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HomeMy WebLinkAboutPermit Electrical 2010-2-10 Electrical Permit Application I DEPA~TMENTUSE ONLY I .PhQ~ ~ ., , WiL.. Permit no,: (71 rO/Q-'Qj) Date: '2-/)!J/lo I " . ,~ c ' CI:rv OF SPRINGFIELD, OREGON , "..~' ,~ " , . - 225 Fifth Street+Springfield, OR 97477.PH(54t)726~J753.FAX(54I)726-3689 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is Dot started within 180 days of issuance or ~rwork is suspended for 180 days. [" LOCAL GOVERNMENT APPROVAL I, FEE. SCHEDULE I Zoning approval verified? D Yes D No IN~m-lJerOf inspections. per item:( ) _ '. -'IQ~.1 ~t I .,CATEGORY OF CONSTRUCTION I 1 Residential, per unit, service included: 1 Q!fResidential 'J 0 Government I 0 Commercial I, .' JOB'SITEINFORMATION AND, LOCATION I 1 1,000 sq. II. or less (4) , Job site address: /6:J I V ~t\ S; '1' ' I ~~~~oaritional 500 sq. ft. or portion 4 Cily: Sn"'~ ,t.:':"1::( I State:~ I ZIP: 97 '1:77 I Limired energy (2) I [ Rcreren~e: (:t':I't .2..()O~ - CJ f &-03 1 Taxlot.: / I Each manufactured home or modular I , DESCRIPTION' OF WORK I dwelling service or feeder (2) . I/') 1 1 Services or feeders: instal/ation, alteration, relocation ~SW f~ I JVC.-,-Cl,(,. 1 1 1 200 amps or less(2) $ 81,00 $ I, --' PROPERTY OWNER' I 1 201 to 400 amps (2) $ 9S,OO $ 1 Name: U2.-l-F- G. rHo\. Ii. IT' 1 I 401 to 600 amps (2) $158.00 $ 1 Address: 1 1 601 to 1,000 amps (2) 1 $205,00 $ 1 City: I State: I ZIP: 1 I Oyer, 1 ,009 amps. or ~0Its(2).. '1 $469,00 $ 1 Phone: S:-"/ftf"'o-JJorl Fax: I I Reconnect only (2)",''',., ' F' 1 $ 63,00'1$ 1 I Tem~~ary. '-~~~i(es ~r' ieeder's;:ihit~,'JiiJ/jbii, alleratio~, relo~alion E-mail: t'~ This installation is being made on residential or farm property 1 200 amps'or,less (2r",;,q~ :"'.: $63;00; $ own.e~by ine ofa:inember o(niy iinrii'ediatefamily. This - __. I 201 to'400 am~s (2); $ 87.00 $ pr.operty is not intendc9-.forsale, exchange; lease, or rent. OAR 479.540(1) and 479,560(1), ' I 40,!10. 600-,II11Ps.<D, ?'" .., '_ $126,00 $ Signature; lOver 600 amps or 1,000 volts, see serVices or feeder~ ~ection above .. CONTRACTOR INSTALLATION 1 Branch eireuits: new, ai/era/ion, extension per panel Business name: .:z;ck.r$'~ E le<- -J~f:- I a. Fee for branch circuits with purchase of a service or feeder fee; Address: I?.!J, noy 7J<-{2. 1 Each branch circuit 1 $ 6,001 $ I City: S4-l/.l..v-t I State: c.:!J/t. I ZIP: -=, 7 :Yo J' I b. Fee for branch circuits without purchase of a service or feeder fee: I Phone: J2>::!>J7'':>-2.2...2..71 Fax: ~3,;193-97L'1... I First branch circuit (2) I $ 55001 $ I E-mail: I I Each additional branch circuit I S 6,00 I $ I CCB license no.: it? I;L, I BCD license no.;,2 C('-:.J~ I Mist:ellaneous fees: service l!r feeder not included I Signing supervisor's license no.: V r' / -S I I Each pump or irrigation circle (2) $ 63.00 I Print name of signing supervisor: tl-t ClC (,+>4-t?tt, ill Eac~ sign o! o.H!-'in" lighting (2) , $, 6~.pp I S.'".,~:, "'f".. "'/'=. ~.:'.I '::,"..'i..-' !r.:.,., r.""." I I-SignalCirCuitoralimited-energypanel , Igt:ta~E~ 9.,slgn~ng,~,up'eJ:VIsor:;~..:;i?;:::-1:;~I',~ . a.Jteration;'oc'extension (2) , ~ 6~.0~ ~ 1 y'. :,. _it?l~:(':.,_~,I""'~' .., '-'li:>;.;t/:l:!I}I..:,:,I'~'.fj.._,. I Each'additio~alinspedion:(l) ':$58:00 $ -;'\',j, I ~:~~I I I $134.00 $/3'1 I $ 2S,OO $ t.:1::> I $32,00 $';)J--I I I I 1 I I 1 I I I I 1 I I I I I I I 1 I -I I I I ,!,.;,'" ..,; .,.