The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2009-2-17 \.;,. . 225 Fifth Streett Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689 Il'fpEeARfMENl:rusEFe'NIry,-~~1 i.",;j'J;.~F'i:"'~:~-;'l*",'4'1~~'.~~.Vi:<i!'~'ibj~~:,~~w~~ I ~~O'-o0031 I PermIt no.: . I Date: Z/i7h..bo ., I 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 180 days, ' ;Electrical Permit Application '1~~~i!'<:)_C;:~~G()\lEBNI\IIEN1fil~geR()V~~_!l~~ ,1;~l'rs.Qlit~b.QLi!E~M~~i!i~I,f~ I Zoning approval verified? ,D Yes D No' I I-Qfr~I:l.tj:Q~~IIJ;j!t~!~ 1~~eAmEG'0RY;1:l()r:I1ICONsmRl!Jellil()N!kii~i~~1l'l;k1\f~1 ' "'= .li;R!e1!.,,,,~ "A,~!l,sf;\M I iZrResidential" -., "., "I[]~~:~ent' -', -10 ~=::~t~-I I Residential, per unit, service included: I 1~!JoBi!SlmE\'lINFi()}{IVI~iTJQN\[ANDI<lIl()CA:r.I<:)Nf!1lillt-1ililll'! 11,000 sq ft, or less (4) $134,00 $ I I Job site address:- b')6 }J C 4< ~ - ,I ~~~~oafdditionaI500 sq, ft, orportion $ 25,00 $ I I City:<\Jl rl1' {J".~//'J I State:6'l.., I ZIP: '71.( 7 S I Limitedenergy (2) $ 32,00 $ I I Subdivision: Ij /70Z.1 t..f 13 1 Lot no.:OO ~/C{ I Each manufactured home or modular, I 1~?&'~~A'tIbEs~RII?trJ~Ni!I()F,;;"W()RIS~~~~~"t~ dwellmg service or feeder (2) $ 63.00 $ 1.20 A",,/ 1614,"1.-'" 2eI'X f Jf~..h"'-'-/ 6'4.1&i.f~ (((>01(;;41 I Services or feeders: installation, alteration. relocation I ~/5f.wt!;uu.:kI~ I'f'tb ,.. tr<:l. /, ~1!iiii' t_J>~' ,.,,/200ampsOrleSS(2) 1$81,00 $ I" .' i~~",L""""".~1:\PCOPERT.~?'bWNER"~Jf~"",:. !~~~~ ~201 to~00,amps(2) I $ 95,00 $ I .... _* ~~~_~~;(!t} ""',., I'_~" ,,,t~':m.f.~,,,,,,,,\i1"FX,,,,"'~'Pi'''''~v'tf'';-t~'''I~ It.<I' ,.., I I' J__.. ",__ ~ '~""(;c'!lo I'~" ~"" - -" yvu 10 I Name: i'd ~ ..s;-~'. in OAI' ~i:::n gen er 1R~~oc6,~~,::sJ~\ I If"_:, $156,00 $ I Address: b .J f5 _IJ 6'1- I"" 0090. You ;':::::0 1(6Q!i\9J!.,R..09~a~ps (2)trorth $205,00 $1 ICity:ShJrt.. Lk-..i{) IState:/1r Irtl~!~n..g~hecEml~;)I~:~\~Qo~p.i}!~f~~~21 ) $469.00 $ I I PhonejJJJ U'5l.3 - "10 7'~ I Fax: - - -C~~t~~~~(lre~~rf9_9n~~~~~'v~:~~~o Y , , $ 63,00 $, I 1 E-mail: 1-~caIDB2.J:~~:rl~i4iees.ol)#eders: installation, alteratIOn, relocatIOn I Th" II' 'b' d 'd' I < - I' 200 amps or I~ss (2) $ $ I IS msta atlOn.lS emg ma e on reSI entIa or !~rm property 63.00 owned by me or a member of my immediate family, This 201 to 400 amps (2) $ 87,00 $ I property is not int ded for sale, exchange, le&se, or rent. OAR , 479.540(I),and 4 9,560(1). ~ ~ ' () 401 to 600 amps (2) $126.00 I $ I Signature: ' .. ~ ~rh~.../~ lOver 600 amps or 1,000 volts, see services or feeders section above I 1~;y~~(';()NmMC;J\0Rl1INsm~~l.!'ft,.ml~NI\-~~ll'li'iff,ii1 I Branch circuits: new, a/teration, extension per panel I Business name: rIa. Fee for branch circuits with purchase ofa service or feeder fee: J Address: ~ ,.1 ,I ' Each branch circuit I I $ 6,00 I $ I I City: (~. I State: I ZIP: I I b. Fee for branch circuits without purchase of a service or feeder fee: I I Phone: r/,l I Fax: - NOT/CE' I First branch circuit (2) r $ 55,00$ .5' '5i IE-mail: .THIS PERMIT- ~JA' fa5f~diti?n~ branch circuit 2.