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Home My WebLink AboutPermit Electrical 2011-8-31 225 Fifth Street. Springfield, OR 97477tPH(541)726-3753. FAX(541)726-3689 ~~ \>'-'}f r,.",,". ~i":J"'>\*''iJi''Il!:'~'0~~tk~**0\i:J1fil';--~''''< ,~:.J\tDEP.ARliMENJ,;USE-Oril~Y,. ..~ ~~$k.;fj/i;''''{--''1~'';'j,fi''_'*?-'7!'t~'''E~'&t~;,.~--3'~;;;i~ __~, Electrical Permit Application Date: This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . ~~'&ml![()<:;AI,.";l(3-oYE~NIVIEriltrI/?AeeRQ.v.Al!:~~~ ~~~~ Zoning approval verified? DYes DNo ~-~um eriO "IDspec ~toJ?1 ~:(~;arjl:liit1?E:A'17EG()BY~O~~<:;:Oril$ffi~l!J.Q:l1IQriI~~~J\~!\l,~ ~~t~1.7~'1\~t,iti;;lf~"'M~;~iti", iJ:"';I>Co~ti'S o Residential N;rCommercial Residential, per unit, service included: o Government 1,000 sq. ft. or less (4) $134.00 ~"QB1iSJillEf:jINIi:QBMAmIQN~tfAt-lD!lI!QE::J,VliIQN)llJlll!~\i1! $ Job site address: 2..\ 3 A '" \.>...(j ;1'\ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Ci~~'\ ;or 1.1 State:()~ I Zlru ~ II Limited energy (2) $ 32.00 $ Subdivisi n: \' 1""\ ,","'~lo~~~ Each man~~~prl:1Q.T!1~ 0] nlOjlularl aVo; reql irAS vou t ~; dwelling iy,\~jRE ~\,\<;.e!!<;!i,(~)oted bv t le 0 e $ Ci63.00 iI y 11 UL S . N Vd .. 'nfI-utlti' 1iIM~F'I"<lorp.oPtlOrtn o >-1\ \- ~""i ~ - \ (\.\ T'\ (\, .', J . ervlces D ~e< ~('S:I~a' on, teratl n, ye oc:atlOn ,... - _., .... ~ 1"'\ nf':''"' 200 ampifbf--l<1Ss,(ci)'<::-UU I-uu I ~ 1I "u;I:~" , '1' S'Voo :J; \\ ,., ,........, hh:::nn ...........rIPc:; 1118 h",b~ b ~-~tll!Al~>~~eR0RER'Ii1t:lTOWNERi~!'~$i,,*~"',,.tk;~'" 201 to 400 ewp.~'i.2,J\he'~e~t~r. (Noi~: the t.$lt95!00n ~ $ -' ,:~-2'.:a"''''',o."c:",t''' <<if",. ,~ ; _ ,_;;L"c,JiL~, ,^, ",,,,.,,_,,,"'~ r'-'c'u.;,:~o",. ,,__.t1'"it&~,;~ Name: )((,\~f\.r{\~ '\ \ Po I \ ,r' 40] to 600lWijiSJ(2) for the Oregon l'lIIl1Y I\'Sr111t:i:"111 v"$ . , ..../'"1"'(')-:>....1"), A ,,158.00 :i (2)lllVI I'"' , - :t\ n n.. . '2-lo \ ry~ '6 601 to 1,000 amps $205.00 $ Address: City: t;; " ')t10~ I State:(J~ I ZIPq I""ttJ Over 1 ,000 amps or volts (2) $469.00 $ Phone: .(J I FIDe Reconnect only (2) $ 63.00 $ - - - E-mail: Temporary services or feeders: installation, alteration, relocation This installation is Deing made on residential or farm property 200 'W'ps,olle~ (2) $ 63.00 $ V.I t t . owned by me or a member of my immediate family. This 201 11' ,4qp, "P1P , SHAll I=XPIR "11= r 1$1=87;1.0.0 F K$ --.... property is not intended for sale, exchange, lease, or rent. OAR 401 tP.go.o,(@iiiiillD UNDER THIS ERr IJ125.000 T$ 479.540(1) and 479.560(1). (6G~IlI\/Ir-~In.RIDoG@S~ ^1S1I.~:n.S1",r;;...... "'"n . Signature: Over 0 amps ,Or\,.. . t ,.see ser;vlces orifeeders section above ~~~C()NiI1BA(:;[QB1!INSyt,.;~C'",iI1l()N~~>Si~~ arlfh\J~( 1 ~"l:We^~ a7fel.JI(11) Bra ch circuits: ew, a rafian,exfension per panel Business name:E ills .F /erfr/G a. Fee for branch circuits with purchase ofa service or feeder fee: Address: >17 7 ~o f ../fa/>- - J. J- 1M./ Each branch circuit I $ 6.00 $ City: P..