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Home My WebLink AboutPermit Electrical 2007-10-4 ZON L...D~ INITIALS }-oJ (V\ DATE I 0 ,'O'-f - 0'" . SOURCE ~ r:T":')('\!/ _ \-' , \" , ' . Date \ 0 .-- 0 "-( ..- or 225 FIFfH STREET 0 SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CY TY\?"'OO, -" no q Dl_ 1. LOCATION OF INSTALLATION: ~25 U Sk~~-\ LEGAL DESCRIPTION: ) 10 L3Co ,'<; () 0 0 '3<'0 (j\J JOB DESCRIPTION: 5'YY2- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor \~11'1Jl:> ~ /J r>"1/f1'" Address >rOle:;-).. C SF City t:;/J-Zr"&-/-:::;';d Phone 4'2f/ -71/V-/15{ / Sup visor License Number Expiration Date / Constr. zmber E/tion Date /ignature of Supervising Electrician ~ ~ \ Owners Name '- ll1r>'1\ -< '7'2/,)J1~/l Address 51'02':; ?, C 57 City S,v,4/-u%t/} Phone ~'Ljl ~V /l',?l- OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. OW~ignatu~d ~'\ ./t~..-?- Inspection Request: 726-3769 3. COMPLETE FEE SCHEDULE BELOW A. New Residential- Single or Multi-Familyper dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact' d Home or Modular Dwelling Service or Feeder I ./l.( $117.00 //7 _ OD $ 21.00 ??'LJ. eJV $55.00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less $ 70.00 201 Amps to 400 Amps $ 83.00 401 Amp~~~~: Oregon faw-1C1"'l.Imr~J8.00 (" 601 AmJf~t~.W~~~dopted by the Or . i1itj. Over la~(D*'1;~roGenter. Those rules s~ortft Reconnillt@n!y952-001-001 0 throu911.O~~0f\1~ 0090;. You may obtain popie$ of the rules by c. Tempo~i;ly'~~@e~~Wed~te: th, telephone number for the Oregon Utility Notification Installation, Alte9Gfi\l~roiSR\1@P:Ri~2-2344). 200 Amps or less $ 55.00 201 Amps to 400 Amps $ 76.00 401 Amps to 600 Amps $110.00 Over 60~zm~ce~OOO Volts see "B" above. D. BranqJ}:(f![~i\ll!tSHALLEXPJRE IFTHE WORK New Al~~l:ifM@i?r1~aJAN@ts.l'Wi PERMIT IS NOT One CirC'ililMMENCED OR IS ABANDONiEDsRfOR Each Ad4t~)5n~OOIfJ.AVo~NlO D. Service or Feeder Permit $ 4,00 E. Miscellaneous (Service/feeder not included) ~Each Installation Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited Energy/Residential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges rY !J J <JlJ I D. 0 S l (n. o~ 90 _10 ~ '"J-Lfl. ~3 Shared Drive(T:)/Building Forms/Electrical Permit Application 7-07.doc 4. SUBTOTAL OF ABOVE 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00902 ISSUED: 07/26/2007 APPLIED: 06/2012007 EXPIRES: 03/05/2008 VALUE: $ 293,644.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 8025 S C ST ASSESSOR'S PARCEL NO.: 1702363003600 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence Owner: THOMAS JAMES R Address: 8025 S C ST SPRINGFIELD OR 97477 Phone Number: 541-744-1136 I CONTRACTOR INFORMATION. Contractor Type General Electrical Mechanical Plumbing . Contractor ROBERT THOMAS OWNER OWNER DENIS KINSNER License 123569 Expiration Date 10/30/2008 Phone 541.261-1879 151257 BUILDING INFORMATION I 04126/2008 541.664-6285 # of Units: 1 # of Stories: 2 Lot Size: Primary Occupancy Group: R-3 Height of Structure: 24.00 Sq Ft 1st Floor: 1,400 Secondary Occupancy Group: Type of Heat: Electric Sq Ft 2nd Floor: Primary Construction Type VB Water Type: Electric Sq Ft Basement: 1,400 Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport # of Bedrooms: 2 Energy Path: Path 1 Sq Ft Other: 276 Sprinkled Building: n/a Occupant Load: I DEVELOPMENT INFORMATION' REQUIRED PARKING 2 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Urban Fringe Total: # Street Trees Rqd: 5 Handicapped: Paved Drive ~qctENTION: Oregon ~9/ requir~cynD~: % of Lot COf~m~g~:rules adopted ~j~he Oregon Utility Notification Center. Those rules are set forth :11 u:\~ 8:: 30~ X~:: :I-.lgtj~h '),^ll r'I.