HomeMy WebLinkAboutPermit Electrical 2011-9-9
Electrfcal Permit Application
CITY OF SPRINGFIELD, OREGON
225 Fifth Street. Springfield, OR 97477tPH(541)726-375lt FAX(54 1)726-3689
DEPARTMENT USE ONLY
SPR.'N Gf"IELD -~~.,.~
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Permit no.:; / - 2./0G
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Date:
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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 APP~OVAL
Zoning approval verified? 0 Yes 0 No
.'CATEGORY 'OF :CONSTRUCTION .
esidential 0 Government 0 Commercial'
~~i;i'i:~;';JOB,SITE:INFORMATION,'AND . LocATION :,:'..
Job site address: / 7D F ..5trter
City: (t n f ,'c) State: Of
, _0'7 3':5' (( Taxlot.:
DESCRIPTION OF WORK
Ja.U- fY'Jet'ubG!J(;. ,
PROPERTY OWNER
Name:
ZIP: 'l'5Z> I 0
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. OAR
479.540(]) and 479.560(1).
Signature:
\p~?
~~
440-2584-J (9/08/COM)
.:~<. . "f"'..,::' '" FEE .SCHEDUtE.'. .'-,";'",i,:.';:~~.~'?!:t~
Num~er of inspections per item () Qty, Cost Total
ea, cost
Residential, per unit, service included:
],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) I $ 81.00 SQ.\ ('; :J
20 I to 400 amps (2) $ 95.00 $
40 I to 600 amps (2) $158.00 $
601 to ],000 amps (2) $205.00 S
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 $
201 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 se'rvice or feeder fee: cJ
Each branch circuit I $ 6.00 $la.C
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 additional inspection: (1) $58.00 S
~;{I '''f;,;;'fJY1'.,R'',)'JAR~l.iCAi'IIT'fJSE ; . ,J. ~, '.~ . _'
: ;...;....
(A) Enter subtotal of above fees $y?~
(Minimum Permit Fee $58.00)
(8) Enter 12% surcharge (.12 x [A]) S 10 '!.!t
(C) Technology Fee (5% of [A]) S '1 75.
TOT AL fees and snrcharges (A throngh C): $ {Or?:!"
~
SPR.~....N~.E. ~
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. f ,,;~ OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-02106
IVR Number: 811124713580
www.ci.springfield.or.us
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
09/09/2011
ISSUED: I 09/09/2011
APPLIED: 09/09/2011
EXPIRES:
VALUE:
03/06/2012
$0_00
SITE ADDRESS: 1270 F ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703351104800
SCOPE: Electrical Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Replace meterbase
Phone Number:
ciWNER:
ADDRESS:
FEDERAL HOME LOAN MORTGAGE CORPORATION
5000 PLANO PKWY '
CARROLL TON TX 75010
CONTRACTOR INFORMATION ~
Lot Size:
sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
Electrical Specially Code Edition: 2011
Springfield Fire Code Edition: ATTENTION: Oregon law requires you to
Mechanical Specialty Code Editi6'\':JW rules adopted by the Oregon Utility
. . ' Notification Center. Those rules are set forth
MUnicIpal I Development COde'in OAR 952-001-0010 through OAR 952-001-
Plumbing Specialty Code Editi't'U90. You may obtain copies of the rules by
Residential Specialty Code Editiooalling the center. (Note:the telephone
Structural Specialty Code Editionlumber for the Oregon Utility Notification
C^n+M '0 1_Rnn_~:i?_?844\.
