HomeMy WebLinkAboutPermit Electrical 2009-3-27
225 Fifth Street. Springfield, OR 97477HH(541)726-3753.FAX(541)726-3689
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Permit no.: .
I Date: 3/Z7~' I
Electr.ical 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 issllspended for 180 days.
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IZoningapproval verified? ..,' .gYes [] No, I 1~~~J;'Wl~fflt1t~11f.;,~~1~)ilIQlf!II~2lt'I1fJ':m;aI!~
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1',.,4 , I' I I I Residential, per umt, service mcluded: .1
~Residential' 0 Government 0 Commercial
1~t;jBt!SljfEifINIi:e:RM~ilijQNf~NDl!~QG.~'I]10N~1,'~~~1 11,000 sq. ft or less (4) I $134.00 $ I
I Job site address: /,8'f"l H th,J 5; I I ~~~~:r'tlOnal 500 sq. ft. or portion I $ 25.00 $ I
I City:6fJet,..Jr;,6Ec.D I State: Orz..... I ZIP: 97'-/7~1 I Limited energy (2) I $ 32.00 $ I
i=;~~~~rR~Tt~~~F~WJ~~:~~~~~~j ~~~~l:;::"S~~~~:~~ re~~:r (~)odular I $ 63.00 $ I
16~(<2E' ~M -tft> d5E 7-D ;-J~ I Services or feeders: installation, alteration. relocation '1
I~, ~~"'1(~PRClPER17:t""0WNER'''~f5C;:'''':'''~T~~'tti''W'iI!ll I ~:~ ::~oo::; ;:; I : ::::: ~ K ( II
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I Name:U~ LIJ'iAi6.S-r-oJ ~ ~,J,J1rr.,.~l(aJ 140] to 600 amps (2) $158.00 $ I
I Address: 302.. 72.,.;.0 p~ iO/(O\~"'''UN: )rEr,l~PJ to 1,000 amps (2) $205.00 $ I
I City: ~/er,Jr;; ~(En> I State 012 V;~'j#.[~~~~~ ~'~;eb;Rg6'~:S)srV'AJ\S~~). $469.00 $ I
I Phone:5'ft 5';2. ( 2-0.(., 7 I Fax: _ 0090 ,,0<:-001_ 01 o~'ecIinr\'l.'i'A'!!l&')P Utl/;tv $ 63.00 $ I
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I E-mail: cJ~ L{ tll Me., 6J Y,f-rl?,o, E51J;~th"'''Y 0 Itafrl~~,~p\1arj(;S~Ii"i$~!)o.t!;ohters: installation, alteration, relocation I
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This installation is being made on residential or farmpfgp~e C,' _ orW'H;~'.. vies "J' $ 63.00 $
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Business na~e: (i"?1 ...I Neve I I~. Fee for branch circuits with purchase of a service or feeder fee:
I Address: I I Each branch circuit I I $ 6.00 I $
I City: I State: I Z~P: I I b. Fee for branch circuits without purchase of a service or feeder fee:
I Pbone: I Fax: I I First brancb circuit (2) I I $ 55.00 I $
I E-mail: I Each additional branch circuit I (d $ 6.00 $:1 ~
I CCB license,no.: I BCD license no.!'lUrlCE: I Miscellaneous'fees: service or feeder not included
I Signing supervisor's license no.: ' ~/0 PERM'T ~=h~l'J~i='~' circle (~). $ 63.00 $
I . AJfrtUKILtV N h""~"";'" .~ $ $
Print name of signing supervisor: rJq>1N"'-......-J-" ~t 63.00
I ':Q~I.,\1:::,iJ0Eu F 18^.4.Jn.AL'"rm~' ~energy pane,l,
Signature of signing supoervisor: ANY l5I''''''''IVtJ $ 63.00 $
Eo t ~~~tlOn, or ex I n
Each additional inspection: (I) $58.00 I $
\S.)%O^-
~~
~~
I (A) E~ter subtotal of above fees
(Minimum Permit Fee $58.00)
I (8) Enter 12% surcharge (.12 x [A])
I (C) Technology Fee (5% of [A])
I TOTAL fees and surcharges (A through C):
1/1
,
$ 1((0'-
$ <S8t
$/~bl~
$
440-2584-J (9/08/COM)
/.