- $ 6.00 $ I z...1 I CCB license no,: I BCD license no~~.IHORIZED J~J:;~~c~~~hlf.eJ:t1tnWJJR*eder not included I ' I Signing supervisor's license no,: '-'~:VI/V'tNCED JF /8'cJI/Ill'ffl~l~J'<liiMIe't1z) , '$ 63.00 $ I I /Ir,.'1;-SO UAY II'E'I"""'" - I' ,f.11< ( I Print name of signing supervisor: "I J Mt:1: Sign or out me Ign-Hhg 2) $ 63.00 $ I Signature of signing supervisor: 1 I Signal. circuit or a li~ited-energy panel, $ 63.00 $ I alteratIOn, or extefl:slOn (2) I Each additional inspection: (I) $58,00 $ I \, , " ~ f\ _ \~rcA Cf: C6(~ ~ (A) Enter subtotal of above rees (Minimum Permit Fee $58,00) I (B) Enter 12% surcharge (.12 x [AD I (C) Technology Fee (5% of[AD I TOTAL fees and surcharges (A through C): $b7 $ ~~ $ >1r $ "'a, 'It lV""--- '-." . 440-2584.J (9108/COM) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 628 64TH ST ASSESSOR'S PARCEL NO.: 1702341300514 . CITY OF SPRINGFIELD' ,Building/Combination Permit PERMIT NO: COM2009-00037 ISSUED: 01122/2009 APPLIED: 0110912009 ,EXPIRES: . 0811112009 VALUE: $ 22,000.00 Springfield TYPE OF WORK: Garage Conversion PROJECT DESCRIPTION: Garage conversion Owner: Address: , VALERIE SMITH 628 N 64TH ST ' SPRINGFIELD OR 97478 TYPE OF USE: Alteration Residential Phone Number: 541-747-3168 lCONTRACTOR INFORMATION 1 Contractor A & J BUlLERS & MAINTENANCE INC OWNER _~,,;,pR \IOU to PJ1E-NIION, ore~~~i ~lWif>,~ING-IN~~ATlON I . tolloW rules ad~~r. lhOse ru~~~ u" ~952,001, # of UUltS: Notilicatlon Cen 0010 thrOtll;:OflSlt~le,FJ\es bY Primary Occupancy Gr,\l'p';'AR 952-R'H-obtain CO\1fei~~tt~f,,~Jfi~wre Secondary Occupancy G(;'!,'!R:. YoU ma)' nter. \Not.~rPf~~Y;\WCiJ.tion Primary Construction Type~a\\ing thWe oregon W\i'i~r, T"te: . b r tor \n 0 Q,,'>,?-' vii" . Secondary ConstructIOn Tl11ol1 enter is 1-80 'Kll1! e Ty e: # of Bedrooms: Ce Energy Path: Sprinkled Building: Contractor Type General Electrical License 106477 Expiration Date. Phone 05/19/2010 541-791-4354 1 Lot Size: Sq Ft ist Floor: Sq Ft 2nd Floor: Sq Ft Basemenf: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Wall Heat Electric Electric . n/a I DEVELOPMENT INFORMATION' Overlay Dist: # Street Trees Rqd: ' Paved Drive Rqd: % of Lot Coverage: , "''Uf?-.'f.. , _ i\\~ '\1' -;J. , I P, ,UBLIC IMPR~"m\"I..e:J:S.Tj;j:'iI \S \" , F;, 'j,' ,.J)lJ'~t'Uf?-. \\l,)\\C\:.~~\\ SY.~~i\y.\,;~'U~t.'i) Sidewalk Type: ,\,\\S ?