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Home My WebLink AboutPermit Electrical 2004-5-10 .' ~,[, I rRINOFlELD -~-:]1 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726.3753 .; FAX: (541)726-3689 ~~~ ELECTRICALPERMITAPPLICATIQJlJ J" , ~" " " , City Job Number (.() M ;;1..00 3'~ QjobiJate <I/o / rJtJ The.'ollowing project as submitted hes the following . . -:t- ~enmg. and does not require specific land use tI7S~~'r~"'r.'.'t'"OI'<'Y~""'~.~;;'l"~'~7.:~~ ~=.:"_...,..- n<~..~\apP,foval-;x"f"'~.-~~"'~"_. '~'"".,.--"Y1'f:.....ti(~-J<,,",!{1'\;~,- '1f,;"""""t, 1. rL1.;Q.t:;AJJQ~Qf;~LAJiR!'!l9ff:{;:Jf~'.f~ 3" CO~eltft.'f!I~.f~-lffol.?lfi~]JliLgJ:.l::~;'lili"ftji?l/', ,: .~l.d, 23 z.. b 1::::'Yl.vvt va- c. T ' , Dete 6-II-otf, . \ A. ~N.fiif.~~~Ft~~~::~::~~~::"F1~li?;~a'd\~elii~afu(~ ~;ijl...=C~~!;l..o.;t.,."..~'f;;;J.:..oi.I'-'f~~.~.~__" ....._..._. '-_. __._,.....,., --, ;j-...$..;;; LEGAL DESCRIPTION 1703272-1 ()/ ZOO JOB DESCRIPTION -1:\-'t\\'i 2 c _, (Lc ~c ~+-.:;: Permits are non. transferable and expire if work is not stHted within 180 days of issuance or if work is Suspended for 180 days, t,Je6NfRAi!:ioR')'iNsTliiAiroN;~'oN'j/Y;1 2. R.lJ"~~-.':::<'If.\l.l^'.3; _:_.~'!Ir,t,;-l:",:.'c?~-,,~r.:;la:_,,/-"\i..~"""lt:l>l"h~K' :;.Q.,"1'~ Electrical Contractor ~ Address :/ City Phone / Expiration Date Signature of Supervising Electrician Owners Name ::;;?f, )1tu- J ~Ier Address Z ~.2 /,., ?.-rr'71\4.- C':"T City Al'lr;,rI:;'-dJ Phone -rfl- 3?/"J Z/r ( OVVNERINSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~?l/1#~J~ --- Inspection Request: 726-3769 Service Included 1000 sq, ft, or less Each additional 500 sq, ft, or , portion thereof , Each Manufact'd Home or Modular Dwelling Service or F eeaer $106.00 $ 19,00 p $50,00 ~-^-'Nh ;',' 1N'.-->i 'ff.: ;,,"~-?~;1.:t:r.~",.j'!>I\..;r-.~;: 't~"':;;:", _,.r:i.1.'; i'-;, ~......:i~":'\"". ,";-'l B. .;Se~Jvices4:"or;Feeaers_~1In,stallation, Alteration,' s, \' of Relaca, tio, n:"~ti Wi~~ ;...,~~..J:cAY:";''''~'~''''~~'~'f-'''''',~~~j:.,Io--:IoI, "','~, .'l>ll' , ~",..-... '--".:J 200 Arllps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIV oilS Reconnect Only $ 63.00 $ 75.00 $125,00 $163,00 $375,00 $ 50.00 -C F~;r" "~l~Ml~.):,;' "" ";~""'~',-;.\rN.,:;\~""',-"1 All EN:HV",..G'@:~~~~i6n'tJtIm;~~. ~,'!,i. 'f;,~~. ..M ,;Il'f,;.~ follo"YJUles adop18d by . reg t forth ' N t'flcHtfb'l{m~lM...". ,. lOetOPamn Ino~:A~"all:1;O thro~gh OAR 95~:~~~: $ 50,00 0090 ~\NIlp.ytOtrmilMrtlRles ofthe.~ ~~ -, $ 69.00 . IlIlntA' the tele....' ,eAe ca\lltlb~~tro\) Jl1riUtil1 NotifleatleR $100.00 nu~ 1Rro~~9r~9~Bl\:l!i!ity JI S) "B" above, &rr.entei~~~OI..~~..:(~--~".lI-. ':l" ~'iJ' l~'. ,\~",:r. I D. (;~f!licli.~lr~l!I!S~~h:~.k1?~';9J;~:'" ,;,~,,~['-}f~u;1fAk::' ,~Jt,i New Alteration or Extension Per Panel One Cir~uit ~ $ 43,00 Each Additional Circuit or with J ' Service or Feeder Pennit _ $ 3.00 4'?'/P ~.C() E. ~~~~mtr!i~~~~~,(~r~~~{J~~~Yi~!)~!~Ke:~l~;~~~i"11'p~~~1~ti"o.~~ Pump or irrigation $ 50.00 Sp'!/Outline Lighting $ 50,00 N OTlQ;ied Energy/ResidentiaI $ 25,00 THISI!l~RMI!n~~k!of,~IfI~IIF THt WUKII. $ 45.00 ~ITHO~D U~ER THIS PER~ I~ I~~ Ai~lUtl~~~1ti~~~'!t~~~~_~~r;':: ;,~UrChargeS 0 ~lI .~IDBWt:lll~.oVEc~~\',~./,\'" ','f<~~,:." "j' L( lO;;.~~:":"l:~!:C!:,.~~ _'-'L,.,~..n, --l.~..'q uY'-. ~_.y_~ ~.~ ~.'.. 3ZZ It 60 5"3 &Z 7% State Surch~rge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application )..o3.doc ~"~G,_f,l,~' ~," ,. .i ~,. "II 1 , ",'".:',.~' ",; ~.! ,~ T '_. '.' -.~. .. . . \",11 f OF ~rKll'lld<lI!,Lt> Status Issued Building/Combination Permit PERMIT NO: COM2003-0I064 ISSUED: 11/19/2003 APPLIED: 10/17/2003 EXPIRES: 11/10/2004 VALUE: $ 34,790.00 225 Fifth Street, Springfield, OR 541-726.3753 Phone 541-726.3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2326 ERMA CT ASSESSOR'S PARCEL NO.: 1703272101200 Springfield TYPE OF WORK: Family Room TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Family room addition Owner: BITTLER RICHARD D Address: 830 N 19TH ST SPRINGFIELD OR 97477 Phone Number: 541.741.3881 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumhing Contractor OWNER OWNER EUGENE HEATING & COOLING OWNER License Expiration Date Phone 149452 10/22/2005 541-726.7654 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: I Height of Structure 13,00 Type of Heat: Forced Air Gas Water Type: Range Type: Energy Path: Path 1 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 384 R-3 SETBACKS I DEVELOPMENTlNFORMATlON I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 7.