The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2004-7-13 City Job Number 1. LEGAL DESCRIPTION G "3 C _ ~ 'c JOB DESCRIPTION . f~j:: MbD& L 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. Elec~1 Contractor /' Address "'" / City ~ Phon{ SUp<mro, Lken" X Expiration ~ i con/tr. Number Expiration Date 6gnature of Supervising Electrician \ Owners Name -J oH "'--" (2 U,D/(' h",\: Address (('I So ., I~ City ') P Cco "c/o ~-b Phone "I'Z t:,"','1D'7 I OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. K~ .... Inspection Request: 726-3769 3. 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 \ '$'50'06'1..1 to Feeder N: eregul-~ 1,2.":' ,~~~.,';\\.~('or\ IJti\\ly, B. ~\otitication ,-' ,0 tht~~\l u rnI. 200 Amps 1;>f leJ~...f\ 952-00" JO . _ i s$dtl.'O@ ruler ,,;~ 201 Amps tttl?"<O~~P~ may obta\l' NoW' t~e1!e'@~nol.11CJ 401 Amps to 6Qit,ffiWgsthe cent eel. ~-n I ItiVltip5\o&i1\Cauull \;<'Q. the I tl'dV - ':-a.J\..u 601 Amps to lft~Jor . 1 8QO-332&~. Over 1000 AmpsNolts center \5 $375.00 Reconnect Only $ 50.00 c. Instalia~tioii;:Alteration or Relocation ... ~ -" \l::... J... .. 206iAIJ1P~~difl~~~IT SHALL EXPjf1[ IF TW$ 50.00 20t~J11P~J9l128rt1D~~OER THI" FE"ViTrs WfbSK 40t;~R~11t>t~eq:tJI1ff~ IS ABA~uuf~~ F~l~.e(f OvkNifj01.8@ s t 1 see "B" a~ove. D. New Alteration or Extension Per Panel One Circuit $ 43.00 Each Additional Circuit or with I '" Service or Feeder Permit I..P $ 3.00 cj!') IS -- E. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~ /D~_~ 7, L/).. 10,&0 / 22./ 6).. ( Shared Drive(T:)/Building FormslElectrical Permit Application 1-03,doc z ~ "'JtK 7% State Surcharge 10% Administrative Fee TOTAL CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: COM2004-00734 ISSUED: 08/02/2004 APPLIED: 06/21/2004 EXPIRES: 02/02/2005 VALUE: $ 44,167.20 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-367() Fax 541-726-3769 Inspection Line SITE ADDRESS: . 6326 C ST ASSESSOR'S PARCEL NO.: 1702342402900 , . \fnutg SpringfieldENl~tf ~eW~ rswgl~amn1'Nesidence , ATT . ~ do ted by the Oregon Ut111 y follow r:l'Jyp&R&P.~se rAktdifib'il set fortaesidential Notification e 01 0 ~hrOugh OAR 952-001- in OAR 952-?~1 ~h+~ir! (lnoies of the r':.lles by uu~u. IUU II.....)- . ~'i.leDnulltll calling the center. (Nmie'litv.ffi~rfi~i&726-7909 number for the Oregon Utility ~ I ~"" I.:.: :s .. _Qnn.332-234 ). I CONTRACTOR INFORMATION I , j'j PROJECT DESCRIPTION: 478 square foot addition. Owner: RUDKINS JOHN S & LINDA S Address: 6326 C ST SPRINGFIELD OR 97478 Contractor Type General Designer Electrical Mechanical Plumbing Contractor. R NEUHARTH CONSTRUCTION INC ACADIA DESIGN OWNER OWNER OWNER N OTI ~~ense E~'p~ration Date Phone THIS PER1~IT SHALL E~~t{fW~HE wg~~:~~~::: AUTHORIZED UNDER THIS PERMIT IS Nl'N COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. BUILDING INFORMATION I , t \~ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: 2 Height of Structure 28.00 Type of Heat: orced Air Electric Water Type: Electric Range Type: Electric Energy Path: Path 1 Sprinkled Building: n/a . Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 478 R-3 I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 14.00 REQUIRED PARKING Total: 2 Handicapped: Compact: 48.00 I PUBLIC IMPROVEMENTS I W Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Addition is a 2nd story, and therefore not adding any impervious surfaces. Follows same building footprint. Drainage is to existing. Notes: Pa2e 1 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00734 ISSUED: 08/02/2004 APPLIED: 06/21/2004 EXPIRES: 02/02/2005 VALUE: $ 44,167.20 ,;- 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection L~ne I Valuation Description' Dwellines Tvpe of Construction V Wood Frame $ Per Sq Ft or multiplier $92.40 Square Footage or Bid Amount 478.00 Value Date Calculated Description Total Value of Project $44,167.20 $44,167.20 06/21/2004 ~ . Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $221.91 6/21/04 2200400000000000821 -Mechanical Issuance Fee- . $10.00 7/13/04 2200400000000000916 + 10% Administrative,Fee $44.24 7/13/04 2200400000000000916 + 7% State Surcharge $30.97 7/13/04 2200400000000000916 Building Permit $341.40 7/13/04 2200400000000000916 Fixture $56.00 7/13/04 2200400000000000916 Minimum/Adjustment Mechanical $39.00 / 7/13/04 2200400000000000916 Plan Review Minor - Planning $59.00 7/13/04 2200400000000000916 Sanitary Sewer - Improvement $51.63 7/13/04 2200400000000000916 Sanitary Sewer - Reimbursement $67.92 7/13/04 2200400000000000916 SDC Sanitary/Storm Admin $5.98 7/13/04 2200400000000000916 Vent Fan $6.00 7/13/04 2200400000000000916 + 10% Administrative Fee $10.60 8/2/04 2200400000000000997 + 7% State Surcharge $7.42 8/2/04 2200400000000000997 Add, A!ter, Extend Circ Ea Add $18.00 8/2/04 2200400000000000997 Low Voltage - Residential $25.00 8/2/04 2200400000000000997 Perm Serv/Fdr 200 amps or less $63.00 8/2/04 2200400000000000997 Total Amount Paid $1,058.07 ,I Plan Revie~s I Initial Review . 