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Home My WebLink AboutPermit Electrical 2009-3-5 225 Fifth Slreel+Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689 1";~.'T.~~':"}i..(~LJ.;;:'.?"'i.-.'.;;k:t,'*,,(t'b;:;~M&ii!i:li't,~. ;~~~~I c&~f,,'R~,~~~;r~!tIl\~~e",,~" ICOM-\z.oo,.~ooo 72. I. Permlt no.. . I Date: 3 -5" - (:)7' E.lectrical Permit Application 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: 1~~~lf0CAL".G~,\(l;gNMENiFiI.lXP.~RQ'\(A.:L~~~1 ~EEl{S:c8Etj_UL!E~~~~ 1 Zoning approval verified? 0 Yes 0 No I" m ex 0 '.In ns. 'IQ~l~€()~I"'-I~1:Qf)lJ'~\ l~c~jfLE.G~QR.YM.Qfi"I<:::0NSjl1RU,l:)iI1I0N~'f.t~!,~ ~''''$''''_*~1h",-",,,,,,,,,J. .. ",,~lmell~ ~.<:.o.SlKili!, I I I Residential, per unit, service included: \ IlrResidential 0 Government I 0 Commercial - 1l&c~J0Elj!SI.mE~INF.QRM~mI0N~ANDlIlJj0CA-T:IQN~~~ 11,000 sq. ft or less (4) $134.00 $ I I Job site address: Lj~~ 1 41t1 Lff{ (1' I 1 ~~~~;tditional 500 sq. ft. or portion $ 25.00 $ .1 I City: ~a.1 ,J(,r.;Ir=L~ State: AIL I ZIP:Wty 1-8" I I Limited energy (2) $ 32.00 $ I I, Subdivision: / i5t>l. 051 ~ . .... ...1 Lot no.: 01'10 0 1 Each manufactured home or modular I $ 63.00 $ I 1~~Y~DES-CRIBmIQNIQF;!VVQR~Si~~ dwellmg servICe or feeder (2) ~~~:~.:~,,:~.! ::~::::;:::; ~,m;""oo"'"~"""'":.:::: i I Name: I'r!:Jo.f ~mJUlIf'.L ATTENTION: Oreqon IaN ~,,'/j11il~llq9ri1'PPA(2) $158.00 $ I. I Address: t.;r;,(, -=1' /-\f11 LE \J .fc~r-/ltles~ ad?pte.9bythf- iibl El9 <lJiGUOtalilPS (2) $205.00 $ 1 I City: "fli. IN (, F 1[' Lol State: ~i4R~!I;@';'~f~~~U~'1~1,~,~~\6c~~r volts (2) $469.00 . $ 1 I Phone~l- - 717. 3'iJ'/3 I Fax,090_- L ""'y uv,a,,1 cCPI~~~f~!1I!1'P!Jw!rlW $ 63.00 $ 1 I g.. ." I,;cuiillY lIlt:::: \Jt::::lllt::I. \i~uo: jtirin\lilR-~i:\Fices or feeders: installation, alteration; relocation I mal. n, 'mh", I", th" n,,,'l"'l Ui ;i;\,)d'iwi.ii'6?~~' I This install a . ;5 bemg m~on residential or f@<m'RfPlll'rtYBOO- 1:<~:~:<A4t (2) $ 63.00 $ I owned b. e or a member of y immediate family. This 1 201 to 400 amps (2) 1 $ 87.00 $. 1 prope IS not mten d for s Ie, exchange, lease, or rent OAR .1 1 479.50(1) I. 40] to 600 amps (2). . $126.00 $ 1 --\'Signa e: . _:/ l/~"Lq /~-...~_ Over 600 amps or 1,000 volts, see:services or.feeders section above I Business nf;: '~~=A,:l!~~TIQN~~l~~~~1 I :r;::~o:i:::~~~ :i::~i~:t:~~::r::~:~na~:~::e~r feeder fee I I Address: . I I Each branch circuit. 1 $ 6.00 I $ I I City: I State: j,zrP: I b. Fee for branch circuits without purchase of a service or feeder fee: I 1 Phone: 1 F'Y'/ - I First branch circuit (2) . I $ 55.00 1 $ '55'1 I E~mail: /' I 1 Each additIonal branch cIrcuIt f $ 6.00 1 $ II /' -~ .TYIW l::::> I CCB license no. / I BCD license no.:N U IIl1t;, _ Sti\C~i^,smJ;,I~~'6~~d", not mcluded - V:1IJl\~ . - ..., 14 1 I Signing supervisor;.s1icense no.: 111.~ RI7I:1' U P\p1i\llIS)JRli~~I~h~~f\e 2) $ 63.00 I Print name of signing supervisor: ~~;~~I'~Ir,EI) I~A~ ~1.1!t\1)\~Rgttmg (2) $ 63.00 I Signature of signing supervisor' NY 180 DA' p_UmcUlt or a hmlted-energy panel, $ 63.00 $ , A r 'j alteration, or extenSIOn (2) I Each additional inspection: (1) $ $ $58.00 &N~ rJ~cff . ~tj (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) I (B) Enter 12% surcharge (.12 x [A]) I (C) Technology Fee (5% of [A]) I TOTAL fees and surcharges (A through C): $ b1 $ ~ ~<f $ 'yt'FJ ;JJr $~I 78~ 440-2584-J (9108/COM) .f'/ ~() t, ~\ - p'" 0~fqfV CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00072 ISSUED: 01128/2009 APPLIED: 01/16/2009 EXPIRES: 09/0212009 VALUE: $ 22,368.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4667 HAILEY CT ASSESSOR'S PARCEL NO.: 1802051209900 Springtield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Add Game Room to Existing Residence Owner: Address: GONZALEZ EDGAR R & LIZBETH 4667 HAILEY CRT SPRINGFIELD OR 97478 Phone Number: 912-2665 Contractor Type General Electrical .. . '{oU to 11 laW teC\Ulte~11 Utility -or'"~ nte'1.o .~^ nteSj . ,.,'n . p..Tlt:.\~' '':'~_'1r\ooteu u'. ~ "I'p.S ate ~~; :"O~- 'o\lO~~(iltOR'INF.ORMFA'TI0N_-'b" .,., I , J I f I l l'Iotl \\:,0".- OO~-Uv to . .es O""~ O"p. 95'2.- btail1 coP' ,,,',,onol1e .. Contractor In ~'{9U tl\a'{ 0 ll'lo\e'. tnE[JJ\lf,e\?,~\1\iOI1 EXpIratIOn Date RICKY LEE PElX'&~M\J tM cel1~t. gOI1 Ut\\l\"i~zi9 01113/2011 OWNER ~~,,",het 'ot tM '^ \~BOO.33'2.-'2.34 . .'9\.\.'~: . BUILDING INFORMATION I Phone 541-688-2471 VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: I Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 7,841 231 # of Units:. Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 n/a Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 5.50 534.00 10.00. 0.00 I DEVELOPMENT INFORMATION ~ REQUIRED PARKING ~OTICE: ""WORK . Overlay Dis . ERMIT SHALL EXPIRE IF 1I1<lll' # Stree.t ~re '~~RIZED UNDER~HIS PERr-MlfnlB~~d: Paved DnvefiUtW a'll DO NrnoPffillct: . % of Lot coQeJ-bjJe'\ENCED OR 18.; .b\f'N - ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: FullV ImllrOved Yes Sidewalk Type: Downspouts/Drains: Curbside 5' To Storm Sewer Notes: .Route storm to' exiting Pace 1 of 3 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO; COM2009-00072 .ISSUED: 01128/2009 APPLIED: 01116/2009 EXPIRES: 09/02/2009 VALUE: $ 22,368.00 225 Fifth Street, Springfield, OR 541_726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion.1 SF/Duplex R-3 VB 1&2 Familv $ Per Sq Ft or multiplier $96.83 Square Footage or Bid Amount 231.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $22,367.73 $22,367.73 01/16/2009 L.Fw P~W Fee Description Amount Paid Date Paid I . Receipt Number '-., Plan Review Residential $170.79 1/16/09 3200900000000000025 + 12% State Surcharge $31.53 1/28/09 3200900000000000046 + 5% Technology Fee $19.09 1/28/09 3200900000000000046 Building Permit $262.75 1/28/09 3200900000000000046 . Fire SF Fee - Residential $11.55 1/28/09 3200900000000000046 Plan Review Minor - Planning $119.00 1/28/09 3200900000000000046 SDC Sanitary/Storm Admin $5.14 1/28/09 3200900000000000046 Storm Drainage Impervious Area $102.74 1/28/09 3200900000000000046 + 12% State Surcharge $8.04 3/5/09 1200900000000000160 + 5% Technology Fee $3.35 3/5/09 1200900000000000160 Add, Alter, Extend Circ $55.00 .3/5/09 1200900000000000160 Add, Alter, Extend Circ Ea Add $12.00 3/5/09 1200900000000000160 Total Amount Paid $800.98 I Plan Reviews I Initial Review 01120/2009 01/20/2009 APP LLH Structural Review 01/20/2009 01/21/2009 APP CJC Approved as noted on plans and conditions letter Public Works Review 01/20/2009 01/26/2009 APP BJG Storm routed toexisting. PlanniulZ Review 01/20/2009 01/27/2009 APP DDK Approved as shown 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. . RrrVI'i!t11.11.'\np{tin~ Footing: After trenches are excavated. . Foundation: After forms are erected but prior to concrete placement. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00072 ISSUED: 01/28/2009 APPLIED: 01/16/2009 EXPIRES: 09/02/2009 VALUE: $ 22,368.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Post and Beam: Prior to floor 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 heen approved. Wall Insulation: Prior to cover. Ceiliug Insulation: Prior to cover. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Final Building: 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 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 OCCU ill be made of any structure without permission of the Commnnity Services Division, Building Safety. I further tify that only CO) actors and .employees who are in compliance with ORS 701.005 will be used on this project. I fnrt r agree to e sure that al required inspections are requested at the proper time, that each address is readable from the str t,tha.t tho/I}\' it card is loc ted at the front of the property,.and the approved set of plans will remain on the site at all II es dUrlug tpn n. rn/o5/Oj. Date Paee 3 of 3 225 Fifth Strect .. . ~ Spr'ingfield, Oregon 97477 541-726-3759Phone Job/Journal Num~er COM2009-00072 COM2009-00072 COM2009-00072 COM2009-00072 , Payments: Type of Payment Cash Change Job/Journal Number COM2009-00072 COM2009_00072 COM2009-00072 COM2009-00072 Paymelits: Type of P~yment Cash Change cReceinll RECEIPT #: S,...A..NQ~..nDj1.. .... ,,=. . ... . -.~.... .,~...,..,~".. ._-.--. - City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000160 Date: 03/05/2009 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By EDGAR GONZALEZ ED.GAR GONZALEZ . Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person In Person Payment Total: Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By EDGAR GONZALEZ EDGAR GONZALEZ Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person In Person. Payment Total: Page 1 of I 8:30:0IAM Amount Due 55.00 12.00 3.35 8.04 $78.39 Amount Paid $100.00 ($21.61) $78.39 Amount Due 55.00 12.00 .3.35 8.04 $78.39 Amount Paid $100.00 ($21.61) $78.39 3/5/2009