HomeMy WebLinkAboutPermit Electrical 2009-2-3
'Ele~trical Permit Application
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225 Fifth 'Streett Springfield, OR 97477. PH(541)726-3753t FAX(541)726,36B9
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Permit no,: 0 ( Z. s: 7
I Date: ~yb 7 I
I
This permit is issued under OAR 918-30910000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
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I zkesidential ' I 0 Government I 0 Commercial I
~~.C>El'l!$lmEiJINFi<:iRMi\1JIIQN'AN.1:l11Ii'Ql:::t,\mIQN~.l'i1
I Job site address: 243 D~...-.t t=a.... "Z4sr
I City: <:..'j:f 1. ,[ State:O tL I ZIP': I
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Name: HM..cL D JJBt'#..)" I
I Address q/.,Z s 1a.'''''idA-t€ n-II I I 601 to 1,00~:"i~~P), $205,00 I $
I City: S"i>f\ I State: oQ..' .~~~gt;II~\~~~~2~~, !IM~~(2) $469.00 I $ ,
I Phone: c;q \. c/r;. 03171 Fax: -l'~\\OW rules aaol" 1 ~'if?nMsta!~} f~~. $ 63.00 I $
n:;JO ~o~'or ~{c_ "~K ,,,,,,,'vV.
I E.mail: .NolitlcallUH "oi-oo 0 tiI'~l!lH-... ,~e!~i~i!5'\)~eders: installation. alteration, relocdtion
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This installation is being made on residential II O:1'I/U1P~ 00' al'I,.~ _ 'o~'It;".orJfe'P~f0ne $ 63,00 $
owned b)i me or a member of my immediate x,iJ;~'the cent~r. '~I~~i~fljllllnP~\'2~UO\l $ 87.00 $ ,
property IS not Intended for sale, exchange, lease~8t :ijgl-1\l~e C f''') ~%OO1itn:{,.
479,540(1) and 479,560(1), num center is 1-: i@ll) , pS (2) $126.00 $
Signature: I' Over 600 amps or 1,000 volts, see services or feeders s~ction above
i~~~Nm~[~NSjft(~~~~~~~~~I~~fiil .l_:r;::~o:i:::~~~ :i::~~:t:~~::r:~:s:s~~n:,:~::e~r feeder fee:
I Address: 3'i?fiY ,'T;:-J..::r,lH r2cl I I Each branch circuit I I $ 6.00 I $
I City: ::::;Dt?~, -If State: Or' I ZIP: Q7cJ7'f.. I b, Feefor branch circuits without purchase ofa service orJeederJee.
I Phone: / -sq{ -iN -to 741 Fax: / 6'11- 'J tf6' 0 7l 7 I First branch circuit (2) I I $ 55,00 I $
) E-mail: I Each additional branch circuit $ 6.00 $
I CCB license no,: 1t,1/J.?J 51 BCD license no,: 'JfJ ~");;/. 7c.. I Miscellaneous fees: service or feeder not included
I Signing supervisor's license no,: 0/700-5' I EachPu~porirrigationcircle(2) _ ~~ ,:\~63.00 I $ I
I pr,Intname ofSlgnmg supervIsor: ,1\(y" (Mr>/'<J.::'> S'Poroutlmehg~'Iil~\f1\\~ ~ \~63,OO I $ I
I SignatureOfSigningsuperVisor:(J~1 IJ}/I , !~~I\I! ~_e~~~~~~~~Jf6 $ 63,00 I $ I
, (}(l~ ~~Hl\ii!~ITli~IIt.:M~@-' I $58.00 I $ I
, ~ ' , ",m\'\l\~I};'~~~EB~i!IGANm'j'I!JSEl!;jj!Nia--~~1
1i:<I4), illi'M subtotal of above fees '
. '-~ ~' r (Minimum Permit Fee $58.00) $ 4/ f3
~ k JJ (B) Enter 12% surcharge (,12 x [Al) $ 150!!!..
~ ,I\\Q/ (C) Technology Fee (5% offAl) $ i?O ~.