-","...'APPUCANT'uSE '"" ,',;, ,,", : I I::C $ ic"bj ,"'~-. . I ,$' /, '1.2..1 I $ (3.30 I I $j ,1:-2.ij. $ 63,00 $ $ $ "J~l!' ...., :.\..,...) . i. '.!r,' ~w.~ tJ.~Q/ ~~ I (A)'.Enter subt~ial:of above fees .(Minimum, PerR'!it,Fee S58.00) 1 (B) Enter 12% surcharge (.12 x [A]) 1 (C) Technology Fee (5%nf[A]) 1 TOTAL fees and snrcharge. (A through C): 440,2584,J (9108ICOM) , \, ~,\~' ,) .' I" 01/27/2010 15:12 5033939722 125 FIIUI StrNi.SprtEllrldd, OR 97"77.PH(S41)716,.J75.hFt\.X(~I)71'..3689 INTERSTATE ELECTRIC PA ,E 01 . , ,. I DEPARTMENT USE ON L Y ~ I Penn it no.: I Da~ J " Tbis permit is issued under OAR 918--309..0000. Pumlb arc nontra1lderable. 1 ~ermitJ upire Irwo",~ls not started wit-bi [( 180 day. of issuance or if ..orkis suspended for 180 days. ,1 1 1 I I 1 Scrvkes Of C tdr",: JHSlaUalion, ol,eralion. ,.efrx:aJjOtl I I 200 amp. or~" (2) $ 81.00 PlItOPERTY OWNER I I 201104oo"/'ps (2) $ 85.00 ::r-r2PF- G. n,.....li. Tr 1 I 40llO 600 mjIp. (2) $158.00 I Address: I I 601 to 1,000 F'P' (2) UOs.aO I Cil>: I State: I ZIP: 1 I OVOJ' 1,000. np, or ".Its (2) _.00 I-Phone: ~4, I d'ifo -J-fbl-I FIlX' I I R.e<;onnect 0' Iy (i) ,S 83.00 f E-mail: I I.TcJ;IIporary: tnriu!I or ked,-": ;,,~ta"allon. a/luation. r~Jc. -;:(11;011 This installation is being made,oo resideotial or farm.property I 20U amps or os, (2) I I $ .3.00 I , owned by me or a memberofroy immediate family. This I 201104oo~P, s (2) I I $ 87.00 I , property is not intended, for sale, exchange, lease, or renl. OAR 479,540(1) and 479.560(1), I 40110600 ps (2) I $126.00 I , S igna1ure: I Ov~ 600 am lS or 1,000 volts, see service:5 or feeders section above I CONTRACTOR INSTALLATION J8",..b ...., I..: new, o/"'",/;on, .."n"jnnp.,_1 I Busincssname: .z.krl'~ E /".<- j.."....;'C-, , )!L Fee fur bn tlch circuits wjth purcha!le of il se1"Yicc or fee~ fe~: I Ad,""ss: A.tJ, /JO'l<' 73<-12 I I E..hbranteire.j, I I $ 6.00 I ' City: SAllUrt ' ____I-stiilc: <Cr(LI ZIP: <;;'7::70 J I I b, Fee for,br"eh cire.its withoo' purchase ofa servi"" 0' fe, kr ree: /,hone:_.r-ort'.:>_-:22:L71-p",,: ~""'J"Y}-97L'LI I Firstbran1CirCUi,(2) .. I I $ 55'001' \' E:[Oail:----- I Each IllIdl nal branch .m:..1 $ 8,00 I CCB liQ.":J1se no.: I (? (2., I BCD license 00.:.2. c..r-.:J~ I Mb.c:e)bDeol . tees: service o,.feeder""l incJwkd I Signing .upervisor's Ucense 00.: <i r' / ..5 I EaclI pump 0 . irrigatiou circle (2) S 83.00 Print o"",e of .ignjng supervisor: Ji,r c /'- (,~I? / J I leRChsi"" or '"tline ligl>tiuS (2) $ 63.00 I Signa] ..ircui' or l!Ilimited-encrn p8flcl, (' 83.00 i SignaturEofsigningsupavi50r: - --- ~ a1teration,or,;xtcoslon(2) ~ I J;a.b DdcU1DII.,pe<liOD: (I) - . $&8.00 I I : APPLICANT USE I (A) Enler otu.l of abov~ fus $~'.bb (Minimum en.il Fa $53.00) I (Il) 5..., 12~ surchllIse (.12 X [AD I (e) TeeboDlcto- Fee (6% of[A]) I TOTAL r.... and ,ureba'll.' (A tllrougb C): I LOCAL OOVEAdIINT APPROVAL I Zoniog approval verified? 0 Ves 0 No I CATEGORY OF-CONSTRUCTION I ""Residential I 0 C',overnrneot 1 0 Commercial I JOB SITE L, "0 ",.IIATlON AND LOCATION Job site address: I" J I V ~A s,. , I City: S"...~.. .t.:-....br I State:c:...<l I ZIP: 97<1'17 I Reference: ~.;;. :2,,00'1 - 0 f 6-a::S I Taxlot.: I DEBCRlPTlON Of WORK I A/PU ~ rs"c....r:..