HomeMy WebLinkAboutPermit Electrical 2010-8-3
Clty Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726.3753
Email: permitcenter@ci.springfield.of.us
CIO'523
Residential Electrical Authorization To Begin Work
69600-BEL-10-00362
Approval Code: 022503 8/3/2010 10:27 pm
E.mailed To: rrobbinselectric@gmall.com
Ml'*''''''''''''^'"tti'l> """'"~ "". <<~... ..-<~ -. .~. --- '"'<_i&41:ISh:_l
1..n""~~,;~-dOB:SITE:INF9RMA'fION'AN[:Jil:i0CATION;'a"'I:vsS",:!?<Ii~
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
Job Address: 960 S 56TH ST
City/State/ZIP: SPRINGFIELD, OR 97478
o Fire pumps
D 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
Suite/bldg.lapt.no.:
Project Name:
Cross Street/directions to job site:
o Hazardo~s locations
o A service or feeder rated al
600 amps or more
o Buildings more than three stor
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 I0IA or
larger seperately dElrived sys
o "A", "E", or "1-2" or "1-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
Branch circuits with service or
feeder each circuit
ejectrIc'ar:-p.er>mit'F,ees~'0q;'~~;~;;Tr~'~i.V~r'\";F-LIH '~4~~""~~~~';,;.';'):3kn1
<, <-<H_" ___'__ __~"",,~,_ 0'1I""",__,~,, ..Iii, .. <"~)'~L"
Phone: 541-988-2049
Fax:
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
Email:
Elec Iic. no.: C589
..,',
189754 ...;......._.. '."..........;.
CCB lie. no.:
Business Name: ROBBINS ELECTRIC lNC
Contact:
Address: 35426 BUENA VISTA
CityfState/ZIP: CRESVVELL, OR 97426
Phone: 541-998-2049
Fax:
Email: RRobbinselectric@Gmail.com
Metro lie. no.:
City lie. no.:
Supervising Electrician's lie. no.:
5275S
Supervising Electrician's Name:
RUSSELL R ROBBINS
Number of inspections included In paid services:'
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Jpon review and approval by your local jurisdiction, your pennil will be' e-mailed or faxed
....ithin one business day, with instructions on how to schedule your Inspection, . .,..--'-_ ..
, r:';I.
..,OTE: This Authorization To Begin Wori< expires within 180 days If a pennit is not 6bt~1iiid. ~",
ll1e local building department may determine that an Authorization To S~~~~ Work is null and
loid if It does not meet applicable land use laws and local ordinances.
$201,00
$24.12
$10.05
$235.17
Inspections Phone: 541-726-3769
~M/ () =a;;;TO Begl;-i;;;~posted~;: until replaced by a Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 960 S 56TH ST
ASSESSOR'S PARCEL NO.: 1802041109300
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00523
ISSUED: 04/30/2010
APPLIED: 04/2812010
EXPIRES: 0112812011
VALUE: $ 213,020.00
Springlield TYPE OF WORK: Single Family Residence
Residential
PROJECT DESCRIPTION: Single family residence
'''-'.~'
TYPE OF USE: New
Owner:
Address:
RONALD & K GALCERAN
2407 19TH ST
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor . _'._. ,,_._... ...
GALCERAN CONSTRUCTION INC
ROBBINS ELECTRIC:::'~:': '."....~
GREGORY ALAN ANDERSON
DOUG HAXBY PLUMBING COMPANY
License
164708
189754
185504
140768
Overlay Dist: Total:
# Street Trees Rqd: 2 Handicapped:
Paved Drive Rqd: Yes Compact:
% of Lot CoveragATTENTION: o?~g8n law requires t
. follow rul "j' you 0
. ...-.., . ." " ,. . es aoop eo by tho OreGon Uti lit
. ."";.Y" ." '.", ~ ,.... ~" l:i
'_H' "', ,-~ . ~"'~" 'U,~I:;;"IUI~~d.(eS8TTort
I PUBLIC'IMPROVEMR:::ircS2-001-001O through OAR 952-001- .
