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HomeMy WebLinkAboutPermit Electrical 2009-3-10 ., . , Electrical Permit Application >PR'"~""O ."._~:I ~~.',." ll,".;'~".'. '.'.f~lI" 'f 'JiI!Ji' t~'''''.!!1:ll:'i;t~'~'1 ~ ~~h..&1"~fi,1 22::; Fifth Slrrt'tt Sprin!.:fi,e1d, ~R :7.~77. PH(S4 ~ )726.3753. F:\:\:(S41)726-3689 i\',; ->< ~, _.. ~. . _ . _ n . . _.. ~ ., ,,'.... ..-. ' . -A4-{y).. ChVLb ,1\.!A;;-&~~.:,<1':;'i\;l~~~:~t,.:,,,... : ';This:jll'rmit is issued'under OAI{.91S':309-0000: Permits' :lrc l,ontl~lc'-'Peh6~ts'cxpirc It 'hiii(ii.~~f;"liil:~'iill-mIW i.'." "./ -. , ~.- -. . I' ',' ',' " , ! tj"l" . ";'i ' .~. ....'...... j ~ '. "days oUssllallce.ol:iLwork.is;,s,!J~I~~IHlcd for,18.o,~la)'s. . _.__~'_____ _ ___._.~__tl~~__:_'_:_."__.'.' ,( lJr ; ,\.J', .' ,,;.i,~ "., .:f'l;l'-!(II."'!f?':-,~ I c:'.;i'ct, , I-.'.~::. ;-'l:OCAL- GOVERNMENT- APPROVAL--'. ...:::.,.-';::-FEE~SCHEDUCn-'-,::- -;~-'i- .. I-Z~ning approval verified" .--- --eJycs ' 'n_ 0 No' - I II\Uljlbiroi,insPc<:'ionspei~iicniiT'I'QG".j'-:~~:~]~ I-"I:~,\';]' I CA TEGORY OF CONSTRUCTION I I Residential. per unit, scn ice Illcludcd. I M Residential I 0 Govemment I 0 Commercial I 1 1''\ JOB SITE INFORMATION AND LOCATION. I I.UOUsq It orbs(4) 1 Li, ' ({l~ I/~ I I Each addullll1.11 500 sq n, ur portiol1 ' Job site :tddress: ,TlfJ7' (~.X. thereof I City: Six! f'O.-I-u J.!d.. I State: I ZIP:<f7Lf7j I I Limited energy (2) ! SubJj~s~n': -. UJ/70 ~ ZZ'-t'l... ) Lot no.: OZ~~O I I Each manufactured home or modular I DESCRIPTION OF WORK , dwelling service or ]ceder (2) I k~ t r Avr-Vt...l t- I I Scn'iccs or feeders: illSrallmion, aflermioll. relocalioll I I I 200 limps or kss (2) S 81.00 S I PROPERTY OWNER I 1 20] to 400 amp' (2) I 5 95.00 5 1 "ame: gIve/\:. J).l(ey--'T~;A~'ldiM"',.- 1 l.ltJ].io('oo;o~pst2).,."._:. ":. 1""[ 5158.00 I, i. :\dejrl'ss: '? u" a ()Jx-~--:B~'3'-Z:- ;.. ~.:- \:,~-~ --~._-- -- I 1-(lUl-ln-LOOO amps en ~.,,::-:.-':~'~~r.I::r;Jr';:: - -$205.00 !. S I Titv.s"~"lr' t+..'~' ':: 1 Staic:--CiL -I' Zi;': 97 J B4 1 O\'erI.OUO'aii'rsc,; 0OliS'(2') - ---. - 5469.00 ! S I .. . ,,"u I ,LA ....'8tD.( 1 '''', ..-- ".-- I II{cconnect on]l ('I . S 6300 ,'S. . Phon~::;t;'7f ..7t:)V,,-." c:;iI' ~irF3.\::.-. :'(l,~\"..._ "'.H."'{';": "'.", .....,. -;.,;. ....'ll".:;.l1....t'.,'r,~i;o~ ~=:'.I...'..' .,J~'l.' . ". 11.. ,.1. .!. . . '1'. .' . .. ...... .~ .' < '1 -.. ..- -. . ~ I. I' '1 I Tl>n;pi;l:arv St'l"\'kl'.~'li':h'ctlC'I~.~: 'il1slt."i/II;'()~-';lil'i';,7dlli~~,,'l'I'(lfi(ill ::'-11131 : . ; > '" .'.' . , . b '200 ,ll1lpS or less'11,) '. . ' .':i 6foo 'I , I hIS IllsE31lallon IS emg made on .resldenllal or f~rmyr?perty If .. ~:~",..t:l.C ~/n' 'TO 0\\ m:d b~ me or a member of my lInmedlute famIly nilS. 01 egOI 201 t~40\411lTIr!Jt!MY S 8700 I s propeny IS nOE mtended for sale, exchange, lease. <;lr.rent t0~Rted b\ II ,[) l l..... C:PT flll ,7~ 5,O( II and ,79 560( I) , ':, .. ation Cenlar. T 101;C4()lJtS~0~\1~rr').,(~I\L \12600 I \ Ilotl.]C 010 th 0<"'11 v,{;,,' ~"'~ - - " Slgn.11l11 e in OAR 952-001-?,_,"-, ":'~~~~ 6'!'