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Home My WebLink AboutPermit Electrical 2010-8-6 Electrical Permit Application 1~(Q1]'~.~ 225 Firth Street+Springfield, OR 97477+PH(541)726-3753+ FAX(541)726-3689 .I~ DEPARTMENT USE ONLY lOWlZCIO- 00' J r Pemllt no.: Date: tg-6-1o This permit is issued uuder OAR 918-309-0000. Permits are uontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? D Ves D No CATEGORY OF CONSTRUCTION D Government D Commercial JOB SITE INFORMATION AND LOCATION Job site address: :s 7 ~t.I 00 ~ j:::.-t. City: State: OIL ZIP: '17<<( 7,t Reference: t:>'f 1/8' Name: Address: 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, exchan , lease, or rent. OAR 479.540(1) and 47 .56 (I). Signature: Address: City: Phone: E-mail: CCB license no.: BCD license no.: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: FEE SCHEDULE Number of inspections per item () 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 $ 20 I 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 $ 8 ;~Ol,tg RO!l~ilWRM~)"ou to $126.00 $ P .Qy<;s\6Qp.~](HeillltVi!l\!i, see services or feeders section above 81. if,l),\l~fi' litl:".-.fti1~ s _ ;on. extension per panel ~l~~ri~~~ 'l)'fW\'l~ilMvB7purchase ofa service or feeder fee: t r. (lllCJt~r~~ ~hone I $ 6.00 $ ~ l;g~~rcUlts without purchase of a service or feeder fee: First hranch circuit (2) ( $ 55.00 $ 5; S Each additional branch circuit I $ 6.00 $ 1- Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit or a limited-energy panel, alteration, or extension (2) Each additional inspection: (I) $ 63.00 $ $ 63.00 $ $ 63.00 $ $58.00 $ ~\D co~ N OTI CE: . " ,,",;"i' APPLICANT USE THIS PERMIT SHALL t~f~E"lr~'We-Jl\~ve fees AUTHORIZED UNDER .~~ . $58.00) COMMENCED OR IS A !fl:.argc (.12 x [A]) ANY 180 DAY PERIOD (C)TechnologyFee(5%0f[A]) TOTAL fees and surcharges (A through C): $ b( $ 7~Z. $ S6J $ 7/ :r 440-2584-J (9108/COM) Structural Permit Application CITY OF SPRINGFIELD, OREGON ~ji ::iif:DEPARTMENT'USEONL Y ". .,,\,...~ ,__~ ~'l,L"=d'" " ,,- Permit noy;,,/ !}_ 73) Date: ?//:l}/D " 225 Fifth Street. Springfield, OR 97477 . PH(541 )726-3753 . FAX(54 1)726-3689 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENTf:N1PROV Al This project has final land-use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: 0 Yes D No Property is within flood plain: DYes 0 No ",;j;CATEGOiFfOF" CONSTRUCTION Reference: 04 Name: zIP:,7'ni City: Phone: E-mail: This instal tion is being made on residential or opert)' owned by me or a member of my immediate family, and is exempt from licensing requirements und~S 701.010. Sign here: r I"'(;l . ,CONTRACTOR INSTALLATION Business name: ~#f:.~ Address: City: Phone: E-mail: CCB license no.: Print name: State: Fax: ZIP: Signature: ...0:i.SUB-CONTRACTOR INFORMATION :'; Name CCB License Number Phone Number Electrical Plumbing Mechanical FEE SCHEDULE l. Valuation information (a) Job description: Occupancy Construction type: Square feet: Cost per square foot: Other information: Type of lIeat: HE. 'T PuM f' ~ Energy Path: D new ~a1teration D addition (b) Foundation-only permit? DYes Total valuation: $ 2. Building fees (a) Permit fee (use valuation table): $ CO (b) Investigative fee (equal to [2a]): $ (c) Rcinspcction ($ per hour): $ (number of hours x fee per hour) (d) Enter 12% surcharge (,12 x [20+ 2b+2c]): $ ,. (e) Subtotal of fees above (2a through 2d): $ 3~.