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6849 MAIN ST
ASSESSOR'S PARCEL NO.: 1702344400601
PROJECT DESCRIPTION: Garage
Owuer: JERRY LIVINGSTON
Address: 302 72ND PL
SPRINGFIELD OR 97478
Contractor Type
General
Electrical
Plumbing
Contractor
OWNER
OWNER
OWNER'
# or Units:
Primary Occupancy Group: U
Secoudary Occupancy Group:
Primary Coustruction Type VB
Secondary Construction Type:
# or Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
7.00
17.00
0.00
Street Improvements:
Storm Sewer Available:
Speciallnstrllctiuu:
Notes: STORM RUNOFF TO EXISTING
CITY OF ~rKll~GFIELD
Building/Combination Permit
PERMIT NO: COM2009-00354
ISSUED: 03/23/2009
APPLIED: 03/17/2009
EXPIRES: 09/2712009
VALUE: $ 30,780,00
Springfield TYPE OF WORK: Garage
TYPE OF USE: New
Residential
Phone Number: 541-521-2067
I CONTRACTOR INFORMATION I
ATTENTION: Oregon laMoensees YCExjJiration Date Phone
toll ow rules adopted by the Oregon Utility ,
Notification Center. Those rules are set forth
in OAR 952-001-001 0 through OAR 952-001-
. ,_ _ ,_I:. ...1-_ .., ,l",~ h~,
iiu.I'Lbli\lG:L;;;tioRj\1'11~LJ)N .1~ telephone'
n~;;;ber for the (j"i~g6n uillfty Notification
# orS~U~I~r is 1-800-332-2344). Lot Size:
Height or Structure Sq Ft 1st Floor:
Type or Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft GaragelCarport
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
816
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd: ' Yes
"I" of LoNd:ljH6&~: 17.20
THIS PERMIT SHALL EXPIRE IF THE WORK
I PUBLIC IMPRQ~ \I1~UtH I HI::' t't:HIVIII I~ NOT
.. I H~R IS ABANDONED FOR
ANY 180 DAY PERI~ewalk Type:
Yes
DownspoutslDrains:
To Storm Sewer
Pal!e 1 or 3
Status
Issued
225 Fifth Street, Spriugfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Liue
Description Tvoe of Construction
Garaee/Misc U VB Utility
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Fire SF Fee - Residential
Garage/Carport
Plan Review Minor - Planning
Plan Review Residential
Sanitary Sewer - 1st 100 Feet
SDC SanitarylStorm Admiu
Storm Drainage Impervious Area
+ 12% State Snrcharge
+ 5% Technology Fee
Storm Sewer - 1st ioO'
+ 12% State Surcharge
+ 5% Technology. Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Plan nine: Review
Public Works Review
03/18/2009
03/18/2009
Structural Review
03/19/2009
Structural Review
03/18/2009
I V ~I~ation Description I
$ Pel' Sq Ft
or multiplier
$37.72
Square Footage
or Bid Amount
816.00
CITY OF SPRINGFIELD
Building/Combination- Permit
PERMIT NO: COM2009-00354
ISSUED: 03/2312009'
APPLIED: 03/17/2009
EXPIRES: 09/27/2009
VALUE: $ 30,780.00
Value
Date Calculated
Total Value or Project
~P'PIi;~
Amount Paid
Date Paid
$30,779.52
$30,779.52
03/20/2009
,
$120.09
$48.26
$26.06
$40.80
$326.17
$119.00
$126.43
$76.00
$21.83
$436.66
$6.96
$2.90
$58.00
$14.04
$5.85
$36.00
$81.00
3/17/09
3/23109
3123109
3/23/09
3/23/09
3123109
3123/09
3123/09
3123/09
3/23/09
3/24109
3/24/09
3/24/09
3/27/09
3/27/09
3/27109
3/27/09
Receipt Number
2200900000000000271
2200900000000000287
2200900000000000287
2200900000000000287
2200900000000000287
2200900000000000287
2200900000000000287
2200900000000000287
2200900000000000287
2200900000000000287
2200900000000000291
2200~00000000000291
2200900000000000291
2200900000000000305
2200900000000000305
2200900000000000305
2200900000000000305
Plumbing permit to upgrade
sanitary sewer line that will be
under the new garage slab
As noted on plans and in revieew
letter
To Request an inspection call the 24 hour I'ecording at 726-3769. All inspections requested before 7:00
a.m. will be made t~e same working day, inspections requested after 7:00 a.m. will be made the following
work day.
$1,546,05
I Plan Reviews I
03/18/2009
03/18/2009
APP DDK
DON BJG
03/19/2009
10 CJC
03/20/2009
APP CJC
Paee 2 01'3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00354
ISSUED: 03/23/2009
APPLIED: 03/17/2009
EXPIRES: 09/27/2009
VALUE: $ 30,780.00
225 fifth Street, Springfield, OR
541-726"3753 Phone
541-726-3676 fax
541-726-3769 Inspection Line
Reouired Insuections .
Ufer Electrical Ground: Install ground rod at1'uoting and eall1'or inspection in conjunction with footing and/or
foundation inspection.
footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
final Bnilding: After all required inspections have he en requested and approved aud the huilding is complete.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Slab: To be made after all inslah building service equipment, couduit piping and other equipment items are in
place but prior to concrete.
Underslab Plumbing: Prior to filling the trench and including required testing.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signature, 1 state aud agree, that] have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I fnrther certify that any and all work perfurmed 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 Commuuity Services Division, Building Safety.
I further certify that only cuntractors and employees who are in compliauce with 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.
9~7~c ~/Z?/2JJ()/
Owner or Contractors Signature
Date
Page 3 01'3
225 Fifth Street
Springf\eli{, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Publie Works Department
Job/Journal Number
COM2009-00354
COM2009-00354
COM2009~00354
COM2009-00354
Payments:
Type of Payment
Check
cReceiml
RECEIPT #:
2200900000000000305
Date: 03/27/2009
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
JERRY LIVINGSTON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
5701
djb
In Person
Payment Total:
Page 1 of 1
9:35:IOAM
Amount Due
81.00
36.00
5.85
14.04
$136.89
Amount Paid
$136.89
$ 136.89
3/27/2009