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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 -~~.,.~ B~~'7t, ~""'/f':(;.' 't;i: ': \... fD. "'~ Permit no.:; / - 2./0G J( Date: q 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. ~ ~;\ . ,= ,;;0,.. 11<-", ,,~ . 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~ . ""'" ~,! ~ . ,..~\ 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