The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2010-1-11 Electrical Permit Application CITY OF SPRINGFIELD, OREGON 225 Fifth Strcet+Springfield, OR 97477.PH(541)726-3753+ FAX(54t)726-3689 I """DEPARTMENT:QS'E"'ONLY .....1 S.RhO':"~" . .. , r. :.. . I c.OJA.1W 'O-OOOZ~ I :a:;,1& Perrmtno.: I Date: I~(("'IO I This permit is issued under OAR 918-309-0000. Permits are noutrausferable. Permits expire if work is not started witbin 180 ~ays of issuance or if work is su~pended for 180 days. I '''. 'LOCAL GOVERNMENT APPROVAL 1 I Zoning approval verified? DYes D No I Number ofinspec!ions periJem () . I CATEGORY OF CONSTRUCTION -I I I Residential, per unit, service included: ~ Residential . D Government I D Commercial I JOB SITE INFORMATION AND LOCATION 1 Job site.~ddress: (a Il\ '()}o)\ (\ I\rl I City: C;{tl;rL TS;e:O\(. I ZIPQ'1'-\'1'1 I Refere~e~ 1703z... -z. \ <- I Taxlot.: / St{col _. \ ..,)' .(' ','rD:,s. cl.,~~PTlO~OO(F w\olRJ<j "',' , , J.l . 'II ~ p.AA AI r _ 1'< +1 ~ h..,.--r ~ Services or feeders: installation, alteration, relocation ) I 200 amps or less (2) $ 81.00 $ " . , P80PERTY OWNER" .... ~ :~. I I 20 I to 400 amps (2) $ 95.00 $ Name: Y~Y'i c.- CN...r e. K l"lV'rI.-H.,..) V"\ I I 401 to 600 amps (2) ..... $158.00 $ I Address: 41..f7 AlIrt's.UA.~ +-L. ))1,,,1 I 160ltol,000ampS(2)",t\('~05.00 $ I City: I''^--~t!::' I State:d/t... 1 ZIP:7740~1 I Overl,000ampsor.v~lts(2) ,.\~'\\'I:\c,~~\;9.00 $ I Phone:5l.( / :5 37 - &'2.311 Fax: $Y/.t.o 7 -"l'7 7~ I Reconnect.o.~IY'ii)'_. c/..,,\Y,~~"'~l' \(\i'S63:00 I $ I E-mail: 1I:..I.J\!l...11e~~Y.1~\j\\1\~.tIon.alleralion.relocalion I This installation is being made on residential or farm property ~~6\!1tfiS~~'fi'~\J~c, \>-'O\'" $ 63.00 I $ owned b~ me or a member of my immediate family. This 1\2Q1~'UO~~~\'\ ' al). $ 8700 $ property IS not Intended for sale, exchange, lease, or rent. OAR .j",-. ,...."'\~.:-y k";' 'i(\..'i!:' I I . I 479.540(1) and 479.560(1). ''J;!!~~\\''''')~'\!\f\~) $126.00 $ Signature: d,,~'6Pj}.~ps or 1,000 volts, see services or feeders section above . --CONTRACTOR INST ALLA TION . . . I Branch circuits: new, a/leralion, exlension per panel I Business ~ame: .~ \Am 9'.\~ ('.. Co . I I a. Fee l"rbranch circuits with purchase ofaservice or feeder fee: Address: ~b ',hO( ~5~4. I I Each branch circuit I $ 6.00 I $ City: r:~ ~(r..l .II\..J c I State: DR.. I ZIP: l\ ~ UO ~I I b. Feefor branch circuits without purchase ofa service or feeder fee: Phone:~l\\-l--Q<?l~l-Oq9~.1 Fax: 5t.\I-b. 9J\t. <3 OSD I Firsl branch circuit(2) \ $ 55.00 ll5.c; ob E-mail: \z'Urt\ r/\.u-"1U'J) 0 ClOLco\'Y) - I Each additional branch circuit I $ 6.00 $i.J.oti> 1 CCB license no.; \~()OS r BCD license no.: ~aA I Miscellaneous fees: service or feeder not included I I Si~ning supervisor's license no.: J 'iJ@,~ s: ....~.. I Each pump or irrigation circle (2) $ 63.00 $ I I Print name of SIgnIng supervISor: Vr:;\ \ KI'l S-t- . I Each sign or outline lighting (2) $ 63.00 $ I I Signature of signing.supervisor: C? t /..z:::?. .--> 1 ~lit~~::i~~,c~~~e~t:nl~~~(~)energy panel,. $ 63.00 $ I ---.--- .......--<..-./'---..~ \ ATTENTION: Oregon law requIres YOU.t.o 1 Each additional inspection: (I) I $58.00 I $ I follow rules adopted by the Oregon Utility I ,', :'" .' ".., APPLICANT USE .1 Notification Center. Those rules are setforttl I (A.). ~nter subtotal of above rees $ I -l.()~ In OAR 952-001-0010 through OAR 952-001." (MIR.mum Permit Fee $58;00) VI 0090. You may obtain copies of the rules by calling the center. (Note: the tel~~ho~. I (B) Enter 12% surcharge (.12 x [A]) $ '1.?' ~ number for the Oregon Utility Notlfi<:a1ion 1 (C) Technology Fee (5% o[[A]) $ ':\.051 Center is 1-800-332-~ I TOTAL fees and surcharges (A through C): $ '11..~'i ... ,,~'P ....;.O:io.'''''t"-;;c:.:~~ . ~ ;sJ ~ .~~. 440-2584-) (9/08/COM) FEE SCHEDULE' !Qty.1 ,..\, _Cost ea. Total cost 1,000 sq. fl. or less (4) Each additionalSOO sq. ft. or portion thereof $134.00 $ $ 25.00 $ Limited energy (2) Each manufactured home Of. modular dwelling service or feeder (2) $ 32.00 $ $ 63.00 $ Status Issued CITY OF SPRINGFIELD . Building/Combination Permit I PERMIT NO: COM2010-00026 ISSUED: 01/06/2010 APPLIED: 01/06/2010 EX PI RES: 07/11/2010 VALUE: $ 2,200.