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Home My WebLink AboutPermit Electrical 2009-1-26 Electrical Permit Application SPRONG"ECO ~,==.". I DEPARTMENT USE ONLY I Gl_ ,~~t,~~~p~ I " ,(!Q"-- I ~1~lt'~~.m;li~~~MIIUJ.1~l~~J.u'2~~ hiJ/"'~ I Pellllll no. ,. ,0/725. ' 225 r:ifth_Slr,eeltS1ir. ,ingnel~, OR.9747,7.1~11(541)726-3753. FAX(5-11)726-J. 689' '.;, I ~O "'Jj-:a-'i::~ '--1---- .__.~.)... ~---;-- -.-~"........._.--,.--~~--~-.- '. _,' ., _:: '. . / .; I,"" ,;_~. ,~':Jl <10" }G',.':,';' ,:" -, tl': ~ ........ ,..) i~"--;'" ~,t~,()C')~' " I .-'"\,P...~.(" f-.'" !.!J:t '':''I..:ltL''~!JJilGt. 0" .), ..,,,:t......,,,"",. .!.. 'I" " .', "m;J. ==tJ' -~.,---.-:--."_._.'-. -D,'t".- _."-:::::', _ _~ _w ..I . . . . . '. to..,-, ,""., ",-'1. V" ....:.,' .' ,. '. ") .....).' '(""'''' ' '-. ------ . Lj.:!r y_~t~ESWJII !CP~W~b.jWqi2/~cYj_"~J _ ,~-ee(yt(j}8'~'-e 3 "-:-' j~. Q;J.'?':l I <: ..~ !iiiSJte;m i t:-;;;~.;-~-;d;;O A R 9i8:30if-oio6t~~-rm iis: .i'~e -,io 11't n':n~fei~br~. ~p.:fri} iti~~'Pi;:l.\~o ;f?;:;;;; s.'" ii (';I7;~7i1 i,-,'I HI) i days~o(jssuance-orifwork'is-suspended'for-180,days. ____.~.! ! _:'--l-'i;l1f,:n.:.';H:r.t\:q~;. c' '~;;'-1;;-;-\U7.\t'l~;~~\""\<"\ .' . ,,~'~,_._...._~., _. /.. T J:':,r,. - ' J.__. ________:_.._. .:._~_' -.:...~_.~._~~__.\.T,.l,.\l\J H.\\\;:-.~l.~(~\,\ ] , Ii '.."'" LOCAL GOVERNMENT-APPROVAL, I" I' , : '~:"'::':: '''1 FEE SCHEDULE ~ ':roo:'~ Ii I:, Zo"niilg'approval veri-fi~d?-- ."-"~'D"'es. -- D No II' I Numbe~'~f,{n'~'p'~~t'ionsrier'itcrn,U , IQty.l: ;Cost -~ I--Tolal -I.' . ea. 'cost , ' CATEGORY' OF CONSTRUCTION' I 1 j ] I Residentia-I,p"cr unit,.scrvicc included: I kJ Residential . 0 Government . 0 Commercial - 1 JOB SITE INFORMATION AND LOCATION I I l,o,o,Osq, Ii. or less (4) I $134,00 $ , I' '. " , n () J/.~ f I I Each additional ;0,0, sq, Ii, or portion S. I Job Slte,address: "fVl I YLt<..l"y() t! thereol S 25.00 I CitySpJll~1 Statef)~ l-zIPt1141il I Subdivision: - U' - - - - I Lot no.; 1 I DESCRIPTION OF WORK 1 I NOAA) SDJ1.!)ILD 1 I I I PROPERTY 'OWNER I 20110400 amps (2) I Name /!./ fI9;:?~ J/()j /; ~1" /.S.Pdr:::.,' ::DC)I_, I I 401 to 600, amps (2) ,I \ddlessP17&;x- C-sfP.. . , I 16011OI.OOOumps(2) ;1.clt)~,.1::,;;.;:[~-;u,;;:b~,.r State:;JZ/.;...1 ZIP 9''7J5"?-:1 jl OvcrJ,OO.o ul~psor,'~IIS(2) , ~.. I~)" . ~" . . ':' I .-- -,-----.. '--:1 .1-Reconnect.only.(2)_": 'A' ..:......~_...:~ II:::: S 63.00 S \I.hone~ ~:J:!,;.-,Ji1,;;; OL n AVE.:r a. :rn'?,'.F:~:x.~ ,,,.,; ..~.... "l.. -" .---- I"E';1':' r'I-...r:.n: i~ lr.;!!ltG flU...... n .-'P ",,' . _- ~. .~:i""1 .... I T, emporary scrv.ic.'cs (l'r feeders: insw//alio!J, 1I/1t!/'IlIioll. r,'{ucor;ull ~-l1laJ. .' . -. - 'l"'\'U\f~)::~~~-l(F:.~r'{Ha}:l~';...U.U.;;:.~"'!.h.n:::.,,_.-..... "'~ ~"""'-~<.'~,... .. ... , .. _' _ '._.n", _, .:. _, . 200ampsorkss(2) .....l:,..:ti.O..l(~:?- JOi~~;ltj,(',:\',u/'-r~.c<t"}.l{' 1 111Is lIlstallatlOn ls:being made~on resldent.lahor;Jarm~prop~rty ....