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Home My WebLink AboutPermit Electrical 2007-3-15 ZON L.. DIL INITIALS N f'V"- DATE 3-1 )-- (j7 SOURCE (Yt ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (~.f71?,-(Yl/0 ~ () ()7 7 S ownersName3eff W(/&i Address r; '-t!j C _ -+t:?r_;r R..l-:lCiG> i!c/I/-e...!:.', Miscellaneous (Ser~ice/feeder not included) -Each Installation City .5 d / c/ Phone q tJ f.-G I;- t; If Pump or irrigation $ 50.00 l~ Sign/Outline Lighting $ 50.00 OWNER INSTALLATION Limited Energy/Residential $ 25.00 The installation is being made on property I own which Limited Energy/Commercial $ 45.00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 1. LOC4TION OF INSTALLATION: (;fJ4 ~ -fo.Yr~ 51 t2.....Jq..-_/lr . LEGAL DESCRIPTION: /70;;" sq ~() ;;)g-OD , JOB DESCRIPTION: {;4.-rlc.rr J'f? ct77'rc- (p7c:rCci.e- ,-/t' Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR 'INSTALLATION ONLY Electrical Contractor Address ' / ,,/ / .~ Phone ./ SnP""ito~: ioeo<o N~' E-i~~~tJ "LL EXPIRE IF THE WORK /-\~-IHO~ll~ UNDffi-.T!lIS PERMIT IS NOT 9~~~~,~ ~~iJuOOe~S ABANDONED FOR 2, 1.80 DAY PERIOD, ~ Expiration Date '" Signature of Supervising Electrician Inspection Request: 726-3769 $-) S- -- 07 Date 3. COMPLETE FEE SCHED1JLE BELOlV A. New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or $50.00 Feeder ' A~ l t:NTtnN'Oreg..on law requires you to ' B. Sl~l{g~f~i~~e8d8pliB"V\ffiPe>~OOlIDt>>itV>r Relocation: Notificatiqn Center, Those rules are set forth 20Q~A.o~~095~_bo1-0010 through OAR g~C:OO)P. 20 l~ffiY~fO~'(jt9J~tain copip~ ntihftJlJI~ JOv 40 c Amflft~<g~W~~~er, (Note:.tW tel~~l1lt1~S.oo 6011mf\lit5cer~~tf\e1~regon Utility NotJfl~O Over 1000 A~e1ltis 1~800-332.2344). $375.00 Reconnect Only $ 50.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with Service or Feeder Permit $ 43.00 -<(3 $ 3.00 c;-O ~'S. 8% State Surcharge ;:t - ~...;- 10% Administrative Fee ..;;? . ~ U 5% Technology Fee 4 . f7J TOTAL $6' 5. Z5 Shared Dnve(T:)/Building Fonns/Electncal Pennit Application 8-06,doc 4. SlIBTOTAL OF ABOVE . Construction "Contra'ctors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 , Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: c..G ~ Address: C 41 q (/> ,(j077~ j-j) J'fPEE.7 J0'f) erg D;' :<:::. Issued by: _N _ fYJO (' fyhk'") Date: :? -/~ ~ 0 ""7 Statement: ,Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants whoare not licensed with the Construction Contractors Board to sign' the following statement before.a building permit can be, issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: [M/ ,1. I own, reside in, or will reside in the completed structure. o 2. I understand that I must become licensed asa construction contractor if the structureis sold or offered for sale before or on completion. o 3A. My general contrac;tor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR d 3B. I will be my own general contractor. In hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct-and'that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. ~~:ermit applicant) ~ II rd-/C77 , (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner. doc ,06-0 1-04 Acting ~ ~s ,~- our'Own 'GeneralC:ontractor? INFORMATION NOTICE TO ,PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES , ,~-' NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. , , If you are acting as your own contractor to construct a new home or mak:e' a substantiai improvement to an existing structure, you can prevent many problems 'by being aware ofthefollowillg;responsibilitie~ ~nd concerns. Employer Responsibilities '. -.