HomeMy WebLinkAboutPermit Electrical 2010-7-29
Eleelrical Permit Application
225 F;ftb Street. Springfield, OR 97477 tPH(541 )726-3753+ FAX(S41 )726-3689
DEPARTMENT USE ONLY
(QtM Z:O,O .00 lOOt?
Permit no.:
Cny OF,SPRI~GJ?IELD, OREGON.
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Date: 7 - z,1- / c...::>
Tbis permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of is sua nee or if work is suspended for 180 days.
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE
Zoning approval verified? DYes DNo Number of inspections per item () Qty. Cost Total
CATEGORY OF CONSTRUCTION ea. cost
.B1fesidential I 0 Government I 0 Commercial Residential, per unit, service included:
JOB SITE INFORMATION AND LOCATION 1,000 sq. ft. or less (4) I $134.00 $/~
Job site address: fl.",",' ~ LL.. ~ / zoc> 3'" .f.. ~dditional 500 sq. ft. or portion $ 25.00 $
of
City: S.f>I~~ I State: o-Q.. 'I ZIP: ~'t.(78 Limited energy (2) $ 32.00 $
Reference: I Taxlot.: Each manufactured home or modular $ 63.00 $
DESCRIPTION OF WORK dwelling service or feeder (2)
U ,- , , ..1...f! LL. . ~ fE Services or feei:lers: ins/alia/ion, alteration, relocation
200 amps or less (2) $ 81.00 $
PROPERTY OWNER 201 to 400 amps (2) $ 95.00 $
I"nl,,,,~} (~\\.a... Co ..,." 401 to 600 amps (2) $158.00 $
Name: .J.oA.L
Address: yo ~O)<" L/) 601 to 1,000 amps (2) $205.00 $
City: '1"A<;f~ I State: OIL... ZIP: 9 7'(J f Over 1,000 amps or volts (2) $469.00 $
Phone: - - I Fax: - - I ~ ~~connect only (2) $ 63.00 $
E-mail: .-.}\~~;( .:: ' ~~~'iiorary services or feeders: installation, alteration, relocation
This installation is being made on residential or farn:~llPe!JP\<Y~ % ~ h~ffim or less (2) $ 63.00 $
owned by me or a member of my intmediate family 'A'S' 'l-r,"<- ~ ~1:::'iQI:{9ll:amps (2) $ 87.00 $
property is not intended for sale, exchange, le"6,;;of'!Ollt. ~~,Q ~~ ',n.~\' '1;""6
479.540(1) and 479.560(1)., ~ f;?,e -<",'(;-0 0".- <; ,,' <<iIO,\~60 amps (2) $126.00 $
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S;_, ~,:.'"'^"''' ~:~ ""y.'~~~00 amps or 1,000 volts, see services or feeders section above
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CONTRACTOR IN R)" ~'O"-(>' ~',,'\i ~~':Bi-"ancb circuits: new, alteration, extension per panel
Business name: \) Mt\ ~e" . . ~'/;''6t,:'e<:--,e;'''\e9:<:)'i' ." a Fee for branch circuits with purchase of a service or feeder fee:
Address: 7Ro 5n 57~ ~~~:\'\(':;~" Each branch circuit $ 6.00 $
City: <""Y>.v~r;..fJ I State: ~\.lk:;~:i~Ie~7l.i 7 $1 b. Fee for branch circuits without purchase of a service or feeder fee:
Phone: ~t7 '-.305<; I Fax:5/~v' ~- 1IJ1 Z- Firsl branch circuit (2) $ 55.00 $
E-mail: Each additional branch circuit,.~~{, " _~ :">.1 $ 6.00 $
CCB licenseno,:?O_4.<;"fl{' I BCD license no,: //t.OZI Miscellaneous fees: service Orje~~d.~..:
Signing supervisor's license no.: '-1~S'fS Each pump or irrigation circle (2) ~ ~ ~'63.00 $
Print name of signing supervisor;"'...... '^^, M1Ao...... Each sign or outline lightingJW <">~ ~ $ 63.00 $
Signal circuit or a lim~~~~ .'
Signature of signing supervisor: \ "\.. - 1...- alteration, or exteosio -<.; _.jf. $ 63.00 $
'- ./ Eacb additiPna~"''iji~~ (tv
$58.00 $
'~ ':. ",,-'V" -""-".c-. "~T USE , "-',
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~~~~ ~~.~ (A)~~~oljlY~!()\ es $ I sl{
(Miri'~~~~~"'~ RJ~58.00)
~% t\.~ (B) Entef\2'~e (-12 x [AD $ Ib C>~
~~ (C) TechnologyFee (5% of [AD. $67-
TOTAL fees aDd surcbarges (A tbrougb C): $/ Sb?S
440-2584-J (9/08/COM) .