Street Improvements: .'ii: , vv " au me;'H~Nt~/{\.fi\i.!~f;S of the ruies by
Fully Improved . calling the 'tie-mer, '(pleNe; the teiephone Curbside 7'
Storm Si!€eT~ilable: Yes number for W~PQ:l1ts/D~~i9s;Jotifica&}trb and Gutter
SpeciaI1p~'\l'PMJiIT SHA'trM~ l~ "m~ Wb'R'KP holes . Center IS 1-800-332-2344).
Notes' AUTHORIZED UNDER THIS PERMIT IS NOT
. COMMENCED OR IS ABANDONED FOR
ANY i 80 DAY PERIOD.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VB
3
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
15.00
5.00
13.00
22.50
BUILDING INFORMATION ~
# of Stories: 1
!1eight of Structure 23.00
Type of Heat: " Forced Air Gas
Water Type:. Gas
Range Type: . . Electric
Energy Path: '
.:, Sprinkled Building: n/a
I DEVELOPMENT INFORMATION I
'.
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Pai!el of 4
"<1': "h"
Phone Number: 541-520-6645
Expiration Date
05/17/2011
Phone
541-520-6645
541-998-2049
541-461-1282
541-517-6620
02/17/2011
03/01/2012
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
1,608
426
429
REQUIRED PARKING
2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Descriotion
Tvpe of Construction
Estimate
U VB Utility
. R-3 VB 1&2 Familv
Estimate
Garage/Mise
SF/Duplex
,"
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~ll).'.','r. .
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00523
ISSUED: 04/30/2010
APPLIED: 04/28/2010
EXPIRES: 01/28/2011
VALUE: $ 213,020.00
I Valuation Description ~
, Total Value of Project
,
Square Footage
or Bid Amount
150,000.00
426.00.
2,034.00
04/28/2010
04/28/2010
04/28/2010
$ Per Sq Ft
or multiplier
$1.00
$37.72
.$9.6.83
Value'
Date Calculated
$150,000.00
$16,068.72
$196,952.22
$363,020.94
~
Fee Descriotion Amount Paid Date Paid Receipt Number
+ 12% State Surcharge $209.73 , 4/30/10 2201000000000000437
+ 5% Technology Fee $ I 05.24 4/30/10 2201000000000000437
1st Appliance $79.00~~" .<J."" ,~-:-~ . 4/30/10 2201000000000000437
3 Baths One & Two Family $402.0Qi;,""f 4/30/10 2201000000000000437
Addressing Assignment $38.00:)';;Y' ,. 4/30/10 2201000000000000437
Appliance Vent $9.00 4/30/10 2201000000000000437
Building Permit $1,172.73 4/30/10 2201000000000000437
Curbcut Permit $88.00 4/30/10 2201000000000000437
Dryer Vent $9.00 4/30/10 2201000000000000437
Exhaust Hoods $13.00 4/30/1 0 2201000000000000437
Fire SF Fee - Residential $123.00 4/30/10 2201000000000000437
Fireplace (Listed) $20.00 4/3011 0 2201000000000000437
Gas Outlets 1-4 $7.00 '4/30/10 2201000000000000437
Plan Review Major - Planning $211.00 i ' 4/30/10 2201000000000000437
Plan Review Residential $762.27. 4/30/10 2201000000000000437
PW Disc - 2nd Permit $-30.00/'.' . 4/30/10 2201000000000000437
Sanitary Sewer - Improvement $617.30 4/30/10 2201000000000000437
Sanitary Sewer - Reimbursement $8II.81 4/30/10 2201000000000000437
SDC MWMC Administration $10.00 4/3011 0 2201000000000000437
SDC MWMC Compliance Charge $22.63 4/30/10 2201000000000000437
SDC MWMC Improvement $1,333.57 4/30/10 2201000000000000437
SDC MWMC Reimbursement $101.97 4/30/10 2201000000000000437
SDC Sanitary/Storm Admin $128.22 4/30/10 2201000000000000437
SDC Storm - Improvement $152.25 4/30/10 2201000000000000437
SDC Storm - Reimbursement $107.49.:.... 4/30/10 2201000000000000437
SDC Tran Reimburs-Residential $211.2 'L"C;.:; '~-~". " 4/30/10 2201000000000000437
SDC Trans Improvement-Resident $931.6;;~2,,; r 4/30/10 2201000000000000437
SDC Transportation Admin $86.7'7;"'" 4/30/10 2201000000000000437
Sidewalk Permit $88.00 4/30/10 2201000000000000437
Vent Fan $36.00 4/30/10 2201000000000000437
Willamalane Single Family $2,858.00 4/30/10 2201000000000000437
+ 12% State Surcharge $24.12 8/4/10 3201000000000000510
+ 5% Technology Fee $10.05 8/4/10 3201000000000000510
Add, Alter, Extend Circ Ea Add $120.00 8/4/10 3201000000000000510
,
Page 2 01'.4
Status
Issued
. . ~ "
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00S23
ISSUED: 04/30/2010
APPLIED: 04/28/2010
EXPIRES: 01/28/2011
VALUE: $ 213,020.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Perm Serv/Fdr 200 amps or less
Total Amount Paid
$81.00
$10,951.01",;
~ ':" ..
