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Home My WebLink AboutPermit Electrical 2008-7-22 ~..~ eu)' Of, "SP~lNGt['ELD, ORJ?GO}~ ;. ~ - "" N ...4~*,~~ l ~ '" ~"..,.". ,)i&n., "'''''"'' '{ S.J:GF:-~ ZON , \ A / , INITIALS t.l '-'" ,/ :....,.- A!. DATE '-1 ~ 3do-O ~ -... 1OlII" SOURCE(Jn 0:S(>r.v 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726.3753 . FAX (';41)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number COM l!:.O or ~ C>O 7 I Z Date 7/ rhJ../ 0 (7 1 LOCATION OF INSTALLATION: ..<.-f /,J> /7TH CfTAJE'n"'7 3 COMPLETE FEE SCHEDULE BELOW LEGAL DESCRIPTION 17D~ ZS-Z,\ 12000 A New Resldentlal- Smgle or MultI-FamIly per d,..lhng UDlI. ServIce Included JOB DESCRIPTION S~v'L c....!.lnV{ e 8' Lf C~rL,^' fr Permits are non-transferable an'exPlre If work IS not started wlthm 180 days of ISsuance or If work IS Suspended for 180 days 1000 sq ft or less Each addItIOnal 500 sq ft or portIOn thereof Each Manufact'd Home or Modular DwellIng ServIce or Feeder 2 CONTRACTOR INSTALLATION ONLY / B ServIces or Feeders - InstallatIOn, AlteratIOns or Relocatoon ElectrIcal Contractor 200 Amps or less 20] Amps to 400 Amps 40] Amps to 600 Amps 60] Amps to 1000 Amps Over 1000 AmpsNo]ts Reconnect Only UlfeS yOU to . ore~ IlftlrL1&.wo'\ift)ll~'1 or Fceders ",11 \:1~1\~ \ dopted by th \ 5 are set lorth IO\\OW r.U\~Sc~nter \ilRf.l1J~~~IlW~gr Relocatoon ~ NOlllI""' ~2'001-001Q,\\14.<L-mH\! fules 'J ~n O",R ~ou may obtar ~ Ilpnone n ~' n toe centel, ~~~ ~I~ \\ln9 the or~!lIl\OJ!l ,Amps ellOl O' nU ..:,....\81 IS lcWer 600 Amps or ] 000 Volts see "B" above ~ D Branch CIrcUits Ad~ CIty "" nature of Supervlsmg ElectrIcIan Owners Name /)OA.lA- L/? /J, 'Y;;///I/C New Alteratoon or ExtenSIOn Per Panel One Crrcmt Each AddltlOna] Crrcmt or WIth ServIce or Feeder Penmt L/ , $]]700 $ 2100 $55 00 ! $ 70 00 $ 83 00 $]3800 $]8000 $413 00 $ 55 00 70 $ 55 00 $ 76 00 $] 10 00 $ 48 00 $ 400 /h Address d J / f' /\/. / '7 I rl . <:"'/ E MIscellaneous (ServIce/feeder not mcluded) -Each InstallatIOn CIty 0R//l/,;;;;::,.r:- L Il'hone 7 q 7.74'2-6 Pump or rrngatlOn $ 55 00 , SIgn/OutlIne LIghtmg $ 55 00 OWNER INSTALLATION NOTICE~LImltll~WiaJHE WOR!'. $ 28 00 The mstallatlOn IS bemg made on property I own WhlclTHIS;lER I fRA~IliRMlT IS ,~U I $ 5000 IS not IOtended for sale, lease or rent AUT tfS' ~ePlNOO~mij,ee IS $50 00 + Surcharges COMt:IIEN.C.~Q, (/ f O)Y'"\rs Slgnatur~ / ~ ANY l'8o'Wff:vtlWDOF ABOVE D b ~'d/ ,12%StateSurcharge /O~L ......-i 10% AdmIDlstralIve Fee 8"'C: C/ 5% Technology Fee Lf.To / D ? zz. Inspechon Request 726-3769 TOTAL Shared Dnve(T )/Bulldmg FormslElectncal Permit Appllcauon )-08 doc --~.."~ 1iiii ~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2008-007I2 ISSUED 06/17/2008 APPLIED: 05120/2008 EXPIRES' 01/22/2009 VALUE $ 47,250,00 225 F,fth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fdx 541-726-3769 InspectIOn LIDe SITE ADDRESS 2318 17TH ST ASSESSOR'S PARCEL NO 1703252112000 Spnngfield TYPE OF WORK FamIly Room TYPE OF USE AddItIon ReSIdentIal PROJECT DESCRIPTION FamIly room and bath addIllOn Owner DONALD A YOUNG REVOCABLE LIVING TRU Address 2318 17TH ST SPRINGFIELD OR 97477 Phone Nnmber 541-747-7826 I CONTRACTOR INFORMATION I Contractor Type Contractor License ExpiratIOn Date Phone General PRECISION REMODELING INC 11 1300 02102/2011 541-485-7480 Electncal OWNER MechanIcal COMFORT FLOW 460 06127/2009 541-726-0100 PlnmbIDg JOE PISCOPO PLUMBING LLC 167915 01110/2012 541-510-0770 VB I BUILDING INFORMATION I # of Stones' .