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Home My WebLink AboutPermit Electrical 2006-9-18 ZON L..LY2- J~ INITIALS N rv\. ~-.6.!., DATE q -\ K-())d --.... ~ SOURCEf'NI~(J.? ~ ~ 7/~to . , ,. .. ~ ...- "\ . o CITY OF SPRIN( LELD, OREGON , . . '......~... SPRINGFIELD 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION 6- City Job Number (..OtAA. z..O 0 b - 0 0 6 4 Permits are non.transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or $5000 Suspended for 180 davs. Feeder . ... - - - - '-- -- -,- '-- -- r ----!I'\I:IN8\\\\ - - -- '- 2. I CONTRACTOR INSTALLATION ~t'L\) ,Yet' Be~~,erLvf,~"01;\F~1'ir\~-\Jn,~I.!lnation, Allerations or Relocation: , ,- . - - - -- - -- .. -- \'V\\;Pt?-~\'\ ".':';~R \~\St't""D\~\\ '.. - -.. -.... -- -- ---...--. Electrical Contractor' '\ _, ''J?\ltO \100 )\.,"P~'f.fI,!{l;~\-\c. $ 63.00 f',U \I ~'c:W~,c.Ofo\l> }':'7n~s to 400 Amps $75.00 Cm.J\w'-. v ~~\J\U\.1. r . '\1'l0 01\,401'~mps to 600 Amps $125.00 1\1'1' 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 l" -.--.----- - ".." I. 'LOCATION OF INSTALLATIOJ'o : ~;iz 'i 7 I~((~ y- ,LEGAL DESCRIPTION: ,80l 02-1 Z O~ZO'- JOto-B. !SrPTIO/N:j Tf' b C, Vc..'^ ~ i~ Address City Phone ~ .IV i '" VI Supervisor License Number Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician Owners Name AI flu,J ~(Wt' ( Address 72..074u.'L_5.r- , City 5;0'7.\...-r;:,0(? 1\ Phone 7L/7-0?o / OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. rtlt76-- -- Inspection Request: 726-3769 Date 3. COMPLETE FEE SCHEDULE BELOW L _ __ _._ _ _ __ _._ ~. [_' _._ __._ _ __, _ __ _____ . __. _ ,,,____ n _,,_ ___, A.~~w. Re~id~~tial::- S!~gle or~~lti.Fa_~.i~'.per d~"ell!llg u",it. _c Service Included 1000 sq. ft. or less Each additional 500 sq. fl. or portion thereof $106.00 ," $ 19.00 i . ,. --" -"'..',,,-....----'- ..-..".---- - ".. - '--," - - -" -! C. ~!em~ora~Se~~~c_e_s.or:F.c~:~ .-:-.._____.___u.....: Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps . '9$ 69.00 401 Amps to 600 Amps .. ~c.'IO':;-\~l~.OO orv."r ?00~~Jl:' ~r !QOO.Y;~~~~~~~~~~_ _ ~"_ , D. ,~ranch CirCUIts :(0~0~'O'I~ ~e'? ,\,-~~~~e'" '0'1 ~_.. ' New Alter~\~i1lO~,fins{\'.n~Pg().~a~~~}I ~o~p<:-O~ ~ One Rr(p'lf ~e'" 'l> <:-o\e~' ... '\) oiS'~ ",,0'" ~ (0\0~~4:3~o8 '1 ") Each~tljtid~ill,.o;t%U\t'O'iwi!l1Cv'~e.\." ~O l.{ -- Servi~otF&'iI~p~ito,o'I:<>' ~o ~#Lt$~.oo ) ~'O""" 50. 9fJ ""~'\ ~0~' 0<:-0 2/v I.-\~-D~ ~ ~."~-C0<:-O.(\\0<:8..ri.'b':j~ -- -----, E. L ~~~~'1~R;~~~~"{.'lii>l included) -Ea_c~.InstaI~t~~~ c'l> 0~ ~\0~ , Pump or irrig~tjpn'O Ge $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. [SUBTOTAL OFAnOVE f 8 t' 8% State Surcharge 70'-1 10% Administrative Fee /J e-= 5% Technology Fee ~I(O /ot~ TOTAL Shared Drivc(T:)/Building Fonns/Elcclrical Pcnnit Application 8-Q6.doc . .ITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-00646 ISSUED: 07/07/2006 APPLIED: 05/30/2006 EXPIRES: 03/] 2/2007 VALUE: $ 44,408.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 I nspection Line SITE ADDRESS: 7297 HOLLY ST ASSESSOR'S PARCEL NO.: 1802021205202 Springfield TYPE OF WORK: Garage TYPE OF USE: New Residential PROJECT DESCRIPTION: Shop Owner: NOLIN BARNES Address: 7297 HOLLY ST SPRINGFIELD OR 97478 Phone Number: 541-343-4396 I CONTRACTOR INFORMATION' Contractor Type General Electrical Contractor License MOIR CONSTRUCTION 41~?!\0 EASTSIDE ELECTRIC INC . :"e~1 ~7.\7,Q.\\! I BUlLDlNG,INFORM'A(fIO;":I\ \O(\~_ ~u' - - c\ 'O~' ~es V" ,,:,'t..'0'0 ~\'C.~\\O #~f'St~~iepse l\l ~ Of>.~ 9 lu\eS \)'l if "o~ IU\e"'.HeigJij1or'Sti;uEt'ti'te_ '0\ \.\'Ie (\,2\(00 \0" . I'V' en. V' (\\e-o \e,,' ,- . (\ '\',C'iJ.\\O Typ~of-Heal:::.O" ,\,e\e .\C"\\o '0\\' c."-- > .,\all 'e' ", \\ \ v VN.... Of>.~ 9,-,Waterl'Fype: ~o' . .