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Home My WebLink AboutPermit Electrical 2009-6-2 Ir0k,~wro'ERARTMENt;iUSEtONL Y'il~:,1 ~_I':e~~0:;'.'e;;~7~~'" 1 I Date: {, /7-jar I ( 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:' t . ~",' ~ iff.'" r -fftUktJ. ';:,z,a11; ,,... .+:ik aI, ,,if. j 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 ~,.~: . >~*tA!W":: ':":~' .<:;;! . 'C . .~'. . ," .:,. .' 'r:.:-::- 4:sS.~j;''iiii:::" '~;/'~:i~ 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