\aVllequlleS yo"I~~ Lot SIZe Ei' ODSlllo98prl\11e OlegOfl7~~ortl\Sq Ft 1st Floor p.,11 ~WlPM\[lli\\ed 8\'il'~ane~~C001J5q Ft 2nd Floor 10\\~~ le\~CJj~t l~hlOU9h O/l..R 95 I~S I:l q Ft Basement NO~/I.. ll)ily~01~n COpIeS otth8l~ne ~q Ft Garage/Carport In 90 ~!llIll'JlRPta ,~ote. the ~t!ffJ!cauonSq Ft Other 00 cali~~~!'8\~Wl~ ~~~\~~IC Occnpdnt Load I DEWLo~ rN}.(f'RMATION I 15,682 450 # of Umts Pnmdry Occnpdncy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary CoustructlOn Type # of Bedrooms R-3 REQUIRED PARKING Frontyard Setback S,de 1 Setback SIde 2 Setback Reary drd Setbdck Solar Setbacks 10 00 Overlay DlSt # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage Urban FrIDge Total HandIcapped Compact Street Improvements Storm Sewer AvaIlable SpecIal InstructIOn I PUBLIC IMPROVEMENTS '. WO~\(. NU "(,,. ~m~ ,nl\~ 1HIS PERNI\'t"S"~Jb\I$"p"ERNI\1 IS MOl AUTHORIII!!)l\l~IS ABAfIDUMED fOR COMMENCED OR ANY 180 DAY PERIOD. Notes Stormwater to eXlstmg eaves Paee 1 of 4 -~~ Status Iss u ed 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769InspectIon Lme DeSCriptIOn Tvpe of ConstructIOn V Wood Frdme Dwellmes Fee DescriptIOn Plan RevIew ReSidentIal -Mechamcal Issuance Fee-- + 10% AdmIDlstratlve Fee + 12% State Surcharge + 5% Technology Fee AIr Handling Vmt Vp to 10,000 Hedt Pump Mlmmum/Adjustment Mechamcal Reversal - -Mechamcal Issuanc Reversdl- + 10% AdmlmstratIv Reversal - + 12% State Surchar Reversal- + 5% Technology Fee Reversdl - AIr Handling Vmt V Reversal - Heat Pump Reversal- MlmIDum/Adjustment + 10% AdmIDlstratlve Fee + 12% St..te Surcharge + 5% Technology Fee I Bdth One & Two F dmIly BUlldmg Permit FIre SF Fee - ReSIdentIal Plan ReVIeW MIDor - Plannmg Samtary Sewer - Improvement Samtary Sewer - Reimbursement SDC Samtary/Storm Admm Storm Dramage ImpervIOus Area + 10% AdmmlstI atIve Fee + 12% Stdte Surcharge + 5% Technology Fee Add, Alter, Extend Orc Ea Add Perm Serv/Fdr 200 amps or less Total Amount PaId I Valuation DescrilltlOn I $ Per Sq Ft or multIplier $10500 Amount PaId $257 05 $20 00 $700 $840 $350 $900 $1400 $2160 $-2000 $-700 $.840 $,350 $-900 $-1400 $-2160 $57 80 $66 66 $33 57 $16000 $395 46 $22 50 $1l600 $14283 $18783 $26 53 $200 00 $860 $1032 $430 $1600 $70 00 $1,77545 Square Footage or B,d Amount 450 00 Total Value of Project J{p~~, ~ Dale PaId 5/20/08 5/30/08 5/30/08 5/30/08 5/30/08 5/30/08 5/30/08 5/30/08 5/30/08 5/30/08 5/30/08 5/30/08 5/30/08 5/30/08 5/30/08 6/17/08 6/l7!08 6/17/08 6/17/08 6/17/08 6/17/08 6/17/08 6/17/08 6/17/08 6/17/08 6/17/08 7/22/08 7/22/08 7/22/08 7/22/08 7/22/08 Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2008-00712 ISSUED: 06/1712008 APPLIED 05120/2008 EXPIRES 01122/2009 VALUE: $ 47,25000 Value Date Calculated $47,25000 $47,25000 OS/20/2008 ReCeipt Number 1200800000000000533 2200800000000000794 2200800000000000794 2200800000000000794 2200800000000000794 