\\\'l ~o \(\ 90.'l0\~~[g'~ZTYR~kQO(\ \,)\\2,_'2.344). '00 ~\\(\\..E:i\\rg~\P,ath: 9,'0'0.3'2) cae .....,OSp\!f~kled\Bd[lding: n/a n\j.\l' r.en\.v' Expiration Date 02/14/2009 10/04/2007 Phone 541-343-4396 541-915-9828 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 1,708 Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 105.00 50.00 52.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Hillside Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: _ Sidewalk Type: ur: "'00\/ Fullv Improved c In"" I'll' . Ul\G\:: .., c...P\P.~ \C. r;" , Storm Sewer AvaIlable: Yes -' m,\1 s\>.ownspouts,mral~~i\1 IS N€urb and Gutter Special Instruction: '\ \-lIS P\: '\:0 llNO\:R 1\-11:; I'tt\ m FOR ,\1J1\-10RI1 R \S i\\li\NOON " Notes: Storm drainage piped into existing to curb 6/4/2006 cAtOtJ\tJ\\:NC~O 0 \:RIOD. ' M< ,eU Df>o'{ p Paee I of 4 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541- 726-3 769 I nspection Line Description Tvpe of Construction Garaee . Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Fire SF Fee - Residential Fixture Garage/Carport Minimum/Adjustment Mechanical Plan Review Minor - Planning Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtl tOO' SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Storm Sewer Each AddtllOO' Vent Fan Water Line - Ist50 Feet Water Line - Each AddtllOO' + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Initial Review 05/31/2006 . .ITY OF ~rKll~\.JrlI'..LD Building/Combination Permit PERMIT NO: COM2006-00646 ISSUED: 07/07/2006 APPLIED: 05/30/2006 EXPIRES: 03/12/2007 VALUE: $ 44,408.00 I Valuation Descrintion J $ Per Sq Ft or multiplier $26.00 Square Footage or Bid Amount 1,708.00 Value Date Calculated $44,408.00 $44,408.00 05/30/2006 Total Value of Project F",,<. l.:&i4J Amount Paid Receipt Number 1200600000000000725 3200600000000000362 3200600000000000362 3200600000000000362 3200600000000000362 3200600000000000362 3200600000000000362 3200600000000000362 3200600000000000362 3200600000000000362 3200600000000000362 3200600000000000362 3200600000000000362 3200600000000000362 3200600000000000362 3200600000000000362 3200600000000000362 3200600000000000362 3200600000000000362 3200600000000000362 1200600000000001307 I 20060000000000 1 30} 1200600000000001307 1200600000000001307 2200600000000001303 2200600000000001303 2200600000000001303 220060000000000t303 220060000000000t303 Date Paid $221.91 $10.00 $71.88 $50.67 $85.40 $28.00 $341.40 $39.00 $112.00 $45.00 $76.28 $100.28 $42.00 $71.40 $1,251.45 $45.00 $14.00 $6.00 $45.00 $28.00 $6.30 $3.15 $5.04 $63.00 $8.80 $4.40 $7.04 $43.00 $45.00 5/30/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 7/7/06 8/21/06 8/21/06 8/21/06 , 8/21/06 9/18/06 9/18/06 9/f8/06 9/18/06 9/18/06 $2,870.40 I Plan Reviews I 06/01/2006 APP LLH Paee 2 of 4 -~~..;~ wac., . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00646 ISSUED: 07/07/2006 APPLIED: 05/30/2006 EXPIRES: 03/12/2007 VALUE: $ 44,408.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plannine Review 06/0t/2006 06/22/2006 APP T AJ Per Moir Construction no trees will be removed as a result of this project. The house is larger and higher than the shop. Prop line adjustment approved in 2005 to make this a larger lot (SUB2005-00053). Storm drainage piped to existing to curb 6/4/2006 CAS Received truss information 6/5/06 Public Works Review 06/01/2006 06/04/2006 APP CAS Structu ral Review 06/01/2006 06/13/2006 OK RJB 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 Rp~.nprtio~ 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 coujunction with footing and/or foundation inspection. Footing: After treuches are excavated. Foundatiou: After forms are erected but prior to concrete placemeut. Shear Wall Nailing: Before coveriug sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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. Underslab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical 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. Paee 3 of 4 -iii..