HomeMy WebLinkAboutPermit Electrical 2009-3-26
Electrical Permit Application
225 Fifth Street. Springfield. OR 97477. PH(541)726-3753' FAX(541)726-3689
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Permit no.: 0 C>2o '"
I Date: yi~~, I
This permit is issued under OAR 918-309-0000. Permits arc nontransferable. Permits expire if work is not started withiu 180
days of issuance or if work is suspended for 180 days.
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I Zomng ap I fi d? 0 YON I ~~~'6f~~iPp~1~pili'!J~~r(;)~li~~y'~I~gQ1i= !ll},:r~jl!Hi
m1 _"-"nt~-.,,,,__. ","~,o"~",,",""",,, ~~ !lr"'ea';\l"!fil! imcost,1!!!\
1=:~~~t~~I~~~~~~~:;ffisRl!i~Jt~O~=~~~ 1- R~:i;:~lial, p;r ~nit, s:;:~:;:7:~u:;~: ...... '-'.', - - ..--.' .1
I~OBlslitEilINlioB:M~iJ]QN~ANJ.:jllI!iQCA:jjIQNm::~~!i 11,000 sq ft, or less (4) $134.00 $ I
I . f- I Each additional 500 sq. ft, or portion 'j
Job site address: Yw 11 ..,,\ .s,. . thereof $ 25,00 $
I City: <:;/,,\,. f:.'n I,! I State: OR. I ZIP: CJ7<"i7S I I Limited energy (2) $ 32,00 $ I
f~~~fiiOE~;~~~~~~~~~~:ri!:i1 I !::il::n::~;~:re~!s~e:;:~~~:ndU::ralion. relo:at::~OO $ I
I I 200 amps or less (2) , $ 81.00 $ I
1~~Ji""",","oR-0:n.:ER" ~{iOWN'E" R""""'i,:il,~,~.q"'~""'S'I'J'~11 201 to 400 amps (2) $ 95,00 $ I
&,B%\01~;g;;1+/$;';'~'tH;'~li.m~""~lt~I,;'lW,,, .. _ _"~,,,,,ikTilr..._;%,~~~_,_'1,,_,~'"~_, _
I Name: ~\ 1\66 \\,~,,-\ ' . I 40;/\~??~ID'I'u:igl; vo.J~;~~'{ $158.00 $ I
I Address: 'l~O 7 L...J W, ^'T"'Hrnottl~\je~~\\l>~,QRl/;ailipsqifoo\ lotth $205.00 $ I
I I f""I I " Q ",.,,\ll? ' utp~nl;()(){)lallfn~ U' - .1t<2:i)01- $469,00 $ I
City: (~.IJ( .'r,,- (?-,i J. State: 6, L ZIIt()\\...~''f~,~ r. 1\\\0. . ';' uu"iI"'Wfl'\!- \~~ 'u';
I Phone.\l.l1 -91S-- ~'Iog I Fax: _ \'lO~1~C;;~52_0)1jOR~~~1l1-,~q!\l3'c~)t:~~.'C~". . I $ 63,00 $. I
I E-mail: .\.h:.So @. lief 'I ,""" '" gO. 'IoU \1ll"VJ<f~\!,pp,~lo!<;'Wel!~ll{.lf~ilDfi Installatron. alteration. relocatIon I
~"-" w-a. .Co \\0 "-OIt,~'>;M ~ie~'tt. I I
This installation is being made on residential or farm prllfie'IfY'J ';~ t\i,,"t)1@1)~0:::;,,:~344), $ 63.00 $
ownedb~meoramemberofmYllnmedJatefamlly, T~$.lfl\UeIC ,H dOI\'P\UO amps (2) ;1 $ 87.00 $ I
property IS not mtended for sale, exchange, lease, or. rent. OAR e I
479.540(1) and 479.560n). '. 401 to 600 amps (2) $126.00 $ I
1~~~t~~~.~1 ::;:~:~E;:::::::::::;"~~~~:::::" i
I Address: I 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: I Fax: I I' First branch circuit (2) I' $ 55.00 I $ I
I E-mail: I I Each additional branch circuit I $ 6,00 $
I CCB license no.: I BCD license no.: I I Miscellaneous fees: service or feeder~'J.O\~d
I Signing supervisor;s license no.: I I Each pump or Irngatw~ ~~"'~"' Ie; ~i)) 63,00 $
I Print name of signing supervisor: \ Qh~.S1gn~r~~\j,~~:et.\\I-J~, :O? $ 63,00 $
I Signature of signing supervisor: I II ~ \'S~W~~~\irTh~rb,~I, $ 63,00 $
, ~~~O\:M e~s\~ t'2')'
Pi) ,~~~~~~~~\lon:(l) I I $58,00 $
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(A) Enter subtotal of above fees . I (
(Minimum Permit Fee $58,00) $ (!;>
I (8) Enter 12% surcharge (.12 x [AD $ 77 Z
I (C) Technology Fee (5% of [AD $ .:> Of
I TOTAL fees and surcharges (A through C): $ J I 1]l
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440-2584') (9/08/COM)
