HomeMy WebLinkAboutPermit Electrical 2010-7-26
225 mth Stree'. Springfield, OR 97477+ PH(541)726-3753 tFAX(541)726-3689
DEPARTMENT USE ONLY
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Permit no.:
Date: 7-Z 6 -/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!OCAL'GOVERIIIMENT "~I?~R()VAlEt:C:"'!:W'; c'"
Zoning approval verified? DYes D No
/~'c..\.!CATEGORy!(jF,:,CONSl'RUCTION'i;'j
City:
Reference:
,
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Residential, per unit, service included:
Total
,'c.ost. '.
$134.00 $
$ 25.00 $
$ 32.00 $
$ 63.00 $
1,000 sq. ft. or less (4)
Each additional 500 sq. ft. or portion
thereof
Limited energy (2)
Each manufactured home or modular
dwelling service or feeder (2)
Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
:PROpERTY OWNER' 20 I to 400 amps (2) $ 95,00 $
Name: 40 I to 600 amps (2) $158.00 $
Address: 6 601 to 1,000 amps (2) $205.00 $
City:5, r; "[ clef? g- Over J ,000 amps Dr volts (2) $469.00 $
Phone:5'J1 -.5:;(- IS r; g--- Reconnect only (2) $ 63.00 $
Signing supervisor's Each pump or irrigation circle (2)
Print name of sig Each sign or outline lighting (2)
. .. '. laW feQu UU \' ". nal circuit or a limited-energy panel,
Signature of Slgnmg supervl~r. 1 : oregon e on a ation, or extension (2) $ 63.00 $
10\10; rules ad~~r.\hose rules ~~ :~i cJOfPh additional inspection: (I) $58.00 $
~0~~~~~~_~g~_001 o~n~~~i~~ ~l the lU\ ~s.l>Y$~W-j)f,)I1l';"!l.'J\Y;}'APf,?LfcA'NT;-USE1i,:~;'~Ji'f~;'~';0-~:t.:-:.'
~090. '(au may obtaI '(Note: the te\ellh Enter subtotal of above fees
calling the centel. on Utility Notll1c ! inimum Permit Fee $58.00) $ '7 7
number lor the.O\~~o0-332-2344)i (B) Enter 12% surcharge (.12 x [AD $
canter IS . .
(e) Technology Fee (5% of [AD $
TOTAL fees and surcharges (A throogh C): $
E-mail: '" < IL4'
This installati n 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, exc ange, lease, or re'lt. OAR
479.540(1) 60(1).
Signature:
Business name:
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Address:
City:
Phone:
E-mail:
CCB license no.,
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440-2584-J (9108/COM)
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Temporary services or feeders: installation, alteration, relocation
200 amps or less (2) $ 63.00 $
20 I to 400 amps (2) $ 87.00 $
401 to 600 anips (2) $126.00 $
Over 600 amps or ] ,000 volts, see services or feeders section above
~~anch circuits: new, alteration. extension per panel
f9r branch circuits with purchase of a se"rvice or feeder fee:
h ,branch circuit
$
. Fee-for branch circuits without purchase of a service or feeder fee:
:."1.".'
, F;f-st branch CirCUIt (2)
Each additional branch circuit
I
I
$5~
$c.,'Z
$ 55.00
$ 6.00
Miscellaneous fees: service or feeder not included
$ 63.00
$ 63.00
$
$
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00458
ISSUED: 04/29/2010
APPLIED: 04/13/2010
EXPIRES: 01/26/2011
VALUE: $ 52,288.00
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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: 6945 B ST
ASSESSOR'S PARCEL NO.: 1702353201900
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.,' ". "Springfield TYPE OF WORK: Single Family Residence
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TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition of master bedroom and family room. Remodel for Master bath.
Residential
Owner: PASLAY GREGORY SCOTT
Address: 6945 B ST
SPRINGFIELD OR 97478
Phone Number: 541-501-1568
I CONTRACTOR INFORMATION ~
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
OWNER
OWNER
OWNER
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License
Expiration Date Phone
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BUILDING INFORMATION i
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: I
R-3 "!I.\;igh,,t o.!St~uc,ture" ' 14.00
: 'Fype of H~at: "orced Air Electric
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VB , \Vater Type:
, Range l)pe:
,Ifnergy Patb: ,
, ,.,.'",.;'!.,;{;:::{,:' Sprinkled Building: No
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
540
.
THis PERMIT SHALL EXPIRE ENT INFORMATION
AUTHORIZED UNDER THIS ;~NED FOR ,-.;/
. Frontyar<t~A!~;(<!!<:\CED OR IS ABAN ., _ ,Oveflay Dist: ,
Side I SetlWflt:180 DAY PERIOD. 9.10 -. . ' # Street Trees Rq~:
Side 2 Setback: Paved Drive Rqd:":',
. Rearyard Setback: 33.10 % of Lot Coverage:~" _ _ _
Solar Setbacks: 0.00 - -- -'''' .'~-,
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REQUIRED PARKING
Total:
Handicapped:
Compact:
26.70
I PUBLIC IMPROVEMENTS I
Street Improvements: ATTENTION: Oregon law requires you Bldewalk Type:
Storm Sewer Available: follow rules adopted by the Oregon Utility." t /D '
. .- . , . Notification Center. Those rules are set fMltrnspou, s ralOS:
Spec..1 InstructIOn. _ in OAR 952-001-0010 through OAR 952-001-
. .. 0090. You may obtain copies of the rules by
Notes: Stormwate~ to eXlstlOg eaves. calling the center. (NoW the telephone
number fod~~, 9re,gqn: Utility ~otification
Centlilr IS t,t!00.332-2344).
