HomeMy WebLinkAboutPermit Electrical 2009-12-28
11/19/09 THll 13:50 .fAX 5417263689
CITY OF SPRl~GFIELD
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225 Fiftb S".e".Sp'ingfkld, OR 97477. PH(S41)n6-3753. FAX(541)726.3689
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I'DEPARTMENTUSEONlY,
I c.~ z.oo,?~ 61 g-o r
Permit no.: .
I Date: , 2. - Z- rs- -: 0 '}
Electrical Permit Application
. - . '
This permit is issued under OAR 918,309-0000. Permits are nontransferable. Permits expire irwork is not started within 180
days of issuance or il work i. suspended for: 180 days.' '
I'" , LOCAL; GOVERNMENT APPROVAC " ,'," ,,' ",~. \," ,<"c,:,.r':;','Ii;,'}FEISc,;SCREOULE;.'i''';'':..',!:,',,':;S'::;:...;::-1"'1
I Zoning approval verified? '51[Yes 0 No " 'lNnmber'~f;n;pe"tio~s p.n~em!l.<IQtr,lc~rH: ~*ll
11:.....'c4TEG~IRy'(jF:,CONSTRucITION"'.'i'l Residential, per unit, servicc included: I
lIII Residential,,,,, , D Government "" D Commercial I I
, f(t:.~t"'\:IOg,<SITE"INFO,RNlATlON;,AND;;fO.c:A:rION:;;:i::.ig;'11,000 sq, ft, Or less (4) ,$134.00 $
I Job site address: f~31 V<="RA -STREET '11~~~~:ditionaI500sqftorportion, $25.00 $ I
I City: .SR~FXl;;<.,!> '1 State: b"<. I ZIP: Cj7<.n 7 I I Umited energy (2) $ 32.00 $ I
I Reference:L\:'Ac.'1bTA~ .:# I ~ /Taxlor.: 03.s:'-O Q I Each m" anufachlred home 0, modular I
1/70sZlt3.\DESCRIPTION'OF WORK,;";" ,,'1 dwelling service orfecdcr (2) , $ 63.00 $
ITEM.~. '?o1..A1E.~ ';""Of'l... c...q~TnvLT..:t.C)AJ I I Sen'icesorfteders:jnstaJ{ati()n.altera~ion.!re/ocan'on I"
IOF "uEI.A..i l-fo~ 1 1 200 amps or less (2) $81.00 $ .1
I PROPERTY OWNER I I 201 to 400 amps (2) $ 95,00 $ I
I Name: 0-=. FF r VV\ WI~lT I I 401 to 600 ""'ps (2) $158.00 $ I
I Address: 153"" C41'14L. ~T I 1 601 10,1,000 amps (2) $205.00 $ 1
I City:~"-'Dubi:m:l..b I State: oR 1 ZIP: "'l7lf/71 1 Overl,OOOampsorvolts(2) $469.00 $ I
Phone: 54 I - iLfO.f5081 Fax: e;tr;3~'6 I I Reconnect Only (2) I I $ 63.00 $1
E.:.maiJ:. \e ,^""W\d'_(1.. o..a_~ i f"" ,,",O\M.E! ~'- c...o VV\ . I I Tempora;r services or feeders: iflStaJlalio~ alter41ion. re/ocatio.n :_
This instillatiOn is being made on residential or farm property I 200 amps Or less (2) ( I $ 63.00 I $ b j
ownedb~m"eo~amemberOfmYimmCdiaICfami1y.ThiS ~am ps(2) ,I $870,,0 1$
property IS not mtended for sale, I":'~~nge,.t~s;)~~~ lMMeq lr ' ; .
