HomeMy WebLinkAboutPermit Electrical 2007-8-31
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3. !COMPLETE FEESCHEDULE BELOW
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number COM '2JP;23--::;- -~7t-f l
I
LEGAL DESCRIPTION: A. ~e~ Residential- Single or Multi-Fa~ily per dwelling unit. I
l ~p l'JV\O~~...." Service Included \Olo.oP _
JOB DESCRIPTION: \\"~a 1000 s~f!. or less (I)'.~OD $t~~.L
THIS PERMIT SHAll EXPI8i~&dfftf~MlB~q. ft. or
\("'\ 2.,\1..:) ( .t:>,()~ r\Acl-\<o.:>vAUTHORIZED UNDER THIg,~A1\m'fJ18fNOr ( ~)goo $'%1:00 ~ ~
Permits are non-transferable an~QM&1~~t.q QR 'IS ABA~fiflB'd Home or
not started within 180 days ofiJ.hl}kHlgi~rfliR~D. Modular Dwelling Service or
Suspended for 180 days. / . Feeder
2\! CONTRA!l:l vR INSTALLATJON ON;(Y I B. , Services or Feeders -Installation, Alterations or R.cl~cat~~~]
Elec~~,.~O,n...tracto~ '/ 200 Amps or less ~ $ 70.00 ~
"\ 201 Amps to 400 Amps $ 83,00
Address 401 Amps to 600 Amps $138.00
'\ 601 Amps to 1000 Amps $180.00
.\~
'\ Over 1000 AmpsNolts $413.00
\, Reconnect Only $ 55.00
'.
\
Supervisor License Num '
1. I WCATION OF INSTALlATION:
6?/3 ~, '?:f\-':""'
City
'"
, \
Expiratioti\~ N: 01'8606'1 Vaw mNlreg YOU ~
ffoIlow - e&l adopied'by ihe Oregon Utiliiy
Constr.1M9 . gtemer. Thos, rules are sei fortn1
m 0 952-o01l-UU1Uli1rougn VAM tlo~-uu1o
Expirat aJ.'lOM may obialn copiea of the rules b)J
em 'ling U 11(1 ~1.l"l. iNulo. U ~Q'.loJ~tij 1Vl1Q'
Si turgsn'E~~Q~~ Utility N.otiflcatiofil
/ Cenier is 1-800-332-23<<~
'\
Owners Name Sc...o ~, M~~..f~
Address '1.- 4 ~ -=1-4 \--\0.. t1Qy\ \.-~,
City S,^'l\~\~\A C ~ U Phone c,y \ - C)~~ -l ~ S 3
OWNER INSTALLATION
The installation is being made on property I own which
is not intended !9f.1e, lease or rent.
~O: S' / "
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Inspection Request: 726-3769
$55.00
c. rr;;'lporary Servic;s or Fe~ders
--l
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 55.00
$ 76.00
$110.00
Over 600 Amps or 1000 Volts see "B" above.
D. I Branch Circuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48.00
$ 4.00
E. I Miscellaneous (Ser;vice/feeder not included) -Each Installation I
Pump or irrigation. $ 55.00
Sign/Outline Lighting $ 55.00
Limited Energy/Residential $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
4. f SUBTOTAL OF ~OVE \ \Q~p.J __i~L1 ,6 ,~
8% State Surcharge ,. 5~ 8 _ \ ~ ~.:. -, :
10% Administrative Fee tift) \ ~ .b~ ~E:~l':'"
5% Technology Fee \do{, \\9 .00 ~
-1 ~l. T
TOTAL -- ~-~
Shared Drive(T:)lBuilding FormslElectrical P it Appli~n 7-07 ~doc
'2-oD.~q
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00741
ISSUED: 06/11/2007
APPLIED: OS/23/2007
EXPIRES: 01/27/2008
VALUE: $ 213,156.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 633 34th St
ASSESSOR'S PARCEL NO.: 1702312401403
Springfield
TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family residence
TYPE OF USE: New
Residential
Owner:
Address:
SCOTT MCINTYRE
29074 HATTON LN
JUNCTION CITY OR 97448
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
DUANE CASEY SMITH
License
125596
BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
1
R-3
U
VB
2
22.00
Heat Pump
Electric
Electric
Path 1
n/a
3
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
40.00
6.60
11. 70
23.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage: 21.90
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Phone Number: 541-998-1933
Expiration Date
06/22/2008
Phone
541-729-8114
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
9,000
1,406
306
498
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: Storm H20 to curb & gutter. JLP APP