#_... ... .~..... -'~. . _ ," I~<\ \ ~ ~"\ ,":;: .!l 63.00'. . ..,)l.. .' o\\'ned b~ me o~ a member of my immediate family. This \. ~: \.. ~li201\to .400"~lllpS{i)- ~~.'-:.....~'.::;.:'~:=--= ._~--._ _$_87,00,__ _S, I proper~:y IS not mtended for,sale, exchange, lease, or rent. OAR I ,; . - ~"'I 479.540(l) and 479.560(l):...,' "." " (' ., " 40,1 to 600, amps (2) . 5126.00 5 " Signature: lOver 600 amps or 1.00UVl)]ts.-see scr\'i(.:cs.{)rrceJcrs'.~l:'Cli()l1ahu\'~,-.i I CONTRACTOR 'INSTALLATION.. 1 I Branch circuits: nell', alleralioll, ex/ellsioil pa p~llIeI . I I Business name: (::, F r:; C: (0 t:ff~ I I a. Fee for branch circuits with purchase of n service or IL'C(kl' IL'l:': I I Address: P. 0. h,)( ) 10 ((it!' I I Each branch circuit I ' 600 I s I \ City: A-l b rLYu.) .\ State:.O'{( I ZIP: OJ I?) 2- r I' I b. Fee for branch L'ircuils without purchasc ora st:J"I'icc (!r Ict:lkr 1\.',': I I PllOllc5l/1 Q&'1I%&?71 Fax: '5<./( .qr.,'1 iCY-f9, I First branch circuit (2) 1$ 5;111115 I I E.mail: 0 nee.w.~ fv ot" (A JP h flL.:t' ,COyyil ] Each additional bnmeh circuil S 6,00 I S I I CCB lice-nse no..: J ~ Ll'1 X'I BCD licellse no.: CLtZiJ I' I Miscellaneous fees: sen:icl! orfeeder /lor illc/ud_'d ] I Signing supervisor's licenseno.: ::<Cf X1J5 \ I Each pump or irrigation circle (2) S 63.00 5 I 1 Print name of signing supervisor: E D ~bes....[-l I Each sign or outline lighting (2) S 63.00 S I IS' t f" ;v~' .~ /7,_ ,.:'J C-...t ~Slgllalcircuitoralimite,d-em:rgypand ~ 63.00 S Igna me 0 stgnIng sl,.lper~~. ( V ~. J -1 alteration. or extension (2). .~ --~ - I Each additional inspection: (I) I APPLICANT USE I (A) .Enter subtotal of above fccs (Minimum Permit Fee 558.1)0) 1(13) Entcr 12%surcl1nrgc (.12:\ [AJ) I (C) Technology F'ci: (5% off A]) I TOTAL fees.and surcharges (A through C): Limited energy (2) S 32,00 5 Each manufactured hOllle or lllodular dwelling s~rvice or feeder (2) S 63.00 s I Services or feeder.~: il/swllalioll, {I!/(:rulirlll. re!()('olio!l $158.00 I '0100 i $ i I I s 200 amps or less (2) / $ 81.00 S 95.00 . $205.00 s $469.00 s I I H_'I ,. I $58,00 S ~~ \:~\9t..5<~ ~~" <,' , S <:;' (JU '" !, U -11" -I'lL -'-/' 0[')- s qi.~77 J 5, $ 4.H)-:?5S.:I-J (':IIOS/COM) Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01735 ISSUED: 12/12/2008 APPLIED: 12/04/2008 EXPIRES: 06/30/2009 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 467 OAKDALE AVE ASSESSOR'S PARCEL NO.: 1703224202500 SPRINGFIETYPE OF WORK: Foundation TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Foundation for relocated single family residence. Previous address 1071 Harlow Rd Owner: RIVER VALLEY BUILDERS INC Address: 1071 HARLOW RD SPRINGFIELD OR 97477 I. CONTRACTOR INFORMA TLON , Contractor Type General Electrical Mechanical Plumbing Contractor RIVER V ALLEY BUILDERS INC G & E ELECTRIC INC MIDWAY MECHANICAL INC ADH PLUMBING INC License 