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Home My WebLink AboutPermit Electrical 2009-3-3 Electrical Permit Application ~m_,,8:~.-"'-; .,.;\, . ''''-,-.. -< . .''''' ;"" '.. ',., (!-,., " ,-. 22S Fifth Streett ~pringfield, OR 97477. PH(541 )726-3753. FAX(541 )726-3689 $PRIi'lOFIELD _....,..~" ~; A' ",~.! '_:"""""',,1 ~~~~~' ..:~ ~,~,. ......'9"' ~,~~ '~I \1.~ ,,'~, -f~~ '6i..' ~ I Pennitno, Cq 00').9/71 0/3)of I DEPARTMENT USE ONLY Dale: This permit is issued U1ider OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within ISO days of issuance or if\,"'ork is suspended for 180 days. I FEE SCHEDULE I Number of inspections per item () !Qty.1 ~~~t i I Residential. p.. unit, se",ke ineluded, 1 11.000 sq, ft. 0' iess (4) I I Each additionnl 500 sq. fl. or portion thereof I I Limiled energy (2) I, I Each manufactured home ol"lllodular .$ _ dwcIJin2:5crvice.nrJL'cdcr (2)____ _. . S 63...:0.0. I Services or feeders: installalion. ot/l!I"(ltion, re!ncu/irJl] I 200 amps or less (2) $ 81.00 S I 201 to 4QO'amps .(2) $ 95.00 S 1 401 to 600 amps (2) $158.00 S I 60liO 1.000 amps (2) $205,'<!Q. ,-----1 ;1 ~OverTOOO airipstoi-"'\'olts:dr-'~ roc ~:!'.Il f::P (;. ?4'6Y.~~~~ _.~ ..___. JI '1{I~econnectOll])',(2) ('o"tLi.;.l!~ $.B~:~~;:l. S __ ~.~I :I,Temporary'scrvices'o'r fcciJe'rS":lfllstallalion, (/lle/"(}/il!!.::?:._~~{~!tJ'.l.!l. _: I 299 amps,. :oqesq2) r. r,~ ~.~ ';lil" $ . . .63.00 J' S 1:201 to'400a,1!p.s(2i.':.< ': .:. ~d _'. $..8700,. -5-----_1 140i to 600,amps (2) "5126,00 $' '1 lOver 600 amps or 1.000 \'olts. see services or f"ceders Si:ctiul1 ahu\'i: I I Branch circuits: nell'; alteraliol1, eXlellsioil jJI!I" pUllel I I H. Fee for branch ci'i-cuits with purchusc ur a servicl.: ur II.:cdL'r kc: I 1 Each branch circuit City Atb::u"\u I State ~ I zlpq1~2. \ I I Phone,5-/-1 q/g 1- 19&;:).'1 I FaxS-lj CJIe 1 '1D<t5"" I I First branch ciceuit (2) 1 E-mail: jt1t" e.&rJy,.r,@ tis CuRl, f}Ll, ChVV1 IlEne" additional branch ciceuil I CCB license no.: l~L/ 3 g I BCD licen'se no.:CL/.2 0 I 11\'tiscellancous fees: service orjeeda I/O/ ineluded J Signing supervisor's license no.: :LOt X1)g I J Each pump or irrigation circle (2) $ 63.00 ~ I Print name of signing supervisor' E'~ ~-,~h ) 1 E~ch sig.n o~ outlin~ I.i.ghting (2) S 63.00 $ IS' t f" . ( ~ ) I I () 'I I Signal circuit or a IlInlted-energy paneL S 63.00 " Igna ure 0 ,slgnmg superv~ . \.' \.-...X...-- alteration. or extension (2) .;I 1 1 Each additional inspection: (]) $58.00 S I. _ .._ __ APPLICANT USE. J 1.0)~_.r:E.f.er~~i"~~~!;td_(~~~\.:~.1<~S__._u;__._ 1._ -l--~ . \'.--'" --- -_.1 IC~!illil11um I~erm.!~ Fcc 558.(0) ti ? (:'~~:~L~._ _ -...J I' (B)iEnlenI2%'surcharge ('lh'IAJ)". ;,,".\\'.',. ""," ~~"'''_S'''':':~::''_'I' I (CVrechJlology.Fee(5~oor[:\]) ,I 7! :.n"'~S? .: I .. _ .'_...........t... ~_.- -- J' I: TOTA~:fees;a.nd'slii'cli:irgcs (A.~I~r~l~gl~.~:'): .~!~t~:.~:t~l_ ~~. _ I I I 1 CATEGORY OF CONSTRUCTION I J{I Residential 1 0 Government j 0 Commercial I JOB SITE INFORMATION AND LOCATION I Job sile address:4~6 m(}/Ln-ha.n6Ctk," I Cit\'~AJ l'uCr'~crrstate &R ---rzIpqJl{77 I Sllbdi~'iZ:~- --- 1 Lot no.: - -- --[- DESCRiPTION OF WORK' . - ,,-' ~ funrrJ.1jJ LOCAL GOVERNMENT APPROvAL Zoning approval verified? DYes D No I Name ~ X)-t-r iLll)(,. I I Addres~ 44-.:., ma v-.