2200800000000000794 2200800000000000794 2200800000000000794 2200800000000000796 2200800000000000796 2200800000000000796 2200800000000000796 2200800000000000796 2200800000000000796 2200800000000000796 1200800000000000665 1200800000000000665 1200800000000000665 1200800000000000665 1200800000000000665 1200800000000000665 1200800000000000665 1200800000000000665 1200800000000000665 1200800000000000665 1200800000000000665 2200800000000001122 2200800000000001122 2200800000000001122 2200800000000001122 2200800000000001122 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2008-00712 ISSUED: 06/17/2008 APPLIED: 05120/2008 EXPIRES: 01/22/2009 VALUE $47,25000 225 F,lth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme I Plan Reviews I InItIal RevIew 05/21/2008 05/21/2008 APP LLH Public Works RevIew 05/21/2008 05/22/2008 APP TSS Storm water to eXlstmg eaves Plan RevIew Comments 05/30/2008 05/30/2008 10 LLH Mechamcal permit Issed m error and reversed Structural RevIew 05/2112008 06/10/2008 APP RWC Planmne: Review OS/21/2008 06113/2008 APP TAJ 10' IS mIDlmum street Side setback To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7:00 a m, will be made the same working day, inspectIOns requested after 7,00 a m Will be made the followmg work day. ~Jr"r1I\l.''1~rt;omJ Rough Mechamcal Pnor to Cover Fmal Mechamcal When all mechdmcal work IS complete Footmg Alter trenches are excavated FoundatIOn Alter forms dre erected but pnor to concrete placement Post and Beam Prior to floor msulatlOn or deckmg Floor InsulatIOn Pnor to deckmg Shedr Wall Ndlllng Before lavermg shedthlllg wIth fimsh matenals Frammg InspectIon Prior to cover and after all rough In mspectlOns have been approved WdlllnsulatlOn Pnor to cover Cellmg InsulatIOn Pnor to cover Fmal BUlldmg After all reqUIred mspectIons have been requested and approved and the buddmg IS complete Penmeter FoundatIon Drams After gravel and filter cloth IS mstalled but pnor to backfill Underfloor Plumbmg Pnor to msulatlOn or deckmg U nderfloor Dram Pnor to cover or placement of concrete Rough Plumbmg Pnor to cover and mcludmg requIred testmg Shower Pan Pnor to covenng and mcludmg required testmg Water Lllle Pnor to filling trench and mcludmg requIred testmg Samtary Sewer Lme Pnor to filhng trench and mcludmg reqUIred testmg Filial Plumbmg When all plumbmg work IS complete Paee 3 of 4 -iIiF CITY OF ~rKll~tJ1'lJ1.LD . Building/Combination Permit Status Issued PERMIT NO ISSUED' APPLIED, EXPIRES: VALUE' COM2008-00712 06/1712008 OS/2012008 0112212009 $ 47,250,00 225 FIfth SII eet, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Underlloor MechaDlcal Pnor to msulatlOn or deckmg aud mcludmg reqUIred testmg Rough Gas After hne IS mstalled and reqUIred testmg and capped If not attached to an apphance Rough MechaDlcal Pnor to Cover Fmal MechaDlcal When all mechanICal work IS complete Rough Electnc Pnor to Cover Electnc ServIce Approval reqUIred pnor to ullhty company energlzmg servIce Fmal Electnc When all electncal work IS complete By SIgnature, I state and agree, that I have carefully exammed the completed apphcallon and do hereby cerllfy that all mformatlOn hereon IS true and correct, and I