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Home My WebLink AboutPermit Electrical 2008-11-21 , CrTY OF SPRINGFrELD, OREGON SJ:GP:L~ ~- 225 FWI'tI STREET. SPRINGI'IELD, OR 97477 . PII:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ~~Z- 0/7.7'3 I. I LOCATIONOFINSTALLATION: 680 's, >;7 7t. LEG\~D~\~ COfrP JOB DESCRIPTION: fle w>~Je I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ONTRAcroR INSTALLATION ONLY I ) Address City Expiration Date re of Supervising Electrician ~ Owners Name flru/'/ Sf ;,.,,,,,,,,,,,, (' Address 407/ U,,-r/ {;: City (,1rIL,,1, 'IOUOI2 Phone I. g& - f:f..(78 I /'6'l' OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. O~/::- ~ Inspection Request: 726-3769 i//;yJe Date 3. 'COMPLETE FEE SCHEDULE BELOW ZON Ll)Z..o INITIALS I ~ DATE \\. "l,..\.O~ SOURC~V \ A. I New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft, or portion thereof Each Manufact'd Home or Modular Dwelliog Service or Feeder $121.00 $ 22.00 $57.00 B. I Services or Feeders -Installation, Alterations or Relocation: 200 Amps or les5 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only c. I Temporary Services or 'Feeders -Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to' 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. 'Branch-Circuits New Alteration or Extension Per Panel One-Circuit Each Additional Circuit or with Service or Feeder Penn it $ 73.00 $ 86.00 $143.00 $186.00 $426.00 $ 57.00 $ 57.00 $ 79,00 $114.00 / .s-tJ $ 50.00 $ 5.00 'i :lo E. I Miscellaneous (Sel-vice/feeder not included) -Each Installation I Pump or irrigation $ 57.00 SignlOutline Lighting $ 57.00 Limited Energy/Residential $ 29.00 Limited Energy/Commercial $ 52.00 Minimum Electric Permit Inspection Fee is $52.00 + Surcharges 4. I SUBTOTAL OJo'ABOVE 12% State Surcharge 10% Administrative Fee 5% Technology Fee 4~ , .......~ ~'Lf TOTAL - 1/1 tI Shared Drivc(T:)/Building Forms/Elcctrical Permit Applicatlon 7~08.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax , 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit , PERMIT NO: COM2008-01333 ISSUED: 10/06/2008 APPLIED: 09/04/2008 EXPIRES: 04/30/2009 ' VALUE: $ 44,112.00 SITE ADDRESS: 880 S 57TH ST ASSESSOR'S PARCEL NO.: 1802041400800 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition , Residential PROJECT DESCRIPTION: Garage'and reroof house SIMMONS BRADFORD G & JENNIFER 4071 NORTH ST NOTICE' SPRINGFIELD OR 97478 THIS PERMIT SHALL EXPIRE ~~ ~~E ~~~~ '\IITHnRJ?FD UNUtti InI" 1'1.-111/(.1_1- 1._. (I,C~llI;rRA.~e>R 1p.'~fMl'l{fMlIiI ,OR ' ;\',,,'V 1 ,10 DAY PERIOD,' L' j- " . . Icense Expiration Date Owner: Address: Contractor Type General Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer A vaHable: . Special Instruction: Notes: No PW Issues. Description Phone BUILDING INFORMATION I # of Stories: Lot Size: 42,020 R-3 Height of Structure Sq Ft 1st Floor: U Type of Heat: Sq Ft 2nd Floor: VB Water Type: Sq Ft Basement: Range Typ.e: \' uires you toSq Ft Garagel,Carport 504 ATTE-"=.tp ('Ifogon aw req .S; F 0 h . I~~.,,!,;y_ cat ~~'P.d b the Oregon Utilitrq t t er: folloSprmkleac'BuildmeV rules tliJlset for~ccupant Load: l\1i"\tifir":-.:.tinp Center. I rr0se ~ - - - - -;; 1 -- -,,-, .....n~",!E7="''''. ......... .;.Iv.... v.... I ,D~:;~E,,~~t~~: rn.~.oKJYiA;;i,Q~~t rules by, calling the center. (Note: the telephone REQUIRED PARKING 60.00 nur/iblwllllJ' Oi!lt0regon Utility Notllicatlon Total: 2 10.00 # StGenlafeii 1\t1flllP-332-2344). ' Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: IPUBLIC IMPROVEMENTS' Sidewalk Type: Downspouts/Drains: I Valuation DescriDtion I $ Per Sq Ft or multiplier Sqnare Footage or Bid Amount Type of Construction Value Date Calculated Paee I of 3 Status Issued CITY OF SPRINGFIELD . Building/Combination Permit PERMIT NO: COM2008~01333 ISSUED: 10/06/2008 APPLIED: 09/04/2008 EXPIRES: 04/30/2009 VALUE: $ 44,112.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Garaee Estimate Garae:e $1.00 $28.00 30,000.00 504.00 $30,000.00 $14,112.00 $44,112.00 09/04/2008 09/04/2008 Total Value of Project l,.""". Pqirl I Fee Description Amount Paid Date Paid Receipt Number -Mech Iss 2+ Appliances- $42.00 10/6/08 1200800000000001038 + 10% Administrative Fee $57.52 10/6/08 1200800000000001038 + 12% State Surcharge $69.03 10/6/08 1200800000000001038 + 5% Technology Fee $34.7I 10/6/08 1200800000000001038 BoilerlComp Up To 100,000 btu $15.00 10/6/08 1200800000000001038 Building Permit $289.03 10/6/08 1200800000000001038 Garage/carport $167.18 10/6/08 1200800000000001038 Gas Outlets 1-4 $12.00 10/6/08 1200800000000001038 Plan Review Minor - Planning $119.00 10/6/08 1200800000000001038 Plan Review Residentiaj $252.71 10/6/08 1200800000000001038 Storm Sewer - 1st 50 Feet $52.00 10/6/08 1200800000000001038 Vent Fan $40.00 10/6/08 1200800000000001038 + 10% Administrative Fee $5.50 11118/08 2200800000000001654 + 12% State Surcharge $6.60 11/18/08 2200800000000001654 + 5% Technology Fee $2.75 11118/08 2200800000000001654 Add, Alter, Extend Circ $50.00 I III8/08 2200800000000001654 Add, Alter, Extend circ Ea Add $5.00 . 