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: 23.70 0.00 I PUBLIC IMPROVEMENTS I Street Improvements: F II I d Sidewalk Type: u y mprove Storm Sewer Available: Yes ~,QowmJl~.uts!D~~!ns:;.'" leq&;Ml! 9llC1JGhtter Special Instruction: Applicant plans to take storm drainage to street. AI' (\J \-" .",' '." theOregonUtility NOTICE: fo!:': "':_' :;~', "?h:e rules are set forth Notes: THIS PERMIT SHALL EXPIRE IF THE WORK N011>~~ ':,,:;:':t,':,,;;w !hrough OAR 952.001. AUTHORIZEO UNDER THIS PERMIT IS NOT ~O~:) 'Ie, -",., c"-',W, sopies of the rules by COMMENCED OR IS ABANDONED FOR c ""10' :"6 ",>1'[131. \Note: the tele,~ho~e n ANY 180 DAY PERIOD, n~1i'''';L ,-, 'hi' Oregon Utility Notlhcatlo L"",0I'IS 1-800-332.2344). Paeelof3 _fi>(P-e'ti~.!:I~2-...,. ___ WIr' l, . ..,. ~ - ....~ Status Issued 225 Fifth Slreet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Ueseription Tn)e of Construction Dwcllinl.!s V \Vood Frame Fcc DcscrilJtion Plan Review Residential -1\'lcchunicallssuancc Ft'c- + lOIX, AdministnJti\'c Fcc + 7% Stale Surcharge Building Permit Fixture Minimum/Adjustment Plumbing Miscellaneous J\'lcchanical Plan Review - Planning SUC Sanilary/Stonn Admin Storm Drainage Imperviolls Area + 10%) Administrative Fcc + 7cyo State Surcharge Add, Aile,', Exlend Circ Add, Alter, Exlend Circ Ea Add Tolal Amount Paid . ~ . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-01064 ISSUED: 11/19/2003 APPLIED: 10/17/2003 EXPIRES: 11/10/2004 VALUE: $ 34,790.00 I Yahl~lio~ DescrintiOl.\ I S Per Sq Ft or multiplier 5911,611 Square Footage or Bid Amount 384.110 Value Uate Calculated 10/17/2003 534,790,40 534,790.40 Total Value of Project . f':fff '.:iW Am01ll1t Paid Uate Paid Receipt Number 5183.89 510.nll 537.29 526.10 5282,9n 514,nn 531.00 $45.1111 $59.00 56.96 5139.2n 54.611 $3.22 $UIIII 53.011 10/17/03 11119/03 11/19/03 11119/03 11/19/03 11/19/03 11/19/03 11/19/03 11/19/03 11/19/03 11/19/03 511 0/04 511 0/04 5/10/04 511 0/04 22002000000000nl671 12nn2nnOn0000002493 12002n0000000002493 1200200000000002493 1200200000000002493 12n0200000000002493 1200200000000002493 1200200000000002493 1200200000000002493 1200200000000002493 1200200000000002493 1200400000000000684 1200400000000000684 120040nn00000000684 12004n0000000000684 5889.16 Plan Reviews I 10/20/2003 111/20/2003 API' LLlI The general contractor listed is currently not active with the Construction Contractors Board. This permil CANNOT be issued with current contractor with their current status wilh Ihe State. The contractor either must bring their liccnsc current with the State, or the general contractor must be changed. The conlractor lisled is Bryan A White, License Number 128374. Liccnse is Suspended - Insurance Problem. See prinloul in job tile. 10/20/2003 11I/30/2n03 API' TAJ Initial Rcvicw Planninc Rcview Pa~e 2 01'3 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: C01\12003-01064 ISSUED: 11/19/2003 APPLIED: 10/17/2003 EXPI RES: 11/10/2004 VALUE: $ 34,790.00 225 Fifth Slreet, Springtield, OR 54\.726.3753I'hone 54\.726.3676 Fa, 54\-726-3769 Inspeelion Line Public 'Vorks Review t 0/20/2003 I 1l/2\/2003 AI'I' VRJ Roof drainage to street as per phone conversation with 1\11'. Bittler. 2:30pm, 10/21/2003. Slruetural Review 10/20/2003 11/1l4/2003 AI'I' TCI\I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. I , Re,lIl1ired Insncelions , 7 Footing: Aflcr trenches arc excavated. 8 Foundation: After forms are erected hut prinr to concrete placement. 10 Post and Beam: Prior to floor insulation or decking. 6 Floor Insuhltion: Prior to decking:. 9 Fnuning Inspection: Prior to cover and aflt'r :llIl'ough in inspections have heen approved. 14 \\':llIlnsuhllion: Prior to cover. 