134566 54468 154166 175077 Expiration Date 04/15/2011 09/1512009 01/30/2009 04/03/2009 Phone 541-760-7881 541-967-8627 ' 541-928-2423 541-967-7686 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 # of Stories: Height of Structure Type of Heat:' Water Type: Range Type: Energy Path: Sprinkled Building: 1 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: No . I DEVELOPMEN! INFORMA TI~N , Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 15.00 19.00 5.00 38.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: DID of Lot Coverage: ! REQUIRED PARKING Total: 2 2 Handicapped: Yes Compact: ' -, ,....~...r I .....,,'~_...'" ....,.\ y....... 'r ~ r- I,", 19;00' " Street Improvements:, -'. 'F II I d K ;" _ "'''':':'. ' u y mpro~ed'\E WOR Storm Sewer AY~i/~ble,'.F\M\T SHALL EXPIKt IYeslT IS NOT Special Instruction:, lOm-'ED UNDER TI:\IS PERM R p,u I r r L'OR IS ABANDONED FO N"'~M"~\(',E~ Notes: Storm.water'to cnr PE'RIOD , ANY 180 DA " , , ; " . '. j .~. 'r. '. (, ')':'I.lorth I PUBLIC IMPROVEMENTS."" ~ :)vl'c,,"v ,,~IL'<): UAH bCl;';-UU1- 'H , 'I You may obtain caple" of the rules by calling tSidewalkIT)ipe:te: the telephone ' number ~r the Dreqn.n L!tllity Notification C ownspouts/J,J,rams:2344) Curb and Gutter f1lf;;;!1 l,j l-ouv-v.,,;J':;'~. . :tI' Paee I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone' 541-726-3676 Fax 541-726-3769 Inspection Line I y ?Iu~ti,o~ Description I Description Tvpe of Construction $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 5,000.00 Foundation Onlv Use Bid Amount Total Value of Project ~~~ p'. \IU CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01735 ISSUED: 12/12/2008 APPLIED: 12/04/2008 EXPIRES: 06/30/2009 VALUE: $ 5,000.00 Value Date Calculated $5,000.00 $5,000.00 12/04/2008 Fee Description Amount Paid . Date Paid Receipt Number + 10% Administrative Fee $30.36 12/12/08 1200800000000001222 + 12% State Surcharge $36.43 12/12/08 ,1200800000000001222 + 5% Technology Fee $21.13 ' 12/12/08 1200800000000001222 Addressing Assignment $37.00 12/12/08 1200800000000001222 Foundation Permit $'78.58 12/12/08 1200800000000001222 Moved Structure Plumbing Conn $52.00 12/12/08 1200800000000001222 Plan Review Minor - Planning $119.00 12/12/08 1200800000000001222 Plan Review Residential $51.08 12/12/08 1200800000000001222 Sanitary Sewer - 1st 50 Feet $52.00 12/12/08 1200800000000001222 Sanitary Sewer - Improvement $273.48 12/12/08 1200800000000001222 Sanitary Sewer - Reimbursement $359.65 12/12/08 1200800000000001222 SDC MWMC Administration $10.00 12112/08 1200800000000001222 SDC MWMC Improvement $1,009.17 12/12/08 1200800000000001222 SDC MWMC Reimbursement $97.90 12/12/08 1200800000000001222 SDC SanitarylStorm Admin .$109.74 12/12/08 1200800000000001222 SDC Transpo Improvement $888.98 12/12/08 1200800000000001222 SDC Transpo Reimbursement $201.54 12/12/08 1200800000000001222 SDC Transportation Admin $77.67 . 