HomeMy WebLinkAboutPermit Electrical 2009-4-8
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Permit no.:
Date: l{ / e~c>o '7 I
I
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.
Electrical Permit Application
225 Fifth Street. Springfield, OR 97477+PH(S4t)726-37S3+FAX(S41)726-3689
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1~~C~IEGORY',fL0I;jCSlNSjIjRI!J.Q;11IQNj~l1t~~
1 ~esidential I 0 Government I 0 Commercial
1~'!i9E!li~ImE~INi;,Or{M~\ljION~1\NEJl~00~f;I()~il~
I Job site address: .3"?b S G- 5 f- .
I City: 5ff::i~ I State:,OL- 1 ZIP: 97cn7
I SUbdivision:{7013'5"']l( 1 Lotno,:010oo
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1 $lA~! 12- c... ru.-...:-h. 1
1 ' I
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a:C~'c.<I#fli~ ,.~;;;x~%-___ _...~ ._",J___ _ _~U_L.;;:__iiH!!;:';'T..:!?;.1W.;G;&Jl.rii'::&_~~~
1',",~i!i"'.lG~\llf~~"""'S\\!\:!!jfUiiiiJ."!\'Ifli''''''''I''!f!€,-~t'''fJi:-II'''''''''''II'';
~NuriibePolins- ections(~eitelrf10)W~ Qt~ ~=. ~g~s..~~ . ~~RtaJ~~
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I Residential, per unit, service included: )
11,000 sq, ft, or less (4) $134,00 $ I
I Each additional 500 sq, ft, or portion $ 'I
thereof $ 25,00
1 Limited energy (2) $ 32,00 $ I
I Each manufactured home or modular I
dwelling service or feeder (2) $ 63.00 $
I Services or feeders: installation, alteration, relocation I
I 200 amps or less (2) / $ 81,00 $ % / 1
I 201 to 400 amps (2) $ 95,00 $ I
1 Name: k)bv \;(A..){:TGln 1 401 to 600 amps (2) $158,00 $ 1
1 Address: ~2.(;. So. G 51, I 601 to 1,000 amps (2) $205,00 $ 1
1 City: '3IfilL'"2JVc..r::-U::-L1?1 State: Okt;tlt~lPf.I^'1?L\1-')1 lOver 1,000 amps or volts (2) , $469,00 $ I
I Phone="41 -/:'4- 3 B'l' 1 Fax: No-;:uV~rlJle~'v: Oreg I 1 Reconnect only (2) , ,$ 63,00 , $ I
l' (/11,":,_.. S ~...J ... Orl/al1
1 E-mail: !}6lVf-lY\-n......e.y.4-Pcu.I!)/26~...onCe-VI.Ned.f.J:1Jl<J!W})!~ry.servicesorfeeders:installation.alleration. relocation 1
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This installation is being made onreside~!wtpr~fal'~.R~?,pet:ty a/else rJ.~ ,Jli)lJlf,~,Ilt1st\t) $ 63,00 $
owned bX me or a member of my lmme~\~0e'.ra!)l!!Y~ I!iISJbtfl;n hr JU&!/t9t~!40QLaP'Jgq~) $ 87,00 $ 1
property IS not mtended for sale, exchange, le~~e; or rent:/8A:R co, Jiet ' "I \\7;"....::':. '(1 I
479,540(1) and 479,560(1), C ,Or the 0 ' (Not,,, IS 4fi'lt,tp",6::,,,:"vP,l'1.2) $126,00 $
Y1 _ ' erl/e ,rego ' "", ' V'F! . ,
,Signature: I ~ ,- ~, . ',', r IS I-Bon I)~ ~ 'ilii v'i..~er<6JJ~}!;fJjPby 1,000 volts, see services or feeders section above 1