- . , You will, in most ins~nces" b,e~led to, be an "employer" and the contra,ctors you contract with will be "employees" if you use contractors not license.d with the Construction Contrac,tors Board to do .labor in constructing or to assist in the constructi~n or improvement ofa residential ,structure. As the ~~ployer, yon mnst c9mply with the following: . ~.l. ..~ . '. . , ' Oregon's Withholding TaX L'aW:: As aD employer, ~ou' htust Withhold inc~me 'ta~es from employe~ wages at the time employees are paid. You will be liable fQr the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503~378-4988." .' Unemployment Insurance Tax: As an employer, you ate required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. The Oregon Business Identification Number (BIN) is a combined number, for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.oLus/formsnav.htmll for the appropriate forms. " ~ .'. .... Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' CVUipcnsation Law, and must obtain workers' cVlllp~nsation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be sul>jecno'perlalties arid be liable 'for all clliim'cosJs ifone of your employees is injured on the job. For more information, call the Workers' Compensation Divlsion at'the Department of Consumer and Business Services at 503-947-7815. U.S. Internal Revenue Service: As an employer, you must withhold federal.' income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 1-800-829-4933 or visit their web site at w\vw:irs.l!Ov. ' :", '. - Other Resp~nsibilities and,Ar'eas o{Conc~rns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that ,rilllY be brought to your attention through inspections. ~ ~ ." ., Liability and Property' Damage Insurance: Contact yourirtsurance agent to ;ee if you have adequate InsUrance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone.' . -~...... Time: Make sure you-have sufficient time to supervise your employee~; . . , ~.:\ '; .. .. , . ... .r '2. ~~.l~ ~. ... -. ...... .. . . . ....... Expertise: Make sure you have the skills to act as your o~ 'generah::ontractor, to :c'oordinafe the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. ;' ~ "'-f. . . ", ~. . . ~.. .... Property _ owner.doc 06-01-04 225 Fifth Street Spr!ngfield, Oregon 97477 541-726-3759 Phone Cit-- ')f Springfield Official Receipt D, .opment Services Department Public Works Department Job/Journal Number COM2006-00775 COM2006-00775 COM2006-00775 COM2006-00775 COM2006-00775 Payments: Type of Payment Check cReceiotl RECEIPT #: 2200700000000000356 Date: 03/16/2007 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JEFF CASLEY Item Total: Check Number Authorization Received By Batch Number Number How Received njm 5386 In Person Payment Total: Page 1 of 1 10:03:39AM Amount Due 43.00 2.00 2.25 3.60 4.50 $55.35 Amount Paid $55.35 $55.35 3/] 6/2007 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFiELD. Building/Combination Permit PERMIT NO: COM2006-00775 ISSUED: 07/27/2006 APPLIED: 06/23/2006 EXPIRES: 09/14/2007 VALUE: $ 438,521.00 SITE ADDRESS: 6446 FOREST RIDGE DR ASSESSOR'S PARCEL NO.: 1702344302800 SPRINGFIE TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence - Mt Gate lot 94 Owner: CASLEY JEFFREY Address: 923 S 55TH PL SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I r~ ii . '__ .' Contractor foilow rUf~~~'J""o'p'~.e':~j "'.'Li,cense"" vuExpiration Date Phone " tT '.t l....l oy"h 0. .. u 10 OWNER ,'~~I,,/:at;on Center. I. I _~99regon Uti~h 12/18/2010 BA TEMAN EL~CqJR!I~~JSg..OO 1 ~OO 1 0 ~:'lse It...st9-111re set f "y, 06/21/2008 DIVERSIFIED FLE€TR:m:~Uay Obt. . cnro~gJ'4:68~R 9S2-0~' 06/23/2008 MARTIN CASTLENi~f:!€ cente~mcop~er6~'\'71e rUles ( 04/07/2008 STEVE R JOHNS(!)Nber forthif! 