4 Ceiling Insuhttion: Pdor to cover. S Drywall: PI.ior to taping. 1 Final Building: Afler all required iuspections haw heen requested and approved and the building is complete. 13 Undcrnoor Plumhing: Prior to insulation or decking. 11 Rough Plumbing: Prior to cover and including required testing. 3 Final Plumbing: \Vhen all plumbing work is l'omplete. 12 Undernoor l\'lechanical. Prior to insulation or decking and including required testing. 2 Final Mechanical: \\'hen all mechanic;]1 work is complete. 15 Rough Electric: Prior to Cover 16 Final Electric: \\'hen all electrical work is complete. By signature, I state and agree, that I have cnrcfully examined the completed application mul do hereby certify that all information hereon is true and correct, and I furtlu'r t.ertify that any and all work performed shall be done in accordance with the Ordinances of Ihe City of Springtield and the Lall's of the Stale of Oregon perlaining to Ihe work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Sofety. I fnrther certify that only contractors and employees II'ho arc in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspectiolls .Ire 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 Contrat.tors Signature Date Pa!!e 3 of 3 -' . , '\ / " " '. ." , " . '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 Pennit #: .c ()M ~ ~ - 0 J ()fr- t/ n Address: ;;(~;</,., UrY'tL C I c;iX:,vCj\'~ki Issued by: b~ Date: 0:/6\..1 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law. ORS 701.055(4) requires residential construction permit applicants who are 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 befiled with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: )Cl. ~, 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. o 3A. My general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. ;;Q OR 3B. I will be my own general contractor, If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I 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 ofthe 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. ~ ~'tN.) :J~1 ~, (Signature of permit applicant) , (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner,doc 03/11103 , . .. 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 problerns by being aware of the following responsibilities and concerns. Employer Responsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the following: Oregon's Withholding 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 a State Business ill number, call the Business Information Center at 503.986-2200. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees, For more information, call the Oregon Employment Department at 503-947-1488, Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain' workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-78 I 5. . . . . U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EINnumber, call the IRS at 866.816-2065 or fax them at 801-620-71 15. Other Responsibilities and Areas of Concerns Code Complia,nce: , As the permit holder for this project, you are responsible for resolving ~y failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, nre or work that must be redone. Time: Make sure y~u h,ave s~fficient time to superviseyour employees, Expertise: Make sure you h~ve the skills to act as your own general contractor, to coordinate the work of rough-in and finish 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 03/1 1/03 " 225 Fi~th Street -'Spr.ingfield, Oregon 97477 541-726-3759 Phone -. .~~~~;a~'f~p:'-..O,_,,,:~!..l'.~ 1, ~' , , - , ' ___ <<t ~ ..ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2003-01064 COM2003-01064 COM2003-01064 COM2003-01064 Payments: Type of Pnymcnt CreditCard 5/ I 0/2004 RECEIPT #: ]200400000000000684 Date: 05/10/2004 Dcscript ion + 7% State Surcharge + 10'% Administrative Fee Add, Aller, Extend Circ Add, Alter, Extend Circ lOa Add Paid By RICHARD I3ITTLER ftrll1 TOt:11: Check N'ulIlbcr Authorization Rl'l'rind By Butch Number Number How Received djb 000379 094110 ' In Person Payment Total: I'a~e I of I ~ IO:OO:26AM Amount Due 3.22 4.60 43.00 3,00 $53.82 Amount Pold $53,82 $53.82