~) I I Name: HO-Z'''oj...J (~roerc(}M) ,.' .. ~ I I FEE SCHEDULE I N..berof+".f perl_ll IQIy.1 IIl~idototial. Per uah, IIervke IDeluded: 11,000 sq. 'n, <Ir less (4) I Each additjohlSOO sq. fL or portiOn thl;:.reof I Limited ener .y (2) Each manufn ~ home or modutar dwelling !.Ie.., ice or feeder (2) J Cost ... Total cosl 5116.00 ifJ'f f 4 I I I $ 26.00 ./-:1.:> S 32.00 :);2.. $ 83.00 I I I I $~ ( 'i'J., S IJ.30 I $_". .2.:4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54J-726_3676 Fax 541-726-3769 Inspection Line, CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01805 ISSUED: 01/11/2010 APPLIED: 12/1712009 EXPIRES: 08/0512010 VALUE: $ 219,528.00 SITE ADDRESS: 1631 VERA ST ASSESSOR'S PARCEL NO,: 1703243103800 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Single family residence Owner: EMMETT JEFF . Address: 1539 CANAL ST SPRINGFIELD OR 97477 TYPE OF USE: New I CONTRACTOR INFORMATION I Contractor Type General Eleclrical Mechanical Plumbing Contractor ADAIR HOMES INC INTERSTATE ELECTRIC INC INTERSTATE ELECTRIC INC 3T PLUMBING INC License 593 117121 117121 147077 BUILDING INF<?RMA TION I # of Unils: Primary Occupancy Group: Secondary Occupancy Group: Primary Construclion Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: I R-3 U VB 3 19,00 Wall Heal Electric Electric nla I DEVELOPM,ENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay riiSl: # Street Trees Rqd: _... " I'aved Drive Rqd: % of Lot Coverage: 10.00 12.00 28,00 14.00 0,00 , Floodplain 3 Yes 37.57 Residential Pbone Number: 54J-840-8508 Expiration Date 03/J9/2010 09/05/2010 09/05/20JO 03/04/20 II Phone 503-645-1156 503,393-2223 503-393-2223 503-932-2719 I! Lot Size: Sq Fl 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Fl GaragelCarport Sq Ft Other: Occupant Load: 7,405 1,952 809 REQUIRED PARKING Tolal: Handicapped: Compact: 2 I PUBLIC IMPROV~~1l:1 '~~ E IF THE WORK Street Improv~ION: Orego'1!f\W ~!L<t!Jires'you to THIS P[KMIT %~~I yUl S NOT follQw rules adopted'b'y''hIJ'O'?il'd'BII Utility AUTHORIZED I,lNDER I::> t'ERMIT I Curbside 7' Storm Sewerl'M:f1fli!~lOn Center, Those rule~ aIee~etfo.rth COMMENCED l1trfS''A'8~wro FOR Curb and Gutter Speclallnstr'll'i'6>JlR 952-o\ltp..m.l~o\l'gwO'A'fI:g~~~fje AY PERIOD. 0090. You may obtain copies of the rules by ANY 180 D Nores: calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332'2344). Paee J of 4 '..i;i;",\'~ _S~R!N~I!lII!J,._qi'_ " !;\' Status Issued 225 Fifth Streer, Springfield, OR 541,726-3753 Phone 541,726-3676 Fax 541-726-3769 Inspeclion Line Description Tvpe of Construction Gara2e/Misc SFlDuplex U VB Utilitv R-3 VB 1&2 Familv Fee Description Plan Review Residential + 12% State Surcharge + 5% Technology Fee Temp Power 200 amps or less + 12% Slate Surcharge + 5% Technology Fee ] st Appliance 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permil Exhaust Hoods Fire SF Fee - Residential Plan Review Major - Planning Plan Review Residenlial PW Disc - 2nd Permit Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvemenl SDC MWMC Reimbursement SDC Sanilary/Storm Admin SDC Tran Reimburs-Residenlial SDC Tralls Improvement-Resident SDC Transportation Admin Sidewalk Permit Storm DrainagC'!mpervious Area Vent Fan WiIlamalane Single Family + 12% Slate Surcharge + 5% Technology Fee Low Vorlage - Residential Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 1'\' CITY OF SPRINGFIELD Building/Combination Permit PERMIT.NO: COM2009-01805 ISSUED: 01/11/2010 APPLIED: 12/17/2009 EXPIRES: 08/0512010 VALUE: $ 219,528.00 I Valuation, Descriotion I $ Per Sq Ft or multiplier $37,72 $96.83 Square Footage or Bid Amount 809.00 1,952.00 Value Date Calcnlated $30,515.48 $189,012,16 $219,527,64 12/2812009 ' 12/28/2009 Total Value of' Project J;'pr<'~, ~~': Amount Paid $J,037.41 ' $7.56 $3.15 $63.00 $J99.46 $J 00.96 $79,00 $337,00 $38.00 $1,197.15 $88,00,. $13,00 $138.05 $2J 1.00 $-259,26 $-30,00 $617,30 $8J 1.8J $10,00 $1,044.54',,.; , .. ". $101.97 "; $176,86' $2II.2J' $931.65 $74,24 $88,00 $1,293,59 $36,00 $2,858,00 $31.92 $13.30 $32.00 $134.00 $100.00' Date Paid Receipt Number 12/17/09 12/28/09 12/28/09 12/28/09 VII/IO VIllI 0 VI VI 0 VII/IO VII/IO VII/IO VIlIIO VIlIIO VIllI 0 VI VI 0 VII/IO Vll/IO VJ VIO 1/11/10 III VIO VIllI 0 VII/IO VII/IO VIllI 0 V] VI O' VII/JO VII/J 0 VIllI 0 VII/JO VI VI 0 2/J01I0 2/10/10 2/10/10 2/10/10 ' 2/10110 3200900000000000814 220090000000000J430 220090000000000J430 2200900000000001430 1201000000000000027 1201000000000000027 1201000000000000027 1201000000000000027 1201000000000000027 1201000000000000027 120J000000000000027 120J000000000000027 120J000000000000027 J20J000000000000027 J20J000000000000027 J20J000000000000027 120J000000000000027 1201000000000000027 1201000000000000027 1201000000000000027 1201000000000000027 1201000000000000027 1201000000000000027 1201000000000000027 1201000000000000027 ]201000000000000027 120J000000000000027 J201000000000000027 120J000000000000027 2201000000000000132 2201000000000000132 2201000000000000132 2201000000000000132 2201000000000000132 Pa2e 2 of4 Status ;.;;,-" CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01805 ISSUED: 01111/2010 APPLIED: 12/17/2009 EXPIRES: 08/05/2010 VALUE: $ 219,528.00 Issued , :-..' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line :~': : Total Amount Paid $]],789.87 Plan Reviews I, Initial Review , 12/22/2009 12/22/2009 OK DJB Structural Review J 2/2 9/2 009 . J 2/29/2009 WE KLK Completed Jst slructural plan review, Adair to provide enginering for /loor/ledger system. PlanniD!! Review J 2/22/2009 12/30/2009 APP DDK Submitted delaHed LOMA document shows that the proposed structure is not within a Special Flood Hazard Area. See attached documents. 3 Street trees required: I - 16th Slreet, 2 - Vera. l.:ttt;,' "';, Structural Review 12/3 J/2009 12/3J/2009 WI KLK Public Works Public Works Review 12/30/2009 01l05/20JO APP LKW Storm water to curb via weephole Structural Review 12/22/2009 01107/20JO APP CJC As noted on plans- review by Kip Kaufman 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. I I Rf>nilirlflol~prtillfnli', I Temporary Electric: Approval required prior to Utility Company energizing pole. Ufer Electrical Ground: Install ground rod al footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms arc erecled but priol;loconcrete placement. Post and Beam: Prior tonoor insulation or decking. \;-, , floorlnsulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials, framing Inspection: Prior 10 cover and after all rough in inspections have been approved. Walllllsulation: Prior to cover. Ceiling Insulation: Prior to cover. Roof Sheathing/Nailing: Before covering sheathing with finish material. Paee 3 of 4 CITY OF SPRll~tjl<u.LD Building/Combination Permit Status Issued PERMIT NO: COM2009-01805 ISSUED: 01/11/2010 APPLIED: 12/17/2009 EXPIRES: 08/05/2010 VALUE: $ 219,528.