12112/08 1200800000000001222 ,Storm Drainage Impervious Area' $907.57 12/12/08 1200800000000001222 Storm Sewer -'1st 50 Feet $52.00 12/12/08 1200800000000001222 Storm Sewer Each Addtl100' $17.00 12/12/08 1200800000000001222 Water Line - 1st 50 Feet $52.00 12/12/08 1200800000000001222 + 12 % State Surcharge $9.72 1/22/09 3200900000000000037 + 5% Technology Fee $4.05 1/22/09 3200900000000000037 Perm Serv/Fdr 200 amps or less $81.00 1/22/09 3200900000000000037 Total Amount Paid $4,629.05 Initial Review Plan Reviews I ,12/04/2008 WE 12/04/2008 Structural Review 12/0412008 12/04/2008 APP ,. , Paee 2 of 4 LLH Cannot issue until moving permit has been received and approved. See documents for Plan review comments. DLM Status Iss u ed ,CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01735 ISSUED: 12/12/2008 APPLIED: 12/04/2008 EXPIRES: 06/30/2009 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR' 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line luitial Review 12/1212008 12/12/2008 APP LLH House moving permit is ready to be picked up. Called Chris Schoap, bu! his message box was full. Gave , permit to Don Moore to issue with foundation permit. This is a springfield to springfield move- no willamalane sdc. 2 Street trees required unless already in. , Storm water to curblFixture count given by Greg Larkin PlanniDlZ Review 12/04/2008 12/1212008 APP DDK Public Works Review 1211212008 12/12/2008 APP LKW To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will he made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I, Rpflnirp.rl Tn~,nP:('~ Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prio~ to floor insulation or decking. Floor Insulation: Prior to decking. Final Building: After a!1 required inspections have been requested and approved and the building is complete. Underlloor Drain: Prior to cover or placement of concrete. U nderfloor Plumbing: Prior to insulation or decking. 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. Electric Service: Approval required prior to utility company energizing service. Page 3 of 4 Stat\ls 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: COM2008-01735 ISSUED: 12/12/2008 APPLIED: 12/04/2008 EXPIRES: 06/30/2009 VALUE: $ 5,000.00 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 Paee 4 of 4 Date 225 Fifth'Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt, Development Services Department , Public Works Department RECEIPT #: 3200900000000000037 Date: 01/22/2009 1:34:36PM Paid By G & E ELECTRIC, INC, Item Total: Check Number Authorization Received By Batch Number Number How Received njm 1916 In Person Payment Total: Amount Due 81.00 4,05 9,72 $94.77 Job/Journal Number COM2008-0l735 COM2008-0 1735 COM2008-0l735 Description Perm ServlFdr 200 amps or less + 5% Tecltnology Fee + I i% Siate Surcharge Payments: Type of Payment Check Amount Paid $94.77 $94.77 cReceintl Page 1 of 1 1/22/2009