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HomeMy WebLinkAboutPermit Electrical 2009-2-3 'Ele~trical Permit Application D ";~'. 225 Fifth 'Streett Springfield, OR 97477. PH(541)726-3753t FAX(541)726,36B9 1',<1..." ',">'.'4;,._,-~~,-,;"""",..t:'""""""',"",""';"'~"'A<. '~,'- ?.;;;..P"'''''''.'''''.'''"o,<,_._" ~"I'''~ ~J>'J?"J", ,"~,' ,~,,':-,...~=,"'-"~-r~~--'r.--"-=<"""'- . "~ ~~g;~~B~~.e~[~J~rt~i'!~!ff ;i1'$ I COwl~OOP- I' 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. 1~~I!i~~~~G(:jS~ERNME:NiTj'~p.eROV~"~~] 1~;;;~i~~~t~~~&h~IiJKC.~N~j~RIlJ!>;lil(:j~~~'7I,j~il I zkesidential ' I 0 Government I 0 Commercial I ~~.C>El'l!$lmEiJINFi<:iRMi\1JIIQN'AN.1:l11Ii'Ql:::t,\mIQN~.l'i1 I Job site address: 243 D~...-.t t=a.... "Z4sr I City: <:..'j:f 1. ,[ State:O tL I ZIP': I 1~;~~~1~iR\~~N~F.,'WJ~~~~~~j I WI ~ hv\-PLe-X I I !:I;;~)1!I;""'ib,,"1lE'~'li!"R' "'''ER' lTrY0""'W' 'N'ERj1'~!'~';;~"':"'''-''''''''''$if'.'i;1 :::::::._~~dJ.I~iJ51lIT$r;; ,~JI,.,__"'~\t'~4_V,_,____-._",,,,,G"""~~~''''''''~;'''' 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 ~. ,\0 a<;?-O 'rl O@~~ ,.'.- '" 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) ~~~~~Iit;,E[S~BE['j_l:lIEIO~~~'im1 ''''l~~<f'''~~~~l'i?'''.v'''wl'''~'I~(fostl'I'''[;Orl'r' ~Nuniberiofdnspections!i>~temit,)\r;,;'Q.ty:: ~f~e~a. ~~c'o'-sat.a,- 1I'I:l'i!,,"~Li2t~?'(i'it:.....~ft~~,lit,,~t,.i.$t~,i4i1o;L~' PbJ'&~ ~.._._'h'f ",.r'L~L.,_>~ 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