1~'lIlt~"'~0,0Nm~CjIiGlRlIN$jTIAJEIWAi1110N~mil'J)J~f.~t"'::~l,!itill~~i\'sWts: new, alteration, extension per panel I
I Business name: 1":>(/ AI ~ I I a, Fee for branch circuits with purchase of a service or feeder fee: I
1 Address: / 1 I Each branch circuit 1 $ 6,00 I $ 1
I City: I State: ~ZIP: I b, Fee for branch circuits without purchase ofa service or feeder fee: I
1 Phone: I F'l"'-/ - [First branch circuit (2) $ 55,00 I $ I
1 E-mail: //110,., _ 1 1 Each additional branch circuit I 7 _ $ 6.00 1 $ 7 z..J
I CCB license no.: / I rlif1Jtqi~-lj;fe.no.: I Miscellaneous fees: service or feeder not included I
I Signing supervisor's r "rise no,: I-IUrf-ln' ';,J'rlVllrS" I Each pump or irrigation circle (2) $ 63,00 $ I
}Ceo ,,_ 111 '"",..._ HAl,
I Print name of sigryng supervisorAvYIVI!vlfA;~CU UlVni.'- fXPIR. I Each sign or outline lighting (2) $ 63,00 $ I
I Signature of signing supervisor: ;'\} 780 D}D OR 1.'8 9 if/IS P ~. ,) ~J<ircuit or a limited-energy panel, I $ 63,00 $ I
....v".,. .Ilp,.. 'IiR,A'I~a,~ "extenSlon(2) ,
'1:t-(1.-''1/VD "i- - "\
OD, OlVti~ ilf@JIonal inspection: (I) 1 1 $58.00 1 $ I
1~'~~~AJaR~ICANiT~(!J.SE_~~1
440-2584-) (9/08/COM)
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
(B) Enter 12% surcharge (,12 x [AD
(C) Technology Fee (5% of [AD
1 TOTAL fees and surcharges (A through C):
$ /5>
$ /~:rp
$ 76Jt
$ n 1 ~(
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01042
ISSUED: 09/08/2008
APPLIED: 07/1112008
EXPIRES: 10/08/2009
VALUE: $ 110,656.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 326 S G ST
ASSESSOR'S PARCEL NO.: 1703353403000
Springfield TYPE OF WORK: Bedroolll
TYPE OF USE: Addition
PROJECT DESCRIPTION: Bedroom and Bath w/ Living Room addition (2-story w/ new garage below)
Residential
Owner:
Address:
BAXTER BENJAMIN r~~w' J
326 S G ST f' ;'; "r N: Or/?gon law requires you to
SPRINGFIELD OR 9j:n7'V rules adopted by the Oregon Utilify
1\'uu!lcar:on (;r-mtor Th,.,........ ,...1_ + . _
H1 UFd'i 952-001-001 n thr.....lI....h n^-,:........,,"...""-;-l I_V~ l.ll
0090,. You rh,GO~;r.RtCT,~RfNFp~Nl,fI'!ON I
callmg the center, (Note: the lei h - - J
ContradWflber for the Oregon Utility No~~c~b~ense
OWNER Center is 1-800-332-2344). .
OWNER
OWNER
OWNER
Expiration Date Phone
Contractor Type
General
Electrical
Mechanical
Plumbing
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
#.of Stories: 2'
R-3 Height of Structure
Type of Heat:
VB Water Tvpe:
NOTICE: RaI1g~ Type:
THIS PERrvlf:1"'S~.fvtlJ.;..