Site Information ~ -... - ,
Contractor Type
Electrical Contractor
Contractor Name
HARDING ELECTRIC INC
# of Units:
o
lic Type
CCB
BUILDING INFORMA TION ~
# of Stories:
I
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:
Soils Report Required:
Lie No
132089
Lie Exp
02/01/2012
Phone
541-688-5006
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Springfield Building Permit
9/9f2011 ,1:52:39PM
Page 1 of 3
SPi:.~=L~
L~~
~ORfGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-02106
IVR Number: 811124713580
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspeclion Phone: 541-726-3769
Fax: 541-726-3676
pennitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
09/09/2011
ISSUED:
APPLIED:
09/09/2011
09/09/2011
EXPIRES:
VALUE:
03/06/2012
$0.00
SITE ADDRESS: 1270 F ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703351104800
SCOPE: Electrical Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Replace meterbase
DEVELOPMENT INFORMATION I
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
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
I
Description
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
,
DescriDtion
State of Oregon Surcharge (12% of applicable fees)
Technology ree (5% of permit total)
Servic:.s 200 amps or less _
Branch circuits with service or feeder each circuit
Total Amount Paid
Amount Paid
$10.44
$4.35
$81.00
$6.00
$101.79
Date Paid
09/09/2011
09/09/2011
09/09/2011
09/09/2011
ReciDt #
2011002431
2011002431
2011002431
2011002431
Springfield Building Permit
9/9/2011 1:52:39PM
,
Page 2 of 3
SPRIN..G..FIEL~.D
~lA-'
-~ ..~
':,- ~ OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-02106
IVR Number: 811124713580
WWN ,ci.springfiefd.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
09/09/2011
EXPIRES:
VALUE:
03/06/2012
$0.00
SITE ADDRESS: 1270 F ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703351104800
SCOPE: Electrical Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Replace meterbase
Plan Review
~
Department
Application Acceptance
Received Due Date
09/09/2011 09/09/2011
Comoleted
09/09/2011
Result
lOver the Counter
r~rmit 'I~s.uanc"""":",_".:' '09l~~~Ot1::,.
09/09!2011..,:09/09/201:f,.. ..Issued" . ,;;" ',..>,,'
..,.,^, :. -~ <---J' '~~_'~
;. .~ _,...}",;: -. 'f, ~,,-' "
Electrical Review 09/09/2011 09/09/2011 09/09/2011
Comments: Over the counter permit
Not Required
I
Initial Review:
Comments:'
09/09/2011 . 09/091,~q11 , ;09/09/2~~,l,;j,. " .: O~eir the Counter, ".,
Qyetthe counter pehllit '., ..
INSPECTIONS REQUIRED ~
Inspections
4225 Service or Feeder
Reviewer
Chris Carpenter
'.Chris Carpehter',;;~4';' "',
',j_ 1,~':'~ '~"'\,~ 01", _, ~:_;~ .,~"":L,. ~
. Fe
Chris Carpenter
Chris Carp.enter .
4500 Rough Electrical
4999 Final Electrical
Rough Electric: Prior to Cover
Final Electric: When ~1I 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 01 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 SelVices 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_ "- I
9/ ~- II
Date
Springfield Building Permit
9f9/2011 1 :52:39PM
Page 3 of 3
SP.RH-l.G..F..IE~
. ""'"
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. ,..~\ OREGON
TRANSACTION RECEIPT
811-SPR2011-02106
1270 F ST
www.cLspringfield.or.us
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541-726-3753
permitcenter@ci.springfield.or.us
RECEIPT NO: 2011002431 RECORD NO: ~11-SPR2011-02106
lDEStRII~.tION:' . '-"', ., ";c' t" ' AC'COUNLCODE . '. ' .'
Branch circuits with service or feeder each circuit 224w00000-426102
Services 200 amps or I~ss 224.00000.426102
State of Oregon Surcharge (12% of applicable fees) 821-00000.215004
-_..'-',._--- --_._-~ -.......+-----,
Technology fee (5% of.e!'rmit t~_.___ ___~~000.~~605..__.
TOTAL DUE:
:': <<oMrilll:rmi~,. '"' . ,
DATE: 09/09/2011
'~-'AMOUNLD.UE
600
81.00
10.44
4.35
101,79
AMOUNT PAID ,: .1
101.79
l2P-.6.YMEt:!:r IYP~:"
Credit Card
08735c
"'~~~Y9B.'~.~. CASHIER:'CCA'RPENTER.; '.::'-.,:,
HARDING ELECTRIC INC
TOTAL PAID:
101.79