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Home My WebLink AboutPermit Electrical 2008-1-22 _~~~~Q~I~~0:.\Vt~.,,~l!'il:!r~ "'''1;), , ~i' Status ' Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspeclion Line , " , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00092 ISSUED: 01/22/2008 APPLIED: 01/22/2008 EXPIRES: 07/22/2008 VALUE: SITE ADDRESS: 631 61ST ST ASSESSOR'S PARCEL NO.: 1702342403804 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Owner: BONAR KENT R & KRISTlE A Address: 631 N 61ST ST SPRINGFIELD OR 97478 Phone Nnmber: 541-736-9278 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OWNER License Expiration Date Phone BUILDING INFORMATION' # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Heigbt of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building:, Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: 'Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street lj\l;r'l i:;lffl~:Oregon law requIres you to Storm ,~~ A~!IlMlf?pted by the Oregon Utility S eci~Alkfi~i%hCenter, Those rules are set forth NOrlCE', p In OAR 952-001-0010 through OAR 952-001- , Notes,0090. You may obtain copies of the rules by THIS PERMIT SHAll EXPIRE IF THE WOR . calling the center. (Note: the telephone AUTHORIZED UNDER K ,L,.'tAB Q'_"M 1I+a;."...tlI.c1i1i",atinn ,..".,,- ' THIS PERMIT IS ~lnT "-"'--'C~~ter is 1'800-332-2344)'1 . ,;~;~:~";.~'~ -,I) UK I~ ABANDONED FOR ValuatIOn Descrmhou/ ( PERIOD, Sidewalk Type: DownspoutslDrains: Description Type of Construction $ Per Sq Ft or multiplier Square Footage 01' Bid Amount Value Date Calculated Pace 101'2 li~ CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00092 ISSUED: 01/2212008 APPLIED: 01/2212008 EXPIRES: 07/2212008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fees Paid" Fee Description + 10% Administrative Fee + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amonnt Paid Date Paid Receipt Nnmber $14.40 $17,28 $7.20 $4,00 $140,00 1/22/08 1/22/08 ]/22/08 1/22/08 1/22/08 2200800000000000083 2200800000000000083 2200800000000000083 2200800000000000083 2200800000000000083 Total Amonnt Paid $182.88 I Plan Reviews , 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, Relluired Insnections I Rongh Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. By signatnre, I state and agree, that] have carefnlly 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 descrihed herein, and that NO OCCUPANCY will be made of any strnctnre withont permission of the Commnnity Services Division, Bnilding Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I fnrther agree to ensnre that all reqnired inspections are requested iltthe proper time, that each address is readahle 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 Pa2e 2 of2 -. , . . . , . . ' '" ,.' '. .,' Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us {1.11 I j ,'. Statement: Information Notice t Property Owners About Construction Responsibilities Address: (0.31 Issued bY.). / ( Permit #: ce.... ()()(f; :+.. (;/<->7 /'V-J Date: /-dd....cJ J Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants whoare not licensed with the Construction 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 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the app,vp,;ate blanks and initial boxes I and 2, and either box 3A or 3B: ~1. o 2. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a' construction contractor if the structure is sold or offered for sale before or on completion, 1.-.-...... / o 3A. My general contractor is (Name) (CCB #) t will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. ,~ 3B. OR ~ I will be my own general contractor. ('Zlz~u~) In hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. Ifl 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 and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. ;1r1 g ;-p-D& (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner.doc 06-0 1-04 . , Acting, as Your -Own General ,Contractor? INFORMATION NOTICE TO PROPERTY OWNERS , _ABOUT CONSTRUCTION RESPONSIBILITIES " ';. < .- ,-, NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own contractor to construct a new'home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns, Employer Responsibilities , . .', '''', ,..,r' '\ '. . , You wil!" in m9st inst!lllces, be)1lled to be an "empjoyer" and Jhe c,ontractors you contract with will be "~m.ployees" if you use contract<1rs not licensed with the Construct~on Contract<1r5 Board to do labqr in constru~ting orto assist in the construction'qr. improvemen,t of a re?idential structure. As. the employer, you mllst comply with the following: " '_ :t;. _ , . , . - " . ~' ''\ .' , '. ' ~ Oregon's Withholiling Tax Law: As an employer, yoU must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax..payments even if you don't actually withhold the tax from your employees. For more information;-~all the Department of Revenue at 503-378-4988. - ' , Unemployment Insurance Tax: As an employer; you are required to pay a tax for imemployment'insurance purposes/- on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. ' . . ..:('~ ".l.' ..'. .;) .: ,;.. " The Oregon Business Identification Number (BIN) is a combiqe9' nU!)1ber for. b,ot!t : Qregql! Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsnav.htmll for the appl Vpl :ate forms. ., ". r ..1 Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and mu~t_ optl\!n workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance: you could besubje'ct topen'altiesand oe liable' for.all'claim costs if one of your employees IS 'injured on the job. For more information, call the Workers' Compensation Division atthe"Department of Consumer and Business Services at 503-947-7815. U.S. Internal Revenue Service: As an employer, -yoU mlls; Withhold federal'income tax from employees 'w'ages~< You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS atlC800~829-4933 or visii:theirweb site at \\1vw.irs\go"., " . . - ,. " ... ".\ - ,'. \' . -.. '. .", , ':. "Other Res.po_ns~l}niti~s .a~dl Ar~as of COlllc~ms ,.,'f. ,-.,. Code Compliance: As the permit holder for this project, you are responsible for resolvihg any failure to meet code requin;ments ,that m~)I be brought to your attention through in~pections. , ;r '..- . . '" , .' : ~ . J '.' ,.~.: . . . Liability and Properiy Damage Insurance: Contact' your insurance dgent to"see if-you have adequate insurance' coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be red,one. " ).\ :" ~_ . 'j 'J __. . - ','\.. ......~........._I Time: Make sure you have sufficient time to supeT\~se your employees. , , Exp~rtise: Make sure y~u hav~'the skilis'-tC; act as your ow~ 'general contractor, to coordinate the work of rough-in and llnish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property _ owner.doc 06-01-04 ZON ~ INlTIALS ( r-' DATE i -~'A "'-r( SOURcEW ~S0 ~ / -;:)~ _ OK .. . '" ~., l! ,-,,_ ~ ".,t. , ." - , ",,' " . ~ . ,', .,'J :' 'CIJY' <t?I:\,~_~J\lNPtIEq~?, OF:EQ9~ '",." ,:\ SPRINGFIELD ~. 225 FIFIH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City Job Number CorYl u;<J f' - (}(I 0 I ) 1"""'~!'~'~'"~""'-""';"~""~",'i,,,**=~_,~,!"',,"gf"A;>"'F"'''''''='''''llii=~'0:_,!,r;"'~"" 1. ROCA17ION;OF;INSTAEbA'l'ION:;I!!'W.bll~, ~-#0='~'''~ ~""""".~",-,.-..,,,\>itl;"mjii;nMA00'~'"'':':';i;il:;:;--''''''''''''''''',."",,>,,;Y,'0;lk-- Wr). Date 3. @!::!It!j""m"'-\t!Mi!"\#.mr.~~~n:'1~-0s?tt!tF':SlW;;;F~' :J1Jfg-;a --""'nf1m!i!~;':51,jr1?*t"M1~WI:t:"+i&~ A. !!Il,~w~esldential'",;Single'fo"Multi_Fijjnily,';he.;lIwelling' TiiiIicn::"ifu;' ~y . ,,,,,,,,",,~,,,,,,0*;(~__1"'='m,"""' ."di',-,"'iJI:"..,",_",--,~~",.. Ar."',~M'~"";'"''' -',,,w'.."',..~i4%,,;S LEGAL DESCRIPTION: feM~' loi'.! sf.- Spo",)~Jdl:oIl (U!:ltl JOB DESCRIPTION: Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof ~p tV\t;.." 4 100 ihvI~b Permits are non-transferable and expire if work is not started within 180 day,s of issuance or if work is, Suspended for 180 day,s. IiEr' ~,""""''''''- "'~....,.~'_. , O()l'lifft'1MCfQi?JiN$T~i!JfjJj;p,"(N, 7om; B. 2. .. < . .. ~.~2(,!.#1')flffi')"Jc,.".w;",,,",~h;;;;00G"'=""""""""""'~<f,-;;,,"".!ill!'J1~*0f Electrical Contractor /~ 200 Amps or less ? 201 Amps to 400 Amps / 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only, Eacb Manufac!' d Home or Modular Dwelling Service or Feeder $117.00 $21.00 $55.00 'J/- jqo. ~ $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 -Address Ci~~ Pb~- >y/ Supervisor License t'lUmBer, f ""- Expiration Dat{~ ~ /' ~ constr"C:::tr. Number ~ / " ~ E '" iration Date . //,xp , . ' Over 600 Amps or 1000 Volts see "B" above, I Signature of Supervising Electrician D. Owners Name k_+ ~ '~"'11M(' Address 1.11,\ GI S,S . ' City 'S\)C"\A.,(:I':l'! Phone ~7r \ u . c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 55.00 $ 76.00 $110.00 New Alteration or Extension Per Panel One Circuit Eacb Additional Circuit or with . Service or Feeder Permit' / $ 48,00 $ 4.00 . D.o /-.f, ' H"Wf"%t$~'''X4;-C'-'--''I''''''''''''''''jjj"",~k~''~",,""~''r''''~'''']M''''~'WiW$w:...,m--m"""""'::m<"0!l:'i">iE"kWi"'" . ,:-p. .i' ~ E "M" ""("Ii!? '._0&=(S"" ,=,"0FI"R;m"F'Fd"'t""='I1!t."'d'i~d"')"8"E" .0'ti"'l.i.Jt'I-I'..t',w..., . :1' ... .lSCetaneouSl': ervlceleeUer,no ;;IDC U e .::';; .acJ nsua a IOn'~ )fum7lf:-fd"'1'!~iilE.,~t;;kA,""~_"&ili~l"%!mddk4i;!ik',::JiciF_W:='#.""',.,~""'"'x~=,:,c"-,",,,: Pump or irrigation $ 55.00 Sign/Outline Lighting ,$ 55.00 Limited Energy,fResidential $ 28.00 Limited Energy,ICommercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges rU /7Lf.. u '7 . ,;( ('J /7, AV /.Lj.40 /f'L.KK OWNER INSTALLATION The installation is being made on ~.v~_.~j I own which is not intended for sale, lease or rent. o"m~~ Inspection Request: 726-3769 4. 12% State Surcharge 10% Administrative Fee 5% Technology, Fee TOTAL Shared Drive(f;)!Building FonnsJElectrical Pennit Application l-Q8.doc 225 Fif(h Street Springfield, Oregon 97477 541-726-3759 Phone ~: City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00092 COM2008-00092 COM2008-00092 COM2008-00092 COM2008-00092 Payments: Type of Paymeot Cred itCard cReceintl RECEIPT #: 2200800000000000083 Date: 01/22/2008 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By KENT BONAR Item Total: Check Number Authorization Received By Batch Number Number How Received NJM 628471 628471 In Person Payment Total: Page I of 1 ,2:08:39PM Amount Due 140.00 4,00 7.20 17.28 14.40 $182.88 Amount Paid $ I 82.88 $182,88 1/22/2008