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01009
ISSUED: 07/29/2010
APPLIED: 07/29/2010
EXPIRES: 01/29/2011
VALUE: $ 1,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 200 37TH ST
ASSESSOR'S PARCEL NO.: 1702314202800
Springfield TYPE OF WORK: Dryrot
. '. '. TYPE OF USE: Repair
PROJECT DESCRIPTION: Dryrot repair, rewire,'replumb'and re vent
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Residential
Owner: WILLIAMS CONSTRUCTION COMPANY INC
Address: PO BOX 2158
JASPER OR 97438
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
WILLIAMS CONSTRUCTION CO INC
DONALD MARVIN HORTON' . ~. .
OWNER
OWNER
License
157195
116021'
Expiration Date
10/08/2011
07/2512011
Phone
541-521-2110
541-726-902 I
BUILDING INFORMATION'
# of Units: # of Stories:
Primary Occupaucy Group: R-3 Heig,ht of Structure to
Secondary Occupancy Group: ATIElcJTION: ore~em~wres Y~~i1ity
Primary Construction Type foll.oWB~les adopt \i.'{. lll&~~~~~et forth
Secondary Construction Type: Notification center.~~.~ ebAR 952-001-
# of Bedrooms: In OAR 952-001-00Jtl:1 h-"th I by
0090 You may ob@n. . UT..e ru es
. caliino the center-p(ffil ~. t...II'I~f/!~hone n/a
numberd~$~)TJ~~R"MAvTioN I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ,
Street Improvements:
Storm Sewer Available:
Special Instruction:
.Std.~);l:~.!~.Type: ,
NOTICE: I'IR~ W"IWWO~ai~S:
T\-lis I'ERMli S\-l~L\. ~\-IIS PERMit \5 NO~X
AUT\-IORIZED UNDE: ABANDONED fOR. }::,;>:
COMMENCED OR '. .,,;,:,.,.. .
ANY i 80 DAY PERIOD. .
Notes:
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225 Fifth Street, Springfield, OR
54i-726-3753 Phone
54] -726-3676 Fax
54]-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01009
ISSUED: 07/29/2010
APPLIED: 07/29/2010
EXPIRES: 01/29/2011
VALUE: $ 1,500.00
Status
Issued
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I Valuation Description I
Estimate
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage'
or Bid Amount
1,500.00
Value
Date Calculated
Description
Tvpe of Construction
;rotal V~lue of Project
$1,500.00
$] ,500.00
07/29/2010
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1 st Appliance
Building Permit
Dryer Vent
Fixture
Residence Wiring 1000 Sq Ft
Vent Fan
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Amount Paid1 .,
Date Paid
Receipt Number
$56.28
$23.45
$79.00
$58.00
$9.00
$171.00
$134.00 .
$18.00
7/29/10
7/29/10
7/29/10
7/29/10
7/29/10
7/29/10
7/29/10
,.' : 7/29/10
]20]000000000000842
1201000000000000842
120]000000000000842
1201000000000000842
]20]000000000000842
1201000000000000842
120]000000000000842
1201000000000000842
Total Amount Paid
$548,23,..... ,
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I Plan Reviews ~
To Request an inspection call the 24 hour rec\lrding at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, insp;t{ctions.requested after7:00 a.m. will be made the following
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work day. . .1:;1: (.;i';r;;",.
t'>~:.J,"'1 . !Z<,"~
l..Re~"~iitedJn~n~{'tions I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Floor Insulation: Prior to decking.
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been request~d and approved and the building is complete.
Rough Plumbing: Prior to cover and including. required te~ting.
Final Plumbing: When all plumbing work::is co~plete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Paee 2 of 3
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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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Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01009
ISSUED: 07/29/2010
APPLIED: 07/29/2010
EXPIRES: 01/29/2011
VALUE: $ 1,500.00
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 I further certify that any and all work performed shall be done in accordance with
tbe Ordinances of the City of Springfield and the Laws of tbe State of Oregon pertaining to the work described herein, and
tbat NO OCCUPANCY will be made 9f any structure without permission of the Community Services Division, Building Safety.
I further certify t co trac rs 'a d oy es who arc in compliance with ORS 701.005 will be used on this project.
I further agr to ensure ha II r uir in ectio s arc requested at the proper time, that each address is readable from the
street, that t e perm' ard i oca cd ate ont 0 the property, and the approved set of plans will remain on the site at all
times durO cons
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Owner or Contractors Signature
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225 Fifth ,Street
Springficid, Oregon 97477
54]-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
120]000000000000842
Date: 07/29/20]0
8:34:4IAM
Job/Journal Number
COM20 I 0-0 I 009
COM2010-01009
COM20 1 0-0 I 009
COM2010-01009
COM20 I 0-0 I 009
COM20 1 0-0 I 009
COM20 1 0-0 I 009
COM2010-01009
Payments:
Type of Payment
Check
cReceintl
Description
Building Penn it
Fixture
151 Appliance
Venl Fan
Dryer Venl
Residence Wiring 1000 Sq FI
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
WILLIAMS CONSTRUCTION
COINC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
A mount Due
58.00
171.00
79.00
18.00
9.00
134,00
56.28
23.45
$548,73
Amount Paid
djb
$548.73
1973
In Person
Payment Total:
$548,73
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7/29/20 I 0