06/22/2004 06/22/2004 10 LLH Returned to John Pearson, Intake Person, to contact applicant for plot plan. Cannot process plans until the plot plan is received. Initial Review Plannine Review Public Works Review 06/25/2004 06/25/2004 06/25/2004 06/25/2004 07/09/2004 06/29/2004 APP LLH APP EMM APP MS 6/29/2004 - No SDC storm drainage fees because addition is a 2nd story over the first story footprint. Drainage to go to existing. - MAS Structural Review 06/25/2004 07/09/2004 OK RJB Paee 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00734 ISSUED: 08/02/2004 APPLIED: 06/21/2004 EXPIRES: 02/02/2005 VALUE: $ 44,167.20 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. I Reouired Insoections I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or 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. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough 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. 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. 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. (~ ~O" \ ~-'0~-6Lj ,~_~^~^_~'-;;r: 'V Owner or Con~nature Date Pal!e 3 of 3 ~ ' . 'Construction Contractors 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 #: ('l),n; ~..~ ()QLf - oa 73 Y Address: ~:s d 0' C i :5/ Issued by:17 , fYl ach atdoDate: r!J I 0;;;/ O-r' Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are 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 su~mit 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: ~ 1. I own, reside in, or will reside in the completed structure. D 2. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. D 3A. My general contractor 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 ~ 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. In 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. ~~~nnitaS:~, ~ ~;at;'0<j (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner. doc 12-09-03 ,; .. ....-'" Actiint'g. as' (our (J)wmi General C((j)n~Irac1ttQ)rr? . .~ - . -". ; ). INFORMATION NOTICE TO PROPERTY OWNERS , ABOUT CONSTR~CJION RESPONSIBILITIES .. .. I~ 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 make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following respOIlsibilities and concerns. ....1' _ ' ',),. ..... ;.l EmploY~,Jr .Re~lPoilll~nlbl~HtJies You will, .in most instan<;:es, be ru~ed to be an "employer" and the contractors you contract with ',,-,:i11 be "employees" if you use contrilctors not licep.sed,,\yitl?:,tl1e Construction Contractor~ Boar~..to dol~bor in constructing or to assist in the constructiop orimproy.el!lent ofa r~~id~ntial struch.tre, ,As,the employer, you must comply wit.I.I t~e following: - .'.. . . . . .... '. .. " . . . . . .~. , . . , "-' - '. '. -. ~ . .' -', ",'. - - , . .' .. Oregon's Withholding Tax Law: As an employer, you must withl10ld income taxes from employee wages at the time employees are paid. You will be,..liable for the tax payments even if you don't. actually withhold the tax from your -7\ .'_. "'.' __',.-~."""~ ~ ~..' ,. '\"1~'- '.. ,.. employees. For more information,-calI the Department ofRevertue at 503'-378-4988. '. ' . ~ ,,' , 0" ".,.. _ " -, -.". . / Unemployment linsurance Tax: As an employei", you are required to pay a tax for unemployment insurance pmposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. '.:.; . I The Oregon Business Identification Number (BIN) is a combined number forbothc'Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsnav.htmll for the appropriate forms. :. ", :., _ ' Workers' Co~pe!J..sation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and mqst obtain workers' compensation insurance for_y-o.ur employees. If you fail to obtain workers' compensation insurance, you could be stibject to penalties and he lia~le for'all clailTI costs if one ~fyour employees is injured on the job. 'For 'more information, call the Workers' Compen'satiori Division 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 ta~ payment even if you didn.t actually withhold the tax. For a Federal EIN number, call the lRS at 866-816-2065 orfax them at 801-620-7rI5.'" , , , ,... '.- :;. Other Responsibilities and Areas of COilllCeIrnS Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention ,through inspectiop.s. Liability and Propertf'Damage Insurance: Contact y~ur ihsura~ce agent to see if you h~ve 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 employees. .-' , . ~., . . '4 . . Expertise: Make sure yoti'have the skills to act as your own general contractor, to coordinate 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 \VTite the agency at PO Box 14140, Salem, OR 97309-5052. Property _ owner.doc 12-09-03 ~25 .FJfth Street . ~p,riI.lgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00734 COM2004-00734 COM2004-00734 COM2004-00734 COM2004-00734 Payments: Type of Payment Check tTh ~, .~~ 1\ .~}l 8/2/2004 r.ty of Springfield Official Receipt ,velopment Services Department Public Works Department RECEIPT #: 2200400000000000997 Date: 08/02/2004 10:19:48AM Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add Low Voltage - Residential + 7% State Surcharge + 10% Administrative Fee Amount Due 63.00 18.00 25.00 7.42 10.60 $124.02 Paid By JOHN S. RUDIaNS Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 1087 In Person Payment Total: $124.02 $124.02 Amount Paid Page 1 of 1