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Home My WebLink AboutPermit Electrical 2011-8-5 225 Fifth Street+Springfield. OR 97477+PH(S41}726-J7SJ...F~(S4I)726..3689 ~.? '" Permit no.: 5'11 - / 90'-( DEPARTMENT USE ONLY Date: {f /~/ / I I 1 This permit is issued under OAR 918-309-0000. Permits are nontrausferable. Permits expire if work is not started within 180 rlSIIV"~ of i"~~mlnt'p. or ifworlc i"~ ~u~npn"'prl for 1M Ito,'" LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? DYes DNo Number of inspections per item ( ) Qty. Cost Total ea. cost CATEGORY OF CONSTRUCTION -Residential, per unit, service included: o Residential II1!:l Government I 0 Commercial 1,000 sq. ft. orless (4) $134.00 $ JOB SITE INFORMATION AND LOCATION Job site address: Z ') 0 s. 32. ND S--C Each additional 500 sq. ft. or portion $ 25.00 $ thp!:eof 0"...' . City: 5PR'I'U.~'6' ... i State: c> r.> I ZIP: q/"\kfB ...}~!:tm~energy(2) $ 32.00 $ Reference: / ?O"2- 31 au I Taxlot.r?J$Z12.. -. Eaeli manufactured home or modular $ 63.00 $ DESCRIPTION OF WORK dwelling service or feeder (2) ;"'.........<J..A1\:>"o"l: ...., Ch. ,U Services'or feeders: instal/ation, alteration; reloca/ion- 11"' r.o T': ....0'" S,..."" 0'<1......."'.. 200 amps or less (2) $ 81.00 $ PROPERTY OWNER 20 I to 400 amps (2) $ 95.00 $ Name: ",-, :<..L.... .. A.~ D...."'k..t"""",!'., 401 to 600 amps (2) $158.00 $ Address: Z. c.... s. 32.. .. <::r 601 to 1,000 amps (2) $205.00 $ City: Sp.....~ F.~, .. I State: ~IL 1 ZIP: "n"'\78 Over 1,000 amps or volts (2) $469.00 $ Phone:S""", -1>": TFax: - - Recooneel only (2) $ 63.00 $ E-mail: Temporary services or feeders: inslilllation, alteration, relocation This installation is being made on residential or farm property 200 amps or less (2) $ 83.00 $ owned by me or a member of my immediate family. This 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rcnt. OAR 401 to 600 amps (2) -. 479.540(1) and 479.560( I). $126.00 $ Signature: Over 600 amps or 1,000 'volts. see services or feeders section above CONTRACTOR INSTALLATION Branch circuits: new, alteration, extension per panel .. .' Business name: ", ^ -= ,~~ 3. Fee for brdllch circuits with purch~ ora service or feeder fee: Address: - Each branch circuit . I $ 5.00 I $ City: '- I State: I ZIP: b. Fee tor branch circuits wi~~H~B\[Chase of a service or feeder fee: Phone: - - 'I Fax: - - First branch circuit (2) -;}:. ", ~ I $ 55.00 $5~' E-mail: Each additional branch circuit $},6.00 $ CCB license no.: I BCD license no.: Misullancous fees: service or feeder not inc/u..ded Signing supervisor's license no.: 4 0 ;> 3- S Each pump or irrigation circle (2) , " '$' 63;.~. $ Print name of ~igning supervisor: v_ -.. .....;k? Each sign or outline lighting (2) ! $ 63.00 $ , ". Signature of signing supervisor:Y .-lI.-/JD---:J:?.dl'>? Signal circuit or a limited-cnergy panel, $ 63.00 $: alteration, or extension (2) . Eacb additional inspection: (I) $58.00 $ APPLICANT USE . 1\ (A) Enter subtotal of above tees $5B~ (Minimum Permit Fee 558.00) .. (8) Enter 12'lfo surcharge (.12 x [An $ "'~ (C) Technology Fee (5"10 of [A]) $ .., ,,\0 '- - \' I' $ "/~ TOTAL fees and surcharg~'(~ tbrough C): 440_25R4..1 (QIOR/rOM) ~ ~.' , , ~ ", .>;.1.. .. SPRING. FIEL~ ~_.- . L~ - :-\. OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01904 IVR Number: 811126908525 www.cLspringfield.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 08/05/2011 ISSUED: APPLIED: 08/05/2011 08/05/2011 EXPIRES: VALUE: 01/31/2012 $0.00 SITE ADDRESS: 250 S 32ND ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702310000502 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Underground branch circuit for site lighting Phone Number: OWNER: ADDRESS: WILLAMALANE PARK & RECREATION DISTRICT 250 S 32ND ST , SPRINGFIELD OR 97478 Contractor Type Electrical Contractor Contractor Name OWNER CONTRACTOR INFORMATION ~ Lic Type OWNER BUILDING INFORMATION I # 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 I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Infonnation Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield BUilding Permit 8/5/2011 2:52:14PM Lic No 0000000 Lic Exp 08/12/2025 Phone . 