~1^~~: review ,f~es (a) Plan review (65% x pcmlit fee [2aD: $ (b) Fire and life safety (40% x permit fee 12aJ): $ (c) Subtotal of fees above (3a and 3b): $ ~.,;; Misc~lIa neou~Jees ~ (a) Seismic fee, 1%(.01 x permit fee f2a]): $ TOTAL fees and surcharges (2e+3c+4a): Stl7 lY 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone a.p.~~:;ao_,~.,. .,,_, ,:. ~; ~._.-:ir City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 220100Q000000000826 J 'c .~.~ ',. r '__',_ _' , , 2:54:02PM Date: 07/13/2010 Job/Journal Number COM20 I 0-00935 Payments: Type of Payment Check cReceiotl Description Plan Review Residential Paid By PATRICK HARTSFIELD -.;-~:;.;f~::~ : d~:, Amount Due 37.70 $37.70 Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid cjc $37.70 $37.70 2958 In Person Payment Total: - -,'. . ;(1"')" till''''';l'-, .)~,:., ' . I. ~;.' _ ~ . .J. ',',J,t.; tI \ . ...' , ~.';':':':';;.~9.'L..{~ . -~.. -1;1.- . , . . i .H)}fr ')~;( ~W'h ':""-;',~:.'" ..~,.,.. Page I of I 7113/2010 :::~:;~~ ;1'" ~ ~ ~ ! "a;";' ~' ~"..," " , "' ,! ., ; ".".' "-"",~..,",..,..,., ._. .~" ....ii;.(.t,.'.I'...> Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ;. SITE ADDRESS: 3766 S REDWOOD DR ASSESSOR'S PARCEL NO.: 1802061204318 ,> '; CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20]0-00935 ISSUED: 08/06/2010 APPLIED: 07/13/20]0 EXPIRES: 02/06/20]] VALUE: $ 2,000.00 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration PROJECT DESCRIPTION: Garage conversion - Convert portion of garage to living room I CON'FRACT0R INFORMATION i License Owner: Address: HARTSFIELD PATRICK K & A C 3766 S REDWOOD DR SPRINGFIELD OR 97478 . ...~:, . ... .' /',' Contractor Type General Electrical Mechanical Contractor OWNER OWNER MARSHALLS INC 25790 BUILDING INFORMATION ~ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories:. Heigbt of ~"Dture' ,T'" . ~oIJ"?~~~ ~ ype!'Jn"'1' ". .._."..~~e~ "o~.. . W, r nM\. RI' . ~ ~~1;;0'l:<;'j '0'\ \'1J.~ 'i1;~ <;,~\..>-e~<,e ~eQ.O<'o 'O'\~~e",-a;' 'llil'0O ~O<' .0 t-.'li \"O"t'O~~:"'" \.~.~ ~~\e'b'8 ;).\: K'RMATION :.<\~~~!)~ ~ ~ *-O~ i;>O r/:!;j ~ 0 ~e\' P.~O~<x'5, 5 \Q ~\~~<j>>~ cl" Qf~r;lWDist: ~~~"~Q,~e ~~0Ii, .~'):e:.tT!.~es Rqd: . ~~ p~ e\ ,Q e<,~~~~d J).~'!y.e Rqd: ~ ~ Q '.j:'%'iif L6fCOverage: ~~ :,~"'~l R-3 VB I PUBLIC [MPROVEMENTS i Street Improvements: Storm Sewer Available: Special Instruction: t~ Notes: " l'" 1\;'. 1. " ~-,,~l.:: '; . , Paee I of 3 Residential Phone Number: 541-556-6817 Expiration Date Phone [2IB/20ll 54[-747-7445 n/a Lot Size: Sq Ft [st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 240 REQUIRED PARKING Total: Handicapped: Compact: 11:- c.... .~\'0~ ~ .; ~""~~'0 & ~~ << <J:~ ~~' ~~ Sidewalk Type: .....~~C:;, 'N'0~ ~-<\"'~ Downspouts/~._~~ ~F ..~.~~ \::i~ ~~. ~'" ~~~.~ f::)~ :f) ~~ s 'X ~~ ~~ ~<v~ ,\'0~'\'0~<V~ ~~ . ~ r:::,~ "Q;;,~ ,,~ ~ -~.'"~\1iiI ......:~\-.~"'.._." . " " , ~Al m.,,, : ,_. ,"___" "__"~_M ->-0"'" J Status Issued ! ':~"':1 I:i,', CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00935 ISSUED: 08/06/2010 APPLIED: 07/13/2010 EXPIRES: 02/06/2011 VALUE: $ 2,000.00 " '\l i ..~. ..~ " '1:;\ .:d i'.:.' "., t ~.; ',~ , 225 Fifth Street. Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I D~scription Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier . " $1.00 Square Footage : ,'or Bid Amount , 2,000,00 Value Date Calculated Total Value ofProjecl $2,000,00 $2,000.00 07/15/2010 ~ Fee Description Amount Paid Dale Paid Receipt Number Plan Review Residential $37.70. ., . 7/13/10 2201000000000000826 + 12% State Surcbarge ._r.. "'J ,: '., ,8/5/10 1201000000000000878 $9.48 'I "p" .'