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Home My WebLink AboutPermit Electrical 2009-9-10 1~~3't9,@~,~TM~N'f':U~KO~~~'~'~:F' I c.OIo1.-\'-Do5':' 0/300 Permit no,: I Date: 7 - / () - 0 1 I ' Electrical Permit Application 225 Fifth Stce"tSpcingfield, OR 97477+PH(54!)726,3753tFAX(54!)726,3689 , , 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, 1~}~~~1:~tl~~fJW.~\~J~r!(f;:J::~~-EfGHE:J).(jI1_EYt:gt~tJ<~W~~tWff.l!l, I~;:,~.~~~,~.~:f?~;!~lp.~~~l~~~'e~~ff~i~~~~:~':]:~j;f{~19if;I.;:;::fe.~~t~::t:~'~I:~~;::1~t~'~'~;.:,1 Residential, per unit, service included: $ I :> J(:, ' 1,000 sq, ft, or less (4) $134,00' .::. Each additional 500 sq, ft, or portion thereof I,. 'Yf;1i0CAl.:\G0VE~NMErijm~Ap"I'\Rb.vAIS~~"i~F.."!;iiYi;~1 1 Zoning approval verified? 0 Yes 0 No I 1:1?!iJ;!i-'i~hf~;,~cA'IEG0RY~!O~;:CONSJRU(;tI0N~i~i"},t"i!i" "X~;I I #esidential I, 0 Government I 0 Commercial I G~:~~~:~~::~E~~N~:RM~~b:ANl)~~:ATifbN~I;r!i.*~1il 1 City: 5.f,<..",(j I State:~(. I ZIP:'1 ') Y 7? I Limited energy (2) , Reference: /70Z.3I Z-lf I Taxlot.(O:J 0 q Each manufactured home or modular "';?':~.'DESC~IF'J'ION8.0F";WbRW)~;';'!SH,.;?j~;;~)*"";;:1 dwelling service or feeder (2) o L. I ( r r7 I I Services or feeders: installation, alteration, relocation P\"-'UJlrv II+-' ~P-""u...,<J", ~ Av..J -. -6"',.."" ~ I 200 amps or less (2) I ..: '.:PR0RE~T'{;oQwrijER, :;: ...,1 201 to 400 amps (2) I Name: (A),II,,,,,,,, ('O~<)W..(\. (luY"", 1M I 401 10 600 amps (2) IAddress:>f/<..~ '::?~ (0 I 601 to i,OOOamps(2) I City: .....-:.~r,_ \, I State:Q I ZIP:o",I?t, Iro"R~"fsl;P9<lall)psorvolts(2) \f'P'>\ ~ ^-_.,.....,,,..rl,d.1i1r.J';4Iav.., -, ....'1 ltll T.\! I Phone:5'I (- ~ J .. 2/ '0 I Fax:', :;r",;~':~ '~ciop\ed by I 1e (ReC:6iinec~q~IXP) ../'--' r\/ .._.... , G"'CiIt::;:.ca,,,,,,.r. I E-mail: ",", ~.ijCll Center, \ \IU;:lt. ru . T~ml?<rrr~~'Yl~urjces or feeders: installation, alteration, relocation , . _...... n"i(\ thrn Jg . -, - . .. ," ",I,n'C,--I.-'-::,.VI..""'- I' 200'amp'sLoIl1teSS)(2) ThiS mstallatlOn IS be 109 made on reSldentml or farm,propewn COl'ie; u. u'~ ,','- owned b~ me o~ a member ~fmy immediate .f~!!W1~~r'ii~;~'; (N01~: J2'oJ~'~19Q1~~A (2) property IS not mtended for sale, exchange;,lease~or rent. OARon JIi HV ,,v,;..-_'" 479,540(1) and 479,560(1), ndl'1ber for Ine UI"\! . 3" ~0),toI600 amps (2) U . , 1-800' I J,~~, .. Signature: Center IS Over 600 amps or 1,000 volts, see services or feeders section above I, : .:~' "',,':;,C0NTRAC'[0R",INSTAL.liAl'llDN,.,:':' ,',"', ,:1 I Br~nch circuits: new. a/terat/on. exiens/onper panel, I Business name: \)\fY'l H ~ ,~\'e:,... Ct., I I I a, Fee for branch circuits with purchase of a service or feeder fee: I Address: ,f?n -.5,., 57 'T1l sfree-t;'. II Each hranchcircuit I I $ 6,00 \ .$ I City:?,?) Yln5.h"!J. I state,' lJiZ, I Z.IP:97'f18 I b,Feeforbranchcircuitswithoutpurchaseofaserviceorfeederfee. I Phone, 51Il~ 5'1 7,.3051 1 Fax:~'l.?