479.S40(J)and ~,~.:, ' .~ l:i";'~S adopted by the 0 e dA1ltltlli2Vamps (2) , : 1 $126.00 I $
Signarure: , ":'",;;'"'"liOn Center. Those rule :r~p, or 1.000 volts, Sl,e sOTVices ~r feeders section abovc
I ' ::,', CONTRACTOR 'INST ~Lll.\lG'w:f!-UU'l V 1I !IU~'" II ~its, new,all.ra'ion, .x,.nsion per panel ,
I Business name: ' 0090:. You ma~~~II( .:tU I'l~" t:C:, b. nDlch circ~its with purchase ofa.sorvicc or feeder fO,.;
c""II\jll.w w "1 ~__ '
Address: r.~'!lIb'" I,,, t OraRon Uti ,ch dreoit I "I S 6.00 I $
City: I. ~ ;;ent+~~~' . Fedor b~ch ,circuits without purehasc M a sOTVice or feeder ree: I
Phone, ,~ Lt.F<fx: _ . " I First branch circuit (2) "I 'I S 55.00 I $ I
I E-mail: 't) '/ I Each addiliOllaJ br..ch circuit , $ 6.00 $ I
I CCB license no.: 0./ I BCD'license ~o;: ~ .' '. .I~- -"I"Mi5c;lI~nCOiJ$ fe_tS: iervice'ar feeder ,:ot i~luded I
I. Signing supervisor's I~se no.: I I Each pump or irrigationcirdc (2) $ 63.00 $ 1
1 Print name of signing supervisor: I 1 Each si3" or outlinc lighting (2) . $ 63.00 $ "I
I Signature of signing supervisor: I I S, jgna1.ci~cuit or a Ii~itcd-encrgy panr:l. '$,63:00 S I
alteratlon, or extenSion (2) . .
1 Esch additional i~5pection: (1)" I
f .:';;;;i~:::;,';r;;~,,~'f~l1:)\Ft.eLIC:)l,'Nl":, \.isE"
E' I (A) En~\~"i1lfl'lt:A{ above f", , ,
NOTIC . MIl' SHflLL rIJ'j~'li';J;~ ~~~~ee $58.00) :
THIS ~~ZED UNDER TH\~\Ei\~~!)~~t1'rcharge(.12xfAJl i
~~~MENCED OR IS flBAI'Mlt'~li'0!9gyFee(5%of[A]) i
NY 180 DAY PERIOD. 1 TOTAL rees and surcharges (A thruug~ C):
A 'I
$58,00
$
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440-2584.1 (9IOS/COM)
:flb
$ :3/0
$ '7~!jL.
Status Pending
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: COM2009-0I80S
ISSUED:
, -. ,:. APPLIED:
EXPIRES:
VALUE:
SITE ADDRESS: 1631 VERA ST
ASSESSOR'S PARCEL NO.: 1703243103800
12/17/2009
06/28/20 I 0
$ 208,627.00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Owner: EMMETT JEFF
Address: 1539 CANAL ST
SPRINGFIELD OR 97477
Contractor Type
Electrical
Mechanical
Plnmbing
I CONTRACTOR INFORMATION I
Contractor
INTERSTATE ELECTRIC INC
INTERSTATE ELECTRIC INC
3T nUMBING INC
License
117121
117121
147077
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction. Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setbllck:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I BUILDING INFORMATION I
I # of Stories: , I
R-3 'Hej~~tQr1\!aetfSll'Y~~,,19.00
U_.._. -'. 61~~~Olegon \O~l Heat
fYIl'.1{nO~~d~~ij~~ ~i1\e$.e.l,e$ei~ctr~c
\,l'i"\l\.;r.! It\\eSceilfl;1 !'l. ~ I Q".' O~R~ u\eJtifctnc
\1{j\;3CG.~~~:o6~~~Y~ il.So'~~~one
in o,~R.. riiii~\~ift, . }l\lII1~I~.':~:;ioft1/a
~::.,:,,,.."O~-,\_;,:~'l'.d ~
ea\\\I~'0GXiH,iiii>PM~ '~TION I '
011"" /."", jf" I
n".... eili\\el ,.'
