HomeMy WebLinkAboutPermit Electrical 2009-9-10
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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,
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Residential, per unit, service included: $ I :> J(:, '
1,000 sq, ft, or less (4) $134,00' .::.
Each additional 500 sq, ft, or portion
thereof
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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
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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 ~
$
~~ ~,:--"
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o..:~~
~~.
440-2584-) (9!08/COM)
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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