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Home My WebLink AboutPermit Electrical 2010-7-13 "Electrical Permit Application 'CITY'OF'SPRINGFIELD~ OREGON:.. t __ ~. -:"'..... ~ - -' "~.!"' - ~ . _ . . ''',' - , . ,; 225 Fifth Street. Springfield, OR 97477tPH(541)726-3753tFAX(541)726-3689 DEP,ARTMENT USE ONLY Permitno.:@O - 6<0'3 Thispermit is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180 days of issuance or if work is suspended for '180 days. . LOCAV~OVERNMEN:r APPROVAl','.' ,,' Zoning approval verified? 0 Yes 0 No 'CATEGORY;OF'CONSTRUCTION,'" "" , o Residential 0 Government 0 Commercial ~;~;i:{t~::,,,tOI3,:S,ITE"INF()RIViAflO(lIfANDlI:iO.cAtiO(lf,\i;,:~Tt Job site address: ~7::? 7' OP<)I Do"LV City: -?fi-t> ZIP: Q'74-?D Reference: 4])D Taxlot.: DESCRIPTION OF WORK"" C(~.p,,'f-- Awl> IDN ./:, PROPERTY OWNER Name: ZIP: '1'7'-/'7 Address: c; "1 J City: S fF<.-O Phone: E-mail: This ,installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479,540(1) and 479,560(1), Signature: E-mail: CCB license no.:L Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: -G-- ~ ~~"\\ \9.\' \ ~ ~.\~"\O ~~q,. ~ 440-2584-J (9/08/COM) ~ - ~ : ;,c, ;~~_i~i; ~-;,~;~{:~;,(~_!1~~~~;';:~/~i~ EI:),'5 ~ HE..[jJJ~Er~i ;:.!i?~'j~~~jl~:1$!,~~-'il~~~i.~i~~}i.H N~m~~r'~'pnspectio'n~ per ,it~.~' (.)- , Qty. Cost Total . ea; cost . '." . - . --. .. Residential, per unit, service included: 1,000 sq, ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25,00 $ 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 $ 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 a. Fee for branch circuits with purchase ofa service or feeder fee: Each branch circuit $ 6,00 I $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) I $ 55.00 $ I Each additional branch circuit '3 $ 6.00 $ '3 Miscellaneous fees; service or feeder not included Each pump or irrigation circle (2) $ 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 inspectinn: (I) $58.00 $ ;~~1;_~i!'~1J/&~~t&'~j~~1~:'~;;APJ:~~TCA!.N*(/U~fEl:~~._~:~~;', ::/:~-:f:;;':g:i;-i<::(\i .,,:. (A) Enter subtotal of above fees $ 75 (Minimum Permit Fee $58,00) (B) Enter 12% surcharge (.12 x [A]) $ ii'LL (C) Technology Fee (50/. of [A]) $ '](.7\ TOTAL rees and surcharges (A thrnugh C): $ O\'t!-.. i 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line ..> ':, CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00863 ISSUED: 07/1312010 APPLIED: 06/30/2010 EXPIRES: 0111312011 VALUE: $ 23,552.00 Status Issued . ;j SITE ADDRESS: 5939 OBSIDIAN AVE ASSESSOR'S PARCEL NO.: ]802033]02500 Springfield TYPE OF WORK: Bedroom TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition ~_. .~., ~." Owner: GAL]K ELENA Address: 5939 OBSIDIAN AVE SPR]NGFIELD OR 97478. -, ' ' --I ~TI::"I. ('......nnn I~w reOUl~es you to "I I ~ . ted b the oregon Uti lilY foll?W ~~~~~~~~~r. Th:Se rules arll GJO~~CTOR INFORMATION ~ Notl~~952_00i-OOlOthrOugh OAR ~,,~- , ; Contracf,l;lr?vne u ma(;; 9!1,ttiactor.es of the rUkle, S~bY I License (jlJ9b..." 1 'r' . . ':--.".'_~I"'n "0 General ""IlInn the cElRIK ANDRI':.w ):V)\:T~P .. 189660 ~o. '8 _, .~~ I ...Iot:1 "In'n'Cid'~ " Electrical numbet fot t\N?RT.t'WE~3'J]Jf.c.TR]CAL CONSTRUCTI 155877 Plumbing Gent<BJiljil'B~EY PLUMBINGcINC. .;: 84]]0 . I BUILDING INFORMATION ~ Expiration Date 02/22/20] 2 06/13/20] ] 06/24120 ]] Phone 54]-743-304] 54]-466-320] 541-998-]]4] # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Constrnction Type: # of Bedrooms: '.~;:' ." ....- # of Stories: Height of Structnre Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Wall Heat Lot Size: Sq Ft ]st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: 400 R-3 U VB n/a I DEVELOPME~.T,INFORMATION ~ G \j~u",1jj \1' Iii... 1--\01 Front yard Setback:. ft.'f..'i!\?-.t. R~~'i!rl~\Dist: Side] Setback: ~O~\ct. ~\I Sr\~~\\r\\S 'i!t::Jt.S!5~~rees Rqd: Side 2 Setback: r\\S 'i!ft.'i(; \}~ ~Jl.I'\\)O'p-avedDrive Rqd: Rearyard Setback! \l''ir\O?-.\lft.\) \) O?-. \S r>: %of Lot Coverage: Solar Setbacks: r>: \\~~ft.I'\C,t 'i!t.?-,\O\). Jl.1'\'l,ou I PUBLI:.IMPROVEMENTS ~ REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: : :iG.:~ ~C..