further cerllfy that any and all work pertormed shall be done 10 accordance with the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY WIll be made 01 any structure wIthout permISsIOn of the CommuDlty ServIces DIVIsIOn, BUlldmg Safety I further cerllfy that only contractors aud employees who are 10 comphance wIth ORS 701 005 WIll be used on thIS proJect. I turther agree to ensure that all reqUIred mspectlOns are requested at the proper lime, 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 remam on the SIte at all tImes durmg constructIOn {Q~t!)~~ 1',/ {7' Owner or Contractors Slgndture V 7/.;z~9 I Date Page 4 of 4 ~ '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 Perrmt # COIM z..C 0 c- () () 7/ Z Address Z 5/ t' 171-L... $)-- Issued by i::>{s Date ~/zr~ g- Statement: Information Notice to Property Owners About Construction Responsibilities Note Oregon Law, ORS 701 055(4) requires resldentzal constructzon permit applicants who are not lzcensed with the Constructzon Contractors Board to sign the followzng statement before a bUIldzng permit can be Issued This statement IS reqUired for resldentzal bUIldzng, electrzcal, mechanzcal and plumbzng permits Licensed architect and engzneer applzcants, exempt from lzcenszng under ORS 701 010(7), need not submit thiS statement This statement will be filed with the permit FIll m the app.vpuate blanks and mltIal boxes 1 and 2, and either box 3A or 3B ifl ~2 , I own, reside m, or Will reside m 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 mstruct 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 lure only subcontractors lIcensed with the ConstructIOn Contractors Board If! change my mmd and rure a general contractor, I wIll contract with a contractor who IS lIcensed with the CCB and will l1nmedlately notIfY the office IssUIng thiS bUlldmg permit of the name of the contractor I bereby certify that the above mformatlOn 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, ~Cl,tL~ (Signature ofpe~;lIc~' ?/ ~/r7K"" , (Datej - (WhIte copy to Issuzng agency permit file, pznk copy to applicant) Property_owner doc 06-01-04 " ~ r - A-ttirl~) as' Your-Own General Contractor? --I '") .JlT',- \ '" ,<.- <- I , ...... <' '\ .., ~ '-~ INFORMATION NOTICE TO PROPERTY OWNERS " r \', "\,' AB.Q.ULCONSTRUCTION RESPONSIBILlTIES- \ \ NOTE This Information Notice to Property Owners about Construction Responslbilllles was developed by the ConstructIon Contractors Board In accordance wllh ORS 701 055(5), passed by the 1989 Oregon Legislature If you are actmg as your own contractor to construct a new home or make i substantlallmpro~ement to an eXlstmg structure, you can prevent many problems by bemg aware of the followmg responsIbilItIes and concerns Employer Responsibilities You WIll, m most mstan{.es, be ruled to be an "employer" and the contractors you contract WIth wIll be "employees" If you u~ contractors not hcensed WIth the Consln+ctlo!