HomeMy WebLinkAboutPermit Electrical 2010-2-1
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00130
ISSUED: 02/01/2010
APPLIED: 02/01/2010
EXPIRES: 08/01/2010
VALUE: ' $2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 213 W CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703274401000
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Rewire and replumb house, new ownership - see C9-852
. ",
Residential
Owner:
Address:
CAMPOS ANTONIO
213 CENTENNIAL
SPRINGFIELD OR 97477
Pbone Number: 541-741-3760
Contractor Type,
Applicant
Electrical
Plumbing
ATTENTJm,. rhc-- ,_
TOllow ruI.e, prl,-.,pi;"rt b..~~'L'~'''::!.Ullt:<:l yuu, ~o ,
N<tltCilillll~:rOR LNEORMATI@Nlilhlity.,'
, ' , In -, ! H /1" ,;;,1\., "'-- -.. !._~ forth
, UI-IMl:!o -OOl-0010thrOUg~1hFi _ ...
Contractor 0090.. You may obtain Copie \'~~~f OOEXplratlOn Date
GOMEZ FERNADc5a1ling the center. (Note: the tele r~oes by
. HARDING ELEcfUfPOflti/5>r the. Oregon UtilitJ,OItRJI!Ccat:n 02101/2010
T& S PLUMBING I~~ "Center IS l'800-332-a34It~.3 06/01/2011
Phone
541-870-1611
54 I -688-5006
541-915-1000
BUILDING INFO~MA ~ION.
# of Units:
Primary Occupancy Group:
Secondary Oecupancy Group:
Primary Construction Type
Seeondary Construction Type:
# of Bedrooms:
# of Stories: ...............;
Height of Strueture
, .. Type of Heat:
VB Water Type:
NOTICE' ,-R~nge Type: /""."........
. Ener~y Path: .... -"'" ,
THIS PERMIT &jIJl;\'kl@{il\lMiilfgTHE WO~
MITUnO'.,'::'::' 'J'Jr~~ TI~~:? r[~'.llT I~ m:':
COMMJ'~.m~~pN~_
ANY 180 DAY PERIOD. '. '
Overlay Dist:
# Street Trees Rqd:
,'Paved Drive Rqd:
% of Lot Coverage:
',:"...
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Oceupant Load:
R-3
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compaet:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Spel~iallnstruction:
Sidewalk Type:
Downspoutsmrains:
Notes:
Paee 10f3
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00130
ISSUED: 02/01/2010
APPLIED: 02/01/2010
EXPIRES: 08/01/2010
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54 I -726-3769 Inspection Line
I Y~I~atio~ Descrioti,o.~ I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
L.fffifr' P1ilU
Fee Description
+ 12% State Sureharge
+ 5% Technology Fee
Building Permit
Fixture
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Amount Paid
Date Paid
Receipt Number
, $56.40
$23.50' ""
$58.00 ",,"
$190.00
$134.00 '
$25.00
$63.00
2/1/10
2/1/10
2/1/10
2/1/10
2/1/10
, 2/1/10
2/1/10
1201000000000000088
1201000000000000088
1201000000000000088
1201000000000000088
1201000000000000088
1201000000000000088
1201000000000000088
Total Amount Paid
$549.90
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.
IRf~
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking".
"...'
"
,;,"
Shear Wall Nailing: Before covering sheath,i,ng with finish materials.
Framing Inspection: Prior to cover and after, all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to c()ver.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete,
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Plumbing: Prior to insulation or decking.
Page 2 of 3
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: <OOM2010-00130
ISSUED: 02/01/2010
APPLIED: 02/01/2010
EXPIRES: 08/01/2010
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeetion Line
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to eover and including required testing.
Final Plumbing: When all plumbing work is complete,
Rough Mechanical, Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company 'energizing service.
Final Electric: When all electriea' work is complete.
By signature, I state and agree, that I have carefully examined the completed applieation and do hereby certify that all
informat;'on hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springl1eld and the Laws of tbe State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Serviees Division, Building Safety.
I furtber certify that only contractors and 'employees who are in compliance with ORS 701.005 will be used 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 th'e property, and the approved set of plans will remain on the site at all
times during construction. I'
~~G3
, /
Owner or Contractors Signature
:7"l
...
Date
/()
, "
; ':..
Paee 3 of 3
225 mlh 5Ireet.Springfield, OR 97477tPH(541)726-3753.FAX(541)726-3689
.. ~E~~~TMENf."U~"E'O,NL y" 'I
I
I
Permit no,: ()/O -' 17 (]
Electrical Permit Application
fl
".'':!
Date: 1-1 VI) / 0
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expir~ if work is not started within 180
days of issuance or if work is suspended for 180 days.
I i!'.r~) :-, .~,i_- '*.i"ljll:."0GAL~~~(3 ()VEJ~N M E NJ~fA~-RR0)1A~~~4\~'~~~ff;:j.i?,~~'~1i.1 1~~r;.\~~~?:Sii;)~~l~~~~~~:6'FEE~S'CH E[jl] ll]E~.r~~~f~j\~k~~~XJ~~;*1t~~!