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: 2011 ATTENTION' 0 foUow rules ~do~t~~nb'aw requires You to Naill/cation Center. Th Y the Oregon Utilit bn OAR 952-001-0010 those rules are set lorm 090., You may obtain /ough OAR 952-001_ n~~~~ ;~: ,~en~r. (N~fe/:et~~ft~~~:~~es by I Ce~t~~Oisv;~iton3U3ti1ity Notii;~~ti~"'n - 2-2344). NOTICE: THIS PERMIT SHAl " AUTHORIZED UNDE~ ~~~~RE IF THE WORK COMMENCED OR IS ABANciERM1T IS NOT ANY 180 DAY PERIOD. ONED FOR Page 1 of 3 SP~IHG..f IEl~.D .~ '-'''''.If\;7 t.. ,,~_ 'U.'. OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01904 IVR Number: 811126908525 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 08/05/2011 ISSUED: APPLIED: 08/05/2011 08/05/2011 EXPIRES: VALUE: 01/31/2012 $0.00 SITE ADDRESS: 250 S 32ND ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702310000502 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Underground branch circuit for site lighting 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 DescriDtion State of Oregon Surcharge (12% of applicable fees) Te"hnology feeJ5% of Eermit total) Branch circuits without service or feeder - 1 st circuit Balance of Minimum Electrical Permit Fees Total Amount Paid Amount Paid $6.96 $2.90 $55.00 $3.00 $67.86 Date Paid 08/05/2011 08/05/2011 08/05/2011 08/05/2011 ReciDt # 2011002202 2011002202 2011002202 2011002202 Springfield Building Permit 8/5/2011 2:52:14PM Page 2 of 3 SPRIHGFIEL?iiI ~1!l- ;;il:/J .,~ OREGON CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01904 IVR Number: 811126908525 Wt(W .cLspringfield.or. us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/05/2011 ISSUED: APPLIED: 08/05/2011 08/05/2011 EXPIRES: VALUE: 01/31/2012 $0.00 SITE ADDRESS: 250 S 32ND ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702310000502 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Underground branch circuit for site lighting Plan Review ~ Deoartment Application Acceptance Received Due Date Comoleted Result 08/05/2011 08/05/2011 08/05/2011 Over the Counter IPermllls,;uance ,.:, ~ . Electrical Review 08/05/2011 Comments: Over the counter permit Initial Re~w l.;sue-(j, -:,,-::~ ,00:. - - .08/05/2011 -08195/20'-'-': 081051291 t. '" 08/05/2011 08/05/2011 Not Required 08/95/201,!,~.. 08195/2011 Overcthe Coy~ter " _;, 08/05/201 1 Comments: Over the counter permit , INSPECTIONS REQUIRED ~ Inspections 4140 Underground Electric 4500 Rough Electrical 4999 Final Electrical Underground Electric: Prior to cover Rough Electric: Prior to Cover Final Electric: VVhen all electrical work is complete. Reviewer Chris Carpenter Chris Carpenter. J Chris Carpenter .Chris Carpenter , ~ 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. ~~ Springfield Building Permit 81512011 2:52:14PM Page3of3 SP~~~....~~ ~ ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-01904 250 5 32ND ST permitcenter@ci.springfield.or.us RECEIPT NO: 2011002202 tDESCRIP.JION,' - Balance of Minimum Electrical Permit Fees Branch circuits without service or feeder - 1 sl circuit RECORD NO: 811-SPR2011-01904 DATE: 08/05/2011 , 'i"J} " ~AccouNLCODE 224-00000-426102 224-00000-426102 821-00000-215004 100-00000-425605 TOTAL DUE: AMOlJNT.D.UE 3.00 55.00 6.96 2.90 67.86 '0 AMOUNT PAID . 67.86 State of Ore90n Surcharge (12% of applicable fees) Technology fee (5% of permit total) ~y'M!,_NLTY~E - Check 87576 . '-- ~AYQ~ CASHIER: CCARPENTER W1LLAMALANE PARK & RECRI " :CQMMENIS TOTAL PAID: 67.86