. ;j . <I ,_~_1 . ~. + 5% Technology Fee $3.95'~"":- ':;;;":'.',,=,"01 f.' . '. 8/5/10 1201000000000000878 j' :~ '.' , ~. J', , 1st Appliance $79.00"~' , t'.~ : 8/5/10 1201000000000000878 I .~,~: 'i + 12% State Surcharge $7.32'''' . 8/6/10 1201000000000000881 + 12% State Surcharge $23.40 8/6/10 1201000000000000881 + 5% Technology Fee $3.05 8/6/10 1201000000000000881 + 5% Technology Fee $9.75 8/6/10 1201000000000000881 1st Appliance $79,00 8/6/10 1201000000000000881 Add, Alter, Extend Circ $55.00 8/6/10 1201000000000000881 Add, Alter, Extend Circ Ea Add $6.00 8/6/10 1201000000000000881 Building Permit $58.00 i :"8/6/10 1201000000000000881 '" Fixture $19.00 8/6/10 1201000000000000881 Minimum/Adjustment Plumbing $39.00 :... , 8/6/10 1201000000000000881 '.. . ;'" ':~ . " $429:65,~: : .. Total Amount Paid Structural Review I Plan Reviews ~ 07/15/2010 07/15/2010 07/15/2010 APP DDK 07/15/2010 07/19/20.1 0 APP BJG "':; ~,;. . 'f. ~ t", " I '. ~':C-~.. ,:",- :..~. I No Planning Issues (Interior only) Plan nine: Review Public Works Review No public works issues. To Request an inspection call the 24 hour '~e'c6rdingiat 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. ~eollire1Jnsnections I Post and Beam: Prior to noor insulation or decking. .\ , , Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in i~s'pec'iions have been approved. .: . ~ 'I' :. . Paee 2 00 ,;; .Ii.:' ~ j " CITY OF SPRINGFIELD ~.; ..i: _, 'f ..,I,' Building/Combination Permit .. .t Status Iss u ed PERMIT NO: COM2010-00935 ISSUED: 08/06/2010 APPLIED: 07/13/2010 EXPIRES: 02/06/2011 VALUE: $ 2,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Wall Insulation: Prior to cover. j..':~ ,.... I" Ceiling Insnlation: Prior to cover. . _:::~: ,,'...' . .,11. ''''', ,~ ; , Final Building: After all required inspectiobj~:hh'v~ li'eeri ~equested and approved and the building is complete. Rougb Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rougb Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. "I :' By signature, I state and agree, that I have carefuUy~ex.amined.the completed application and do bereby certify that ail 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. [ 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 tbe 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. ~ :'I!.: \ -\ tl k......" ~/ h //0 , ',. ~" ,~ 'r ':. 'n:!.>...n . ature !-:l~:}ljl Date ':!H;\;,:".:..i,: i " ','.';" "':"\" , " ..",. -.,....~... ...... ~.:;.~' . Pa~e 3 of 3 iF~: 22,S.Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000881 Date: 08/06/2010 11:44:21AM Job/Journal Number COM20 I 0-00935 COM20 I 0-00935 COM20 10-00935 COM20 1 0-00935 COM2010-00935 COM2010-00935 COM20 I 0-00935 COM2010-00935 COM20 I 0-00935 COM201O-00935 Payments: Type of Payment Check cRcceiotl Description ~i~:~::g Penn it ~r~t Minimum/Adjustment Plumbing': .:;:" I st Appliance ." + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surch~ge + 5% Technology Fee ,'h '~;'ij~" H ,,",' ';'r. ~,'~:' "~,.'" Amount Due 58.00 19.00 39.00 79.00 23 AO 9.75 55.00 6.00 7.32 3.05 $299.52 Paid By PATRICK HARTSFIELD Item Total: 'Check Number Authorization Receive(l By Batch Number Number How'Received ,':'.. .,djb 2888 In Person Payment Total: $299.52 $299.52 Amount Paid i"::.."J. ~<~.;~. .t"~}11 .... "I.,' :~:~l S" ,"if "f. -"11", 'r. I, ~':i..:,,, to i "' l.i t: -' -"""--.' .,".1 "...(, . .\:.. .~ J '1'!A. ~:'.1 ' ,. Page I of I 8/6/20 I 0