1""1_ .~Note. ttsy~~tanh""....g 03/12/2008 I BuffiDIN.GgNiOR~~TfaNi0t;ficati;n , ~L .....v..,.~.t), 1 # of Stories: 2 Lot Size:' R-3 Height of Structure: 32.00 Sq Ft 1st Floor: U Type of Heat: Forced Air Gas Sq Ft 2nd Floor: VN NOr Water Type: Gas Sq Ft Basement: TIC LRange Type: Gas Sq Ft Garage/Carport 4 HIS PEF1Mrr~ Path: Path 1 Sq Ft Other: AUTHORISpnnJ{M&'Bhi@ff1;AE IF n/a Occupant Load: "1- an 1/^':JUI - T/-li:: 1,1'1",- AN~j;f!!.l!!~1j:r i7111t/t:z~i~~~ UifYPERJOD. 0 FOR 45.00 Overlay Dist: Hillside 10.00 # Street Trees Rqd: 3 12.00 Paved Drive Rqd: Yes 88.00 % of Lot Coverage: 25,60 50.00 Contractor Type General Electrical Low V oUage Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-954-6564 541-998-7187 541-484-9078 541-736-3438 541-342-3765 22,720 1,903 2,002 988 422 REQUIRED PARKING Total: Handicapped: Compact: 2 I PUBLIC IMPROVEMENTS I FullV Improved Sidewalk Type: Curbside 5' Yes Downspouts/Drains: To Storm Sewer Storm water and sanitary sewer connections at NW corner of lot via private system Notes: No hookup.to City infrastructure until Public Improvements are accepted by the City; storm drainage piped to storm sewer via private system 07/03/06 CJS Pae:e 1 of 5 Status Issued """~ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00775 ISSUED: 07/27/2006 APPLIED: 06/23/2006 EXPIRES: 09/1412007 VALUE: $ 438,521.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I A.C. - Residen Decli/Balconv DwelliBl~S Gara2e Gara2e Tvpe of Construction AC - Residential Deck V Wood Frame Gara2e Gara2e $ Per Sq Ft or multiplier $4.00 $18.00 $99.00 $26.00 $26.00 Square Footage or Bid Amount 3,827.00 496.00 3,827.00 988.00 374.00 Value Date Calculated Description Total Value of Project $15,308.00 $8,928.00 $378,873.00 $25,688.00 $9,724.00 $438,521.00 07/19/2006 07/19/2006 06/23/2006 06/23/2006 07/19/2006 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $1,096.49 6/23/06 1200600000000000938 + 10% Administrative Fee $238.22 7/27/06 1200600000000001148 + 8% State Surcharge $169.31 7/27/06 1200600000000001148 3 Baths One & Two Family $306.00 7/27/06 1200600000000001148 Addressing Assignment $31.00 7/27/06 1200600000000001148 Appliance Vent $6.00 7/27/06 1200600000000001148 Building Permit $1,667.40 7/27/06 1200600000000001148 Curbcut Permit $80.00 7/27/06 1200600000000001148 Dryer Vent $6.00 7/27/06 1200600000000001148 Exhaust Hoods $9.00 7/27/06 1200600000000001148 Fire SF Fee - Residential $265.75 7/27/06 1200600000000001148 Furnace - more than 100,000 $15.00 7/27/06 1200600000000001148 Gas Outlets 1-4 $4.00 7/27/06 1200600000000001148 Gas Outlets 4+ $1.00 7/27/06 1200600000000001148 Mountaingate Impervious Area $1,883.57 7/27/06 1200600000000001148 Plan Review Major - Planning $198.00 7/27/06 1200600000000001148 PW Disc - 2nd Permit (Street) $-30.00 7/27/06 1200600000000001148 Sanitary Sewer - Improvement $762.80 7/27/06 1200600000000001148 Sanitary Sewer - Reimbursement $1,002.80 7/27/06 1200600000000001148 SDC MWMC Administration $10.00 7/27/06 1200600000000001148 SDC MWMC Improvement $865.31 7/27/06 1200600000000001148 SDC MWMC Reimbursement $82.03 7/27/06 1200600000000001148 SDC Sanitary/Storm Admin $220.13 7/27/06 1200600000000001148 SDC Transpo Admin $59.62 7/27/06 1200600000000001148 SDC Transpo Improvement $805.70 7/27/06 1200600000000001148 SDC Transpo Reimbursement $182.69 7/27/06 1200600000000001148 Sidewalk Permit $80.00 7/27/06 1200600000000001148 Storm Sewer Each Addtll00' $28.00 7/27/06 1200600000000001148 Temp Power 200 amps or less $50.00 7/27/06 1200600000000001148 Vent Fan $24.00 7/27/06 1200600000000001148 WilIamalane Single