HomeMy WebLinkAboutPermit Electrical 2010-7-7
Electrical Permit Application
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225 Fifth Street. Springfield, OR 97477tPH(S41)726-37S3HAX(541)726-3689
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DEPARTMENT USE ONLY
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(OI;V\ Z-OIU - 00 7 [f ,
Pennit no,:
Date: 7-7 - I 0
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
L::()CAL: GOVERNMENT AP,PB,OVAG"i"":
Zoning approval verified? DYes D No
" ," :.,C/HEGORY;;()F"CONSTRUCTlON'i:. ' ,
jd'Residential 0 Government 0 Commercial
~#~\~OB\1;SITE!INFQRMATIOlllfiAN(j!![O,CA1iION;\'i~\~'JT:"
Job site address: 5" f 7 ., IS sf
City: St>F'b State: oIL ZIP: ') 7,-(7Y
Reference: 70 Z. :> '3;' I Taxlot.: D 7600
DESCRIPTION: OF WORK", '"
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Name:
Address:
City:
Phone:
E-mail:
This installation is being made on residential or fann property
owned by me or a member of my immediate family. This
property is nol intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479,560(1).
ZIP: 97'(7
Signature:
Address:
City:
Phone0
E-mail:
CCB license no.: \
Signing supervisor' 5 license no.:
Print ~ame of signing supervisor:
Signature of signing supervisor:
ATTENTION: Oregon law requires you to
follow rules adoptsd by the Oregon Utility
. # Notification Center. Those rules are sst forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
~ ., palling the center. (Note: the telephone
~umber for the Oregon Utility Notificati9,1).. (\
~ f? 'bO' Center Is 1-800-332-2344). ~~;;,
~~
440-2584-J (9/08/COM)
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" .. ~.Cost Total
,Num~er' ofjnspectio'ris p~r item'O. Qty. ;
. .. ,," .;.. ' .---q', . . .- ..:....- , ea: cost
Residential, per unit, service included:
1,000 sq, ft. or less (4) ( $134.00 $/ ~lf
Each additional 500 sq, ft, or portion 2- $ 25.00 $ $"'0
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2)
Services or feeders: installation, alteration. relocation
200 amps or less (2) $ 81.00 $
201 to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: installation, alteration. relocation
200 amps or less (2) / $ 63.00 $ b~
201 to 400 amps (2) $ 87.00 $
401 to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration. extension per panel
8. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit I $ 6.00 $
b. Fee for branch circuits without purchase ora se.rvice'oi'"feeder fee:
FirsN,aJch4IrCuiJ,(j)"u ~II 'l='J(P\ ElF 11l1r."",,
Eac~..rq~~ .. R lHl' PEflM~IJ.'lij'l-'
Miscelr.\i'e'o'.;stfee,l~fYiAA~etl.lbf"blmWJd fUll ,~:..,'
'llll/'"ll-''' . .,
Each P~rii'P:~;;('Ttg'jtjM'cF<liP(li)D. "$ '63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection: (I) $58.00 $
;~.g~;1/,~*5~~~~lt[kA~1~,~YAR~1~icANTJHJSE~;':;~;t;;'iit._'~~~;~f,;a:~;;t::-:{~;}t;;i, i,:. .'
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00) $ 21.(7
(B) Enter 12% surcharge (.12 x [A]) $ 2~~
(C) Technology Fee (5% of [A]) $ (Z'is"
TOTAL fees and surcharges (A through C): $ 288 <;'f
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00789
ISSUED: 07/01/2010
APPLIED: 06118120]0
EXPIRES: 01/06/20]]
VALUE: $ ]3],284.00
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Status
Issued
225 Fifth Street"Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5179 B ST
ASSESSOR'S PARCEL NO.: 1702333107600
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family residence
TYPE OF USE: New
Residential
Sidewalk Type: ,~.3" :"~C-:\~~~~iY~,~~r~!i,;i;~;:.<'" .
N 011lGi\pontslDtrtxPIRE<\1Dg,W~~r{
1HIS PERNI\i S\'\~ER i\'\IS PERMli \S N .~X:,
AUiHORIZED UNn IS ABANDONED FOH;?~1;;;':
COMMENCED On " "
ANY 180 DAY PERIOD. '
Owner: STEVEN TOFFLEMOYER
Address: PO BOX 197
SPRINGFIELD OR 97477
I CO~'f~€'f0RINFORMATION I
. (/', ^'l~' )."r
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
STEVES MASONRY LLC
L & E ELECTRIC INC
OWNER
OWNER
License
164327
105475
I BUILDING INFORMATION~
"-', ,-,,;,,~,~""""'.."-
# of Units: 1 ..,- # of Stories:
" .'y,', ~ . "
Primary Occupancy Gronp: R-3 H~ight ,of Str~.~ture, 18.00
Secondary Occupancy Group: U ,Type of Heat:, orced Air Electric
Primary Construction/{JjiiNTlON: Qmgon law retWiI'm; ~~.tO' Electric
Secondary Constructifl1ll~les adopted by the ~~rr~U\tY Electric
# of Bedrooms: Notification CentE!!- Those rul~!!f>>!tm!th
In OAR 952-001-0010through~~IHlQhiling: n/a
0090. Vnu mav obtain cooies of the rules bv
calling the center. tt"-lWv.l!t!'hll>~'tNFORMA TION ~
numberfortheOre~_ .
Center is t-800-332-2344).
18.00 Overlay Dist:
1O.00i:'{!r~~i5'r:,,-e~ R~~:
20.00 {P~~d'Drivt;'Rqd:
":'~";i."',,,' 1':',0:."""" ,
14.00%.of Lot Coverage:
0.00
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar SetbaCks:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fnllv Improved
Yes
Storm water to curb
Notes:
I,.