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pa!!e 1 of 4
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00741
ISSUED: 06/11/2007
APPLIED: OS/23/2007
EXPIRES: 01/27/2008
VALUE: $ 213,156.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
A.C. - Residen
Dwellin!!:s
Dwellin!!:s
Gara!!:e
AC - Residential
V Wood Frame
V Wood Bonus Rm
Gara!!:e
$4.00
$103.00
$89.00
$27.00
1,712.00
1,406.00
538.00
504.00
$6,848.00
$144,818.00
$47,882.00
$13,608.00
$213,156.00
OS/23/2007
OS/2312007
OS/23/2007
OS/23/2007
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
-Mechanical Issuance Fee- $10.00 6/11/07 1200700000000000736
+ 10% Administrative Fee $145.76 6/11/07 1200700000000000736
+ 5% Technology Fee $77.26 6/11/07 1200700000000000736
+ 8% State Surcharge $107.77 6/11/07 1200700000000000736
2 Baths One or Two Family $254.00 6/11/07 1200700000000000736
Addressing Assignment $31.00 6/11/07 1200700000000000736
Building Permit $936.15 6/11/07 1200700000000000736
Dryer Vent $6.00 6/11/07 1200700000000000736
Exhaust Hoods $9.00 6/11/07 1200700000000000736
Fire SF Fee - Residential $110.50 6/11/07 1200700000000000736
Furnace - up to 100,000 btu $12.00 6/11/07 1200700000000000736
Heat Pump $12.00 6/11/07 1200700000000000736
Plan Review Major - Planning $198.00 6/11/07 1200700000000000736
Plan Review Residential $608.50 6/11/07 1200700000000000736
Plan ReviewIResidential Hourly $90.00 6/11/07 1200700000000000736
Sanitary Sewer - Improvement $455.18 6/11/07 1200700000000000736
Sanitary Sewer - Reimbursement $598.61 6/11/07 1200700000000000736
Sanitary Sewer Each Addtll00' $14.00 6/11/07 1200700000000000736
SDC MWMC Administration $10.00 6/11/07 1200700000000000736
SDC MWMC Improvement $961.52 6/11/07 1200700000000000736
SDC MWMC Reimbursement $91.61 6/11/07 1200700000000000736
SDC Sanitary/Storm Admin $143.75 6/11/07 1200700000000000736
SDC Transpo Admin $68.44 6/11/07 1200700000000000736
SDC Transpo Improvement $836.32 6/11/07 1200700000000000736
SDC Transpo Reimbursement $189.58 6/11/07 1200700000000000736
Storm Drainage Impervious Area $1,100.99 6/11/07 1200700000000000736
Storm Sewer Each AddtJ 100' $28.00 6/11/07 1200700000000000736
Temp Power 200 amps or less $50.00 6/11/07 1200700000000000736
Vent Fan $12.00 6/11/07 1200700000000000736
Water Line - Each Addtll00' $14.00 6/11/07 1200700000000000736
Willamalane Single Family $2,303.00 6/11/07 1200700000000000736
+ 10% Administrative Fee $16.30 8/31/07 1200700000000001141
+ 5% Technology Fee $8.15 8/31/07 1200700000000001141
+ 8% State Surcharge $13.04 8/31/07 1200700000000001141
Residence Wiring 1000 Sq Ft $106.00 8/31/07 1200700000000001141
Residence Wiring Ea Addtl 500 $57.00 8/31/07 1200700000000001141
Total Amount Paid $9,685.43
Pa!!:e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00741
ISSUED: 06/11/2007
APPLIED: OS/23/2007
EXPIRES: 01/27/2008
VALUE: $ 213,156.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninl!: Review
Public Works Review
I Plan Reviews I
OS/23/2007 APP
OS/23/2007 APP
OS/23/2007 APP
LLH
TAJ
JLP
OS/23/2007
OS/23/2007
OS/23/2007
Structural Review
OS/23/2007
OS/23/2007 APP
DLM
"Express Permit".
Storm H20 to curb & gutter. JLP
APP
No engineering was submitted.
Contractor to provide engineering
for girder truss supports, patio
beam and support for rear wall of
bonus room 5/23/2007dlm.
Contractor submitted the requested
add'l engineering. Waiting for
revised girder truss designs for
submitted revisions 6/5/07dlm.
Received revised truss designs w/
add'l engineering revisions
6/7/07dlm. Requested detail from
engr. for truss tie-down at 40"
footing 6/7/07dlm. Approved 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.
