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Home My WebLink AboutPermit Electrical 2009-1-5 Electrical Permit Application i 225 Fifth Street. Springfield. OR 97477+PH(541)726-3753. FAX(54 1)726-3689 I~-"'--"_""---"- '",-,;--'*'~""=-~r---I ~~9;~~~IJJ,,~~~,~iY_~,\';p1'!~Yi~ I Permit no,: COIM ZOO 'is' - 09 SILl I Date: 0 I~r/D i I 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 ]80 days, I Residential, pe~ unit, service included: 11,000sq, It, or less (4) I' Each additional ?OO sq. ft or portion thereof I Limited energy (2) I Each manufactured home or modular dwelling service or feeder (2) I Services or feeders: installation alteration, relocation I 200 amps or less (2) 1 $ 81,00 $ I 20 I to 400 ampsJ2) $ 95,00 $ I Name: -;:s-~<; b, M "y'j;n I-oe./<. I 401 to 600 amps (2) , $158,00 $ I Address: ,(., ~ / M a / / 4./(d Av-e ' I 60 I 10 1,660 anips (2) $205,00 $ I City: $p'(Giflq.f7t'/ei I State: O~ J ZIP: 97'1?:r I Over 1,000 amps or volts (2) $469,00 $ I Phone:541'-~'n r/373 J ,liaIENT10N; ?re??~n ~~~~~e~ui~~~~:~iry (2) . $ 63,00 $ I E-mail: 't \ 9'? L)TOllOWI~~It;., auvJJ,vT-h ) '''-IL~ b1J~BPfi\H'tfcrvices or feeders: installation, alteration, relocation. \ \:,lIlY\. V\c..8 ~,' fGV^I,y\CLVl:ot;)P~"'~ ose ru FI- . This install~tion is being made 'iln'i;,?~ellti.i'tj)r(fijmcpropeftSougr Ol,f!(lg@!!'OO'tJess (2) $ 63,00 $ owned by me or a member of my im'1JSdi~t!'J~I)fDr. ,Of:h,isin copie~ OTg~&~M~B<f'~ps (2) $ 87,00 $' propertye)s mtended for sale, excli,ange"leas_e,-orrr,<m\, C(l~~. tile l:ffi~n2, 479,540 and 79,560(1), 00"';;" 't ,~~ ~. Utili Y tWili\j>clill9~mps (2), $126,00 $ Signatur ' ' . ~ . ~l.\!;;,~'332' 23rlJly.er 600 amps or 1,000 volts, see services or feeders section above I ~:::~r'J:J1~R\1INSY~~l'AJIlQN:!f~"k,"1.'cJ:~j : :r;::~o~i~:~~:: ~i::~~:I:~~::r:'~:s:s~~na::~::e~r Iceder fee I Address: /-1 I 'Each branch circuit I III $ 6,00 I $ {"fc, J City: \. t~te: I ZIP: I I b. Fee for brancn circuits without purcl)ase of a service or feeder fee: I. Phone: J ~ 1 Fax: J I First branch circuit (2) $ 55.00 $ I E-mail: n V I I Each additional branch circuit' $ 6.00 $ I' CCB license no.: v 1 BCD Iicens~ no.: 1 I Miscellaneous f~es: service or feeder not included I Signing supervisor's license no.: 1 I Each pump or in:igation circle (2) $ 63.00 $ I Print name of signing supervisor. NOT'''~, I I Each sign or outline lighting .(2) $ 63,00 $ I Signature of signing supervisor: THIS PEFlM/T ~~I\~~iJ~;t:nl;~~t(gienergy panel. $ 63,00 I $ , AUTHORIZED UNDE " r T~.s1lV_~~" (I) $58,00 I $ 2E~~~NCED OR IS :l\RllP!D0Nt~~f3~~rtL!feANi;:'USE~!~l':;)t~';1~,i<:~~~ DAY PERIO XA) Enter subtotal o!1above fees ...., (Minimnm Permit Fee $58,00) $ III I I (B) Enter 12% surehargc (.12 x [A]) 1 $ 17~ I (C) Technology Fee (5% of [A]) ,'I $ 7 ,'I ~ I TOTAL fees and surcharges (A through C): I $ 17/ ,~- 1~;;;;~J~~trdQAf;JGOV.EBNI\III:NJJlAI:1.P,ROV.A~~C-~ I Zoning approval verified? [d"Yes D No ' ;;;;r'';;'iiif'~CAi(jEGORY<110FJ[('::QNsmR.l'J.c"/iIQN~1?'-x~;'~:lil lS}Residential I 0 Government I 0 Commercial ~~UC)B';!SlmEJINE.QRI\IIA'liIQN?iAND1i1JrCl!>ATI0Nlif0:,\ .~:. Job site address: ,(,31 /V\/JJ\IlRC! kJe..- I City: S'~i:r"Q-R,,--\J. I State: Df.: 1 ZIP COLt77 1~U,~~;J[~D:SCRIB;tI.0N~OFg,\lVJ~~~~~J'~~i~,. I ~,lA. Sfu-l-tf:.ic.0/ I ' ~ , - ~ ' .~ \SJ~nt; y.~~ $134,00 $ $ 25,00 $ $ 32,00 $ $ 63,00 $ 81 1 I I I I 440-2584-J (9/08/COM) n0322 \ ~ \ S'&:x:) Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00512 ISSUED: 06/09/2008 APPLIED: 04/14/2008 EXPIRES: 02/22/2009 VALUE: $ 45,241.00 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 InspectionLine SITE ADDRESS: 63] MALLARD AVE ASSESSOR'S PARCEL NO.: ]7032213]5300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Additiou PROJECT DESCRIPTION: Family Room Utility Room, Bath, and Garage Addition Residential Owner: MCCLINTOCK NICOLE C & JAMES B Address: 63] MALLARD AVE SPR]NGFIELD OR 97477 Phone Number: 54].337-0373 I CONT,~C:OR INFO~MA TION ~ Contractor License OWNER ires you to OWN)(l~-ENTION: Oregon la~hr:6~egon Utility OWl'i~,R)w rules adopte~h~~O "11p.s are set forth Not!tlCElllUll VV' ,~~.. ... ':"'.~. ':J!':'_".~1JlJJ- , OAR 952_00-1-:Bt11I1lDIN!1']NFeKMAJ:lON I ,1~\090, You may oma\l\'-',~t~lh~ telephone # of Units: callinq the center.