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Page 1 of 4
Phone Number: 541-726-6752
Expiration Date
04/22/20 J J
03/3012012
Phone
541-726-6752
541-933-2653
Lot Size: 6,207
Sq Ft 1st Floor: 1,152
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 400
Sq Fl Other: 48
Occupant Load:
o
Yes
25.70
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
Tvpe of Construction
Garae:elMisc
SF/Duplex
U VB Utilitv
R-3 VB 1&2 Familv
Fee Descriution
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
2 Baths One or Two Family
Addressing Assignment
Building Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Plan Review Major - Planning
Plan Review Residential
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Compliance Charge
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Storm - Improvement
SDC Storm - Reimbursement
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC Transportation Admin
Vent Fan ,
WiIlamalane Single Family
+ 12% State Surcharge
+ 5% Technology Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less .
Total Amount Paid
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
$~7.72
$96.83
, Square Footage
. "or Bid Amount
400.00
1,200.00
Total Value of Project
~
Amount Paid
$619.42;11,'i:' ,,: i'..,
$155.40Y{~~>
$75.30.~ :i 'J~
$79.00 .
$337.00
$38.00
$838.99
, $9.00
$13.00
$80.00
$211.00
$-74.08
$740.60
$1,238.32 ' .:
$10.00"\ ;
$22.63'
$1,333.57
$101.97
$190.45
$666.75
$185.41
$279.54 .
$1140.17 ' :,Y
, "!'i->:\;,
$95.5q:i'lc'\::1
$18.00f ;,-<
":J ..,.J " ~ I
$2,858.00'''. .'
$29.64
$12.35
$134.00
$50.00
$63.00
$11,551.93
..::;1'"..,.::
Date Paid
: : 6/18/10
\",' 7/1110
7/1110
7/1/10
7/1110
7/1110
7/1110
7/1/10
7/1110
7/1110
:i7/1I10
7/1110
,. 7/1110
7/1/10
7/1110
7/]/10
7/1/10
7/1/10
711110
7/1/10
7/1/10
7/1110
7/1110
" 7/1110
7/1110
7/1110
717/10
717/10
7/7/10
7/7/10
717/10
':.1
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00789
ISSUED: 07/01/2010
APPLIED: 06/18/2010
EXPIRES: 01/06/2011
VALUE: $ 131,284.00
Value
Date Calculated
$15,088.00
$116,196.00
$131,284.00
06/25/2010
06/25/2010
Receipt Numher
120]000000000000728
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
3201000000000000364
2201000000000000801
2201000000000000801
2201000000000000801
2201000000000000801
2201000000000000801
',i'lil'
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00789
ISSUED: 07/01/2010
APPLIED: 06/18/2010
EXPIRES: 01/0612011
VALUE: $ 131,284.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,') :r.:;,~',
,'iPliin Reviews ~
Plan nine: Review
06/2112010
06/23/20 I 0
APP DDK
Garage setback sball be a minimum
of 18' from edge of pavement of
panhandle driveway (explained to
homeowner). Inspector to field
verify.
Public Works Review
06/24/2010
06/24/2010
APP LKW
Storm water to tie into existing
system
Structural Review
06/21/2010
06/25/2010
,~ 06/28/20 I 0
WE CJC
Need energy option
Structural Review
06/28/2010
APP CJC
Energy option provided- approved
as noted on plans.
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.
Ueo'-lIire~Tri'~npc'tions I
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Erosion/Grading Inspection: Prior to grou:'iFdisturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab building service equipment, c~nduit piping and other equipment items are in
place but prior to concrete.
Post and Beam: Prior to floor insulation or d~~~ing.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathi~g 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 cover.
Drywall: Prior to taping.
Masonry: "';'I~~'j~ ','Fi~7::;~:' ,;, ""
"u:."f. \~" t,~_,." 'I""!,, ~ 'T'
,,~...:lf...... tr<o,.....'k.... , .
Final Building: After all required inspectio,n,s5h~ve ~:een requested and approved and the building is complete.
Underl100r Plumbing: Prior to insulation o/id€cking.
Undertloor Drain: Prior'to cover or placement of concrete.
Paee 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00789
ISSUED: 07/01/20]0
APPLIED: 06/]8120]0
EXPIRES: 01/0612011
VALUE: $ 131,284.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Rough Plumhing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to tilling trench and including required testing.
Storm Sewer Line: Prior to filling trench. _,_,.., ..... 'e._
Final Plumhing: When all plumbing work is;~~1nlti~;e{::)': . "
/,"'-~I::':' ~::_~ ' ,;: i~.;.: .
Underfloor Mechanical. Prior to insulation ?r: decking and including required testing.
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 electrical work is complete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do herehy certify that all
information 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 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.
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 the property, and the approved set of plans will remain on the site at all
times during construction.
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Owner or Contractor~ Signature
Date
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225 Fifth Street
. .'
Springfield, Oregon 97477
541-726-3759 Phone
...., -. . ~;."., ....
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000801
Date: 07/07/2010
II :45:59AM
Job/Journal Number
COM20 1 0-00789
COM20 I 0-00789
COM201O-00789
COM20 I 0-00789
COM20 I 0-00789
Payments:
Type of Payment
CreditCard
cRcceintl
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddU 500
Temp Power 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
SHERI TOFFLEMOYER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 054948 In Person
Payment Total:
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Page I of I
.
.'
Amount Due
134.00
50.00
63.00
29.64
12.35
$288.99
Amount Paid
$288.99
$288.99
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7/7/2010