HomeMy WebLinkAboutPermit Electrical 2009-3-30
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225 FIFI1.I STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX:'(541)726-3689
ELECTRICAL PERMIT APPliCATION
City Job Number (OWl z.008- 0 I Z <:1 .
1. fl'lloifA:'tioN!OFI-STA,rlJilf:~fflo.N1.ij;'llijl!'~' . 3.
~Zk:~'~'~~"~~~
I:n ( 200 Amps or less
;-__, ,_, ;01 Amps 10 400 Amps
I( , 401 An)psJ~ 600 Amps
N." 'I 1...'';<0 ',(I...."',...., I, law re'1/J;r
. '''liCJ/'O' 601 AIDpS'.to]1000 AiiIps~S you to
1il./i:lL/ I /, L.Clntro.. '"7- .J lIlt? ureg'
Jo'l /'1'/ 952_,o\ieroIOOOrAm, ps/N,olts on Utility
. 0 VI..JI~ 1110' ..... C",:)are
VVt! . You 1T.I3,econnecttOOY9h OAR set forth
Cal1ing the y ~oraIn cOPie 952-001_
nUmber f ~~-~~Il.Itit-'!t
. c (€.t1li1ftI!!P..\1~P:.wS~~i~;,i~ie~iI~' '.
ente' - Y ~.
. r IS 1-800-3 9_ otificatio
Installation, XIt<tiq,. or Rerocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
LEGAL DESCRIPTION:
/702- 33.C.{ I
AJ!SC~:ZNS~VL
OOZoZ-
:I (C:rc~}
,
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
~N1JMeTOR~INSTA1mWIONONL~1 B.
2. '^... ..'..Ff'"jJ[;WI1JXi.i~Ci.F"'/"1.%ilj'i0"k~'liI40ii\iS;;-:d>iNlhH:~^1.V~0ihe!:W" i.
Electrical Contractor
Kl9h is
rlutY'1 L
Address
te)
2 ~LI
jJ,,,,x
City
E"'1."jen!.-
Phone f'/l} t I{.
Expiration Date
<(7'-/IIS
I () - 0 I - '20/ D
Supervisor License Number
Constr. Contr. Number
is-(,t. 7'8
Expiration Date
(j -/'-/ - 2-01/
Signature of Supervising Electrician
SPRINGFIELD
Date
~mXHf1?ii:~~~!ili':'W;11!f"'*,"ffi~A)4l'fi1~Ffj0'illP."'F*00'ii%Ji~~YUz;i~ijlM\'H~*$f~#'f4
A. 1IJ~~8,t~!.l1,t'!!!!!ll:7c~Jljg!!1h!!.!:~'!1!i"*g!J!iJJY4PiL,j!l!:~.!!!.i!g}'!!tlli'lb
Service Included
i 000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$117.00
$21.00
Each Manufac!' d Home or
'. Modular Dwelling Service or
Feeder
51
~.OO
j
S1
$ 70.00
$ 83.00
$138.00'
,
. $180.00
$413.00
$ 55.00
$ 55.00
$ 76.00
$110.00
D_
~? . ~ New Alteration or Extension Per Panel
7~/t~ One Circuit $ 48.00 .
NOTICE' Each. Additional Circuit. or with / ~ <C
Owners Name \J ~'^- ~oI\.~TJ:J!.f;..pFR'W ServIce or Feeder PermIt $1'.00 J
DUD .;, /./ O/)f//TW.1h T SHA~~~"9'1lf/"Sk~'''i'l_#?_'s.q* 'u".== =s ...=....k.11jj,=_
Address 7,7 7fA!y '6'5fvilV;r~~~g g^i?~~~~:f~~~~~a:j~~fi~~J!~~
. City /~1J.Jr&IE / Phone ANY t.8.0...f!.Ay P f~OOI\lWIfOR $ 55.00
/ . ER1~Outline Lighting $ 55.00
OWNER INSTtiLATlON Limited Energy/Residential $ 28.00
The installation is being madeon property 1 own which Limited Energy/Commercial $ 50.00
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee i~ $50.00 + Surcharges
. Owners Signature: 4. ~t$Wf~gi~rgltill~~J'EI~1i [~~--G Z_~~
~ State Surcharge (z. 7.1{1(
,8%A~",~~,:.cLc .
5% Technology Fee
Inspection Request: 726-3769
~.'...
. 2 s4
7 .