\ Contractors Board to do labor m constructmg or to assIst m the constructlOn or Improvement of a resIdentIal structure A~ the employer, you must comply WIth the followmg: . - , . ~ ,'>'" .. , Oregon'. Withholdmg Tax Law: As an employer, you must WIthhold meome taxes'from employee wages'at the time employees are paId You will be I;able for the tax payments ~"en If you don't actually wIthhold the tax from your employees For morc mformatlon, call the Department of Revenue at 503-378-4988 " Unemployment Insurance Tax: As an employer; you are reqUIred to pay a tax for unemployment msurance purpos~ on the wages of all employees For more mformatlOn, call the Oregon Employment Department at 503-947-1488 , .......... The Oregon Busmess IdentIficatIOn Number (BIN) IS a coml;nned number for both Oregon Wlthholdmg and Unemployment Insurance Tax To file for a BIN, call 503-945-8091 or www dOl state 01 usfformsnav htmll for the ap'p.l.Vf"~Aate forms " Workers' Compensation Insurance. As an employer, you arc subject to the Oregon Worker,,' CompensatIon Law, and must obtam workers' compensal1on msurance for your employees If you fjlll to obtam workers' cOfl1pensatlon msurance, you could be subject to penall1es and be hable for all claIm costs If one ofyo,!r employees IS mJured on the Job For more mformatlOn, call the Workers' CompensatlOn DlvlSlon at the Department of Consumer and Busmess Servrces at 503-947-7815 U,S, Internal Revenue Service' As an employer, you must wlthhold federal Income tax from 'employees' wag;;S~ You WIll be hable for the tax payment even If you dIdn't actually \VJthhold the tax For a Federal EIN number, call the IRS all-800'829-4933'6r VISIt theIr web SIte a(owww IlS l!OV ; ~ - ' . , Other Responsibilities and! Areas of Concerins Code ComplIance As the penmt holder for thIS prOject, you are responSIble for resolVIng lmy fallure to meet code reqUirements that may be brought to your attentiOn through mspectlons s , LIability and Property Damage Insurance' Contact your Insurance agent to s~e If you have' adequate msurance covel age for accldcnts and orrusslons such as fallmg tools, pamt over spray, water damage from pIpe punctures, fIre or work that mU,~t ~e r~d~e~ \ (' r ~ _" \ '::\ "'-,: . ~ '" _ ~ r.) , ,) TIme: Make sure you have suffiuent time to supervIse your employees , " '~ , , .. ... . ExpertIse Make sure you have the skIlls to act as your own general contractor, to coordimite the work of rough-m and fill1~h trades, and to DOtlfy bUlldmg offiCials as the appropnate times so they can perform the reqUIred mspectlons If you have addlhonal quesnons call the Constructron Contractors Board (503-378-4621) or wnte the agency at PO Box 14140, Salem. OR 97309-5052 , Property_owner doc 06,01-04 225 FIfth Street SpnAgfield, Oregon 97477 541-726-3759 Phone ~~~ CIty of Sprmgfield OfficIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-007] 2 COM2008-007]2 COM2008,00712 COM2008-00712 COM2008-007]2 Payments Type of Payment Check cRecemtl RECEIPT #: 2200800000000001122 Date. 07/22/2008 DescriptIOn Penn Serv/Fdr 200 amps or less Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + ] 2% State Surcharge + 10% AdmInistrative Fee PaId By LOUIS YOUNG Item Total l.:heck Number Authonzatlon Received By Batch Number Number How Received dJb 7421 In Person Payment Total Page 1 of I 104434AM Amount Due 7000 1600 430 ]032 860 $10922 Amount Paid $10922 $10922 7/22/2008