#lol'SWr~~:Notification Primary Occupancy Group: numBS.? for the, or~<fi~~Y,fll~~!f4'4f!Jre ]4.00 Secondary Occupancy Group: '-tenter IS 1 $~iiieat: Wall Heat Primary Construction Type VB Water Type: Secondary Construction Type: Range Type: # of Bedrooms: Energy Path: Sprinkled Building: Contractor Type General Electrical Plumbing Expiration Date Phone Lot Size: Sq Ft ] st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 6,534 365 247 Path] No I DEVELOPMENT INFORMA nON I REQUIRED PARKING Frontyard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 28.00 , Overlay Dist: Urban Fringe ,Total: .;~t;~~~L EXPIRE IF THE WORK ~::~~~;,ped: AUTHORIZED U~'ER THIS PERMIT IS NOT r':""'cw"cn I'lR ,~ ARANnONED FOR I PUB\mf'yll'ffig~l)iItWll$J1 35.00 0.00 Street Improvements: Storm Sewer Available: Special Instruction: Storm water to Splash block Sidewalk Type: Downspoutsffirains: Notes: Soil #76 Urban -Chapman well drained soil Page] of 4 Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellings , Gara!!e V Wood Frame Garage Fee Description Plan Review Residential -Mech Iss 2+ Appliances- + ]0% Administrative Fee + 12% State Surcharge + 5% Technology Fee Building Permit Dryer Vent Fire SF Fee - Residential Fixture Minimum/Adjustment Mechanical Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan + ]2% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less 'Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00512 ISSUED: 06/09/2008 APPLIED: 04/14/2008 EXPIRES: 02/22/2009 VALUE: $ 45,241.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $]05.00 $28.00 Square Footage or Bid Amount 365.00 247.00 Value Date Calculated Total Value of Project $38,325.00 $6,9]6.00 $45,241.00 04/14/2008 04/14/2008 ,F~r\ r~ilU Amount Paid Date Paid Receipt N umher $248.68 $40.00 $52.72 $59.59 $30.63 $382.58 $7.00 $30.60 $64.00 $36.00 $]]6.00 $3.67 $73.44 $7.00 $17.64 $7.35 $66.00 $81.00 4/14/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08' 6/9/08 6/9/08 6/9/08 6/9/08 6/9/08 1/5/09 1/5/09 1/5/09 1/5/09 ' 2200800000000000449 2200800000000000856 2200800000000000856 2200800000000000856 2200800000000000856 2200800000000000856 2200800000000000856 2io0800000000000856 2200800000000000856 2200800000000000856 2200800000000000856 2200800000000000856 2200800000000000856 2200800000000000856 2200900000000000006 2200900000000000006 2200900000000000006 2200900000000000006 , $],323.90 I Plan Reviews I Initial Review 04/]512008 04/] 6/2008 ' APP LLH Public Works Review 04/]6/2008 04/17/2008 APP LKW Planning Review. 04/16/2008 05/01/2008 APP TAJ Structural Review 04/]6/2008 05/05/2008 WE DLM Problem; proposed roof framing is structurally inadequate. Will meet w/ Amy (oener's rep.) to resolve the issue 5/5/08dlm Page 2 of 4 Status Issued CITY OF SPRINlJJ:<lJ<.LD ' Building/Combination Permit PERMIT NO: ,COM2008-00512 ISSUED: 06/09/2008 APPLIED: 04/14/2008 EXPIRES: 02/22/2009 VALUE: $ 45,241.00 225 Fifth Street, Springfield, OR 54].726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line Structural Review 06/0] 12008 06/09/2008 APP DLM Designer called providing owners acceptance for moving- rafter ties for,; roof stability, which will substantially lower the ceiling height' in the center of the addition 5/]8/08dlm. See documents for Plan review comments 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. Rpollirpf In\inly~lion~ 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. Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough ip inspections have been approved. , Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required i~spections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or deckiug. Underfloor Drain: Prior to cover- or placementof concrete. Roogh Plumbing: Prior to cover and including required testing. 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 completc. Electric Service: Approval required prior to utility company energizing service. Page 3 of 4 Status Issued CITY OF SPR1J~ljl'lELD Building/Combination Permit PERMIT NO: COM2008-00512 ISSUED: 06/09/2008 APPLIED: 04/14/2008 EXPIRES: 02/22/2009 VALUE: $ 45,241.00 225 Fifth Street, Springfield, OR, 54] -726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line 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 withoutpermissiou 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 tim ring construction. ~.~,~~ -1- 5-08 ontractors Signature Date Page 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-005l2 COM2008-00512 COM2008-00512 COM2008-00512 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Date: 01105/2009 2200900000000000006 Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By JAMES MCCLINTOCK Item Total: Check Number Authorization Received By Batch Number Number How Received djb 005658 In Person Payment Total: , , Page I of I 9:07:06AM Amount Du,c 81.00 66,00. 7,35 17,64 $171.99 Amount Paid $171.99 $171.99 1/5/2009 .