\\1t.'i) U~ p. \s f>.."QN Downsp~utslDrains: No new rlXtu~\,\1'\il\Q;e~~\'\''s'~\'U'i). . , C'U\-l\\-l\\ 'i)Rl ?t: , t>-~'{ ,\?l ' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Sefbacks:, Street Improvements: , Storm Sewer Available: Special Instruction: Notes: Paee 1 of 3 REQUIRED PARKING Total: Handicapped: Compact: Status Issued Uli' VI' ~J:'KlNGFIELD' Building/Combination Permit PERMIT NO: COM2009-00037 ISSUED: 01122/2009 APPLIED: 01/09/2009 EXPIRES: 08/1112009 VALUE: , $ 22,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 1 Valuation Descriotion , Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 22,000.00 Value Date Calculated Description Total Value of Project $22,000.00 $22,000.00 01/09/2009 F,,'/.< Pqirl I Fee Description Plan Review Residential + 12% State Surcharge + 5% Technology Fee Building Permit + 12% State Surcharge + ~o;. Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $164.45 $30.36 $12.65 $253.00 $8:64 $3-35 $55.00 $12.00 1/9/09 1/22/09 1/22/09 1/22/09 2/17/09 2/17/09 2/17/09 2/17/09 Receipt Number 2200900000000000033 2200900000000000086 2200900000000000086 2200900000000000086 3200900000000000100 3200900000000000100 3200900000000000100 3200900000000000100 Total Amount Paid $538.85 I Plan Reviews 1 Initial Review Olf09/2009 Olf09l2009 APP NJM Plan nine: Review 01/09/2009 01/13/2009 APP DDK No Planning Issues. Public Works Review 01/09/2009 01113/2009 APP LKW No new fixtures/no new surfaces Structural Review 01/09/2009 01/21/2009 APP CJC 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. p~m,&i",lI,,T'\fln"rt}onr ~ Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. f Ceiling Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Pa!!e 2 of3 By signature, I state and agree, thaf I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I furfher 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 70L005 will be used on this project. I further agree to ensure that all required inspections are requested at the propertiine, that each address is readable from the street, that the permif 'card is located at the front of the property, and the approved set of plans will remain on the site at all 7Zfti: ~ r or Cont.:.dors S~ ' i Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 3 of 3 CITY OF 1S1".KlNGnJ1.LD ' Building/Combination Permit PERMIT NO: COM2009-00037 ISSUED: 01122/2009 APPLIED: 01/09/2009 EXPIRES: 08/1112009 VALUE: $ 22,000.00 : VY/?/oJ? Date / -, 2~5 ,Fifth Street Springficld, Orcgon 9747.7 541-726-3759 Phone Job/Journal Number COM2009-0003 7 COM2009-00037 COM2009-00037 COM2009-00037 Paymcnts: Type of Payment CreditCard cReceilltJ RECEIPT #: City of Springfield Official Receipt Development Services Department , Public Works Department 3200900000000000100 Date: 02/17/2009 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By A AND J BUILDERS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 366102 In Person Payment Total: Page 1 of 1 1:39:21PM Amount Due 55,00 12,00 3.35 8,04 $78.39 Amount Paid $78,39 $78.39 2/17/2009