HomeMy WebLinkAboutPermit Electrical 2011-9-9
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225 Fifth StreettSpringtield. OR 97477. PH(54I)726-375J. FAX(541)726-J689
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Permit no: S; I I - 2 cf7 "
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.
;&1~,''''l;';::',LbCAlf?';GOVERNMENiTY.A.~RROV/f.~J'i~.;r,Wi'!
Zoning approval verified? Q Yes 0 No
,~~:!'IWti\~if,f:';iCArEGORY;i!OFJ{C0NSTRU C;rION;:-i.i:;f(~1r,)'!'~'I'#.
o Residential 0 Government [2'C"ommercial
JOB SITEINFORMA:rIONANO',LOCATION;,\ ';'.i.'
Job site address: t?85' S, tf2 ND .[ (.
State: Jl2- ZIP: '1 '7 tf'7
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City:
Phone:
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. DAft
479.540(1) and 479.560(1).
Signing supervisor's license no.:
Print name of signing supervism
Signature of signing supervisor
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a {U)1.A.P , yt-
440-2584-J (9108/COM)
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77J("""L
7210 - 0 tJ () Ii
'?30 -(;6''-12 e,-
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,"~.,- "'-';~O!*"~'FEE' 'SCHEDUlE""~ ,.., 0-'''" . "fj':'
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~Nui11b:r:o(ilisp~c'tio~~:pe'r.~'item:(if)ki.1b 'Qty> ::0. :o~!~:. ~- .~ oJ~_!~:_l
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Residential, per unit, service included:
1,000 sq. ft. or less (4) $134.00 $
Each additional 500 sq. ft. or portion $ 25.00 $
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63,00 $
dwelling service or feeder (2)
Services or feeders: installation, alteration, relocation
200 amps or less (2) --::s $ 81.00 $ 2'/~
201 to 400 amps (2) I $ 95.00 $ "I)
401 to 600 amps (2) $158.00 $
601 to 1,000 amps (2) , $205.00 $
Over I ;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 or 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 I <-/L/ $ 6.00 $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 pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
. Each ~dditional inspection: (1) $58.00 $
~~.< :~;"\,-~-;~~f...~Ae~LlCANJi:'.USE:::)i.~'.;:>~':,:' h.:,,~,'P\'..
(A) Enter subtotal of aboye fees $hJ~
(Minimum Permit Fee $58.00)
(8) Enter 12% surcharge (.12 x [AD $ 'I27.-.::!-
(C) Technology Fee (5% of [AD $ 30'0
TOTAL rees and surcharges (A through C): $
, 0 u..u-P I'\N c.Y( ;--. fiA>-,J (6c1/1&J 1'5D"0
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SPRINGFIEL.~
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,,' \ OREGON
CITY OF SPRINGFIELD
Building I Commercial Permit.
PERMIT NO: 811-SPR2011-02076
IVR Number: 811~89668135
www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
09/09/2011
ISSUED:
APPLIED:
09/09/2011
09/07/2011
EXPIRES:
VALUE:
03/06/2012
$0.00
SITE ADDRESS: 885 S 42ND ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1802052108700
SCOPE: Electrical Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Wiring for new church - See 511-1839 and 511-1018
Phone Number:
OWNER:
ADDRESS:
EAST,SPRINGFIELD CONGREGATION OF-
ti58 S 57TH ST SPACE 090
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION ~
Contractor Type
Electrical Contractor
Contractor Name
ALL 2 CURRENT ELECTRIC INC
Lie Type
CCB
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
I Occupancy Load:
Electrical Special!y Code Edition: 'IT1291,1 Oregon law requires youto
ATTE\, ~I', h 0 gon Utility
Springfield Fire Code Edition: f Ii '^I rul'13 adopted by t e re t f th
C..<) Th se rules are se or
Mechanical Specialty Code Edition:lilication Center. 0 hOAR 952-001-
, 'w otO throug
Municipal I Development Code: in OAR 952-001-Obt, copies of the rules by
"090 You may 0 am h
Plumbing Specialty Code Edition: " th conter (Note: the telep one
cailmg e ~. 'I't N tificatlon
Residential Specialty Code Edition: ber lor the Oreoon Uti I y 0
: num '~332-2344)
Structural Specialty Code Edition: Center IS 1-800- '
BUilDING INFORMATION ~
# of Units:
o
# of Stories:
Height of Structur~:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
lie No
194316
Lie Exp
06/20/2013
Phone
541.660.6590
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
o
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
9/9/2011 ,2:58:37PM
'\10TICE: RE IF THE WORK
THIS PERMIT SHJI,L~ ;.x~~ PERMIT IS NOT
AUTHORIZED UONRD~S ABANDONED FOR
COMMENCED
ANY i 80 DAY PERIOD.