~eollire<U"nSDections .
Vfer 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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Vnderfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Pal!:e 3 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00741
ISSUED: 06/11/2007
APPLIED: OS/23/2007
EXPIRES: 01/27/2008
VALUE: $ 213,156.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Underfloor Drain: Prior to cover or placement of concrete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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
Pa2e 4 of 4
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 #: (1/ '7,~ 114 \
Address: Lo 32:> 25\+'" . ~
Issued by: \ Am .J Date: 8 2) \ ...0 (
Stat~ment: 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 follow.ing 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 staiem.ent will be filed with the permit.
.,
(~l ~ fue :::~:::::~~:: :::e b~X~: ~::;~t:::::OX 3A or 3B;
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.
o 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 ~L~
B: lwill be m~ own ~ contractor.
.' -If I 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 ofthe
name of.the contractor. '
. .
I hereby certify that the above information is correct and.that I have read and do understand the Information
:; ~G );IT/u;;:nSiblfiues on llie reverse Side~~~~ W-
L ........, (Signature of pe~it applicant))' L(Date)/
(White copy to b.,,)u;ft~gency permit file, pink copy to applicant.)
Property _ owner. doc 06-01-04
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, AC~I,~~j~Y 9~" \ General:<?ontractor?
! ( I. 'INF0RMA-T10N NOTICE ,PROPERTY OWNERS
.~\ ABOUT/GON~rRUCTIQJ\I;RESPONSIBllITIES
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This Information Notice to prop.erty about Construction Res.p. .on.'.~i~;;;;S;~S;;;',;f)I~;;;;;;; the]"
Contractors Board in accordance with ORS 701.055(5), passed by the 1.989 OregonLegis/ature.
If you are acting as your own contractor to construct a new home or make a substantial improvement to ~ existing
structure, you can prevent many problems by being a\vare ofthe-followin~g-responsibi1ities and concerns,' ,
Employer
,. .
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Oregon's I..Jl1w: As 'an employer,
employees are paid. You be liable Jor the tax
employees. more information, call the D'epa:rtrrtent
contractors youcontract with will "employees" if
Board to dQ labor c()nstructing or, to 'assist in the
~u~t ~~mply with'tbe following: ..
taxes 'from employee wages at the time
you don't ;i;ctually withhold the tax from your
503-j78~4988:','":1
You will, instanqes" be,ruled to be an
. -
you use contractors not lic~nsed with the, . .
construction or arc!:iidentlal
pay a tax forunemploy'ri:lent msurance,pmposes
. Department at 503-947-1488. '
Unemployment
on the wages of
Tax: As an employer; you
employees. For more information,
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The Oregon Business Identification Number (BIN) is a ,number for b,oth' Qregqll W-it1;lholding. and
Unemployment Insurance To file for a BIN, caB 503-945-8091 or \vw\v.dor,state.oLus/fonnsoav,htmll for the
appropriate fonns, .: "', .
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Insurance: As an employer, you are
compe;nsation insurance for
'" , . .;-'~ ~ ". , . ,j- ~ - _ . .' f:.;' ~
sUDject to penalties and be
call the Workers'
to the Oregon Workers' Compensation Law,
you fail to obtain workers' cvmpensation
Wonod6f yb~ :employees is jnj~edon the
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at the Dej:>artment of-Consumer'arid Business
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Service: As an employer, you must withholdYederal income4axemployees'wages.
You tax payment even if you tax, For a Federal EIN number, call the.
IRS at 1-800-8294933 or vi sittheir, web ".'
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holder for
to yo~' a~~ntio~.
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resolving any failure" to' meet code
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agent to see If you
from
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adequate' insurance
punctures, fit:.e or
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sure you
time to supervise
and finish
c'~ritnlbtor; to:'coordlnate the of
so they can perfonn required inspections.
the skills' to act
building as
your own
questions call the
97309-5052.
(503-3784621) or.write the
at
225 Fifth. Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
CO M2007 -007 41
COM2007-00741
COM2007-00741
COM2007-00741
COM2007-00741
Payments:
Type of Payment
CreditCard
cReceint I
RECEIPT #:
1200700000000001141
Date: 08/31/2007
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
SCOTT MCINTYRE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
IIh
255627
255627 In Person
Payment Total:
Page 1 of 1
1 :30:39PM
Amount Due
106.00
57.00
8.15
13.04
16.30
$200.49
Amount Paid
$200.49
$200.49
8/31/2007