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541"726-3676 Fax 541-726-3769 Inspeclion Line Final Building: After all required inspections have been requested and approved and lhe building is complete, . ' .j~; " . ' ;. ' Underground Plumbing: Prior to filling the 1I'5nch and including required tesling. Perimeler Foundation Drains: After graverind filter c101h is installed but prior to backfill., UnderOoor Plumbing: Prior to insulation or decking. UnderOoor Drain: Prior to covel' or placemenl of concrete, Rough Plumbing: Prior 10 covel' and including required testing, Water Line: Prior 10 filling trench and including required lesting, Sanilary Sewer Line: Prior 10 filling trench and including required lesting, Storm Sewer Line: Prior 10 filling trench, Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Covel' Final Mechanical: When all mechanical work is complele. Temporary Electric: Approval required prior to Utility Company energizing pole. Ufor Eleclrical Ground: Install ground rod at footing and call for inspeclion in conjuction wilh footing and/or foundation inspection. Rough Electric: Prior to Covel' Electric Service: Approval required prior t~ ~tility'c~mpan; energizing service. '('.:!. ';!. . , " Low Voltage: Prior to covel', <; i Final Electric: When all electrical work is complele. Curbcut" Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed, By signature, I state and agree, that I have carefully examined'the conipleted application and do hereby certify lhal all information hereon is true and co....ect, and I furlher certify tbat any and all work performed shall be done in accordance wilh lhe Ordinances of lhe City of Springfield and the Laws of the State of Oregon perlaining 10 the work described herein, and lhat NO OCCUPANCY will be made of any structnre wilhout permission of the Community Services Division, Building Safety. I further certify thaI only contractors and employees who are in compliance with ORS 701.005 will be used on lhis project. I further agree to ensure lhat all required inspections are requested at the propel' time, that each address is readable from the street, that the permit card is located al the front ,of the property, and lhe approved set of plans will remain on the site at all times during construction. Owner or: Contractors Signature Dale . ~:" ' t: ,; .'1 ~t , ;'Cj\ Pa2e 4 of4 225 Fifth Street Springfield, Oregon 97477 '541-726-3759 Phone Job/Journal Number COM2009-0 1805 COM2009-0 1805 COM2009,Ol805 COM2009-0 1805 COM2009-0 1805 Payments: Type of Payment Check cReceintJ RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2201000000000000132 Date: 02/10/2010 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Low Voltage - Residential + 12% State Surcharge + 5% Technology Fee Paid By INTERSTATE ELECTRIC, INC Item Total: " Check Number Authorization, Received By I Batch Number Number How Received njm . 17837 By Mail Paymenl Total: " .',',r',' , ;&:', '.' Page I of I I :26:00PM Amount Due 134,00 100,00 32,00 31.92 13,30 $311.22 Amount Paid $311.22 $311.22 2/1 0/20 I 0