HomeMy WebLinkAboutPermit Electrical 2011-8-25
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225 Firth StreettSpringlield, OR 97477 t PH(541)726w3753t FAX(541)726w3689
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;'~~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)
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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 ....
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,....,.... 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
", ,"
',,'
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TOTAL PAID:
67,86