-->. Sidewalk Type: Downsponts/Drains: . ~jl:J~'g _.1 '. Ii" , . ""l"~j'. Notes: Pagel of 3 ,. '. . II Status Issued 225 Fifth Street, Springfield, OR 541.726.3753 Phone 541.726.3676 Fax 541.726.3769 Inspection Line ,L '~l~.r .1:', . i.,': "<.} , ',', 1,-:-;.,; I Val~~t;~n Descriution ~ Description $ Per Sq Ft or multiplier $1.00 Estimate Tvpe of Construction Estimate Square Footage or Bid Amount 23,552,00 ' Total Value of Project ~ ' ' Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Building Permit Fire SF Fee. Residential Fixture Minimum/Adjustment Plumbing Plan Review Residential Sanitary Sewer. Improvement Sanitary Sewer. Reimbursement SDC Sanitary/Storm Admin + 12% State Snrcharge \ + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amonnt paid $49,14 $20.48 $79,00 $272.50 $20,00 $57,00 $1.00 $177.13.-,::: " , $225A9;;~;;;:; ::: ^,:". :, ' $376,81Lh,l; ._,_... $30.1'1 ~,.," $8.76 $3.65 $55.00 $18.00 Total Amount Paid $1,394.05 .,c. ;J Date Paid 7/9/10 7/9/10 7/9/10 7/9/10 7/9/10 7/9/10 7/9/10 7/9/10 7/9/10 7/9/10 7/9/10 7/13/10 7/13/10 7/13/10 7/13/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO.00863 ISSUED: 07/13/2010 APPLIED: 06/30/2010 EXPIRES: 01113/2011 VALUE: $ 23,552.00 Value Date Calculated $23,552.00 $23,552.00 06/30/2010 Receipt Number 1201000000000000810 1201000000000000810 1201000000000000810 1201000000000000810 1201000000000000810 1201000000000000810 1201000000000000810 1201000000000000810 1201000000000000810 1201000000000000810 1201000000000000810 2201000000000000824 2201000000000000824 2201000000000000824 2201000000000000824 I P,lan Revie'rs f Plan nine Review 07/01/2010 07/02/2010, APP DDK . .:',j(I" Public Works Review 07/01/2010 07/08/2010 APP BJG Structural Review 07/09/2010 07/01/2010 APP CJC No planning issues. NO ADDITIONAL SQUARE FOOTAGE TO IMPERVIOUS AREA. 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, iri~'p~ctIo,n,srequested after 7:00 a.m. will be made the fo"owing work day. it~,~}: . ,:,;:' i-"-- Paee 2 of 3 , Wtl:~~!~~r,I~q it'.. . '.'.",~ , ,., ,..... ..,..,.,.,." CITY OF SPRINGFIELD Building/Combination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line ".~ ' PERMIT NO: COM2010-00863 ISSUED: 07/13/2010 APPLIED: 06/30/2010 EXPIRES: 01113/2011 VALUE: $ 23,552.00 Status Issued '1' . I Reauired InsDections ~ Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and afte~~1I roug.~ in inspections have, been approved. Wall Insulation: Prior to cover. ];.:"l!( EOHS: ., Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. . .. '-',';'" .: Rough Plumbing: 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 is complete. ) ,.,' Rough Electric: Prior to Cover Final Electric: When all electrical work is co.mplete. By signature, I state and agree, that I 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 of any structllre without'permission of the Community Services Division, Building Safety. I fllrther 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.a,re requested at the proper time, that each address is readable from the ~. . ,! "I ~.. . .. street, that the permit card is located at the frollt of,the pr,opel:ty,.alld the approved set of plalls will remain 011 the site at all times during construction ;"';.F'~'. "--~.l"t" " ".; ,;'_n' 7~{~-to Date , .. , ~', t:'f: " ,~~ ;. \tl~: .~/:: :p,at!e'.3 of 3 i.':;~..l ',rie, r;~' t. A' ' 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . fik~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000824 Date: 07/13/2010 9:29:09AM Job/Journal Number COM20 1 0-00863 COM20 1 0-00863 COM20 1 0-00863 COM20 1 0-00863 Payments: Type of Payment CreditCard cReceintl Description Add, Alter, Extend Circ ,~'i~f' ..,' V . . Add, Alter, Extend Circ Ea Add. + 12% State Surcharge + 5% Technology Fee Paid By JESSE RODOLF Check Numher Received By Batch Number cjc J. 'l'~' ,,' I. ; I;.' ;;,,"'" ,. :. ".- (: ~ ,,\}.- Page I of 1 . Item Tata): Authorization Number How Received Amount Due 55.00 18.00 8.76 3.65 $85.41 Amount Paid 02584z In Person Payment Total: $85.41 $85.41 7/13/2010