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HomeMy WebLinkAboutPermit Electrical 2011-8-25 SF"RINOPIl!U) !!",^"-~-:' ""., "J';;'2~~:':'''{'''< .....,1 .,~,..- '{":F"A~.YN;:J<""'::t:,,,"'t;;'..' ~-""'C;;-:'8.':';"'"'-'W1 tI' ;,;:i1;5f7D.E;~A~mME~r~tJ..SE\ONliYj~~~~ ,,<.'-"'~' _ '\,., '..:. ,}.-I.('i, '''''<~.;-''''-'r,,,,,,~?:,,tli__.~<,>>.''''''f!!>I-:,,,,:'_q 225 Firth StreettSpringlield, OR 97477 t PH(541)726w3753t FAX(541)726w3689 ,.., "- ;'~~q,:,r'~:r;~:' Permit no. ~.I ( - 2000 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. ~~f,;'~:t;;L:0CP,(~GOVERNMENiI"!.i'~RRROVAL\l'iifJ~~,l'lf&l _Ji[~;;trf!if(~~~ ~ Zoning approval verified? DYes DNo 11f~'-l)i!~,!~~ 1i't~lf<'lt~!i,?;!i1C~"fiEGORY;~{0~lic:;0NStRI!JCl'ION~~i,'4~J'j1f~:;l';:'J """ ar.,.~.'l""i:'€lilL,-"i':,-,,,_'L:',>.U'i,. ,.:" ,,~" p!?y,jq, ,_____.:>','..,~" F3'~1C9.SJti;d Residential,.per unit, service included: o Residential I 0 Government I 0 Commercial JOBSIl'EINFORMAJION ANO'\1l0CA"filoN:".~ I ,000 sq. ft. or less (4) $134.00 $ .. , - - - ' .. Each additional 500 sq. ft. or portion Job site address: ~'14 11 r;;;.. thereof $ 25.00 $ City: 5b F<- 1:> I State: oR. I ZIP: q )'/77 Limited energy (2) $ 32.00 $ Reference: \' Ir L .J T'~\ I JaxtoO Y Each manufactured home or modular $ $ L,,~c:~: "ih;'{-""iPESCRleJION'(OF~WORi:<;j2,i'>r::'\:. .':. .'" dwelling service or feeder (2) 63.00 ,?f)D "Ale;. /-/",JT <,~:'lt'tJ- /J,vtl ""'~~ Services or feeders: installation, alteration, relocation LE<E17mu.,g; ,;" /J t;1P of'C~ic.€ 200 amps or less (2) $ 81.00 $ ~~:q;~g~~YefiTIeRORERTt'Ii,,0WNERi)'~~1~~~~~ 20 I to 400 amps (2) $ 95.00 $ Name: 0 D "" 'T / LLc>r~ 401 to 600 amps (2) $158.00 $ Address: (,'-f't A .sf. /'!Jf7 U1'-'-.J1-rvtt'77C- >- ~ 60 I to 1,000 amps (2) $205.00 $ City: 7.",8-D/ [;;l)d., I State:O,t I ZIP:'7) '17 7_ Over 1,000 amps or volts (2) $469.00 $ Phone:~7'/"~- C,/f.".2- I Fax: - . q'( Lf:(} I Reconnect only (2) $ 63.00 $ E-mail: Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less (2) $ 63.00 $ owned by me or a member of my immediate family, This 20 I to 400 amps (2) $ 81.00 $ property is not intended for sale, exchange, lease, or rent. OAR 401 to 600 amps (2) 479.540(1) and 479.560(1). $126.00 $ Signature: Over 600 amps or 1,000 volts, see services or feeders section above . ~~~~(;ittl(;.0Nif~Cffi0RtlrNSJ'AL!I1A;rI()N'ij'!.~~~r1$:l'~!g~ Branch circuits: new, alteration, extension per panel Business name: 5G t:!4A?rb,e r'/7",~)6 ~ a. Fee for branch circuits with purchase of a service or feeder fee: Address: <:?1} ?bi)C~Q,Jt?; t.-u. Each branch circuit $ 6.00 $ City: Co&bJf: I State:&>,( I ZIP: '7 7 yo 1/ b. Fee for branch circuits without purchase of a service or feeder fee: PhoneS'!/ "31- '}~z7 I Fad"/'7't7- :s 'YO First branch circuit (2) ~ $ 55.00 $ E-mail: 5Conze WlCO "'",,op j <; ,"" U;f~, CL).i-L. Each additional branch circuit $ 6.00 $ CCB license no.: /'7162--:;;- I BCD license no.: U53 Miscellaneous fees: service or feeder not included Signing supervisor's license no.: 5~o{;-S Each pump or irrigation circle (2) $ 63.00 $ Print name of signing supervisor: ~.,.,.. G ~,'l.r&7'( Each sign or outline lighting (2) $ 63.00 $ Signature of signing supervisor: 4 ---- Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) I. Each ~dditional inspection~~) $58.00 $ ~\J~\\ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) $ :$60 a ~.~~ (B) Enter 12% surcharge (. 12 x [AD $ ,0l!t. (C) Technology Fee (5% of [AD $ ).f! TOTAL fees and surcharges (A through C): $ 67"6<0 440-2584-J (9/08/COM) ~\t) sr4~~N. G~EL;;rJ lIi~tts 1,\""C,'\. OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-02000 IVR Number: 811114778871 permitcenler@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 08/25/2011 ISSUED: APPLIED: 08/25/2011 08/25/2011 EXPIRES: VALUE: 02/20/2012 $0.00 SITE ADDRESS: 644 A ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353103500 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Add one lighting circuit OWNER: ADDRESS: LANE COUNCIL OF GOVERNMENTS 859 WILLAMETTE ST STE 500 EUGENE OR 97401 Phone Number: CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor Contractor Name SCOTT EDWARD,CARTER Lic Type eeB BUILDING INFORMATION ~ Lie No 191625 Lie Exp 08/16/2012 Phone 541-731-9627 # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: ATTENTION' 0 Electrical Specialty Code Edition: follow fB1~s ~d;egon!aw requires you to Springfield Fire Code Edition: :: Notification CenttteTdhby the Oregon Utility , . OA r. ose rules are t f Mechanical Specialty Code Edition!n R 952-001-0010 throu h OA se orth , . 