Overlay Oist: . '"
# Street Trees Rqd: ..: 4.~:l.':-f;f.!r~'" '
Paved Or;v'e Rqd:
% of Lot Coverage:
I,PUBLIC IMPROVEMENTS I
Residential
Phone Number: 541-840-8508
Expiration Date
09/0512010
09/05/2010
03/04/2011
Phone
503-393-2223
503-393-2223
503,932-2719
Lot Size: 7,405
Sq Ft I st Floor: 1,952
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 585
Sq Ft Other: , 224
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Side,~a.tk. Type:
, ",'?bg~i~~rains:
tJ.?\'?-.'t. \\~r~ \'0 ~()\
\\Q\\C\\l\\\ 'O\\~i'?-. \\\\~~~~'t.() ~()'?-.
\\\\'2:> ?~1'-\1'C.\) '061'- \'2:> f>-~\l(
[>.'0\\'\ t.~c,'C.\) 'C.I'-\()\)'
c,()\'1\\-l\ \)~ ?
[>.~'/ "co\)
~ t Paee lof3
~, F'.
CITY OF SPRINGFIELD
,Building/Combination Permit
r,'
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-0180S
ISSUED:
APPLIED:
EXPIRES:
VALUE:
12/17/2009
06/28/2010
$ 208,627.00
I V~lu~tion nescri.,)ti.on I
Bid Amonnt
Estimate
Gara~e/Misc
SF/Dnplex
Use Bid Amount
Estimate
U VB Utilitv
R-3 VB 1&2 Familv
$ Per Sq Ft
or multiplier
$1.00
$1.00
$37.72
$96.83
, Sqnare Footage
or Bid Amonnt
192,900.00
318,000.00
520.00
1,952.00
Value
Date Calculated
Description
TVlJe of Construction
Total Value of Project
$192,900.00
$318,000.00
$19,614.40
$189,012.16
$719,526.56
12/18/2009
12/17/2009
12/18/2009
12/18/2009
L.f~~,;;r.ilW
Fee DescrilJtion
PIau Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Temp Power 200 amps or less
Amount Paid
Date Paid
Receipt Number
$1,037.41
$7.56
$3,15
$63.00
12/17/09
12/28/09
12/28/09
12/28/09
3200900000000000814
2200900000000001430
2200900000000001430
2200900000000001430
Total Amount Paid
$1,111.12
I Plan Reviews I
Planninl! Review
Public Works Review
Structural Review
12/22/2009
J 2/22/2009
12/22/2009
Initial Review
12/22/2009
12/22/2009
OK
DJB
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day. . ,~:. .,' ~', . f,
~$~ In~nftt~
Temporary Electric: Approval required prior to Utility Company energiziug pole.
Pa~e 2 of 3
Status Pending
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: COM2009-0I805
ISSUED:
APPLIED:
EXPIRES:
VALUE:
12/17/2009
06/28/2010
$ 208,627.00
By signature, I state and agree, that I have carefully examined the completed application and do hereby certi(y that all
information hereon is true and correct, and I further certify that any and all work perfnrmed 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 without permission of the Community Services Division, Building Safety.
I further certify that Duly contractnrs'and employees who are iu compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested llt 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.
(' /i9L It!-
Owner OJ' Cont~actors S~ture
Page 3 01'3
Date
I L /2..8 ~o;
I /I' CJ (
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1805
COM2009-0 1805
COM2009-0 1805
Payments:
. Type of Payment
CreditCard
cReceintl
City of Springfield Official Receipt
Development Sen'ices Department
Public Works Department
RECEIPT #:
2200900000000001430
Date: 12/28/2009
10:1I:44AM
Description
Temp Power 200 amps or less
+. 12% Siate Surcharge
+ 5% Technology Fee
Paid By
JEFFREY EMMETT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Dut'
63,00
7.56
3,15
$73.71
Amount Paid
djb
$73,71
$73.71
017369 In Person
Payment Total:
Page I of 1
12/28/2009