HomeMy WebLinkAboutPermit Electrical 2010-3-31
225 Fiftb Stred. Springfirld, OR 97477. PH(541 )726-3753. FAX(541 )726-3689
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Permit no.:
, Electrical Permit Application
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iCIT"Y OF SPRlNGFIEDDtOREGON(, .
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Date: 3-3/-10
Tbis permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started witbin 180
days of issuance or if work is suspended for 180 days. . .
;Iv:, .;: 'lOCAl:-i~I,jVERNMENT:;~AP.I?RbvAfr~", ~";;~;'2;
Zoning approval verified? DYes D No
,
'CATEGORY. OF CONSTRUCTION-
l.z(Residential I 0 Government I 0 Commercial
I:!i~ . "JOB . SITE'INFORI\IIAUON0'AJIlD'LOCATION:,";+:
Job site address: 5 2 0 .s ((2....J 7f .8
City: S~ f b I State: &>J.-. I ZIP: C, 7" 7 ~/
Reference: \ 70L 32 >3 I Taxlot.:OS 'Ol::)
, . "'i,DESCRiPTION.OF).WORK;';~.'.' . ',,,;
Ir..l.l I A. ~Y'L ;J C \rc."""";+ ~ Services or feeders: installah"on, alteration, relocation
, 200 amps orless (2) $ 81.00 $
"';';';; .:\!,"1':.,'PROPER'tY,o.WNER';;i/:;'. '-',. :?~. 201 to 400 amps (2) $ 95.00 $
Name: Uj.AytJ~' ._!fh)l>V\ rO~J~/...r - 401 to 600 amps (2) $158.00 $
Address: . I B rD r"JILJ...7"R. LA1.c..E *.; 601 to 1,000 amps (2) $205.00 $
City:dlcL/\ fA J: I StateCA I ZIP;?SOJS Over 1,000 amps or volts (2) $469.00 $
Phone: _ _ I Fax; _ _ Reconnect only (2) $ 63.00 $
E-mail: u.TTENTION:Ore9o.~\..~\!M.i\QsorfeederS:instal/ation.alteration.relocotion
This installation is being made on residentiaU;ifilrffil(;,r3pe'r1Y.f"vT ~ IMb~ $ 63.00 $
owned by me or a member of my immediatdamily:HFliis,en.er. 'h h3i/;\,t0lVR~l<>(lQ1. $ 87 DO $
property is not intended for sale, exchange,..lea.s.eFoiJfenf.l~A@1 0 r. {. ell..IJY .
479.540(1) and 479.560(1). . 0090. You may obtai C'~~r~e 'TlI . $126.00 $
Signature: ... ". calling the ?:nt;;~~, ~. OWRelllibl\OO volts, see services or feeders section above
',:. ,.~' CON'TRACTOR',"INSTAl:.Ii:ATli:jN~".'':: .'M '0'.1" OC ,mlln2S4i1-),uits: new, alteration, extension per panel
Business name: E" 575/0 E El....tC.,JlI ( a. Fee for brancb circuits with purcbase ofa service or feeder fee:
Address: 3 -g ). S' J B05 C A (] f LA N f Each branch circuit $ 6.00 I $
City: 5P';CD I State: 0(( I ZIP: C) 7 Y7'j( b.Feeforbrancbcircuitswitboutpurchaseofaserviceorfeederfee:
Phone: 5 I.( 1- 7 y: / -( Y'191 Fax: - '7 Jr;, - <f1(,o First branch circuit (2) \
E-mail: Rt:./C (;; /U7510 ( ra YfI !IuD', COm Each additional branch circuit 2 $ 6.00
CCB license no.: J /'J 7 "7 (j I BCD license no.:.;2.0 -Vu S'c. Miscellaneous fe..: service or feeder not included
Signing supervisor's license no.: \f 7 ) 7 s Each pump or irrigation circle (2) $ 63.00
Print name of signing supervisor: F,o G- (!( I~ IIv G- : _EaCh sign or outline Ii . ~ $ 63.00
Signature of signing supervisor: \J "-" I l~ NU.~\~ ~~ ~ /l.t1\itb ~~M'" $ 63.00 $
~1\-IOR H . . 'flI~l,)ii.\;,'::(I) $58.00 $
_nO ~ CONlN'l'C. :;.^tl.~IAPPWCANT"USE.: ,::.