~, ~':'~ I PUBLIC IMPRO\j~M~~(fS Ilay obtain copies of the rules by calling me centfir. 'Nmp.' the telephone Gravel number for the U~~[ ~ffUtMR~: Notification . No Center il!)d~~..aa~~ Stormwater to splash blocks. 60.00 40.00 75.00 30.00 Street Improvements: Storm Sewer Available: : SpecJ~.nnstruction: J;';I~' _',., ;'~. ., J UNoltflS'Z',;YI~'~p""ticlhas b~~n approved by Lane County. . I Iv:-{ <-ED " rtl... tJ{PI C 'JJVtFVlE/VCED UNDER tHIS RE IF tHE Wo AllY 180 DAY OR IS ABAN PERMit IS N RI( PERIOD. DONED FOR Or Pa\?:e 1 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00902 ISSUED: 07/26/2007 APPLIED: 06/20/2007 EXPIRES: 03/05/2008 VALUE: $ 293,644.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Deck/Balconv Dwellinl!s Deck V Wood Frame $ Per Sq Ft or multiplier $19.00 $103.00 Square Footage or Bid Amount 276.00 2,800.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $5,244.00 $288,400.00 $293,644.00 07/06/2007 06/20/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $766.94 6/20/07 1200700000000000791 + 10% Administrative Fee $163.00 7/26/07 1200700000000000966 + 5% Technology Fee $86.01 7126/07 1200700000000000966 + 8% State Surcharge $121.77 7/26/07 1200700000000000966 2 Baths One or Two Family $254.00 7/26/07 1200700000000000966 Building Permit $1,196.15 7126/07 1200700000000000966 Dryer Vent $6.00 7/26/07 1200700000000000966 Exhaust Hoods $9.00 7/26/07 1200700000000000966 Fire SF Fee - Residential $107.80 7/26/07 1200700000000000966 Not Covered Mechanical $45.00 7126/07 1200700000000000966 Plan Review Major - Planning $198.00 7/26/07 1200700000000000966 Plan Review Residential $10.56 7/26/07 1200700000000000966 SDC Sanitary/Storm Admin $6.58 7/26/07 1200700000000000966 Storm Drainage Impervious Area $131.56 7/26/07 1200700000000000966 Vent Fan $12.00 7/26/07 1200700000000000966 + 10% Administrative Fee $20.10 10/4/07 3200700000000000666 + 5% Technology Fee $10.05 10/4/07 3200700000000000666 + 8% State Surcharge $16.08 10/4/07 3200700000000000666 Residence Wiring 1000 Sq Ft $117.00 10/4/07 3200700000000000666 Residence Wiring Ea Addtl 500 $84.00 10/4/07 3200700000000000666 Total Amount Paid $3,361.60 I Plan Reviews I Initial Review Planninl! Review 06/2012007 06/20/2007 06/20/2007 06/2612007 APP NJM APP T AJ Existing MH must be removed prior to occupancy of new house. Plant Native trees for hillside development listed on page 6-4 of the street tree handout. Pa\?:e 2 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00902 ISSUED: 07/26/2007 APPLIED: 06/2012007 EXPIRES: 03/05/2008 VALUE: $ 293,644.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 06/20/2007 06/21/2007 APP BRC Existing moble home on site received credit for 938 sq ft of imperv. surface. Septic has been approved by Lane County. Stormwater to go to splash blocks. BC See documents for Plan review comments Structural Review 06/20/2007 07120/2007 APP DLM To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to tloor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Undertloor Plumbing: Prior to insulation or decking. Undertloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Line to Septic Tank: Prior to filling trench and required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Pa\?:e 3 of 4 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2007-00902 ISSUED: 07/26/2007 APPLIED: 06/20/2007 EXPIRES: 03/05/2008 VALUE: $ 293,644.