, _ '_,...."__" _'" _.,_,,_ ,.... ., . A_ ,,_ .. _. ... ~_~<~.,__;.>.~~._'>h_=~ ,_..,.' ,',-'
I Zoning approval verified? DYes D No I 1 ;~;'~be!,iki~;pec!i;':rl~\~~'r:'if~~:/)"::,iIQh':1 ':fos,~'!il }otal' ;:1
r"~' Le;' , v'CA Vt" F'CONS UC 0 ,,- ." '1-1 "f!_",'h,'o,<"",~,_,_",_,'""-;'6-J'l",-J;:(''-''''''l'':,-~it.",; ',,'-',",' ,.l",,~l:l._;.', '. C.QSt.., ,
1';~::~:ial'rEGr~~~v~~ment ~R "'(~ ;::::::::';"" :'r 1 Residential. per unit, service included: I
1~~\'!(OB]iS.lffiE<iINlijjRM,t;;r;loNfi~N[j[!l10'cAmION~~~~i1'lT11 11,000 sq, ft, or less (4) $134,00 $ f 3'- ( I
I ..I. _~ -) I Each additional 500 sq. ft. o~ portion I
Job site address: d I i vr_<u 1-1 ~n / _ thereof ' $ 25,00 $ ~
!city:c5ur/t1uti0cl IStateQ( IZIP:Qfqi /1 Limiledenergy(2) " $32,00 $ I
Iry~,~;.:~,~~de,;) ~~~:t:J~~F~.wJ;~~,:~~~:c I ~~~~I~:nS~~~~~r~~ Pe~~:r (~rodUlar, $ 63,00 $ I
I ~tr17()dJ ul_ I I Services or feeders: installation, alteration, relocation. I
I I 200 amps or less (2) $ 81,00 $ I
I , ':PROPE:R'rYOWIIIER", .. I 201 ta 400 amps (2) $ 95,00 $ 1
I Nam,:_ ~~'\n (.1lf.'('. rIr> I 401 to 600 amps (2) $158,00 $1
I Address:Q..\~- h '"'l (\or\~hn. to P ./ I 601 ta 1,000 amps (2) $20500 $ 1
'I City:~~ I Stat()(L, I ZIP~\1 1 Over 1,000 amps or volts (2) $469,00 $ I
I Phone~~ \\1'14 \ .~:r~x: _ I Reconnect only (2) $ 63,00 $ \
\ E-mail: I Te~porary services or feeders: installation, alteration, relocation I
This installation is being made on residential or farm property 1 200 amps or less (2) $ 63,00 $ I
owned by me or a member of my immediate family, This 1 201 to 400 amps (2) $ 87,00 $ 1
property is not intended for sale, exchange, lease, or rent. OAR
479,540(1) and 479,560(1), 1 401 to 600 amps (2) $126,00 $ I
Signature: lOver 600 amps or 1,000 volts, see services or feeders section above I
I, ,. - :, '<;~C,0NTRACT:OR:' INSTJ,XtlA:f10N', I Branch circuits: new, alleration, extension per panel I
I Business na_me: J1{J rd.if)~, Eltc;}f1'<... :Jr1<..., I I a, Fee for branch circuits with purchase afa service or feeder fee: 1
I Address: V. D ,13 OX ,02 [p 11.. 3 I I Each branch circuit 1 $ 6,00 1 $ 1
I City: ' fUqf:Jfl (;. -I State: 0 (I ZIP: 77t.JO 2-1 I b, Fedor branch circuits without purchase of a service or feeder fee: 1
1 Phone:,j2/-/J LPf3tz3 -500LP 1 Fax:SlI.. (r;53 - 91, () 1 I First branch circui1(2) $ 55,00 $ 1
I E-mail: I I Each additional branch circuit $ 6.00 $ I
I CCB license no,: t320'lr9 1 BCD license no,:,/O -i/31 ' I I Miscellaneaus fees: service or feeder not included 1
I Signing supervisor's license no,: _) (),'Jf 7 S I I Each pump ar irrigation circle (2) $ 63,00 $ I
I printnameOfSigningSUperviso~:' -()'bift J)6Wrfle I I Each sign or outline lighting (2) $ 63,00 $ I
I Signature of signing supervisor - -.A.V~ 1._ I I Signal,circuit or a li?1ited~energy panel, I $ 63.00 $ I
' UAAxtJ7/f}.J../ alteratlon, or extensIOn (2)
1~;~;;;~~f,~~~1i;~;~~~'A.Nt'~~SE\1&1Jl~~~\\(,~,;~,if;,j;:;:
(A) Enter subtotal of above fees
(Minimum Permit Fee $58,00)
,I (B) Enter 12% surcharge (,12 x [AD
1 (C) Technology Fee (5% of[AD
,I TOTAL fees and surcharges (A through C):
~
1'1.~-sJ
&.~
\
~~
tf\,~
$1'S'1~
$ /"1 ()(J 1
$ 'j H I
$ i/ih ~
440-2584-J (9/08/COM)
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 I 0-00 130
COM2010-00130
COM2010-00130
COM20 I 0-00 130
COM20 I 0-00 130
COM20 I 0-00 130
COM2010-00130
Payments:
Type of Payment
CreditCard
cReceiotl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1201000000000000088
Date: 02/0112010
Description
Building Permit
Residence Wiring 1000 Sq Ft . ,,'
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Fixture
+ 12%State Surcharge
+ 5% Technology Fee
Paid By
ANTONIO CAMPOS
Item Total: '
Check Number Authorization
Received By Batch Number Number How Received
CJC 03793b In Person
Payment Total:
;f '.
,,'
Page 1 of I
10:01:53AM
Amount Due
58,00
134,00
25,00
63,00
190,00
56.40
23,50
$549,90
Amount Paid
$549,90
$549.90
2/1/2010