!h,p~WhqresOBOj\ oh~. see Sel\ Ices ur teedl.'lS Sel.'!l(lll .11111\1. . .. YOU 11 lay v~.~'-I] Cll.-. h CONTRACTOR INSTAL.LA'P.ION.. _ ~-,y (N ),lr~~:~I!J<1i[Cil!ts:Ql'\\!.a/leralio". ex/e"sh", per p""el / - CO r r ( f(; ~~t]tll;J "'v v.v...","); dJ .,.. Mnlll'''i-l\'VIL Business Ilfame: L4 (~r r-:, It! r rcr.~~~" fnr the ore~91' r,,~!~~) en reuns with pUlchase of, scrvice or Iccder ]ce: ,.,;.." I.\ddrcss .n. L'U\ \.laR . Cenleris1"TU ''''[ii;r,);"nchcireuit .",1/15 6.001 S(~.(/I!..I IClY: A/n'Jlinu I St~tc:OC. 'I 'Z-JP:~L-I !... _b..Ec.c,lor..branch.circlliEwitholltPllrdwse ~)r:J servil:e!li" ]l:edn kL': J ! I'honc:t:::;LIl qI.R7 ''i?1o)..-'! 1 r,,:t::)(,(/ qh7 7m5"1 1 Filst branch circuit (2j I I $ 5;.tlol 5 ! ['Il1,jjl: ~..f"~f)(aJ risWe0vu.J..1. CO'Y'l I Each additional brall<..:h cin:uil I S 6.00 1 s J cen lic('r~t' no.: I R;::) 4?;8 r BCD license'no.: cL/-20 I I .\list'c/laUl'IIU.'I Ice.s: sen'icc' orji'edl'I'lInt il/eI/lded I Signing supervisor's license no.: dq X1) 5 I Each pump or irrig:ltioll circle (2) S 6300 I '\ I I Print nallle of signing supervisor: ED Q(~h.e(c;h,. I EachsignoroUlliIl1.'lighlillg(2J --~;oo-i-~--~ I S. I'" , J (-') ,- ~ ) Qj Signal.circuit ur a lil.niled.el1t'l"!.!.."~'~' ~ .'''. 63.00 I ," I . 19nawre 0 slgnlllg SUpcr\lI<:~ '- ----f-'" ~ Ii ... , -r" . _ '_ _ .I _ :tIEeratJOn. or e,\lenSlun (& <1'):.\\=-_ Cl \ ._______1 C~: I Each ad~i\iOPA~lfl>'[;.1~li\1V \S 1'1' 55800 I s I , ~O\\ c~i~\i '511~~r. 1\-\\'5 i.~~~~~~'q\ USE I ~ IS? ?-' Lei>> ~~W~~pW[l.~~ov~~" J -- /p I \)"(\,\0 . \~\1\!JiQli\n '""",it Fee $;S.]III) 'lV WlC':tO. -~ ,1' COWl 1'l;ltW~1t'rr\:LYoS;lIchargC(.I2\[A/I 5 .11f I\~'/"\ '(ClTechlllllog)' Fce (5%of[A[J 5 . i)J VI nrh- /. - :; DEPARTMENT USE ONLY I [ Permit llo.:Ccvv1 0 B - (J/-,zS I $134.00 5 S 25.00 s $ 32.00 s $ 63.00 5 ~~Q~ y.-~ ~ \A fb . QJ$" TOTAL fees and surcharges (A through C): ~.~t)-2~x.:-J 19/0SICO,\1) Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit . PERMIT NO: COM2008-0I735 ISSUED: 12/12/2008 APPLIED: 12!()412008 EXPIRES: 06/3012009 VALUE: $ 5,000.00. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-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 Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION I Contractor ATTENTION: Oregon law requireLlceh'se follnw rttl". ~rlnr.t"rl by the Oregnn ] IfTt RIVER VALLEY BUICDERS INC 13'4566 Y l'OUUIICctUUII \..J~111~1. I nose rules are ~At1orth G & E ELE~;r~I,~ ~f-001-0010 through OAR5,1~~!b01. MIDWAY M".!'?J:L"'~!G~lJ,lli<;:ain copies of thJ~MJifby ADH PLUMBh"lG'I~!Qe center. (Note: the teldi3~Q,7i73 f1urnoc" T....... .......... '''......--- . .O_'-.l-..