Family $1,000.00 7/27/06 1200600000000001148 + 10% Administrative Fee $23.90 10/5/06 2200600000000001390 Pa2e 2 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 5% Technology Fee + 8% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Low Voltage - Residential Minimum/Adjustment Electrical + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Total Amount Paid Initial Review Plan Review Comments 06/23/2006 Plan nine Review 06/23/2006 Public Works Review 06/23/2006 $11.95 $19.12 $106.00 $133.00 $4.50 $2.25 $3.60 $25.00 $20.00 $4.50 $2.25 $3.60 $43.00 $2.00 $11,524.49 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00775 ISSUED: 07/27/2006 APPLIED: 06/23/2006 EXPIRES: 09/14/2007 VALUE: $ 438,521.00 10/5/06 10/5/06 10/5/06 10/5/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 3/16/07 3/16/07 3/16/07 3/16/07 3/16/07 2200600000000001390 2200600000000001390 2200600000000001390 2200600000000001390 2200600000000001468 2200600000000001468 2200600000000001468 2200600000000001468 2200600000000001468 2200700000000000356 2200700000000000356 2200700000000000356 2200700000000000356 2200700000000000356 I Plan Reviews I 06/23/2006 07/19/2006 07/19/2006 07/03/2006 APP 10 LLH DLM Talked to owner about BONUS ROOM above garage. It is accessed from, and is part of the garage environment & cannot be heated above 55 degrees or used for habitation. Therefore, it does not require insulation to residential standards. However it does require fire separation from the attic area of the dwelling. Either place construction fencing to the driplines of the trees to be preserved or fence off the back portion of the lot. Follow the tree preservation guidelines in the attached Hillside Development handout. Choose street trees from the list of Hillside trees in the street tree handout. No hookup to City infrastructure until Public Improvements are accepted by the City; storm drainage piped to storm sewer 07/03/06 CJS APP TAJ APP CJS Pa2e 3 of5 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2006-00775 ISSUED: 07/27/2006 APPLIED: 06/2312006 EXPIRES: 09/14/2007 VALUE: $ 438,521.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 06/23/2006 07/21/2006 APP DLM Called engineer for clarification of steel requirement in garage pier footings. 7/18/06 dim Engineer returned call verifying the steel shown on the drawings & requesting a note to be added to retaining wall detail on pg.47. 7/21/06 dim. 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.JleouiredJnsnections I 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. 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 complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. Low Voltage: Prior to cover. Curbcut - Standard: After forms are erected but prior to placement of concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Pa2e 4 of5 CITY OF SPRINGFIELD- Status Issued Building/Combination Permit PERMIT NO: COM2006-00775 ISSUED: 07/27/2006 APPLIED: 06/23/2006 EXPIRES: 09/14/2007 VALUE: $ 438,521.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Undertloor Plumbing: Prior to insulation or decking. Undertloor Drain: Prior to cover or placement of concrete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to piling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Undertloor Mechanical. Prior to insulation or decking and including required testing. U ndertloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 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 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. 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 construction. Owner or Contractors Signature Date Pa~e 5 of5