HomeMy WebLinkAboutPermit Electrical 2010-9-14
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 day~.
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Zoning approval verified? 0 Yes 0 No
ii, .6;Y~;,;)~~iCATEGORY;::()F;'C()NSTRUC'rI()N~;~"" ",,;.. ,.,
Residential 0 Government 0 Commercial
~2fi\TI.OB;:SJJ'E;!lINFORNlA1;IONltAN[)1iitiQCAtJ()Ni\f.l~,l:ihf~1'1
Job site address: I 0 "S !,
City: S
Reference: Taxlo!.:
· ' ('OESCRII'TION, QF'WORK"::";';:'
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'PROPERTY OWNER
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225 Fifth Street. Springfield, OR 97477tPH(541)726-J753tFAX(541)726-J689
Name:
ZIP: yj'r2
Address:32l)'1t(
City:Cc c
Phone:
E-mail:
This installation is being made on residential or farm property
owned by meor a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent OAR
479.540(1) and 479.560(1).
Business name:
"'-
Address:
City: Co c
Phone:'5 'f -'(12-
E-mail:
CCB license no.: I.) 83'j '-I
Signing supervisor's license no.:
Print name of sign ing supervisor:
Signature of signing supervisor:
'17'f~<{
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440-2584-J (9108/COM)
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"o' . DEPARTMENT USE ONLY
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Permit no.: 5 0 - 3d
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. . . ,'_.. "--', ">"--" ":'.(""".v:,,,~'>~," , Cost . 'Total
,Number"o(cjnspectio'riS pe<r,item.C) ','^'., Qty. ,;',~ea;:i " -(' "cosL
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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) i $ 81.00 $'lS'1.0()
201 to 400 amps (2) $ 95.00 $
40 I to 600 amps (2) $158.00 $
60 I 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 $
20 I to 400 amps (2) $ 87.00 $
401 to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per pane!
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit 115 $ 6.00 $ qu
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2) $ 55.00 $
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each additinnal inspection: (I) . $58.00 $
-
(A) Enter subtotal of above fees $f'll
(Minimum Permit Fee $58.00)
(B) Enter 12% surcharge (.12 x [A]) $ 20 5><-
(C) Technology Fee (5% of [A]) $ fjJI
TOTAL fees and surcharges (A through C): $ 2JX1'L. '--
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www.ci. springfield.or.u$
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00030
IVR Number: 811102621586
225 Fifth St
Springfield,OR 97477
.Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.us
PROJECT STATUS: In Review
I SSL-l€i> ~'t O/-JL'f
ISSUED: 9/2/10
APPLIED: 8/11/10
EXPIRES: 2/6/2011
VALUE: $7,500.00
SITE ADDRESS: 1108 FAIRVIEW Springfield
ASSESOR'S PARCEL NO: 1703273100500
'I'+-
SCOPE: Garage I Carport
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
. PROJECT DESCRIPTION:
Carport
OWNER:
ADDRESS:
SORENSON SCOTT OWEN
32844 W SAGINAW RD
COTTAGE GROVE OR 97424
I
Phone Number:
CONTRACTOR INFORMATION
I
Contra~tor Type
Contractor Name
CALVIN ANDREW GRISWOLD
MARKHAM ELECTRIC INC t.: ~- "
,. Lie Type
GGB
ELECTRICAL
Lie No
135800
20-420C
Lie Exp
03/12/2012
07/01/2011
Phone
541-520-5012
541-942-8789
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BUilDING INFORMATION I
# of Bedrooms:
-'
Hazm'ar:--
. '...--....~
."
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy. Load:
484
# of Units: 0
Construction Type
Occupancy Type
Occupancy Comments
Type VB
U
$7500 value
# of Stories:
Height of Structure:
Type of Heat:
Water .Trp!" ,,' ,;
Rang~!nlP.e:;'j'!.':I'l U
Sprinkled Building: No
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Required:
Electrical Specialty Code Edition:
Springfield Fire Code Edition: ATTENTION: Oregon law requires you to
Mechanical Specialty Code Edition: follow rules adopted by the Oregon Utility
Municipal I Development Code: Notification Center. Those rules are set forth
Plumbing Specialty Code Edition: in OAR 952-001-0010 through OAR 952-001-
Residential Sp.~ia,lty Code,,~d~tion:0090, You may obtain copies of the rules by
Structural Specl~lty Co~."dlllon: calling the center. (Note: the telephone
Site Info;~a;ion' nurber for the Oregon Utility Notification
, Center is 1-800-332-2344).