8/4/1 0
3201000000000000510
Plannine: Review
Public Works Review
Structural Review
04/28/2010
04/28/2010
04/28/2010
i'Plim Reviews ~
04/28/2010
04/28/2010
04/28/2010
APP
APP
APP
DDK
LKW
CJC
Approved as shown on plans,
Storm water to curb via weep hole
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, inspections'requested after 7:00 a.m. will be made the following
work day.
l.J!~o7~'ir~cUrisnections ~
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction witb footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete p~acement.
Post and Beam: Prior to Iloor insulation orde~king:..
y:.'",I",\ .,,,.ce.:'.," ,.....
Floor Insulation: Prior to decking.
,. :'" .','
,;;",,-,,~,_,,,.,,,,.,_,,,,,,, '
Shear Wall Nailing: Before covering sheathl~g';witb 'finish materials.
Framing Inspection: Prior to cover and after all rough in inspections bave been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Masonry:
Final Building: After all required inspections have been 'requested and approved and the building is complete.
Underlloor Plumbing: Prior to insulation or decking.
,.,..,i,;",'i";ti",'" \' \,:"
Underlloor Drain: Prior to cover or place'ment',of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work isg~!J1P!ete. , ,
Underlloor Mechanical. Prior to insulation'oridecking:and including required testing.
",f""i..,,(, ',..-,~
Underlloor Gas: After line is installed and'f,~~~ired testing and capped if not attached to an appliance.
Paee 3 of 4
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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 ~
1_'.,1
PERMIT NO: COM2010-00523
ISSUED: 04/30/2010
APPLIED: 04/28/2010
EXPIRES: 01/28/2011
VALUE: $ 213,020.00
Status
Issued
":
", I',;. '. _, .'
Rough Gas: After line is installed and req'~'i~~dtesting and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of One appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work.is,coJllplete.
Temporary Electric: Approval required pri~r'io UtiiityC~mp'my ~nergizing pole.
Rough Electric: Prior to Cover
.(t" ,~ ." -J '
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
<,,:' ! ,
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 fu~the~;certily thatany and aU work performed shall be done in accordance with
the Ordiuances of the City of Springfield and th~;Liw~ of the St~te of Oregon pe~taining to the work described herein, and
that NO OCCUPANCY will be made of any structurewitboui permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliauce 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.
. .
}.: :::...~_. i J-:" l).j". ' ,
Owner or Contractors Signature
\l"j:'t~~ :'fin;i',; <.
Date
.."
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Page 4 01'4
225 Fifth Street
Sprin~fieid, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
320io00000000000510
Date: 08/04/2010
8:19:57AM
Job/Journal Number
COM20 1 0-00523
COM2010-00523
COM201O-00523
COM20 I 0-00523
Payments:
Type of Payment
ONLINE CHGS
cRcceiotl
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
,Check Number
Rece~ved By .. LBatch Number
Item Total:
Authorization
Number How Received
Amount Due
81.00
120.00
24.12
10.05
$235.17
Amount Paid
NJM
ONLINE ROBBINS Online
Payment Total:
$235.17
$235.17
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Page I of I
8/4/2010