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HomeMy WebLinkAboutPermit Electrical 2009-12-28 11/19/09 THll 13:50 .fAX 5417263689 CITY OF SPRl~GFIELD @002 ~, ' 225 Fiftb S".e".Sp'ingfkld, OR 97477. PH(S41)n6-3753. FAX(541)726.3689 &PRIN:C;FIQ,g ~~'~.;;:,~ ~ ~ ~~ ",:>t;;;~~ ~:~~,:~~l:-~7~i ",,'''"g.. 6!., ~_" ::7i~:(~~'.<<; 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 $ \~~Q>\ ~-q:' ~ ,,' ~ 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