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Home My WebLink AboutPermit Electrical 2011-8-10 , . , Electrical Permit Application CITY OF SPRINGFIELD, OREGON 225 Fifth Stred+Springfield, OR 97477.PH(541)726-3753.FAX(S41)726~3689 DEPARTMENT USE ONLY r;7';~ ~~ Pennitno.: 5((-/9/;; 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. LOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No CATEGORY OF CONSTRUCTION Residential 0 Government 0 Commercial JOB SITE INFORMATION AND LOCATION 27'; PROPERTY OWNER IV'!>} Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: 440.2584.1 (9/08/COM) \S)~ ~ ~ 7C..." FEE SCHEDULE Number of inspections per item () Qty. Cost Total ea. cost Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional500.sq. fl. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each ffillilUfactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) ( $ 81.00 (j( 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) $ 63.00 $ 20 I to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps Of 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 '2-!- $ 6.00 I $ I ."2.... 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 not included Each pwnp or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 83.00 $ alteration, or extension (2) Each additional inspection: (1) $58.00 $ APPLICANT USE (A) Enter subtotal of above fees $ '1--;<>":' (Minimum Permit Fee $58.00) - (B) Enter 12% surcharge (.12 x [An $ I(~ (C) Technology Fee (5% ocrA]) $ 'I !::?- TOTAL fees and sureharges (A through C): $ (t1?'ff ;;. -' SP~~N~~ .\: ~'GON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01918 IVR Number: 811135564521 www.ci.springfield.or.U5 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued permilcenter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 08/10/2011 08/10/2011 08/10/2011 SITE ADDRESS: 1275 30TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702303402600 EXPIRES: VALUE: 02/05/2012 $0.00 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New electric,al panel and two circuits for pole barn Phone Number: OWNER: ADDRESS: WILLIAMS SCOTT A & BONNIE R PO BOX 2158 JASPER OR 97438 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Electrical Specialty Code Edition: 2011 I quires you to ATTENTION' Oregon aw re . . Springfield Fire Code Edition: .1 . d ted by the Oregon Utility follow rules a op t torth Mechanical Specialty Code Edition: T r on Center Those rules are se Municipal I Development Code: ~o~l~ ~52-001-oci1 0 through OAR 9521-00~y- btain caples of the ru es Plumbing Specialty Code Edition: 0090., You may 0 Note: the telephone Residential Specialty Code Edition: calling the chentoer. glon Utility Notification number for t e re Structural SpeCialty Code Edition: Center is 1_800-332-2344). Contractor Type Electrical Contractor Contractor Name GMD ELECTRIC INC CONTRACTOR INFORMATION ~ lie Type CCB 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: Lie No 162191 Lie Exp 11/19/2012 Phone 541-741-7369 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: NOTICE: XPIRE IF iHE WORK THIS PERMIT SHA~~ ;HIS PERMli IS NOi AUTHORIZED UND\S ABANDONED FOR COMMENCED OR ANY 180 DAY PER\OD. Springfield Building Permit 8/10/2011 9:25:38AM Page 1 of 3 . J SP~N~:"'.IEL~. ~~ ~OREGON www.ci.springfield.OLUS CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01918 IVR Number: 811135564521 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 08/10/2011 ISSUED: APPLIED: 08/10/2011 08/10/2011 EXPIRES: VALUE: 02/05/2012 $0.00 SITE ADDRESS: 1275 30TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702303402600 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: New electrical panel and two circuits for pole barn 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 ~ Oescriotion Tvpe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ DescriDtion Stc:te of 0"~~L~_~!".~~~~~J2~ applicable fees) Technology fee (5% of permit total) Ser~ices'200 a~p-S-~Ie~; ~ - -~---.,-~-,----. -_. Branch circuits with service or feeder each circuit Total Amount Paid Amount Paid $11.16 $4.65 ,.. _ _u_",'_,.__ _. $81.00 $12.00 $108.81 Date Paid ReciDt # 08110/2011 2011002218 -06/1 oi2011---------~1002218 ..._--_.._.. "" --.-.-....-. 08/10/2011 2011002218 08/10/2011 2011002218 Springfield Building Permit 8/10/2011 9:25:38AM Page2of3 . CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01918 IVR Number: 811135564521 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 0811012011 0811012011 Issued 0811012011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenler@ci.springfield.or.us EXPIRES: VALUE: 0210512012 $0.00 SITE ADDRESS: 1275 30TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702303402600 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New electrical panel and two circuits for pole barn Plan Review DeDartment Application Acceptance Received Due Date ComDleted Result 08/10/2011 08/10/2011 08/10/2011 Over the Counter , Reviewer Chris Carpenter Electrical Review Not Required Comments: Over the counter permit II~rt13IReVJew '. '; -,r.' .r ~8/10/2~1~. '08l101i10n ~.08110:2.o1~/: Comry1en~s. ,~Overthe co~nte~permIL \4," _~ ^tV::: -. :~' 'I ="" . ."'" L..:.)...;;._,^,"_ _ _ _ ~ ~ "",,'-'---"'-_ _---: I Over the:Col.lnter' : :.;~:<.'k:, !~ij'~~> - ~ INSPECTIONS REQUIRED Inspections 4225 Service or Feeder Chris Carpenter .~ J"h~~ ca~e:ter~\~~-?,:.:,. . i;<;>:.. ~ 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 tb6'l)ws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of a t uct0e without permission of the Community Services Division, Building Safety. I further ce. that on contr ct s anql. pi yfes w7Jo are in compliance with ORS 701.005 will be used on this project. I further agree ensure that a req i~ inspe ions re requested at the proper time, that each address is readable from the street, that the permit card is 10 ate at he fro of t e prop I rty, and the approved set of plans will remain on the site at all times during onstruction. ~-(O-I( Date o r or ctor Signature Springfield Building Permit 8/10/2011 9:25:38AM Page 3 of 3 . SP~~NG.,~EL~ ~~ ~ORfGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01918 1275 30TH ST CITY OF SPRlNGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 permilcenter@cLspringfield.or.us RECEIPT NO: 2011002218 RECORD NO: 811-SPR2011-01918 DATE: 08/10/2011 [bESC"j:~I~TION".;-,~: !, ,';,";:' '"'':'~'''/~~i''' . .:".ACCOlJNLCODE.;:, ,j~ ".:::L::'AMOUNtblJE',;- ~ Branch circuits with service or feeder each circuit 224~OOOOO.426102 12.00 Services 200 amps or less 224-00000-426102 81.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 11,16 Technolo~y fee (5% of permit total) 100-00000-425605 4.65 TOTAL DUE: 108.81 .";;?,f'.,::C,: _~ ," :'~;AIIIi()lJNTPAID,!l!"" '- .0 __ '._-..~'" ,:,.-."'- 108.81 I L_~ilYM~N:(fi:E~~::::..::5.P.i\Y.C)_R",..CASH"i'R:ci;ARPENfER;.: -.i .->." G.OMMElnS' ' Check Scott Williams 1277 TOTAL PAID: 108.81