~' -,-,. " I~BUlLDINmNJ;:O~~A TION',J~.. . . - -J Expiration Date 04/1512011 09/15/2009 01/30/201 ] 04/0312009 Phone 54]-760-7881 541-967-8627 541-928-2423 541-967-7686 # of Units: Primary Occupancy Group: Secondary Occupancy Group: 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: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: No Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: ]5.00 19.00 5.00 38.00 0.00 I DEVELOPM~NT INFORMATION I Overlal Dist: \f ir\C 'NO\'l~ ~{r.et'rrees ~~\. fi-?\\'Ic EI'-~:\3.S ~Oi ~"Se'l>~R . EI'- :\\'11'5 ? '\101'- {>.U~~'eM\q;'D.~j;);O PolS {>.\3{>.~\)O .ob . t"'nMN\:~C~,.;: rCQ\('\\). I PUBLI~'IMPR'tVE'MENTS I REQUIRED PARKING Total: Handicapped: Compact: 2 Street Improvements: Storm Sewer Available: Special Instruction: FullV Improved Yes Sidewalk Type: Downspouts/Drains: Curb and Gutter Notes: Storm water to curb ! Paee ] or 4 Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 54]-726-3769 Inspection Line Description , Tvpe of Construction . Fonndation Onlv Use Bid Amonnt I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Sqnare Footage or Bid Amonnt 5,000.00 CITY OF SPRINGFIELD. Building/Com bination Permit PERMIT NO: COM2008-01735 ISSUED: 12112/2008 APPLIED: 12/04/2008 EXPIRES: 06/30/2009 VALUE: $ 5,000.00 Valne Date Calcnlated Total Value of Project L.~r~~ P'1irlJ $5,000.00 $5,000.00 12/0412008 Fee Description Amount Paid Date Paid Receipt Number + ]0% Administrative Fcc $30.36 12/12/08 ]200800000000001222 + ]2% State Surcharge $36.43 12/]2/08 ]200800000000001222 + 5% Technology Fcc $21.13 12/12/08 ]20080000000000]222 Addressing Assignment $37.00 12/12/08 1200800000000001222 Fonndation Permit $78.58 12/12/08 1200800000000001222 Moved Structure Plumbing Conn $52.00 ]2/12/08 1200800000000001222 Plan Review Minor - Planning $119.00 ]2/12/08 1200800000000001222 Plan Review.Residential $51.08 12/12/08 120080000000000]222 Sanitary Sewer - ]st 50 Feet $52.00 12/12/08 ]20080000000000]222 Sanitary Sewer - Improvement $273.48 12/12/08 ]200800000000001222 Sanitary Sewer. Reimbursement $359.65 ]2/12/08 ]200800000000001222 SDC MWMC Administration $10.00 ]2/]2108 1200800000000001222 SDC MWMC Improvement $1,009.17 ]2112/08 1200800000000001222 SDC MWMC Reimbursement $97.90 12/12/08 1200800000000001222 SDC Sanitary/Storm Admin $109.74 12/12/08 120080000000000]222 SDC Transpo Improvement $888.98 121]2/08 1200800000000001222 SDC Transpo Reimbursement $201.54 ]2/]2/08 120080000000000]222 SDC Transpnrtatinn Admin $77.67 12/12/08 ]200800000000001222 Storm Drainage Impervious Area $907.57 ]2/12/08 1200800000000001222 Storm Sewer - ]st 50 Feet $52.00 12/ 12/08 1200800000000001222 Storm Sewer Each Addtl ]00' $]7.00 12/12/08 120080000000000]222 Water Line - 1st 50 Feet $52.00 ]2/12/08 ]200800000000001222 + ]2% 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 ***+ 100/0 Administrative Fee*** $5.80 2/25/09 1200900000000000131 -Mechanical Issuance Fee- $21.00 2/25/09 1200900000000000131 + ]2% State Surcharge $6.96 2/25/09 1200900000000000]31 + 5% Technology Fee $2.90 2125/09 1200900000000000]31 Heat Pump $]5.00 2/25/09 1200900000000000131 