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00458
ISSUED: 04/29/2010
APPLIED: 04/13/2010
EXPIRES: 01/26/2011
VALUE: $ 52,288.00
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I V alu~tion Descriotion ~
Descriotion
$ Per Sq Ft
or multiplier
$1.00
~9.6.,83 .
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"TotaLVal"e' of Project
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Tvpe of Coustruction
Square Footage
or Bid Amount
15,000.00.
540.00
Estimate
SF/Duplex
Estimate
R-3 VB 1&2 Family
~
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Building Permit
Fire SF Fee - Residential
. Fixture
Plan Review Minor - Planning
Plan Review Residential
SDC Sanitary/Storm Admin
SDC Storm - Improvement
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ .
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$120.09
$76.18
$37.69
$79.00
$479.86
$27.00' .
$76.00
$119.00-,.....
$19E82.:
$11.27 "
$225.44
$11.64
$4.85
$55.00
$42.00
4/13/10
4/29/10
4/29/10
4/29/10
. 4/29/10
. 4/29/10
4/29/10
4/29/10
4/29/10
4/29/10
4/29/10
7/26/10
7/26/10
7/26/10
7/26/10
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"
Total Amount Paid
$1 ,556.84;'.'.....:...',......'. " , .
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I !-'piiilR~views ~
Structural Review 04/16/2010
Initial Review 04/14/2010 04/16/2010 APP LLH
Structural Review 04/19/20 I 0 04/19/2010 WI KLK
Plannin2 Review 04/16/2010 04/21/2010. APP DDK
Public Wnrks Review 04/16/2010 04/23/2010 .'., APP TSS
.
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Structural Review 04/28/2010 .,' -~04/28/201 0 APP KLK
Pa2e 2 of 4
Value
Date Calculated
$15,000.00
$52,288.20
$67,288.20
04/13/2010
04/16/2010
Receipt Number
2201000000000000351
1201000000000000391
1201000000000000391
1201000000000000391
1201000000000000391
1201000000000000391
1201000000000000391
1201000000000000391
1201000000000000391
1201000000000000391
1201000000000000391
2201000000000000877
2201000000000000877
2201000000000000877
2201000000000000877
Planning and Public Works
Stormwater gutters shall connect to
existing eaves.
Provide Signed Electrical Permit
Application and Pay Fee.
CITY OF SPRINGFIELD
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Building/Combination Permit
Status
Issued
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PERMIT NO: COM2010-00458
ISSUED: 04/29/2010
APPLIED: 04/13/2010
EXPIRES: 01/26/2011
VALUE: $ 52,288.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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, in'spections reque'sted after 7:00 a.m. will be made the following
work day.
lJe~lIirecyn.;;nections ~
Ufer Electrical Gronnd: Install gronnd rod at footing and call for inspection in conjnnction with footing andlor
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placemeut.
Post and Beam: Prior to noor insulation or dec~ing. ....
Floor Insulation: Prior to decking. '.;,;::~ljt ~.~r"i~;~i~~~: ...~
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Shear Wall Nailing: Before covering sheathiiiglwith,finish materials.
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Framing Inspection: Prior to cover and after'all rough in inspections have been approved.
Wall Insulation: Prior to cover.
,
Ceiling Insulation: Prior to cover.
Roof SheathiuglNailing: Before covering sheathing with finish material.
Hold Downs Installed: Special Inspection performed prior to p'lacement of concrete. Provide report to City
Building Inspector. \'-:,
Epoxy Anchors: To be done by Certified Spciallnspecto':. Provide Inspection results to City Building Inspector.
Final Building: After all required inspect!~n.s'havebeen fequested and approved and the building is complete.
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Undertloor Plumbing: Prior to insulation 'or deCking.
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.
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Ufor Electrical Ground: Install ground rod ai:foot(ng:~nd call for inspection in coniuction with footing andlor
foundation inspection. ~~~,}:, .~~~~.~::-::;: >~
Rough Electric: Prior to Cover
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Final Electric: When all electrical work is complete.
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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: COM20IO-00458
ISSUED: 04/29/2010
APPLIED: 04/13/2010
EXPIRES: 01/26/2011
VALUE: $ 52,288.00
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 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 Commnnity Services Division, Building Safety.
1 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 duri onstructio.
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City of Springfield Official Receipt
Development Services Department
Pnblic Works Department
225 Fif~h .street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
2201000000000000877
Date: 07/26/2010
2:36:36PM
Job/Journal Number
COM20 1 0-00458
COM20 10-00458
COM20 1 0-00458
COM20 1 0-00458
Payments:
Type of Payment
Check
cReceinll
Description , kft
Add, Alter, Extend Clrc ';. ,.~ '
Add, Alter, Extend Clrc Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
; 'f
Amount Due
55.00
42.00
11.64
4.85
$113.49
'.
Paid By
GREGG PASLAY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
d'b
. 1..
In Person
Payment Total:
$113.49
$113.49
1451
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7/26/2010