TOTAL
Shared Drive(T:)/BuHding FonnsIElectrical Permit Application 7-07.doc
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01221
ISSUED: 01/20/2009
APPLIED: 08/15/2008
EXPIRES: 09/02/2009
VALUE: $ 15,320.00
SITE ADDRESS: 226 58TH ST
ASSESSOR'S PARCEL NO.: 1702334100202
SPRINGFIETYPE OF WORK: Garage
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Manufactured home and garage - See C9-318 for placement permit fee. Track all
inspections on this job number.
Contractor License Expiration Date
BENSON DEVELO,PMEN.F:ON: Oregon law rJi\302)... you t 05/1512010
,.. .....'-jUlIC;::. 0
ROBS ELECTRIC"INc:'" ,.;r!C;s adopted by Ihel2,fiQ7lbn Utility 08/14/2011
BENSON DEVELOpMEN'pcoenter. Those rU1"~~h setforth 05/1512010
TOMS PLUMBIN,G,~~R\7-ieEJfNGJ01 0 througl159425952-001_ 05/1212010
, "--'''-'~~'''''''''''''-'''''nerulesby
,1:iBl<JlLDlN.G IN,FO RMA TION'llephone
nurlllJer TOr the Oregon Utility Notification
#COfIStnrie.s:1-800-332-2344). 1 Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: orced Air Electric Sq Ft 2nd Floor:
Water Type: Electric Sq Ft Basemeut:
Rauge Type: Electric Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Spriukled Building: n/a Occupant Load:
Overlay Dist:
# Street Trees Rqd:
~<j.p'rive Rqd:
'!i: btl[f.Gi;'overage:
I HIS PERM
AI/7'\',\_ IT/~/.I~t.-
I PUB1Ju,MMf~~ivn;~H~RE IF THE WOR
Ii/V Y 180 -.. UI{,S AB PfB.MJ7k/$ K
Fullv Impro~:~ DAY PERIOD. AND~~!Rstblli:~ins:
Storm to curb via weep hole
Owner: BENSON VERN W
Address: 940 HWY 99 N
EUGENE OR 97402
Contractor Type
Geueral
Electrical
Manuf Home 1nst
Plumbiug
# of Units:
Primary Occupancy Group:
Secondary Occupaucy Group:
Primary Constructiou Type
Secondary Constructiou Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Speciallustruction:
Notes:
18.00
12.00
10.00
11.00
0.00
I CONTRACTOR INFORMATION I
Phone
541-688-8897
541-686-5444
541-688-8897
541-607-8879
1
R-3
U
VB
5,688
1,848
440
3
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
2
2
Yes
40.00
Total:
Handicapped:
Compact:
Curbside 7'
Curb and Gutter
Page 1 of 4
Status
Issued
225 Fifth Street, Spriugtield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-3769 luspection Line
Description
Tvpe of Construction
Foundation Oulv
Garage
ManufHume
Use Bid Amouut
Garaee
Manufactured Home
Fee Description
Piau Review Residential
***+ 100/0 Administrative Fee***
+ 12% State Surcharge
+ 5% Technology Fee
Curbcut Permit
Fire SF Fee - Residential
Garage/Carport
Plan Review Major - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Sidewalk Permit
Storm Drainage Impervious Area
***+ 100/0 Administrative Fee***
+ 12% State Surcharge
+ 5% Technology Fee
Addressing Assignment
Manur Home State Issuance
WiIlamalane Manur Home Private
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Manufactured Home Service
Total Amouut Paid
I. V ~Iu.~~.i?n Descdotio~ I
$ Per Sq Ft
or multiplier
$1.00
$28.00
$1.00
Square Footage
or Bid Amount
3,000.00
440.00
40,000.00
Total Value of Project
Fpf\~,~
Amount Paid
Date Paid
$114.43
$22.22
$21.12
$28.15
$88.00
$46.20
$176.04
$211.00
$483.84
$636.30
$10.00
$1,009.17
$97.90
$135.88
$888.98
$201.54
$74.27
$88.00
$875.21
$32.00
$38.40
$16.00
$37.00
$60.00
$2,513.00
$7.44
$3.10
$5.00
$57.00
8/15/08
1120/09
1120/09
1/20/09
1/20/09
1/20109
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1120/09
1/20/09
2/12/09
2/12109
2/12/09
2/12/09
2/12/09
2/12/09
3/27109
3127109
3127/09
3/27/09
$7,977.19 .
