HomeMy WebLinkAboutPermit Electrical 2009-6-2
Ir0k,~wro'ERARTMENt;iUSEtONL Y'il~:,1
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I Date: {, /7-jar I
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This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
Electrical Permit Application
- '" ~!t .... jji:1 ~..,"':-, ,*-i,,- ~ 'J;~.
.CIT;Y OFl-SPIUiNGFIELD;:OREGON'!;i:'
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225 Fifth Streett Springfield, OR 97477tPH(541)726-3753tFAX(541)726-3689
C:'k1l1liLOCA~GOVERNMEN"i;iAPPROVAI25?,:J!;~: ',j ;:"lI?1
I Zoning approval verified? 0 Yes 0 No. I
, CATEGORY,i;:OF"CONSTRUC\TION't,,,,2'
f;~~~~~ti~ITE'_IN~~R~~~~;~;~NOjl~C~~~;~rci:I, I
I Job site address: l '2- -z..-~ F~ (Z..v "-~ I
I City: S~=.,~ I State: OfZ- I ZIP:'l,<1,7 I
I Reference: LCJr .. 'I I Taxlot.:
1'-',,' '1'.2,,/. -""'''O'ESCR' IPTIONcOF'lWO' RK"'""1Jff.0..", , "f.DJWJ
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I ~p PClAJeotL
I
. '-":'",;j,;:?,P,ROPERTY~OWNERt.,1ii~,;",-~:,:;",,;:oij:,C_
Name:
I Address:
I City:
I Phone:
I E-mail:
This installation is being made on residential or fann property
. owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
State:
I Fax:
I ZIP:
Signature:
'," +"'lP""-CONTRACTORINSTAl..lATlON,
I Business name: DM L G <-<=-..-rn..<.L.. 1 .
I Address: 'tlill lJo.;.) SPfWcAF PI..-
I City: ~h""""l> I State:Qft I ZIP: "1775'"
I Phone:S'~1 -i'~1- '1li'17 I Fax: S'il- m s'l71
I E-m~il:
I CCB license no.: I~(~ '/ I BCD license no.: T-"J lie
I Signing supervisor's license no.: -:(O~ s
I Print name of signing supervisor: IIA1U....." \..~-
I Signature of signing supervisor: Ih~ A cL--
.~
~~~ f\.\\)
~ ~!(}
~.o~
'\9'; cg:
~
440-2584-J (9/08/COM)
1',4 ~50ffi('~~;:' ;i'F4I~;'kJJr~!~FEEtiSCHEOUL:"El)S"',','!,.,4r'
,,~S!If!!::. :. :!;it.~. ",r..7',_"-.. . : ,,: .0 :,"',.,.. .
1,.'~t'F'%" """-"','-'1 '>"'C '''' T t ('"
.~\~M,b~~~fi~p}ctio~~t~r"item (ii:~' Q~'~ - e~~ b: ' c~s~ c.
I Residential, per unit, service inclu,~ed:
t ,000 sq. ft. or less (4)
Each additionalSOO sq.
thereof
I
I
I
I
I
I
I
I
I
I
I
I
$ CI<.I
I
I
I
I
$134.00
$
ft. or portion
1i
$ 25.00
$
Limited energy (2)
Each manufactured home or modular
dwelling service or feeder (2) il
$ 32.00
$
$ 63.00
$
Services or feeders: installation, alteration. re/oCalion
200 amps or less (2)
20 I to 400 amps (2)
401 to 600 amps (2)
601 to 1,000 amps (2)
Over 1,000 amps or volts (2)
Reconnect only (2)
$ 81.00
$ 95.00
$158.00
$205.00
$469.00
$ 63.00
$
$
$
$
$
$
Temporary services or feeders: in~tallalion, alteration, relocation
200 amps or less (2)
\
$ 63.00
$
$
$
201 to 400 amps (2)
401 to 600 amps (2)
87.00
$126.00
Over 600 amps or 1,000 volts, see sJ~rvices or feeders section above
Branch circuits: new, alteration, extension per pallel
a. Fee for branch circuits with purc~ase of a service or feeder fee:
Each branch circuit
1$6.001$
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2) ,
Each additional branch circuit
$. 55.00 $
$ 6.00 $
Miscellaneous fe~s: service or feeder 1I0t included
Each pump or irrigation circle (2)
Each sign or outline lighting (2)
Signal circuit or a limited~energy pknel,
alteration, or extension (2)
Each additional inspection: (1)
$ 63.00 $
$ 63.00 $
$ 63.00 I S
$58.00 I $
I (A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
I (6) Enter t2% surcharge (.12 x [A])
I (C) Technology Fee (5% of[A])
1 TOTAL fees and surcharges (A!ithrough C):
$&"3-
$ 7. ,.(q
$ :S.l5
$ 7~_."
BuiIding/C?mbination Permit
PERMIT NO: GOM2009-00746
ISSUED:
APPLIED:
EXPIRES:
VALUE:
\.
1'_
"4RfJolHQFIm;D'.
~~{,\~";.'_"j_T_"'-_-))
~ 1!i '
Status
In Review
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541 _726-3676 Fax
541-726-3769 Inspection Line
^TTC ''''TI f"'\fd. f'"\..,..,"'........ Inul ............, d..n('> ".....', t""
CITY OF SPRINGFIELD'
OS/27/2009
I
.'2102/2009
$ 171,541.00
SITE ADDRESS: 1224 W Fairview St follow rules adCSirihgfielaeT-YIPE:OFJWO'RK: SinJle Family Residence
ASSESSOR'S PARCEL NO.: I703273107500ification Center. Those rules are set forth " ,
in OAR 952-001-0010 througf1r(Y'PE 'OF-t1~E: Ne~ Residential
PROJECT DESCRIPTION:, Single famil~~ide.YH!J may obtain copies of Ihe rules by
calling the center. (Note: the telephone
:~:"::-.-.~::' ~::. ~'_=- r:"=-:-- 11..:I;+} "1........:":__..:........