-l . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00646 ISSUED: 07/07/2006 APPLIED: 05/30/2006 EXPIRES: 03/12/2007 VALUE: $ 44,408.00 Status Issued 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 herehy 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 Pa2e 4 of4 -. . . \ l ", .' '. ." . .. . 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 Permit #: COW' 'Z-ca 006'-1b rto( 17 s~ 7/8/oro / I Address: '7 Z '7 7 Issued by: 1::> -1 Date: 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 ayy.vy.:ate blanks and initial boxes I and 2, and either box 3A or 3B: @-l. ~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. D 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. OR ~B. I will be my own general contractor. If! 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 and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. -ffi#1S--- I~/;;('jr / //A (Signature of permit applicant) (Date) (White copy to issuing agency permit file. pink copy to applicant.) Property_owner.doc 06-01-04 . '. . Acting as Thur 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 rnake a substantial improvement to an existing structure, you can prevent many problems 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 !be construction or improvement of a residential structure. As the employer, you must comply with the foUowing: Oregon's Withholding Tax Law: As an employer, you must witbhold income taxes from employee wages at the time employees are paid. You will be liable for !be tax payments even if you don't actually witbhold !be tax from your employees. For more information, call !be Department of Revenue at 503-378-4988. Unemployment Insurance Tax: As an employer; you are required to pay a tax for unemployment insurance purposes - on !be wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. , The Oregon Business Identification Number (BIN) is a cornbined' number for both Oregon Witbholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsoav.hlmll for the appropriate fOnDS. 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 ernployees is injured on !be job. For more information, call !be Workers' Compensation Division at !be Department of Consumer and Business Services at 503-947-7815. 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 EIN number, call the IRS at 1-800-829-4933 or visit !beir web site at www.irs.I!OV. Other Responsibilities and Areas of Concerns Code Compliance: As !be permit holder for this project, you are responsible for resolving any failure to rneet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insnrance: 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, fire or work !bat must be redone. ., Time: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have 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 app. up' ;ate 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. PropertLowner.doc 06-0t-04 225 Fiftl) Street Spri"ngfiehi, Oregon 97477 541-726-3759 Phone .ii:~ Ci,liIII/f Springfield Official Receipt D.opment Services Department Public Works Department Job/Journal Number COM2006-00646 COM2006-00646 COM2006-00646 COM2006-00646 COM2006-00646 Payments: Type of Payment Cred itCard cRcccinll RECEIPT #: 2200600000000001303 Date: 09/18/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By NOLIN BARNES Item Total: (;heck Number Authorization Received By Batch Number Number How Received DJB 012655 In Person Payment Total: Page I of I IO:42:59AM Amount Due 43.00 45.00 4.40 7.04 8.80 $108.24 Amount Paid $108.24 $108.24 9/18/2006