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 of 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. Owner or Contractors Signature Date Pa\?:e 4 of 4 . (\ Construction Contractors Board ,Permit#: _DfYlLr50-'1 -00102- 700 Summer St NE Suite 300 Address: RrJ ?s c..., ~ PO Box 14140 n~ Salem OR 97309-5052 Phone: 503-378-4621 Issuedby:'.J _^ ~ . Date: \O/Oy) 07 . . S::t:::~:.~~:::::tion Notice ~o ;Jperty Owners : About Construction Responsibilities' Note: Oregon Law, ORS701.055(4) requires residential construction permit applicants whoare not licens~d\vith ~heConstruction Contractors Board to sign the following statement. before a building permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits: Licensed architect and engineer applicants, exempt from licensing under ORS 701.0rO(7)".need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~' 1. 0,' I own, reside in, or will reside in the completed structure: . 2: " I understand that I must become licensed as a construction contractor if the structure is. sold or offered for sale before or on completion. o 3A. My gerieral contractor is (Napte) (CCB #) J will instruct my general contractor that all subcontractors who wQrk on the structure must be : ' . licensed with the Construction Contractors Board. OR t3 3B. I will bemy own general contractor. 'If I hire subcontractors, I will hire only subcontractors licensed with the Construction. Contractors Board. If! change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct andthatI have read and do .understand the Information Notice to,Property Owners ~bout Construction Responsibilitie~ on the reverse side ofthis form. L~ . 10-</-07 / . (Signature of permit applicant) (Date) , (White copy to issuing agency permit file, pink copy to applicant.) , PropertLowner.doc 06-01-04 '\ .'! Ii" .'.. .. ,.I ._ ":-a~ " ...-:... , . NOTE: This Information Notice to Owners about Construction was Construction Contractors Board in ac'Cordance ORB 701.055(5), passed by the 1989 Oregon ~ ~ .__~ ~ "'_"_~'___'__'__"'~"__'~""'__~^_"'__W__~ __ . , If you are as your own contractor to construct a new you can many problems by being or make a substantial to concerns. :'" : '. to the a resid"ntiai "tf!11ployees" if or 'assist in the . . time your . .": to:pay.a on at 503-947-1488. Tax. To file nlJJTIper , or w\v\v.doLstate.or.us/formsn&v,htmll for the ..~ ~ \~ ..-~ ;.t~ ~.:' ~'~' ~~i;. , :..~ '. ~ Compensation Law, 1S on the and As an even if you site at '.wage.s<. the tax. For a EIN ~ . . . _.f Code holder to your you are to mee'! code . v . .;. ~: Insurance or " . \.,~t' time your ~ ~"'~ < ". ~. .,-to. ,.-. . or at 225 Fifth. Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00902 COM2007-00902 COM2007 -00902 COM2007-00902 COM2007-00902 Payments: Type of Payment Check cReceintl RECEIPT #: 3200700000000000666 Date: 10/04/2007 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JAMES THOMAS Item Total: Check Number Authorization Received By Batch Number Number How Received 6507 In Person Payment Total: nJrn Page 1 of 1 11 :00:43AM Amount Due 117.00 84,00 10.05 16.08 20.10 $247.23 Amount Paid $247.23 $247.23 10/4/2007