0090 Vi . g R 952-001- MUniCipal f Development Code: '. au may obtain copies of the , b . calling the c t ru es y Plumbing Specialty Code Edition: numb f en er. (Note: the telephone er or the Oregon urn . , Residential Specialty Code Edition: Center is 1-800- I ~ Y Noliflcation Structural Specialty Code Edition: 3322344). # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lot Size: o Site Infonnation ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: "-.. NOT/CE" . . "".: I~/S PERM/T SHAll EXPIRE IF THE WORK C THOR/ZED UNDER THIS PERMIT IS NOT OMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 8/25/2011 8:54:28AM Page 1 of 3 SP~ll.N. .GFIE~D .... ~JL~. .c ~. ~~ ";o;}." ~'? ,....,.... OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-02000 IVR Number: 811114778871 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541-726-3676 permilce nter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 08/25/2011 ISSUED: APPLIED: 08/25/2011 08/25/2011 EXPIRES: VALUE: 02/20/2012 $0.00 SITE ADDRESS: 644 A ST, Sprin9field, OR 97477 ASSESOR'S PARCEL NO: 1703353103500 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial' PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Add one lighting circuit 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 ~ DescriDtion Tvoe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Descriotion Balance of Minimum Electrical Permit Fees --'~~---'-~----- Technology fee (5% of p.,:r~i!.'?taJ) _ ___.__. Branch circuits without service or feeder. 1 st circuit State of Oregon Surcharge_~_'~~ of applicable fees) Total Amount Paid Amount Paid $3.00 $2.90 $55.00 $6.96 $67.86 Date Paid Reciot # 08/25/2011 2011002314 08/25/2011 2011002314 -,---_.~.""'--'"--""_.,_..,--,_._._-'''''"---- 08/25/2011 2011002314 08/25120-11-.--------.-2011002:ii4 Springfield Building Permit 8/25/2011 8:54:28AM Page 2 of 3 S~X~NG=~~ ~~ ~O'REGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-02000 IVR Number: 811114778871 pe rmitce nter@cl,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/25/2011 ISSUED: APPLIED: 08/25/2011 08/25/2011 EXPIRES: VALUE: 02/20/2012 $0.00 SITE ADDRESS: 644 A ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703353103500 SCOPE: Electrical Only WORK INVOLVED: New TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Add one lighting circuit Plan Review ~ Deoartment Application Acceptance Received Due Date Comoleted Result 08/25/2011 08/25/2011 08/25/2011 Over the Counter Reviewer Chris Carpenter Electrical Review 08/25/2011 08/25f2011 08/25/2011 Not Required Comments: Over the counter permit .I.nwal;ge~ -." 1~':'''C''''" 08/25/2011' 08/25/2011 .,,; 08/25'20~~:~fu~the'Gou ,~.," .,~ '0iJi~ "\~ - ~~$r'i? . ;?;, , ;'Co'lTIments: qveL1ti~C?~n~rp.eJmif, _:f:4_~~.':_ -~~~~;r,~" ~'^;;':, f~;Ai,~;.r; ~\:;~~d~ C_arp~_~~r~" .)~, ,~--, -" :~ .--'._'__'f "' :_" Chris Carpenter H INSPECTIONS REQUIRED :~:9hrl?}0~tp?tlter-:' "~ '''u 'J::I!\7):~f4J~--{:;U-{ ~ :<<$['+:;::0.-"'';'.-',.<"'', ~" - ;: j Inspections 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, J 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. c-::; --- Owner or Contractor Signature Date Springfield Building Permit 6/25/2011 6:54:26AM Page 3 of 3 SP~~N~~~ ~~ ~OReGOH www.cLspringfield.or.us TRANSACTION RECEIPT 811-5PR2011-02000 644 A 5T CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 permitcenter@cLspringfield.or.us RECEIPT NO: 2011002314 RECORD NO: 811-SPR2011-02000 DATE: 08/25/2011 lDE5CRIP-.TION ,,' ,,61. . ;,"-~~'~,,'!':'i:,:;'f1;*:';{~~~~ '.,::C';1Xc'ceuN;r,j::ODE' "" ".',"SAIVIOlJNtDlJE' Balance of Minimum Electrical Permit Fees 224-00000-426102 3,00 - - Branch circuits without service or feeder - 1st circuit 224-00000-426102 55.00 _.__--.--______w____.._____..~______."__ 821-00000-215004 6,96 -_.._~...__.- --~-_.~.. 100-00000-425605 2,90 ~--"---,-_._-~~~--._._- . ---- ---~.- TOTAL DUE: 67,86 'r' ,{".;-::~: AMOUNTPAID , 67,86 '1 .._._ Sta.!.e:~!._<:"r::,g~n_S~r3h,~!,~_~ 12%~~P2~jca~~~~~. _ ~ _.!ech~~olo~y~e J.5..!o~~~ermit ~~L__ l:.e~'t;MENT_1Y~E~; -- Credit Card 733960 , P.J>.X:9R ,'CAi;HIER:c,9ARPENTERC 'f.;:, ..'C_OMMEI>l':[S:i', SCOTT EDWARD CARTER ", ," ',,' " ~ TOTAL PAID: 67,86