11/18/08 2200800000000001654 Total Amount Paid $1,220.03 I Plan Reviews I Plannine Review 09/04/2008 09/04/2008 APP DDK Public Works Review 09/04/2008 09/04/2008 APP TSS No Public Works issues. Storm water will connect to existing eaves. Structural Review 09/0512008 09/0512008 APP CJC Approved as noted on plans 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. ~ir'f,1 ''1~l'~tions . Footing: Aftcr trenches arc excavated. Foundation: After forms are erected but prior tO'concrete placement. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. Paee 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Iss u ed PERMIT NO: COM2008-01333 ISSUED: 10/06/2008 APPLIED: 09/04/2008 EXPIRES: 04/30/2009 VALUE: $ 44,112.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide'inspection test reports to City Building Inspector. Final Building: After all required inspections havebeen requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 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 Final Electric: When all electrical work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. 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 Ordinauces of the City of Springfield and the Laws of the Slate 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 io 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 t:.Iuring construction. ~ _____ If /;B~B Owner or Contractors Signature Date Paee 3 of 3 e. . , . , . . , . , , ' ' " .' ". ." Construction 'Contractors Board , 700 Sunimer $t NE:Suite 300 POBox 14140 Salem OR 97309-5052 . Phone: 503c378-4621 ' Web Address: www.ccb.state.or.us ,Permit #: C?en. A:7o ~- 01 :;>..?3 Address' a?D. $ (;1 Sr-- Issued by: ~ Date: . 1/;'8~9 ~ ~ . -". Statem~nh ,Information Notice to property Owners . About Construction Resp()nsibilities. . . . ", ~. " Note: Oregon Law, ORS 701.055(4) requires residential constrnction permit applicants whoare not licensed with the ConstrnCtion' ContraCtors Board to sign the following statement before a building . permitcan be issued. .This siatement is required f~r residential building, electrical, mechaTz'iCizl and - . plumbing pernJi~s. Lidensed architect and engineer applicants, exempt from licensing under . ,ORS701.010(7)"need notsubmit this statement. This statement will be filed with.the permit. .' '" .. -. - . Fill in t,he appropriate blanks and initial boxes I ~d 2, and either box 3Abr 3B: . ".. - , ~ /Rfl. ~2. I oWn, reside in, or will reside in the cOlnplete4 structure. " " I understan<lthat 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 contracto~ is .' (Name) (CCB #) I will.instruct my general contractor that all subcontractors' who work on the structure must be iicensed with the Construction Contractors Board. 'r OR ~ 3'13: I will be rriy own general contractor', If! hire subcontractors, I will hire only subcontractors'licensed witIi the Construction Contractors BO,ard. If! change my mind and hire a general c~ntra<:tor, I will contract with a contractor who.is licensed with the CCI{ 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 ao understand the Information , No~ice toPr:operty Owners about Construction Responsibilities on the reverse side of this form.. . . /2&' ~ /I/rek (Signature of permit applicant)- (Date) (Whit~ copy to issuing.,agency perlJlit file, pink copy to applicant.) , , , Property_owner.doc 06-01-04 . ~ City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1333 COM2008-0 1333 COM2008-0 1333 COM2008-0 1333 COM2008-01333 Payments: Type of Payment CreditCard cRcceinll RECEIPT #: ' 2200800000000001654 Date: 11/18/2008 10:01:55AM Description Add, Aller, Extend circ Add, Alter, Extend Circ Ea Add +5% Technology Fee + 12% State Surcharge + '10% Administrati.ve,Fce Amount Due 50.00 5.00 2.75 6.60 5.50 $69.85 Paid By BRADFORD SIMMONS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid cjc 03l89b In Person Payment Total: $69.85 $69.85 Page 1 of 1 11/18/2008