-IJCli? /140 I State:()l'r I ZIP: ~7Y'tJ;Z b. Fee for branch circuits without purchase of a service or feeder fee: Phone: 51/ z;l){ - ~(PSZJ I FaxSI! 37'.5' - 13 S 3 First branch circuit (2) \ $ 55.00 $5'5 'P E-mail: Each additional branch circuit $ 6.00 $ CCB license no.: ;:) / :3 5""/ I BCD license no.: ';),(} gl/C- ~iscellancous fees: service or feeder not included Signing supervisor's license no.: 9rO c; Each pump or irrigation circle (2) $ 63.00 $ Print name of signing supervisor: 73,'/r <S r~ ~y- Each sign or outline lighting (2) $ 63.00 $ Signature of signing supervis< \4 ,;/ jJ d ..t1.. Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) ../ 'f ........- y ~ Each additional inspection: (1) $58.00 $ ~t-~ ~~ (Minimum Permit Fee $58.00) . $ <. . (8) Enter.l2% surcharge (.12 x [A]) $ O.U .0 (C) Technology Fee (5% of [A]) $ ~.() TOTAL fees and surcharges (A through C): $ ..fl~ UI'\~ '--........ o 440-2584-J (9IOB/COM) \JO~05 \.0\\\ ~ %<- ~€.("M.i.-{; CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-020;36 IVR Number: 811143238372 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/31/2011 ISSUED: APPLIED: 08/31/2011 08/31/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield,or,us EXPIRES: VALUE: 02/26/2012 ~O.OO SITE ADDRESS: 2134 MAIN ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703364202700 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: One Circuit for Exit Lighting Phone Number: OWNER: ADDRESS: PARAMOUNT CENTER LLC PO BOX 26125 EUGENE OR 97402 Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lic Type Lie No lie Exp Phone BUILDING INFORMATION I Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Editi9n: N 0 egon law requires you to ATI"'N \ 10 : r Utlt Structural Specialty Code,Edition: es adopted by the Oregon II Y fOllOW rUI __. _..I_~............. eot f"rth I Site InformatioWl~_a~I~~1 ~~~I~~b'1 ~ \1h';o"'U'gh-O,A:R 952-001 ~ '" ~""y -may obtain copies of the rules by 0090" au (Note: the telephone callmg tfhe tCheentOe~~gon Utility Notification number or . 4) Center is 1_800-332-234 . I # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: NOTICE: Soils Report ReqW~~: PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, Springfield Building Permit 8/31f2011 11:36:07AM Lot Size: Sq Ft 1 st Floor: Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2011 Page 1 of 3 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-SPR2011-02036 IVR Number: 811143238372 permitcenter@ci,springfield,or.us PROJECT STATUS: STATUS DATE: Issued 08/31/2011 ISSUED: APPLIED: 08/31/2011 08/31/2011 EXPIRES: VALUE: 02/26/2012 $0.00 SITE ADDRESS: 2134 MAIN ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703364202700 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: One Circuit for Exit Lighting 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 ~ Descriotion Tvpe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Description State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit ~otal2 Branch circuits without service or feeder -1st circuit Balance of Minimum Electrical Permit Fees Total Amount Paid Amount Paid $6.96 $2.90 $55.00 $3.00 $67.86 Date Paid 08/31/2011 08/31/2011 08/31/2011 08/31/2011 Reciot # 2011002358 2011002358 . 