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 ~ ......... ", .~ ..,," .' ~~~-.....-",.~~,'~..^...,~..,...~~. or, !.1~;tJ~~R~vW~i.'M:~~;!:~;:"~.;~..;;, ,. ~~/?,r!;~;,};"~,:~~~~,5~~~~}: ',~}:gz~~~12P;}~;.~. k;.;C_of!lme~t~: Qv:~rth~ counter permit} },. oj'. ~."",\f,~w>---"i::,~~~ "(~ "': ~ . ~:~it~:...t ~~, ....,.'.. ./ "~h"'w.",-' -4..,." ,." < i ~ ....,., '!L.. I Not Required Reviewer Chris Carpenter Chris Carpenter "' . -" ,,~ ~~-~_. ._~~ 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