, ~~ ' TOTAL fees and surcharges (A through C): $ ~~, ,Iob_
440-2584-) (9/08/COM)
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~Nuniberiofdnspections!i>~temit,)\r;,;'Q.ty:: ~f~e~a. ~~c'o'-sat.a,-
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I Residential, per unit, service included: -
[1.000sq,ft,orless(4) 21 $134,00 I $ZU
I ~~~~:?ditional 500 sq, ft, or portion ~ I $ 25,00 I $ / s-q
I Limited energy (2) $ 32.00 $ I
I Each manufactured home or modular $ 63.00 $ I
dwelling service or f~eder (2)
I Services or feeders: installation, alteration, relocation I
I 200 amps or less (2) $ 81,00 $ I
I 20 I to 400 amps (2) $ 95,00 $ I
I 40 I to 600 amp; (2) $158,00 $ I
I
I
I
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: COM2008-01259
ISSUED: 11/07/2008
APPLIED: 08120/2008
EXPIRES: 07/1212009
VALUE:' $ 387,100.00
SITE ADDRESS: 243 DEADMOND FERRY'RD 245
ASSESSOR'S PARCEL NO.: '1703154001501
Springfield TYPE OF WORK: Duplex
PROJECT DESCRIPTION: New Duplex
TYPE OF USE: New
Residential
Phone Number: 541-968-0317
Owner: ,HAROLD BERRY
Address: 462 SPRlNGDALE AVENUE
SPRINGFIELD OR 97477
Contractor License
CONSTRUCTION CONSULT ANTS L TD INC 120549
JEM ELECTRIC INC 161235
PACIFIC AIR. COMFQRT INC 39237
CHAPIN ENTERPRISES INC ._-;:' ,;.M ",,~~f~4
tl\ \ ~\~~;~ CBiiiLIiiNq; lNFORM~rfIPrll
o 0 Those rUle,=, C11 C'v\..n ,~,~
Notification center."_ hOAR 952-001-
in Oltn 952.001,~CO'ItS...r"res'TI rules by 2
OOR,3 You may cfNightQlfjSM1\l1JPc.e h 27.00
~u, I~t'"~. the telep one .
ca~ing the cerif~pe.. "'-~~: T foklectnc
nb'",ber for theWafliJ0lly~~~lty ~~~\ Ica I Itlectric
Center Ra1rg\PV~.23. Electric
6 Energy Path:
Sprinkled Building:
Contractor Type
General
Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I.CONTRACTOR INFORMATION I
Expiration Date
02124/2010
09/07/2010 '
03125/2010
05/06/2010
Phone
541-521-5180
541-729-1074
, 541-672-9510
541.485-1146
n/a
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
14,810
3,500
700
..
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
4
21.00
10.00
5.14
10.00
0.00
Total:
Handicapped:
Compaw
Overlay Dist:
# Street Trees Rqd: 1
Paved Drive Rqd: Yes,
% of Lot Coverage: 3,7.00
NOTICE: ,. ~'!""" II: T\.l!= WOR\(
I PUB~~~~~el'k~~Ni~.HIS PERMIT IS NOT
Fully ImprovedCOMMENCED OR IS ABANii\Q~AAe:
Yes ANY 180 DAY PERIOD. Downspouts/Drains:
Setback 5'
To Culvert - Provide
Drainage Plan
Paee I of 5
_Q~I*CillilliOLA' .
# : 'H' _ . '.':" :::,.-,."
'. . ,.
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Garaee
Use Bid Amount
Dwellines
Garaee
Pavinl!