Minimum/Adjustment Mechanical $43.00 2/25/09 ]200900000000000]3] + ]2% State Surcharge $0.72 3/9/09 ]200900000000000167 + 5% Technology Fee $0.30 3/9/09 1200900000000000167 Add, Alter, Extend Circ Ea Add $6.00 3/9/09 ]200900000000000167 Total Amount Paid $4,730.73 Paee 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-0I735 ISSUED: 12/12/2008 - APPLIED: 12/04/2008 EXPIRES: 06/30/2009 VALUE: $ 5,000.00 ~l\ti:SrRI\II':J~IlA-J;! . . i'.....'.tii' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan Reviews I Initial Review 12/04/2008 12/0412008 WE LLH Structural Review ] 2/0412008 ]2/04/2008 APP DLM Initial Review 1211212008 1211212008 APP LLH Plan nine Review 12/0412008 12/1212008 APP DDK Public Works Review 12/12/2008 12/1212008 APP LKW Cannot issue until moving permit has been received and approved. See docnments for Plan review comments. House moving permit is ready to be picked up. Called Chris Schoap, bul his message box was full. Gave permit to Don Moore to issue with foundation permit. This is a springfield to springfield move- no willamala~e sdc. 2 Street trees required unless already in. Storm water to curb/Fixture count given by Greg Larkin 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 Rpnlli~prtionli,;J Ufer Electrical Ground: Install ground 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. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Final Building: After all required inspections have been reqnested and approved and the bu'ilding is complete. Underfloor Drain: Prior to cover or placement of concrete. UnderOoor Plumbing: Prior to insulation or decking. Sanitary Sewer Line: Prior to tilling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing wnrk is complete. Electric Service: Approval required prior to utility company energizing service. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Paee 3 of 4 Status Issued 225 Fifth Street, Springticld, OR 54]-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: 12/0412008 EXPIRES: 06/3012009 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 Stale 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 Safely. I further certify that nnly 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 prnper time, that each address is readable from the I . 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 Signatnre Page 4 01'4 Date 2ZS Fifth Street Spril)gfield, Oregon 97477 541-726-3759 Phone it~. City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM200S-0 173 5 COM200s-0 1735 COM200S-01735 Payments: Type of Payment Check cReceintl RECEIPT #: 1200900000000000167 Date: 03/09/2009 Description Add, Alter. Extend Circ Ea Add + 5% Technology Fee +' 12% State Surcharge Paid By G & E ELECTRIC INC Item Total: Check Number Authorization Recei~'ed By Batch Number Number How Received djb 2074 In Person Payment Total: \ Page] of 1 8:54:27 AM Amount Due 6.00 0.30 0.72 $7.02 Amount Paid $7.02 $7.02 3/9/2009