-tn i.Jb~~ 'I I Cily~:~-\t,oCA I Stat<l8V I ZIA--L'-t7<tf I Phone: -.-- -J 1 Fax: 1 I r::-rnail: I This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is 110t intended for sale,'exchange, lease, or rent. OAR 4 79.540( I) and 479.560( I), PROPERTY OWNER Signature: I !llusiness n~l11e:6 i E FiJ2dYi0 I ,\ddrcss P.O' eox \\d:;1O CONTRACTOR INSTALLATION ." . ~.' - '. ' I, : .:. .;., l . '. ~ ~ ~j'): 'j]i .;; i: .~. /",. ' .., ". . J , '. NII:'t' )" Dj.17.:)l ~ ...6UJf-;;' ; .." '~'. ;>:~J~,r'; 1-:':0';.. , --- , -'. " '-iQ~ ,. . ~~ ~ .Wi-25S4-,fI9/08iCO,\1) Total fOSt 5134,00 $ 5 25,00 5 5 32,00 \ I 5 600 I s I I f)l\}v'D I I I I b. Fee for brunch circuits without purchase ora sen'ice or ti.:~':IL'l' )IT: I' I : 55,(JO I s 6.00 I 5 " :. ..: ;'/0 ~ , 'i\o; _~l'!'AIN, .IlIE...,!'? . . '\ Status Issued CITY OF ~rKll~Lrl'mLD Building/Combination Permit PERMIT NO: COM2009-00287 ISSUED: 03/03/2009 APPLIED: 02/27/2009 EXPIRES: 09/03/2009 VALUE: $ 11,619.60 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 443 Mountaingate Dr ASSESSOR'S PARCEL NO,: 1702343403500 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration PROJECT DESCRIPTION: Master Bathroom Expansion and Master Closet; approx 120 s.f. Residential Owner: Address: KING SCOTT T & KELLY S 443 MOUNTAINGATKDR ' SPRINGFIELD OR 97478 ATTENTION: Oregon law requires youto J:_lI_u. ....I,.".... ",rll"\ntorl h\l thp prp.don Utility N;tifi~"+;M {"ont"" Thn<p. rilles are set fortn in Of:1 ,GONTRAC,TOR,lNEORMl\.g:L0Nl.- 0090, You may obtain copies or me ru"'" Jy Contractor calling the center, (N~te:the tEll!if~iis& RIVER V ALL~~rIlU.1UDERS INCgon Utility NI'3'4's6'6,on G & E ELECTRIC INQenter is 1-800-33?-234S4'468 MIDWAY MECHANICAL INC. 154166 ADH PLUMBING INC 175077 Expiration Date 04/1512011 09/15/2009 01/30/2011 04/03/2009 Phone 541-760-7881 541-967-8627 541-928-2423 541-967-7686 Contractor Type General _ .Electrical Mechanical Plumhing ! , BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary C.onstruction Type Secondary Construetion Type: # of Bedrooms: I # of Stories: 2 Lot Size: R3 Height of Structure 28.50 Sq Ft 1st Floor: NOilCrr1pe of Heat: Forced Air Gas Sq Ft 2nd Floor: VB -ilS PF~~I~l'" ~~'El EXPIRE IF THB:MIDRKsq Ft Basement: 11 I oif.-'~rrif~p}tRTHIS PERMIT<R9>t\10TSq Ft Garage/Carp'ort 5 AUT,i Ene,rgy ~/I!~6 NDONEd'PdRl Sq Ft Other: COMM[slfriiJlli\'H'Btril~~: ' n/a Occupant Load: ^~I\I -(Of) n^V Di=~lnn 10,049 1,563 714 676 120 I DEVELOPMENT INFORMATION' , I Front yard Setback: Side I Setback: I Side 2 Setback: Rearyard Setback: Solar Setbacks: , , Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: ,. I PUBLIC IMPRO~EMENTS I Street Improvements: , Storm Sewer Available: Special Instructi~n: Sidewalk Type: Downspouts/Drains: Notes: Pa~e I of 3 :4 ;;ij CITY OF SPRINGFIELD Status II Iss~ed ,Building/Combination Permit PERMIT NO: COM2009-00287 ISSUED: 03/03/2009 APPLIED: 02/27/2009 EXPIRES: 09/03/2009 VALUE: $ 11,619,60 225 Fifth Street, ,,~pringfield, OR 541-726-3753 Ph?ne 541-726-3676 Fax 541-726-3769 Inspection Line Ii. " I, Valuation Des~riDtion I SF/Duplex R-3 VB 1&2 Familv $ Per Sq Ft or'multiplier $96.83 Square Footage or Bid Amount 120.00 Value Date Calculated