Fee Description
Plan Review Residential
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
3 Baths One & Two Family
Addressing Assignment
Boiler/Comp 3-15 HP
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Heat Pump,
Plan Review, Major - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Improvement
SDC Transpo R~imbu'rsement
SDC Transportation Admin
Storm Drainage Impervious Area
Temp Power 200 amps or less
Temp Power 200 amps or less
Vent Fan
Willamalane Attached (duplex)
Refund - Admin Fee
Refund. Electrical
Refund - Surcharge
+ 12% State Surcharge
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01259
ISSUED: 11/07/2008
APPLIED: 08/20/2008
EXPIRES: 07/12/2009
VALUE: $ 387,100.00
I yaluation Descrioti?n ,
$ Per Sq Ft
or multipiier
$105.00
$28.00
$1.00
Square Footage
or Bid Amount
3,500.00
700.00
2,400.00
Value
Date Calculated
08/io/2008
08/20/2008
10/22/2008
$367,500.00
$19,600.00
$2,400,00
$389,500.00
Total Value of Project
F~p. P~W
Amount Paid
$1,110.93
$42.00
$294.31
$327.98
$151.61
$696.00
$74.00
$52.00
$1,709.13
, $88.00
:' $16.00
$22.00
$210.00
$30.00
$30.00
$211.00
$1,430.49
$1,881.23
$10.00
$2,018.34
$195.80
$324.84
$1,777.96
$403.08
$142.88
$1,677.43
$57.00
$57.00
$64.00
$5,452.00
$-5.70
$-57.00
$-6.84
$50.16
Date Paid'
Receipt Number
8/20/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11/7/08
11110/08
11/10/08
11110/08
2/3/09
2200800000000001268
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122 .
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
1200800000000001122
141870
141870
141870
1200900000000000073
Paee 2 of 5
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-01259
ISSUED: 11/07/2008
APPLIED: 0812012008
EXPIRES: 07/12/2009
VALUE: $ 387,100.00
Status
Issued
225 Fifth Street, Springtield, OR
,541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 5% Technology Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
$20.90
$2~8.00
$150.00
, 2/3/09
2/3/09
2/3/09
Total Amount Paid
$20,976.53
I Plan Reviews I
Initial Review
08/25/2008
09/02/2008
APP LLH
Structural Review
09/02/2008
09/08/2008
WE, CJC
Public Works Review
09/02/2008,
10
09/12/2008
Structural Review
09/16/2008
APP CJC
09/16/2008
Public Works Review
10/21/2008
APP LKW
10/21/2008
Planninl! Review
09/02/2008
10/2412008
DON DDK
Plann~n2 Review
10/27/2008
APP DDK
10/27/2008
1200900000000000073
1200900000000000073
1200900000000000073
Front wall line needs engineering for.
lateral bracing- contacted arch Dean
Morris 9/8/2008. (Recvd 9/12/08)
This lot has not been platted,
waiting for go ahead from Steve
Hopkins
Approved as noted on plans
Called contractor and requested
information on square footage of
asphalt that poured. Contractor
, called with sq uare footage of 4800 sq
ft tota I for total site.
Plans do not meet minimum
setbacks. Leftmessage for Mick
Hoover to resolve setback issue.
Minimum setbacks - survey
required. No part of structure may
extend into easements.
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. '
" I fp"nir~rlln~nections I
Ufer Electrical Ground: Install gro,!nd 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.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Paee 3 of5
CITY OF ~nuNGFIELD .
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2008-01259
ISSUED: 11/07/2008
APPLIED: 08/20/2008
EXPIRES: 07/12/2009
VALUE: $ 387,100.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726.3769 Inspection Line
Post and Beam: Prior to Iloor 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 ~over.
Roofing: Prior to installing any roof covering.
Firewall: Located arid constructed according to plans.
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backtill.
Underlloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and inclnding required' testing.
Water Line: Prior to filling trench and includiug required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plu!"bing work is complete.
U nderlloor 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.
Electric Service:_ Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pa!!e 4 of 5
-~~I!.!~~~~
n. '
~,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection. Line
CITY OF ~rKll'll.l'lJ<;LD .
Building/Combination Permit
PERMIT NO: COM2008-01259
ISSUED: 11/0712008
APPLIED: 08/2012008
EXPIRES: 07/1212009
VALUE: $ 387,100.00
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 5 of5
Date
225 Ftfth Street
Spril!gfield, Oregon 97477
541-7.26-3759 Phone
Job/Journal Number
COM2008-0 1259
COM2008-0 1259
COM2008-01259
COM2008-01259
Payments:
Type of Payment
CreditCard
'-
cReceint I
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000073
1O:08:37AM
Date: 02/03/2009
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 12% S'tate Surcharge
Paid By
JEM
Amount Due
. 268,00
150,00
20,90
50,16
$489.06
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
$489,06
$489.06
072271 In Person
Payment Total:
Page I of I
2/3/2009