/'- (J",IJ?"- I Firs! branch circuit (2) $ 55.00 I $ I E-mail: .. "?'.8 I Each additional branch circuit $ 6,00 1 $ ) CCB license no.: II I.vt>t../ I BCD license no.: ;ffk:J::., L. I Miscellaneous fees: service or feeder ':0/ included I Signing supervisor's license no,: '-t!J>,y $ 1 Each pump or irrigation circle (2)_..J 63,00 $ I Print name of signing supervisor: ":1::bn 'n. ~y-I,,~ I I Each sign or outline lightig,iM:t1W1\\t ~~,~~ 63,00 $ I Signature of signing supervis~ .....,. . ,\1\_ 1__ "~C 1:M9r.i'cir~ild'f\4'lilni/ed'~r\~;~iR"n~I,\ ,"';'" $ 63,00 $ ~~ -.... - 1. .,al~'i'w.j\~dr ~!~l'l';.'1'\ (~l\\'" _",'I'D rOf' \ r, :,~~I(!}\iI\i'di~~~'!\~'P.YGti<l.\\\~KV" I $58,00 $ I f>, ""0".'."""", Xi!;\). "~v";:<'~'i!fFm,icA-:-N."""'''U'''S'.,'E'''''''~:'''F".,vnw. "'"'''.::iT', ',' '.'.1 C r.\~;1\-\~t\~t31::tn;o;:;ioJR~~?ts:~\ "",' E" ", - ;I~, -_" ~~lt4~1i?i~;fr'~:~\~:l\.1;:t;:;~rL~'~ , <A;! '!3l>ll:rlJli&\otai of above fees 1\1'\l (Minimum Permit Fee $58,00) .1 (B) Enter 12% surcharge (.12 x [AJ) I (C) Technology Fee (5% of [A]) I TOTAL fees and sureharges (A through C): $ $ 25,00 $ 32,00 $ $ 63,00 $ $ 81,00 $ 95.00 $ $ $ $ $ $ $158,00 $205,00 1 $469,00 1 $ 63,00 $ 63,00 $ 87,00 $ $ $ $126,00 ,-stf $ 160f $ b..,q $ /36 ~ $ ~~ ~,:--" ~- (\.'\1 ~Do-' o..:~~ ~~. 440-2584-) (9!08/COM) -~F~~e!it,~J?,l~V" .:: .!. "', CITY OF SPRINGFIELD Building/Combination Permit Status Pending PERMIT NO: COM2009-0130S ISSUED: APPLIED: EXPIRES: VALUE: 09/03/2009 03/1012010 $ 40,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , SITE ADDRESS: 429 34TH ST ASSESSOR'S PARCEL NO,: 1702312410300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Remodel Residential PROJECT DESCRIPTION: Single family residence - reconstruct interior bearing/non"bearing walls, rewire, replumb whole house Owner: WILLIAMS CONSTRUCTION CO Address: PO BOX 2158 JASPER OR 97438 Phone Number: 541-937-4215 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor License WILLIAMS CONSTRUCTION CO INC 157195 DONALD MARVIN HORTON laW leqtl~'601'10U,;~ OWNER ATTENTION: Ole~~~ by the Oregon ~t;~IXh OWNER talloW lu\eS~~~~~, Those ru\e~ ~~ ;;0_nn1- NO~i';Bu'ii;DiNGl!NF6RMATION;llIUles by In ' "y u mOlY W'-'" '" 'tne telephone 0090, 0 dp, (Note, 'f at;Dn I callinl#'Ot,StO'ries:' on Utility Notl IC 1 R-3 nunlb~HeigIii'8fs'ff'uq,ture32-2344) ,14.00 ... +~y,~ l-Ouv...... To/p,"of-Heat: Wall Heat Water Type: Electric Range Type: Electric Energy Path: Sprinkled Building: ' Expiration Date 10/08/2009 07/25/2011 Phone 541-937-4215 541-726-9021 3 Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq FtGaragelCarport Sq Ft Other: Occupant Load: 880 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage:, ' \NORK 1\I0i\CE: _ ~\"\ \ E~I'\Rt IF ~.~JIC M01 I PUBLI{),jM~O,yi~MNlF$\11H\';) O\"O!:::~D"\OR IIf'. "'l~ r..BP-N ",- "CUO~~MtNCtD OR 0 Sidewalk Type: 1" Wl'tR\O ' P-N'< 180 0" DownspoutslDrains: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Page I of 3 --~~~'!i!'