HomeMy WebLinkAboutPermit Electrical 2010-10-21
10/14/2010 12:31
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Eiectrical Permit Ap lication
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CITY OF SPRINGFIELD
PAGE 01
~P"ING""""'~'" .
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, DEPARTM~NT ,USEPNLY
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This permil'is issllfll .nder OAR 918-309-0000. Pcrmits arc nontransferabJc. Permits clpire if work i. not started 'within \80
days of i,suaneeor if work issDspended for 180 .da.Y','.. . .... 'I
City: S 11.1LI17
Phone:
E-mail:
This installation is being mode on'residential or farm property
owned by me or a member of my immediate filmily, This'
property is not intended fOT sale. exchange. lease, or rent. OAR
479.540( I) and 479.560(1),
Signature:
Business name:
44Q-25S"} (QIORICOM)
\
~
~r
. :' .FEE, SCHEDULE ',.:
Number ,of inspeCCion. per item ( ) Qty. .. Cost Totol'
. e". ,cost
~.idtnti.l, per ..nit. service included:
1,000 "'I, ft, 0' les.' (4) I $134,00 $/3</
Ea'" addi,ional 500 'fl. ft. or portion J S 25.00 S5D
there('l(
Limited energy (2) $ 32.00 S
Eac.h nlanufacturtd home or modular S &3.00 S
dwelling service or feeder (2) Services or reeder~: itt.dallatrcm. alteration. re(ocaltnn
200 BInI's or less (2) 5 01.00 $
201 to 400 amps (2) $ 95.00 S
401 to &00 amps (2) 5150.00 S
~.to.I.OOO amps (2) $205.00 S
Over 1..000 amps or voll' (2) S4OP.OO 5
Reconnect only (2) .. S ,63.00 $
. . ~. .
Temporary servictl Of', rc~e-r:s~' installation. alteratiQn. rtlocaUon
200 omp. OT less (2) S 63.00 S
'20t to 400 amps(2) .,'/1',-- -' I ., S 187.00 S
40 I 10 &00 '''''p' (2) ,- ,- $128.00 $
Over 600 amJl~ or 1.000 \folD, see services or feeder3 sterion above
Branch circuits: ntw. aller-alion, e.xrt'nsinn pcr pcmel
a. Fee for bl1lnch.circuits with purchase of a service or feeder fcl;;
~~.h bron'" circuil I S 6,00 I $
b. Fee for branch circuits without purchnsc ofa service or feeder fee:
Fir$L brl1nc.h circuit (2) S 55,00 S
Each additional branch ci~uit S 6.00 S
M;lcellancouJ feu: sc.rv;c~ ", ftede.,. rlol in.cllld~d
Each pump ('It' irrigation circle (2) S 03.00 $
Each sign 0" ou,line lighting (2) S 63.00 S
Signal circuit or.a limitcd-alcrgy "anet S 63.00 S
alteration, or extension (2) .
Each .dditional inspectiodi (I) $5a,00 S
" AP,PlICANT USE
(A) Etlter ~'lbtatal of above fee~ I $/&1
(Minimum Ptrmit Fe, S58.00)
(8) Enter 12% sureharge (,12 K [A)) S :J.;1 at>
(C) Tcchnol,,8)' Fcc (5% of [All S CjUJ
~~AJ_ rees and surchol"Jl:es (A through C): S
~'5, 2--c,,,
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00206
IVR Number: 811154719657
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
09/01/2010
09/01/2010
Issued
09/01/2010
ISSUED: '
APPLIED:
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@cLspringfield.or.us
EXPIRES:
VALUE:
02/27/2011,
$2,000,00
SITE ADDRESS: 1717 MARKET ST, Springfield, OR 97477.3343
ASSESOR'S PARCEL NO: 1703253213900
SCOPE: Single Family Residence
WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:, .Interior bath/kitchen remodel'
Phone Number:
OWNER:
ADDRESS:
ACKERMAN BARBRA A
, ,1717 MARKET ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION ~
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
SqFt Garage:
Sq Ft Carport:, '
,r ' -. .. IqV:f'p::l~nUlreS)y,OultQ)
f,i"iE:n ,N: Ole>lOn~q F.litOther:gon\tiJtilitGj
, pted "~ t e Vlt> J,
falloW r~'es aao . \h8g~ul~~t!l2Yc..~Qa-9:tltarrtlin
, ';"~"'I,~n Center, P 'h.. ,.' 'D'952'-0lil~I-
Electrical Specialty C~de Edition:'_001_001,&tnrO\Jg\ilQA;" , 1m.