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 615 MALLARD A VE ASSESSOR'S PARCEL NO.: 170322\315400 Springfield TYPE OF WORK: Interior TYPE OF USE: Repair PROJECT DESCRIPTION: Repair lanndry bnmp out and redo electric and plumbing Residential Owner: Address: GRAFTON DEREK C 447 NAISMITH BLVD to ' EUGENE OR 9Z:l1lSNllON: Oregon law requires ~ltil"" 6p-r- 'I!. III I,)t''1Q''" .... tollow ruleS llU~eiicirtll Notification Cente . ,vIW..MA T10N , . In OAR 952.(lQ1 n copies of the w{e'L' J," . COfl~c'(iymay o~ (t:Iote: the telephone License " N01lfllQ\ISt.~I1~~ 166633 BHMI~ li~QQ2.2344). 184005 NOTTAGE OTTAGE CONSTRUCTION LL 166633 Phone Number: 541-337-8239 Contractor Type General Electrical Plumbing Expiration Date 10/19/2011 09/19/2010 10/19/2011 Phone 541-913-8700 541-686-0905 541-9\3-8700 I. BUILDING INFORMATION. ......,.i--c...: -,' # of Units: Primary Occupancy.Group: Secondary Occnpancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: .. .t~" # of Stories: Height of Structure Type of Heat:. \\i.ter Type; Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq .Ft Other: Occupant Load: R3 VB n/a I DEVELOPMENT INFORMATION ~ Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROYEME~JS'b;:. NOTICE: Pl~E-~~THEWORI< ,.~~ Sidewalk Type: THIS PERMIT SHALL ~lS PERMIT IS NO~".gfiDownspouts/Drains: AUTHORIZED UNDER ABANDONED fORf,ifiii&;; COMMENCED OR IS _'., ,p~",j:Jc!'''!,.:;;; ANY 1 SO DAY PERIOD. r ,.,'" :::"""..,.;; Notes: ,j; 1._, Paee 1 013 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00026 ISSUED: 01/06/2010 APPLIED: 01/06/2010 EXPIRES: 07/11/2010 VALUE: $ 2,200,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I V ~Iuation Descrintion I Descriotion Tvpe of Constroction Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1:,00 Square Footage or Bid Amount 2,200,00 Value Date Calculated Total Value of Project $2,200.00 $2,200.00 01/06/2010 ~ Fp'i~l1W Fee Descriotion + 12% State Surcharge + 5% Technology Fee Building Permit Fixture Minimum/Adjustment Plumbing + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $15.09 $6.29 $67.75 $19.00 $39.00 $7.32 $3.05 $55,00 $6.00 1/6/10 1/6110 1/6/10 1/6/10 1/6/10 1/11/10 1/11/10 1/11/10 . 1/11/10 1201000000000000013 1201000000000000013 1201000000000000013 1201000000000000013 1201000000000000013 2201000000000000020 2201000000000000020 2201000000000000020 - 2201000000000000020 Total Amount Paid $218,50 Plan Reviews I ~ . ." '"~I. ',J " 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. ~rp:rlln~.nprtio"i.l Framing Inspection: Prior to cover and after all rough in inspections have been approved, Walll;lSulation: Prior to cover. Ceiling Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. . Rough Plumbing: Prior to cover and including required testing, Final Plumbing: When all plumbing work is complete, Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, .. Paee 2 of 3 S(;!"AINQF;IIlLD. -.j..." . ""' j Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00026 ISSUED: 01/06/2010 APPLIED: 01/06/2010 EXPIRES: 07/11/2010 VALUE: $ 2,200.00 I 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . By signature, 1 state and agree, that I have carefully examined the completed application 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 without permission of the Community Services 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 1 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the streel, 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 Paee 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM20 I 0-00026 COM20 I 0-00026 COM20 I 0-00026 COM20 I 0-00026 Payments: Type of Payment Check cReccintl RECEIPT #: 2201000000000000920 Date: 01/11/2010 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By BHM ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1354 In Person Payment Total: Page I of I 10:34:50AM Amount Due 55.00 6.00 7.32 3.05 $71.37 Amount Paid $71.3 7 $71.37 1/11/2010