~,~.':7!~ :~!l*,~~!;iHJl! i~ ' CITY OF SPRINGFIELD Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line PERMIT NO: COM2009-0130S ISSUED: APPLIED: EXPIRES: VALUE: 09/03/2009 03/10/2010 $ 40,000.00 I Valuation Descrintion I Descrintinn Estimate Tvne of Construction Estimate $ Per Sq Ft or multiplier . $1.00 Square Footage or Bid Amount 40,000,00 Value Date Calculated Total Value of Project $40,000.00 $40,000,00 09/0312009 Fpp<. ~ $254,83 $16,08 $6,70 $134,00 9/4/09 9/10/09 9/10/09 9/10/09 Receipt N umher 1200900000000001028 1200900000000001048 1200900000000001048 1200900000000001048 Fee Descrintion Plan Review Residential + 12% State Surcharge + 5% Technology Fee Residence Wiring 1000 Sq Ft Amount Paid Date Paid . Total Amount Paid $411,61 I Plan Reviews I 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. HrrI111jt~-Unsnections I Floor Insulation: Prior to decking, Framing Inspection: Prior to cover and after all rough in inspections have heen approved, Wall Insulation: Prior to cover. . Ceiling Insulation: Prior to cover, Final Building: After all required inspections have been requested and approved and the building is complete. Underlloor Plumbing: Prior to insulation or decking, Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filliug trench and iucludiug required testing, Fiual 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 Pa2e 2 00 CITY OF SPRINGFIELD Building/Combination Permit Status Pending PERMIT NO: COM2009-01305 ISSUED: APPLIED: EXPIRES: VALUE: 09/03/2009 03/1012010 $40,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Electric Service: Approval reqnired prior to ntility company energizing service" Final Electric: When all electrical work is complete, By signatnre, I state and agree, that 1 have carefully examined the completed appl,ication and do hereby certify that all information hereon is true and correct, and 1 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 withoot permission of the Community Services Division, Building Safety: 1 further certify that only contractors and employees who are in compliance with ORS 701.0'05 will be nsed 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 " Paee3 of 3 225 Fifth Stn,et Springfield, Oregon 97477 541-726-3759 Phone Job/JournaJ Number COM2009-01305 COM2009-0 1305 COM2009-0 1305 Payments: Type of Payment Check cRcccintl' RECEIPT #: Description Residence Wiring 1000 Sq Ft + 5% Technology Fee + 12% State Surcharge Paid By WILLIAMS CONSTR CO INC City of Springfield Official Receipt Development Services Department Pu~\ic Works Department. 1200900000000001048 Date: 09/(0/2009 Received By Item Total: L'heck Number Authorization Batch Number Number How Received , djb 1643 In Person Payment Total: , Page 1 of 1 2:02:2IPM Amount Due 134,00" 6,70 16,08 $156,78 Amount Paid $156,78 $156,78 9/10/2009