HomeMy WebLinkAboutPermit Electrical 2010-7-20
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00337
Approval Code: T9672Z 7/20/2010 5:29 pm
E-mailedTo:sylliaasenfamily@msn.com
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City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
o New Construction
IKl Addition/alteration/replacement
D Hazardous locations
o A service or feeder rated at
600 amps or more
o BuHdfngs more than three stor
o Marinas and boat yards
D Floating buildings
o Commercial-use agricultural
buildings I
o Installation of a 150 KVA or
larger separately derived sys
O "Au "En or "[-2" or "[.3"
, ,
D Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
Please check all that apply:
D A service or feeder beginning
at 400 Amps where the
available fault curren! exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
[Z] 1 or 2 family dwelling
o Multi-family 0 Commercial
o Accessory
I" :'.. t"-;'v,JOB'SllE:i!llFORMATiONI.A,ND LOCATION,
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Job Address: 879 RIVER KNOll WAY
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg./apt.no.:
Project Name: Landon residence
Cross Streetfdireetions to job site:
1703234304000
Tax map/parcel no.:
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Description
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Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
Electr!c~J.'F,J()rrnitFees,",:;0~
Subtotal
Slate surcharge (12% of permit
total
Technology fee (5% of permit total)
Installation of 5 new branch circuits for addition to residence and ductless heat
pump system.
$55.00 $55,00
4 $6.00 $24.00
$79.00
$948
$3.95
$92.43
Name: wayne Svlfiaasen
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Phone: 541-556-4034
Fax:
Email:
TOTAL PERMIT FEE
Elec lie. no.: C361
CCB lie. no.:
179416
Business Name: FIRST LIGHT ELECTRIC INC
Contact:
Address: 88097 CHITA LP
CitylStatelZIP: SPRINGFIELD, OR 97478
Fax: 541-726-2691
Phone: 541.726-2961
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Email: SYlLlAASENFAMILY@MSN.COM
Metro lie. no.:
City lie. no,:
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Supervising Electrician's lie, no.:
4440S
WAYNE M SYLLlAASEN
Supervising Electrician's Name:
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
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Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTET This Authorization To Begin Work expires within 180 days if a permit Is not obtained.
The local building department may determine that an Authorization To Begin Work is null and
void If it does not meet applicable land use laws and local ordinances,
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be poste(at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00625
ISSUED: 06/10/2010
APPLIED: 05/17/2010
EXPIRES: 01/16/2011
VALUE: $ 45,000.00
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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SITE ADDRESS: 879 RIVER KNOLL WAY
ASSESSOR'S PARCEL NO.: 1703234304000
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Addition to Single Family Dwelling
Owner: LANMAN MARC T & DEANNA
Address: 879 RIVER KNOLL WAY
SPRINGFIELD OR 97477
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Contractor Type
General
Electrical
I CONTRACTOR INFORMATION I
Contractor License
PLEASANT HILL CONSTRUCTION LLC 184107
FIRST LIGHT ELECTRIC INC 179416
BUILDING INFORMATION ~
Expiration Date
10/0112010
11/27/2011
Phone
541-988-4938
541-726-2961
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
VB
~~of Storie,S: 2
, Height of Strnctnre 25.00
Type of Heat: Forced Air Gas
Water Type:
Range Type:
Energy Path:
Sprinkled Building: No
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
261
R-3
288
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Front yard Sethack:
Side 1 Sethack:
Side 2 Sethack:
Rearyard Sethack:
Solar Setbacks:
12.00
Overlay Dist: Total:
~Sireet Trees:Rqd: Handicapped:
: r,~vefdLDtricve Rqd: "TTENTION' G2"5"0-0"n IQW re~~m~:l'~t~u to
100 0 overage.;\ . =., '1 _ 0 - 111 ~.ility
follow rules adoptee, by [1" I "go 0'-'" "
IA,a'AO';"" r.enter. Ttl-Jse rUles are svt f.o: th
I ,Ii\ 952-001-001U tnrougll UMn ~v~-v ,
PUBLIC IMPROVEME~~~,IYOU may obtain copies of the rules by .
calling thSi<rewblk 1iype~:9: the telephone ,
number f'l5 the Oreqon U\ility Notification
"1 \. ',_.", CenY~"Y'Y!l!M9!l~344).
