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HomeMy WebLinkAboutPermit Electrical 2010-7-7 Electrical Permit Application ~~irto~,sP\UNGFIELD,~ 6REGQNX~.: J. - .' -"" -' ' 225 Fifth Street. Springfield, OR 97477tPH(S41)726-37S3HAX(541)726-3689 ,,-,-, DEPARTMENT USE ONLY "-' , (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", '" f/olASC! W I /l..~- .....~+ 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) ~i '~";.~:,:.i~!;.:r~::,\~strfh~ti!~f~?~I5EE;:SCR EJj_lJ l:11;~~;~?<<[~';ttf0{W#~f;~~~~{,,\~0;{;m~ " .. ~.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 ..:, ",:,.Ii; " 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,. : I, ~. ;', \' 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 ,,- .-<.,:~ 'I,:!. '.';'~ ,. ii !;~.j)i:; "'_" 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. . "1 '\':'0r;~; ,I: ''':' Owner or Contractor~ Signature Date ''','', , 'I~' 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: ~ ;.:;~,. :~;a1:1~:~' Page I of I . .' Amount Due 134.00 50.00 63.00 29.64 12.35 $288.99 Amount Paid $288.99 $288.99 ..".~ .....:.... , ;:J:.; ~'~:;:~ ,,\~,}\!{t}i !:., " .- ~.' t,:,I';-':'~'1 7/7/2010