~\j1;:P"" ~<:j p..N'{ '11\ 'tl'\.) cntersubtotalofabovefees $
~,~ - t\.\.~ (::~:~~:.::::::;~:.:O~]) $ ~~<f
\ '" J>:--' " ~ A. (C) Technology Fee (5% of [A]) $ 3 .76-
,,'J \)-" TOTAL fees and surcbarges (A tbrough C): $ "7 0 :t ·
.,,)3::. y- .:",:-:'FEE~:S~HEDULE~' "."" "
r." '>''''''''':,--,':'-'7:"C'T:>.'''.'.'',"'''':,';' !'J:'" . . '~':"7~!
'~p':'ber'ofinsp~~t)oris p.... ite!n\) . Ql)i. ~st." (Total
, . _., ._'.. E."" . ., .".,,,-_ '.n . . ,cost
Residential, per unit, service included:
1,000 sq. ft. or less (4)
Each additional 500 sq. ft. or portion
thereof
$134.00
$
$ 25.00
$
Limited energy (2)
Each manufactured home or modular
dwelling service or feeder (2)
$ 32.00
$
$ 63.00
$
$ 55.00
$.$S'
$ fL
$
$
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,
44o.2584-J (9/08/COM)
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00386
ISSUED: 03/30/2010
APPLIED: 03/30/2010
EXPIRES: 09/30/2010
VALVE: $ 15,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 520 S 42ND ST APT B
ASSESSOR'S PARCEL NO.: 1702323305900
Springfield TYPE OF WORK: Four-Plex
TYPE OF USE: Repair
PROJECT DESCRIPTION: Repair water damaged 4-plex units Band D
Residential
Owner: THOMPSON WAYNE D
Address: 1890 CRATER LAKE AVE
MILPITAS CA 95035
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor License
DA VIS BROS GENERAL CONTRACTORS IN63275
EASTSIDE ELECTRIC INC 117770
DA VIS BROS GENERAL CONTRACTORS IN63275
JOHNS PRECISION PLUMBING 158279
BUILDING INFORMATION ~
Expiration Date
03/31/20 I 0
10/0412011
03/31/20 I 0
02/04/2012
Phone
541-683-9309
541-915-9828
541-683-9309
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Coostructioo Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
No
I DEVELOPMENT INFORMATION ~
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
..Oyerlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Page I of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion ,
Description
Tvpe of Construction
$ Per Sq Ft .
or mnltiplier
Square Footage
or Bid Amount
Total Value of Project
~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Building Permit
Fixture
Vent Fan
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$46.4r, /, . .'
$19.34"" .<.
$79.00' , .
$184.75 .
$1l4.00
$9.00
$8.04
$3.35
$55.00
$12.00
'~. -,
r. ,
....,.
Total Amount Paid
$530.89
I Plan Reviews ~
Date Paid
3130110
3130/10
3/30/10
3/30/10
3/30/10
3130110
3/31/10
3/31/10
3/31/10
3/31/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20]0-00386
]SSUED: 03/30/20]0
APPLIED: 03/30120]0
EXPIRES: 09/30/2010
VALUE: $ ]5,000.00
Value
Date Calculated
Receipt Number
2201000000000000294
2201000000000000294
2201000000000000294
2201000000000000294
2201000000000000294
2201000000000000294
1201000000000000281
1201000000000000281
1201000000000000281
1201000000000000281
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.
~e~lJireCUnsnections ~
Framing Inspection: Prior to cover and aft~,r ail rough in inspections have been approved.
Drywall: Prior to taping.
Ceiling Insulation: Prior to cover.
Wall Insulation: Prior to cover.
Rough Plumbiug: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work.;s complete.',,:
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Paee 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00386
ISSUED: 03/3012010
APPLIED: 03/3012010
EXPIRES: 09/30/2010
VALUE: $ 15,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Electric: Prior tu Cover
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Final Electric: When all electrical work is complete. .
. 1
Final Building: After all required inspections have been requested and approved and the building is complete.
By signature, I state and agree, that 1 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 ofany 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
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.
Owner or Contractors Signature Date
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City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
, . .
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
11: 11 :04AM
1201000000000000281
Date: 03/3112010
Job/Journal Number
COM2010-00386
COM20 I 0-003 86
COM20 I 0-00386
COM20 I 0-003 86
Payments:
Type of Payment
CreditCard
cRcceiotl
Description
Add, Alter, Extend Circ
Add, Alter, Extend Clrc Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
55.00
12.00
8.04
3.35
$78.39
Paid By
ROGER KING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
00590c In Person
Payment Total:
$78.39
$78.39
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3/31/2010