I J"I',~J~ , ' '--, --0Hhe'~IDlesu.
Springfield Fire Code Edition:you' maY obt(;'fl' ~op~es_ '. I ""one
, c J, . ~ .,,' -"t '-, (Note: me te,e,.." ,
Mechanical SpeCIalty Code'Edltlon:'l, 9i"~ ~~'~F.iO" ; 't' 'II'" Notification
nllj):)'iii' Jor ttle ere~o" ... II ,
Municipal/Development Code: r@(!Rliifl1i l'Sgi}(lag.2344).
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Contractor Type
Contractor Name
EVERYDAY ELECTRIC
RICHARD ALAN ROUNDS
ESTEVAN JON SLAUGHTER
Lie Type
CCB
CCB
CCB
BUILDING INFORMATION ~
Plumbing Contractor
General Contractor
# of Units:
o
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
Occupancy Type
Construction Type
R3 Residential
Type VB
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Lie No
136371
141736
189421
Lic Exp Phone
08/12/2011 . 541-912-2954
03/26/2012 541-726-5448
01/29/2012 541-556-0106
lot Size:
2008
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
.Soils Report Required:
"OOl\:l3d AVO Oll~ k";,"
g\;/ SI \:l0 03:lN3lf11t:~C;'
\:l0:! 031'1001'1\;/ aNn 03ZI\:lOHiC,\'
101'1 S\ lIW\:l:!~~\:l~~~ ~;\;/HS llW\:l3d S\i1J
)I\:lOM 3Hl :3~l!l;N
Springfield Building Permit
10/21/201 2:51:53PM
, Page 1 of 4
www.cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00206
IVR Number: 811154719657
Issued
09/01/2010
ISSUED:
APPLIED:
09/01/2010
09/01/2010
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfietd,or.us
EXPIRES:
VALUE:
02/27/2011
$2,000.00
SITE ADDRESS: 1717 MARKET ST, Springfield, OR 97477-3343
ASSESOR'S PARCEL NO: 1703253213900
PROJECT DESCRIPTION:
Fronlyard Setback:
Interior Setback:
Sldeyard Setback:
Rearyard Setback:
Solar Setback:
SCOPE: Single Family Residence
WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Residential
Interior bathfkitchen remodel
DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Descriotion
Bid
Springfield Building Permit
PUBLIC IMPROVEMENTS
~
Valuation Description
Tvoe of Construction
NA
Unit Amount Unit Tvoe
2,000.00 Bid
10/21/201 2:51:53PM
Sidewalk Type:
DownspoutfDrains:
~
Unit Cost
1.00
Value
2,000.00
2,000.00
Page 2 of 4
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00206
IVR Number: 811154719657
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
Issued
09/01/2010
09/01/2010
09/01/2010
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@cLspringfield.or.us
EXPIRES:
VALUE:
02/27/2011
$2,000.00
SITE ADDRESS: 1717 MARKET ST, Springfield, OR 97477-3343
ASSESOR'S PARCEL NO: 1703253213900
SCOPE: Single Family Residence
WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Interior bath/kitchen remodel
FEES PAID.