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41.80
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction :
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHEWio.RKr:o;,:
IJTHORIZED UNDER THIS PERMIT IS.:NGT '
- 'ft~1ENGED OR IS ABANDONED FOR
An n6,Y PERIOD,
Notes:
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00625
ISSUED: 06/10/2010
APPLIED: 05/17/2010
EXPIRES: 01/16/2011
VALUE: $ 45,000.00
"..,-
Status
Issued
"
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I V ah:;~~ion D~~cription I
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
45,000.00
Value
Date Calculated
Description
Total Value of Project
$45,000.00
$45,000.00
05120/20 I 0
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Fee Descriotion
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
SDC Storm - Improvement
SDC Storm - Reimbursement
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
,-
Date Paid
Receipt Number
.",. '. ,"
$278.62,;' ,
$51.44
$27.38
$428.65
$119.00
$7.10
$111.06
$30.88 '
$9.48;,L, .L..',
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$3.95.._.;_ .~_._,_.;..,
$55.00".,',' ..
$24.0Q&iL ,') --'
5/17/10
6/10/10
6/10/10
6/10/10
6/10/10
6/1 0/10
6/10/10
6/10/10
7/21/10
. , 7/21/10
7/21/10
7/21/10
1201000000000000476
1201000000000000657
1201000000000000657
'1201000000000000657
1201000000000000657
1201000000000000657
1201000000000000657
1201000000000000657
3201000000000000462
3201000000000000462
3201000000000000462
3201000000000000462
Total Amount Paid $1,146.56
I Plan Reviews I
Structural Review OS/20/2010
Initial Review 05120/2010 '05/20/2010 APP DJB
..
Plannine: Review OS/2012010 OS/21/2010 APP DDK
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Public Works Review OS/2012010 ,;' '\'05/2612010 APP BJG
Structural Review 06/0312010 06/0312010 WE KLK
Storm SDC's are all that apply. No
other public works issues.
Provide: 1) Engineer's Addendum
for notching engineered beams, 2)
Special Inspection Form.
Structural Review
06/07/2010
06/07/2010 APP
KLK
Provide signed electrical permit
application.
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CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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PERMIT NO: COM2010-00625
ISSUED: 06/10/2010
APPLIED: 05/17/2010
EXPIRES: 01/16/2011
VALUE: $ 45,000.00
Status
Iss u ed
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.
lJeo~~i,~ecJJ ~snections i
t,
Ufer Electrical Ground: Install ground rod'a'H'ooting'and call for inspection in conjunction with footing and/or
f ;.:~.~;,. .
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to Iloor insulation or decking.
Floor Insulation: Prior to decking.
Sbear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and afte~ all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roof Sheathing/Nailing: Before covering sheathing with tinish material.
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Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Bnilding: After all required inspections have been requested and approved and the building is complete.
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Rough Mechanical: Prior to Cover .? J#t*'_,.}~,.~;~:;\,\>,,!! ~o ')
Final Mechanical: When all mechanical workis,complete.
Ufor Electrical Ground: Install ground rod~~i ranting :Iud cail for inspection in conjuction with footing and/or
foundation inspection.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
Epoxy Anchors: To be done by Certified Spc,iallnspector. ,Proyide Inspection results to City Building Inspector.
Special: See Plan Reviewer or Inspectors Notes for spec,ific, requirements.
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" Page 3 of 4
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00625
ISSUED: 06/10/2010
APPLIED: 05/17/2010
EXPIRES: 01/1612011
VALUE: $ 45,000.00
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By signature, I state and agree, that I have carefully e~amined th~ completed application and do hereby certify that all
information bereon is trne and correct, and I fnrther certify thai' any arid all work performed sball be done in accordance with
the Ordiuances of the City of Springfield and tbe Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure withont permission of the Commnnity 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.
Owner or Contractors Signature
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Date
225 Fifth Street
Springfield;Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000462
8:29: I2AM
Date: 07/21/2010
Job/Journal Number
COM20 I 0-00625
COM20 I 0-00625
COM20 10-00625
COM20 I 0-00625
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ J 2% State Surcharge
+ 5% Technology Fee
Amount Due
55.00
24.00
9.48
3.95
$92.43
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Item Total:
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Payments:
Type of Payment
ONLINE CHGS
cReceiotl
Paid By
ONLINE PERMIT CHGS
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
NJM
$92.43
ONLINE
FIRST In Person
LIGHT
Payment Total:
$92.43
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7/21/2010