Fire Alarms:
Energy Path:
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Springfield Building Permit
9/14/2010 11:04:11AM
NOTICE: ',,',"";'T" ,
THIS PERMIT SHAll EXPIRE IFTHEWORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Page 1 of 3
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www.ci.springfield.or.us
CITY 017 SPRINGFIELD
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Building IRe~idenli.al Permit
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PERMIT NO::,811-SPR201 0-00030
IVR Number: 811102621586
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitce nter@ci.springfield , or. us
PROJECT STATUS: In Review
ISSUED: 9/2/10
APPLIED: 8/11/10
EXPIRES: 2/6/2011
VALUE: $7,500.00
SITE ADDRESS: 1108 FAIRVIEW Springfield
ASSESOR'S PARCEL NO: 1703273100500
SCOPE: Garage / Carport
;.;', WORK INVOLVED: Addition
.::U1Ji: :.:r':~ TY;P,E OF STRUCTURE: Residential
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PROJECT DESCRIPTION:
Carport
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DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
24
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
, % of Lot Coverage:
Highest point 01) structure~?
north property line:.
27
Total: 2
Handicapped:
Compact:
\,
17.25
'PUBLlC;IMpRdvEMENTS ~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
!:,,;;~', G:'~ ',.
.,'q
Sidewalk Type:
Downspout/Drains:
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":=.:Valu.ation Description I
Descriotion
Tvpe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
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Amount Paid
.
$75.73 :'!-~
. $8\92,.,_",
<_i... jt:i ,_$_90~oQh,i'~
..,,~.~~ ;,l$20:5r' ,.
I' :._..:...,---'---~'"
-" $8.55
$275.80
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ReceiDt #
224413
374304
374304
374304
374304
DescriDtion.
Structural Plan Review Fee Residential
Services 2~O amps or less
Branch circuits with service or feeder each circuit
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Total Amount Paid
Date Paid
08/11/2010
09/14/2010
09/14/2010
09/14/2010
09/14/2010
'1- .1
Springfield Building Permit
! ~ !-9/14f2010;. -1;1:o'4:11;A.M, '
Page 2 of3
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225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541.726.3676
CITY OFc:SPRINGFIELD
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www.ci.springfield.OLUS
Building flResidential Permit
PERMIT NO: 811-SPR2010-00030
IVR Number: 811102621586
permitcenter@ci.springfield.or.us
PROJECT STATUS: In Review
ISSUED: 9/2/10
APPLIED: 8/11/10
EXPIRES: 2/6/2011
VALUE: $7.500,00
SITE ADDRESS: 1108 FAIRVIEW Springfield
ASSESOR'S PARCEL NO: 1703273100500
,.;:,.~ '
'L, . ".,' 1,.
. A:.;,:, SCOPE: Garage / Carport
. "c!" . ',WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
::,"
PROJECT DESCRIPTION:
Carport
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I
A
Deoartment
Planning Review
Application Acceptance
Initial Review
Public Works Review
Structural Review
Received
08/19/2010
08/17/2010
08/17/2010
08/26/2010
09/02/2010
Due Date
08/17/2010
08/11/2010
08/17/2010
08/17/2010
08/17/2010
Comolete
08/17/2010
08/11/2010
06/17/2010"
08/17/201~,~
06/17/2010 '
Result
Approved
Application Accepted
Approved
..~pp'ro:-Jec:l_.__ H ..
I,Ado'ITlhfo Re'quired
Reviewer
Deyette Kelly
David Bowlsby
David Bowlsby
Kaye Wilson
Kip Kaufman
Comments
received on 8-19-20101 Starn
Provide the following: 1) engi
INSPECTIONS 'REQUIRED I
Inspections
1110 Footing
1150 Slab/Flatwork
1260 Framing
1630 Roof Sheathing
1560 Firestop Assemblies
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1999 Final Building " ....:. .\
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By signature, I state and agree, that I have carefully e~?ri1i0~ed the completed'application and do hereby certify that all
information hereon is true and correct, and I fur1her certify.'~h.~t any and all work performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or 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. 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 during
construction.
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Page 3 of 3
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www.cLspringfield.or.us
TRANSACTION RECEIPT
811':S R~2qI1.,g'~iOO~30
1108 FAIRVIEW DR
"",-,,":c, :r,.,
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
permitcenter@ci. springfield, or. us
RECEIPT NO: 20 I 00003 I 7
RECORD NO,:,S I:i -SPR20'1O-00030
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224-00000-426102
224-00000-426102
821-00000-215004
100-00000-425605
TOTAL DUE:
:PAYMENT_T_YPE~':.:PAYbR"~'-'CAfHIER'icARPENTE~'-~'CQr!'iJ\itE~tTS~",,-':',:#l?7.~ ", ',,,:.
DATE: 09/14/2010
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tJ:lESCRIPTIOll_ .;. --"-"';"-;:"f,:"::::' ":. ;.: .'
Services 200 amps or less
Branch circuits with service or feeder each 'circuit
':}~M.Q.UNT DUE
$81.00
$90.00
$20,52
$855
$200.Q7
AMbuNTPAID
State of Oregon Surcharge (12% of applicable fees)
Technolo~y fee (5% of permit total)
Credit Card
003575
MARKHAM ELECTRIC INC
$200.07
$200.07
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