2011002358 2011002358 Springfield Building Permit 8/31/2011 11:36:07AM Page 2 of 3 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-02036 IVR Number: 811143238372 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 08/31/2011 08/31/2011 Issued 08/31/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541~726-3769 Fax: 541-726-3676 permifcenter@ci.springfield.or.us EXPIRES: VALUE: 02/26/2012 $0.00 SITE ADDRESS: 2134 MAIN ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703364202700 SCOPE: Electrical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: One Circuit for Exit Lighting Plan Review ~ Deoartment Received Due Date Application Acceptance 08/31/2011 08/31/2011 Comments: property is zoned community commercial ComDleted 08/31/2011 Result Over the Counter Electrical Review 08/31/2011 08/31/2011 08/31/2011 Comments: Over the counter permit ;lniti'aiReyiew~~:;~:.z" r'~~~7Q8/31i20'1:1'~08q~20Tf ,~8/31/2q1,J. ! ' . .' .'c".' '. '_' .' ",..,..,. ......"":-i{Ji,I '0-- .' ,. .: ,'_,','. ,,; ~ 'I Comments; _Over the counter"permil'1>< ,:"~i\.w,~i/:::.-.':: :';/-,1;:;>' 7't' " ' ... . - .:..%li::: ~=.=--" . .,,,:...1. ., Not Required Reviewer Lisa Hopper Lisa Hopper ,0ve1::ihe'~o~r:~r~~~:',Lisa. HOPPe~~;:r--~~. !.,' 2-:::~;::?:--f\i;i';;~:; ~.:':., '. ~. _' ~ -.- '._ . . ':4 ., ;," :J4~ -<----r"'f\ ,::"',:;~'j INSPECTIONS REQUIRED ~ Inspections 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 the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure withou p rmi sian of the Community Services Division, Building Safety. I further certify that only contractors and e ployees who ar j co Hance with ORS 701.005 will be used on this project. I further agree to ensure that all requir inspec ons are request d at the roper time, that each address is readable from the street, that the pe~a-(d is located at e fron of th property, n the proved set of plans will remain on the site at all times during (constructio Date Springfield Building Permit 8/31/2011 11:36:07AM Page 3 of 3 .SP~~~~=L~ L~~ ~.OltEGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-5PR2011-02036 2134 MAIN 5T CITY OF SPRINGFIELD 225 FJfth 5t Springfield,OR 97477 541-726~3753 permitcenter@ci,springfield.or.us RECEIPT NO: 2011002358 RECORD NO: 811-SPR2011-02038 [DESCRIe.rION "{-,,;,{';"; :: ",. ""<;:;:;~:" ;~,~~10i;];f.':f':~\ACCQDNT1CODE" ",..:';:', Balance of Minimum Electrical Permit Fees 224-00000-426102 Branch circuits without service or feeder - 1st circuit 224-00000-426102 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 Technology fee (5% of permit total) 100-00000-425605 TOTAL DUE: DATE: 08/31/2011 0c~:rAMO:UNT~D,DE-:~':' ':,-"J 3,00 55,00 6.96 2.90 87,88 AMOUNT PAID,,' '-0'~, 87,88 ,-'j ~_J~AYMErfr_rx~E~';:--'--~AX.OR:'::CASHiER: NMACH~"-OJu::.J:2.:,:::';_CJ:)MMEN:r:S: " , , Credit Card DOUGLAS MCCAIN 928755 ,'.""~~ .:~. ~ TOTAL PAID: 87,88