AUTHOR'ZE1Yn~~!&f}F T~E ~RK
VV~III"U.l3C::' - ~; !\fY,!l VI
Dt:'v,!,:U(J)\!.!'l1RllIlI
AN .. ~J In-fl !-I:t-r(JCJ: '
Lot Size: 7,140
Sq Ft I st Floor:
Sq Ft 2nd Floor: 793
Sq Ft Basement:
Sq Ft Garage/Carport 793
Sq Ft Other: 276
Occupant Load:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
14.90
5.00
7.00
51.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
3,0.90
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
, Sidewalk Type:
Downspouts/Drains:
Storm water to tie into existing system #113E Ritner cobbly silty clay loa III
Notes:
Paee I of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvne of Construction
DecklBalconv
DweIlines
DweIlines
Garalle
Deck
V Wood Frame
V Wood Frame
Garace
Fee Descrintion
Plan Review Residential
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Boiler/Comp Up To 100,000 btu
Building Permit
Fire SF Fee - Residential
Fixture
Minimum/Adjustment Mechanical
Miscellaneous Copy Chgs
Plan Review Minor - Planning
Plan Review Resideutial
Plan Review/Residential Hourly
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Vent Fan
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Fixture
Perm Serv/Fdr 200.amps or less
Total Amount Paid
Plan nine: Review
07/14/2008
CITY OF 1'lrKll~hHI!,L1J
,Building/Combination Permit
PERMIT NO: COM2008-01042
ISSUED: 09/0812008
APPLIED: 0711112008
EXPIRES: 10/08/2009
VALUE: $ 110,656.00
I Valuation Descriotion I
$ Per Sq Ft '
or multiplier
$19.00
$105.00
$105.00
$28.00
Square Footage
or Bid Amount
273.00
700.00
93.00
793.00
Value
Date Calculated
$5,187,00
$73,500.00
$9,765.00
$22,204.00
$110,656.00
07/23/2008
07/11/2008
07/23/2008
07/23/2008
Total Value of Project
Fn< P~W
Amount Paid
$332,35
$89.43
, $99.15
$47.26
,$9.00
$14.00
$662.22
$68.10
$64.00
$20.00
$3.50
$119.00
$98.09
$75.00
$168.29
$221.32
$40.03
$410.97
$50.00
$7.00
$27.48
$q.45
$72.00
$76.00
$81.00
$2,866.64
Date Paid
Receipt Number
7/11/08
9/8/08
9/8/08
9/8/08
9/8/08
9/8/08
9/8/08
9/8/08
9/8/08
9/8/08
9/8/08
9/8/08
9/8/08
9/8/08
9/8/08
9/8/08
9/8/08
9/8/08
9/8/08
9/8/08
4/8/09
4/8/09
4/8/09
4/8/09
4/8/09
1200800000000000765
2200800000000001355,
2200800000000001355
2200800000000001355
2200800000000001355
2200800000000001355
2200800000000001355
2200800000000001355
2200800000000001355
2200800000000001355
2200800000000001355
2200800000000001355
2200800000000001355
2200800000000001355
2200800000000001355
2200800000000001355
2200800000000001355
2200800000000001355
2200800000000001355
2200800000000001355
1200900000000000251
1200900000000000251
1200900000000000251
1200900000000000251
1200900000000000251
Plan Reviews I
APP DDK
Paee 2 01'4
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Sta tus
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01042
ISSUED: 09/0812008
APPLIED: 07/11/2008
EXPIRES: 10/08/2009
VALUE: $ 110,656.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
luitial Review
07/14/2008
07/14/2008
APP NJM
Credited 500 s.f. in Fire Dept fee for
demolished carport and deck
7/23/08dlm.
Public Works Review
07/14/2008
07/18/2008
APP LKW
Storm water to curb & gutter
Structural Review
07/14/2008
07/24/2008
WE DLM
Sent letter to applicant req uesting
add'l informatiou. See documents.
7/24/08dlm.
Structural Review
08/25/2008
08/27/2008
APP DLM
Received revised foundation layout
and framing sheet 8/25/08dlm.
Met with owner and contractor to
resolve remaining issues 8/27/0Sdlm.
See documents for Plan review
comments.
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.
Rpllllirprllnsnections _
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
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 Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
'Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector,
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including req~ired testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Pa2e 3 of 4
_~I!?IlI'''''PF.I~o.j ,
\
"
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-01042
ISSUED: 09/08/2008
APPLIED: 07/11/2008
EXPIRES: 10/0812009
VALUE: $ 110,656.00
225 Fifth Street, Springfield, OR
.541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Electric Service: Approval required prior to utility company energizing service.
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 ofthe 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 Community Services Division, Building Safety,
I further certify that only contractors and employees who are in 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.
,A-- /t.----
~/8/0Oj
Owner or Contractors Signature
Date
;
Paee 4 of 4
225 I"if~h.street
Springfield, Oregon 97477
541- 726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-0 I 042
COM2008-0 I 042
COM2008-0 1 042
COM2008-0 I 042
COM2008-0 1 042
Payments:
Type of Payment
CrcditCard
cReceintl
RECEIPT #:
1200900000000000251
Date: 04/08/2009
Description
Fixture
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
BEN BAXTER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
019307 In Person
Payment Total:
Page I of I
9:10:57AM
Amount Due
76,00
81.00
72.00
11.45
27.48
$267,93
Amount Paid
$267,93
$267,93
4/8/2009