Center is 1-800-332-2344).
Sidewalk Type: :,
j!
Downspouts/Drains:
,
I:
OIVL V Ii
Owner:
Address:
NORTHWEST BANK
4900 MEADOWS RD STE 410
LAKE OSWEGO OR 97035
I CONTRACTOR .INFORMATION I.
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
EQUITY HOME BUILDERS, LLC 176016
DML ELECTRIC, INC 161264
CROWN HtJ'cT1rfcf.(LC 171074
NORTHWES'iiMEOOAI'II8:I\Aldili<PIRE IF Ttlf62P!-PRK
AU I HU:I::tftJiL"fj'~G1NiQ'RM:Irf.i(j~~I~C, T
COMMl"J~jJI \ ~-!. -1<". ;(1" J'.~lJ_
AhJY 180 DAYt ~alU;lk I
R-3 Height of Structure 18.00
U Type of Heat: orced Air Electric
. VB Water Type: Electric
Range Type: . Electdc
Energy Path:
Sprinkled Building:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
3
n/a
I DEVELOPMENT I~FOR.MATlON 1 .
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEM~.~T.S 1
Street Improvements:
Storm Sewer Available:'
Special Instruction:
Notes:
(-eM?
EL.C:C/ t:; vc....
Page I of3
Expiration'Date
l'
05/04/2011
08/27/2010
I'
07111/2010
"
04/IQ/2011
Phone
54 I -382-0803
541-923-9897
541-420-3307
54 I -504-1988
Lot Siie: 6,859
..
Sq Ft 1.st Floor: 1,592
Sq Ft ~.nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 461
Sq Ft Other:
Occup~nt Load:
:' REQUIRED PARKING
Total:
Handicapped:
Compact:
CITY OF SPRINGFIELD
Building/Combination Permit
I,
Status
In Review
l~
PERMIT NO: COM2009-00746
ISSUED:
APPLIED:
EXPIRES:
VALUE:
OS/2 7/2009
12/02/2009
$1171,541.00
II
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Oescriotion I
Garae:e/Misc .
SFlDuplex
U VB Utilitv
R-3 VB 1&2 Familv
$ Per Sq Ft
or multiplier
$37.72
$96.83
Square Footage
or Bid Amount
461.00
1,592.00.
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$17,388.92
$I54,I~3.36
"
$171,542.28
I:
05/28/2009
05/28/2009
FP'l"' pq;!~'
$553.28
$7.56
$3.15
$63.00
5/28/09
6/2109
6/2/09
6/2109
Receipt Number
3200900000000000401
2200900000000000592
2200900000000000592
2200900000000000592
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Temp Power 200 amps or less
Amount Paid
Date Paid
Total Amount Paid
$626.99
Plan Reviews I
Plannine: Review
Public Works Review
Structural Review
05/28/2009
OS/28/2009
05/28/2009
Initial Review
Initial Review
05/28/2009
05/28/2009
05/28/2009
05/28/2009
APP'
WI
LLH
NJM
To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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:nllirprllnsnectio~
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjnnction with footing and/or
'"
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected"but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing] nspection: Prior to cover and after all rough in inspections have been approved. !(
Pae:e 2 of3
CITY OF SPRINGl<u..LD
"
Building/Combination Permit
Status
In Review
PERMIT NO: GOM2009-00746
ISSUED:
APPLIED:
EXPIRES:
VALUE:
05/2712009
1:2/02/2009
$' 171,541.00
'1'
::
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Wall Insulation: Prior to cover.
CeiliI1g Insulation: Prior to cover.
Roof Sheathing
Drywall: Prior to taping. l' .
,
Final Building: After all required inspection's have been requested and approved and the building is complete.
. i
Underground Plumbing: Prior to tilling the trench and inclnding reqnired testing. i:
Underlloor Plumbing: Prior to insulatiou or decking.
Rough Plnmbing: Prior to. cover and inclnding required testing.
Watej'Line: Prior to tilling trench and inclnding required testing.
Sanitary Sewer Line: Prior to filling trench and' including required testing.
Storm Sewer Line: Prior to filling trench. .
Final Plumbing: When all plnmbing work is complete.
Underlloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval reqnired prior to Utility Company energizing pole.
Ufor Electrical Grouud: Install ground rod at footing and call for inspection in c~njuction with footing and/or
. . !
fonndation inspection. I'
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final,Electric: When all electrical work is complete.
By signature, I state and agree, that 1 have carefully examined the completed application and do h~reby 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
, . 'I; ,
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 Servites 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 ~ddress' is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans wiII remain on the site at all
times during construction. .' . ' ,
rLM~
10) I ~
I ner or Contractors Signature
(j.j~!O 0,
Date (
Pace 3 of 3
Ii.
225 Fifth Street
1llpriilgfl'eld, Oregon 97477
54'1-726-3759 Phone
Job/Journal Number
COM2009'00746
COM2009-Q0746
COM2009-00746
Payments:
Type of Payment
Check
cRcccintl
RECEIPT #:
8
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000592
Date: 06/02/2009
Description
Temp Power 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Paid 8y
EQUITY HOMEBUILDERS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cjc
'In Person
Payment Total:
3464 .
Page I of 1
IO:39:17AM
Amount Due
63.00
3.15
7.56
$73.71
Amount Paid
$73.71
$73.71
6/2/2009