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combinatioll1 Permit
PERMIT NO: COM2008-01221
ISSUED: 01/20/2009 I
APPLIED: 08/15/2008
EXPIRES: 09/02/2009
VALUE: $ 15,320.00
Value
Date Calculated
$3,000.00
$12,320.00
$40,000.00
$55,320.00
08/15/2008
08/15/2008
02/05/2009
Receipt Number
3200800000000000570
1200900000000000019 _
1200900000000000019
1200900000000000019
1200900000000000019
1200900000000000019
1200900000000000019
1200900000000000019
1200900000000000019
1200900000000000019
1200900000000000019
1200900000000000019
1200900000000000019
1200900000000000019
1200900000000000019
1200900000000000019
1200900000000000019
1200900000000000019
1200900000000000019
1200900000000000096
1200900000000000096
1200900000000000096
1200900000000000096
1200900000000000096
1200900000000000096
2200900000000000304
2200900000000000304
2200900000000000304
2200900000000000304
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-0I22I
ISSUED: 01/20/2009
APPLIED: 08/15/2008
EXPIRES: 09/02/2009
VALUE: $ 15,320.00
225 Fifth Street, Springlield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-3769 Inspection Line
I Plan Reviews I
Initial Review 08/22/2008 08/22/2008 APP NJM
Public Works Review 08/22/2008 08/25/2008 10 'LKW Talked to Vern Benson regarding
this site, this site has sanitary or
water to site. Requested new site
plan showing site with P.U.E.s. Once
received will go ahead with review
and route, but no approval until
sanitary and water has been
installed to the site.
Structural Review 08/22/2008 08/25/2008 APP CJC Need new truss doc's for smaller
building. Requested the following
from the :i'pplicant: 1. Correct truss
drawings for revised garage
dimensions, 2. Show roof
conliguration between garage and
M.H., 3. Provide approval for
over-framing from M.H.
manufacturer 1/5/08dlm.
RESPONSE:
1. New truss ducs provided.
2. & 3. Buildings are separate, no
roof connections.
Plan nine Review 08/22/2008 11/12/2008 WE DDK Bill Martinell will bring in new plot
plan showing setbacks including
garage to panhaudle drive. Also
waiting on recorded Plat.
12/8/08 Vern Benson came in. I told
him we need 5 copies of recorded
plat along with associated
documents and that I needed a new
plot plan showing all setbacks
including garage to edge of
pavement. He said he'll bring them
in tomorrow.
Planninl! Review 12/10/2008 12/10/2008 APP DDK Approved ,as uoted on revised plot
plan 12/09/08.
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 b,e made the following
work day.
Paee 3 of 4
_~R,11.t9J11!il!2,' ~..'
~ ' " .
f'
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-01221
ISSUED: 01/2012009
APPLIED: 08/15/2008
EXPIRES: 09/02/2009
VALUE: $ 15,320.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
.541-726-3676 Fax
541-726-3769 Inspection Line
Reouired Insuections I
Ufer Electrical Ground: Install ground rod at footing and call for inspectiou 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 coveriug sheathing with finish materials.
Framiug Inspection: Prior to cover' and after all rough in inspections have been approved.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
. Building Inspector.
Manuf Home Set Up: When installatiuu of all piers or stands is complete.
Final ManuI' Home Set Up: After all required inspections are requested and approved and porches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
Final Building: After all required inspections have been requested and approved and the building is complete.
Water Liue: Prior to tilliug trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Manuf,Home Plumbing: After home has been connected to water and sewer.
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Rough' Electric: Prior to Cover
MH Electric: When blocking, setup and 'plumbing inspections have been approved and the home is connected to
the panel.
-.,
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
iuformation 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 uf Spriugfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO .OCCUP ANCY will be made of any structure without permissiou of the Community Services Division, Building Safety.
I further certify that unly contractors and employees who are iu compliance 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.
Owner or Contractors Signature
Date
Page 4 of 4
225 Fifth Street
Springfield,Oregon'97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Serviees Department
Public Works Department
Job/Journal Number
COM2008-0 1221
COM2008-0\22 I
COM2008-0 1221
COM2008-0 1221
Payments:
Type of Payment
CreditCard
cReceintl
'RECEIPT #:
2200900000000000304
Date: 03/27/2009
Description
Manufactured Home Service
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
DAVID LAWLER
Item Total:
Check Number Authorizlltion
Received By Batch Number Number How Received
djb
060164 In Person
Payment Total:
Page I of I
8:56:14AM
Am<!.unt Due
57.00
5.00
3.10
7.44
$72.54
Amount Paid
$72.54
$72.54
3/27/2009