~
Descriotion
.~esidence wiring 1,000 sq. ft or les~_
(::ach added :;00 sq..~. or portion
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Fixture
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Structural Building Permit Fee
Permit Fee Adjustment - Structural
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
First Appliance Fee
Single~duct exhaust (bathrooms, toilet compartments, utili
State of Oregon Surcharge (12% of applicable fees~
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$134.00
$50.00
$22.08
$9.20
$171.00
$20.52
$8.55
$50.00
$8.00
$6.96
$2.90
$79.00
$16.00
$11.64
$4.85
$596.70
Date Paid
10/21/2010
10/21/2010
10/21/2010
10/21/2010
10/13/2010
10/13/2010
10/13/2010
09/01/2010
09/01/2010
09/01/2010
09/01/2010
09/01/2010
09/01/2010
09/01/2010
09/01/2010
Receiot #
374677
374677
374677
374677
374579
374579
374579
299403
299403
299403
299403
299403
299403
299403
-----_._~~
299403
Plan Review
~
Deoartment
Application Acceptance
Received Due Date Comoleted Result
09/01/2010 09/01/2010 09/01/2010 Over the Counter
Permit Issuance
09/01/2010 09/01/2010 09/01/2010
Issued
~bliC WorksR~iew0'{~; ,'~:~~!OU.~~1~t:;'9~(n/~01 0",~9/01/20i O'.;~:~o:Require~ ,'. .
~,9Qm~~!1~s:.. ,?ver !he.count:rferm~,tCj:l~';tlJ;:;:."'1:;Si '.~~ f:t" ,," . ,'~_', -, ,; '<~ :::.,:.r:z 7":+:,\; ".. {L
Structural Review 09/01/2010 09/01/2010 09/01/2010 Not Required
Comments: Over the counter permit
Reviewer
Chris Carpenter
Chris Carpenter
. Ch:ris ~Qarp-eDter - ,~;;~-~~
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Chris Carpenter
Springfield Building Permit
10/21/201 2:51:53PM
Page 3 of 4
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00206
IVR Number: 811154719657
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:
STATUS DATE:
155 ued
09101/2010
ISSUED:
APPLIED:
09/01/2010
09/01/2010
EXPIRES:
VALUE:
02/27/2011
$2,000.00
SITE ADDRESS: 1717 MARKET ST, Springfield, OR 97477-3343
ASSESOR'S PARCEL NO: 1703253213900
SCOPE: Single Family Residence
WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Interior bath/kitchen remodel
INSPECTIONS REQUIRED ,
Inspections
1260 Framing
1999 Final Building
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
Final Building: After all required inspections have been requested and approved and
the building is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
2300 Rough Mechanical
2999 Final Mechanical
3500 Rough Plumbing
3999 Final Plumbing
4225 Service or Feeder
4500 Rough Electrical
4999 Final Electrical
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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, an'd 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 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. I 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
~n~ ~n lu-~I-~
S. \
Owner or Contractor Ignature Date
Springfield Building Permit
10/21/201 2:51:53PM
Page 4 of4
. '
www.cLspringfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00206
1717 MARKET ST
CITY OF SPRINGFIELD
225 Fifth SI
Springfleld,OR 97477
541-726-3753
permitcenter@ci.springfield.or.us
RECEIPT NO: 2010000641 RECORD NO: 81 1-SPR201 0-00206 DATE: 10/21/2010
I DESCRI PTI0Nc;'i":":';,ctv.,, """,i"""",,;.,,,;, ,~~"i"~ ,', ...... . ~c_c_cfLiNJ.:.t9QE""'~'i:'4. .AMOiJ NT R.vJ,",;
Residence wiring 1 ,000 sq. ft. or less 224-00000-426102 $134.00
Each added 500 sq. ft. or portion 224-00000-426102 $50.00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $22.08
!echnology fee (5% of permit total) 100-00000-425605 $9.20
TOTAL DUE: $215.28
'PAYMENT'TYPE. -.;'l'-.pAVOR::": CASHIERCCARPENTE.R .ic, 'OM...M. E.N..TS ,;".;.-. , AMOUNT PAID I
L.! _ _ ~. .__. . __ . . '~~.:.:: :,,__~f ;..:._.
Credit Card
045788
Louann Harrack
$215.28
$215.28