Description Tvpe of Construction '1; " Total Value of Project $11,619.60 $11,619,60 02/27/2009 L."pr< P~i<l J $101.08 $79.00 $55.00 $155.50 $6.00 $38.00 $3.00 $20.00 Date Paid 2/27/09 ' 3/3/09 3/3/09 3/3/09 .3/3/09 3/3/09 3/3/09 3/3/09 Receipt Number Fee Description :: Plan Review Residential . ~ 1st Appliance ': Add, Alter, Ext~'nd Circ Building Permit, Fire SF Fee - Residential Fixture Miniinum/Adjustment Electrical Minimum/Adjustment Plumbing Amount Paid , 1200900000000000142 1200900000000000154 1200900000000000154 1200900000000000154 1200900000000000154 1200900000000000154 1200900000000000154 1200900000000000154 " Total 'Amount Paid Ii $457.58 I Plan Reviews I Plannine Review Public Works Review 02/27/2009 02/27/2009 02/27/2009 02/27/2009 Initial Reyiew : Structural Revie'w 02/27/2009 03/03/2009 APP KLK' , See plan documents including "red-lined" requirements added. 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~~1prl I~ Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to 1100r insulation or decking. 'Floor Ins~lation: Prior to decking. Framing I"nspection: Prior tocover and after all rough in inspections have been approved. Pa~e 2 of3 CITY OF SPRINGFIELD , Status y Issued Building/Combination Permit PERMIT NO: COM2009-00287 ISSUED: 03/03/2009 APPLIED: 02/27/2009 EXPIRES: 09/03/2009 VALUE: $ il,619.60 225 Fifth Street, Springfield, OR 541-726-3753 Phqne 541-726-3676 Fax 541-726-3769 Inspection Line " Walllnsulation: Prior to cover. Ceiling Insnlation: Prior to cover. , Rough Plumbing: Prior to cover and including required testing. Underlloor Drain: Prior to c~ver or placement of concrete. Final Plurhbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. , ' , Rough Ele'ctric: Prior to Cover I: FinaI'Electric: When all electrical work is complete. I' Final Buil~ing: After all required inspections have been requested and approved and the building is complete. 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 furthe'r 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 structnre withonl permission of the Commnnity Services Division, Building Safety, I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project. I further agree to ens e that all re spections are reqnested at the proper time, that each address is readable from the street, that th ~ t card is lac ed at the ront of the property, and the approved set of plans will remain on the site at all timesduri :!' uction. ~' ,,' ~ ~ :3.- cj 7' cont~~ctors Signa!u're Date I Pa2e 3 of 3 225 Fifth Street , Springfield, Ore~on 97477 541-726-3759 Ph6ne Job/Journal Number COM2009-00287 COM2009-00287 COM2009-00287 COM2009-00287 COM2009-00287 ' COM2009-00287 COM2009-00287 ,Payments: Type of Payment CreditCard cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 1200900900000000154 Date: 03/03/2009 3:00:55PM Item Total: Check Number Authorization Received. By Batch Number Number How Received Amount Due 55,00 3,00 79,00 38,00 20,00 155,50 6,00 $356.50 Description Add, Alter, Extend Circ Minimum/Adjustmenl Electrical 1st Appliance Fixture Minimum/Adjustment Plumbing Building Penni1 Fire SF Fee - Residen1ial I;aid By RIVER VALLEY BUILDER Amount Paid cjc 079753 In Person Payment Tolal: $356,50 $356,50 " Page I of 1 3/3/2009