Page 1 of 3
S~.~:\N::E~
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~OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-02076
IVR Number: 811189668135
225 Fifth 5t
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci.springfield , or. us
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
09/09/2011
09/07/2011
EXPIRES:
VALUE:
03/06/2012
$0.00
09/09/2011
SITE ADDRESS: 885 S 42ND ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1802052108700
PROJECT DESCRIPTION:
SCOPE: Electrical Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
Wiring for new church - See S11-1839 and 511-1018
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
DEVELOPMENT INFORMATION ~
Overlay Cist:
I
# 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
~
Description
Tvpe of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
FEES PAID
~
DescriDtion
Services 201 to 400 amps
Branch circuits with service or feeder each circuit
-..---.--.---
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Services 200 amps or less
Electrical Plan Review (25% of electrical fee)
Total Amount Paid
Amount Paid
$95.00
$264,00
"._~_._-
$30.10
$243.00
$150.50
$854.84
Date Paid
09/09/2011
09/09/2011
.'--~'-_."'-"'--'""'-"-'-
09/09/2011
09/09/2011
09/09/2011
09/09/2011
Recio! #
2011002432
2011002432
2011002432
2011002432
2011002432
2011002432
Springfield Building Permit
91912011 2:58:37PM
Page 2 of 3
SPRING FIE, ~
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":'- '.\ \.'!OREGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-02076
IVR Number: 811189668135
, ,
www.ci.springfield.or.us
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
Issued
permitcenter@ci.springfield.or.U5
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
09/09/2011
09/07/2011
09/09/2011
SITE ADDRESS: 8855 42ND ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1802052108700
EXPIRES:
VALUE:
03/06/2012
$0.00
SCOPE: Electrical Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
Wiring for new church - See 511-1839 and 511-1018
PROJECT DESCRIPTION:
Plan Review
I
DeDartment Received Due Date
Application Acceptance 09/0712011 09/07/2011
Comments: rEVIEW PERFORMED ON 511-1018
ComDleted
09/09/2011
Result
,Over the Counter
P,ermit !ssua~ce
09/09QOt1 , 09/0r2~,:_J1,~,:" 0,~09/m1 ,;c;_.;:;~~~d:_;~;,:,';.'" ", ,"-_~.:".<>" ..
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"'" ~ .'
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e
Electrical Review 09/09/2011 09/09/2011 09/09/2011 : Not Required
Comments: Over the counter permit
'I"Hla' Revie~ ..,....,. -~ 09/09/2011 '09/09/2011'''09709/20111" Over the Counter'
'I' r - . 0,,"
; Comments;. Over the co'unter permit
l.,~_
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INSPECTtONS REQUtRED ~
Inspections
4225 Service or Feeder
Reviewer
Chris Carpenter
:~hris-CarPe_Qttr_~;::": _.
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ii:+",- ;:'~
Chris Carpenter
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',chris 'Carpenter'
~
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4500 Rough Electrical
4999 Final Electrical
Rough Electric: Prior to Cover
Final Electric: WhEm ~II electrical work is complete.
4550 Limited Energy
I
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.
e-4~ Vvj~ G>; -"1-1)
Owner or Contractor Signature
i Date
Springfield BUilding Permit
919/2011 /2"8:37PM
,
I
Page 3 of 3
SPRIN.G~FIE. LD -
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.',.. . OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
v.ww .ci.springfield . or. us
811-SPR2011-02076
, ,
885 S 42ND ST
permilcenter@ci.springfield.or.us
RECEIPT NO: 2011002432 RECORD'NO: 811-SPR2011-02076 DATE: 09/09/2011
lDESq~II~..nON ,ii, ".:"'it;,AC.C:OUNJJ.C.OPE . AMo.UNtD.Ut,~o:Ji!i;",'Ilo"~
Branch circuits with service or feeder each circuit 224-00000-426102 264.00
ElecIrical Plan Review (25% of elecIrical fee) 224-00000-426102 150,50
Services 200 amps or less 224-00000-426102 243,00
Services 201 to 400 amps 224-00000-426102 95.00
State of Ore90n Surcharge (12% of applicable fees) 821-00000-215004 72.24
Technology fee (5% of penmit total) 100-00000-425605 30.10
TOTAL DUE: 854.84
mml;;:'c6MIVIEN'TS',~;,;: ~~'lN:I~'bl~ f I :ir'ilrr; ;Y'~~!:~:'i~~OQt-JTiJ~~lo~~1
854.84
PAYMENT TYPE
Check
1081
PAYOR CASHIE,,:6cARPENTeR
EAST SPRINGFIELD CONGRE
TOTAL PAID:
854.84