CITY OF SPRINGFIELD
Building/Combination Permit
Status
OK to Issue
PERMIT NO: COM2009-00288
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/27/2009
09/25/2009
$ 46,478.40
225 Fifth Street, Springfield, OR .
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 480 72ND ST
ASSESSOR'S PARCEL NO.: 1702353108300
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
PROJECT DESCRIPTION: Addition to Existing Single Family Dwelling
Residential
Owner:
Address:
HAAS TODD D & SARA B
480 72ND ST
SPRINGFIELD OR 97478
Contractor Type
Electrical
Mechanical
Plumbing
I CONTRACTOR ~NFORMATlONI
o}I\O
Contractor a"" teo.\JiteS ~ "/r~c.\\}lse
OWNER t-I. Ote901\ I 'J \"e 0le90 set \01\"
EUGENE \:I:"'iC.;:m~fa(;0.~&.e t\Jles ~~ 9'!,~2.
OWNER \0\\0"" t~~" cel\\e~,,, ."to\J9" ~""e t\Jles bi
t-IO\\I'VR9"''-Bi:ii'L'~' ...(!l tNFORMA"hoN:";n
il\O/l. ,/" "~'I "",.J!' 1/,,' :t
090 ,0 ." cel\\el.' \.l\il\\~'."
o cai\i1\9 \"et (t.Q;f(9t8RR~_'3'3Z-Z'344). .
R~\\J(l\bel 6~l\t!I!iilh~o~'Structure
Type of Heat: Wall Heat
Water Type: Electric
Range Type:..
Energy Path:
Sprinkled Building:
Expiration Date Phone
10/22/2009 541- 726-7654
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
Lol Size:
Sq Ft I st Floor: 480
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
11.50
10.00
Overlay Dist:
# Street Trees Rqd: .
Paved Drive Rqd: 'ltl()?~
% of Lot Coverage: \?t. \r i~\S ~()i
~\C\i\C~:. 1\1 c.\\,f>.\..\.. t!.~\C, ~t.?-~~\~,,?
I Pua{Jf1P~~f>.~DIJN<-V .
Fully Improve{~\~~t.\'\C.t.~ ~~~\()D. Sidewalk Type:
Ves f>.\'\'/ ",CO\) D Downspouts/Drains:
Curb and Gutter
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
6.50
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Noles: Storm water to tic into existing system
Page I of 3
_~!i!~1t:'91':1~~.
I
Status
OK to Issue
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspeetion Line
Description
Tvpe of Construction
SFffiuplex
R-3 VB 1&2 Familv
Fee Description
Piau Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
luitial Review
02/27/2009
Public Works Review
03/03/2009
Structural Review
02/27/2009
Plannine; Review
02/27/2009
I Valuation ~esc~.iDti?~.1
$ Per SqFt
or multiplier
$96.83
Square Footage
or Bid Amount
480.00
CITY 01' ~"KlJ'lGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00288
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/27/2009
09/25/2009
$ 46,478.40
Value
Date Calculated
Total Value of Project
Fn. r~i1. I
Amouut Paid
Date Paid
$46,478.40
$46,478.40
03/09/2009
$288.14
$13.56
$5.65
$79.00
$17.00
$17.00
$7.32
$3.05
$55.00
$6.00
2/27/09
3/25/09
3/25/09
3/25/09
3/25/09
3/25/09
3/26/09
3/26/09
3/26/09
3/26/09
Receipt Number
1200900000000000143
1200900000000000211
1200900000000000211
1200900000000000211
1200900000000000211
1200900000000000211
2200900000000000303
2200900000000000303
2200900000000000303
2200900000000000303
Storm water to,tie into existi~g
system .
Provide stamped truss engineering
for engineered trusses. Phone call to
contractor, he will provide
documents ASAP.
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.
$491.72
Plan Reviews ,
03/04/2009
APP \-,KW
03/04/2009
APP KLK
03/06/2009
APP DDK
~ir~rl1u.n~~tiou.1
Fooling: After trenches are excavated.
Foundation: Afterforms are erected but prior to concrete placement.
Pa2e 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
OK to Issue
PERMIT NO; COM2009-00288
ISSUED;
APPLIED:
EXPIRES;
VALUE;
02/27/2009
09/25/2009
$ 46,478.40
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 been approved.
Wall lusulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complete.
Uudertloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
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 bnilding is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work 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 Springtield 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 compliancewith 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.
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..-------
Owner or Contractors Signature .--
]--?G-o~
. Date
~
Page 3 of 3,
225 Fifth Street
Springtleid, .Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00288
COM2009-00288
COM2009-00288
COM2009-00288
Payments:
Type of Payment
CreditCard
cReceiotl
RECEIPT #:
2200900000000000303
Date: 03/26/2009
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
. + 12% State Surcharge
Paid By
TODD HAAS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 062446 In Person
Payment Total:
Page I of I
2:59:33PM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
$71.3 7
$71.37
3/26/2009