HomeMy WebLinkAboutPermit Electrical 2009-4-22
. .
225 ~'ifth Street.Springfidd, OR 97477. PH(541)726-375?+F.I-\...\:(5:'1)726-3689
" 'I DEPARTMENT USE ONLY
r~ I COlli( C-OO c;. 00 , 8" "i
~~.., Pcrnlltno, . '
, ,IDate: '1/ZZ-~ i. I
.'
~':
~ Electrical Permit A
.
",
Tbis 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 da)'s. .
. L LOCAL GOVERNMENT APPROVAL ' I FEE SCHEDULE
1 Zoning approval verified? ,DYes DNo I Num~erofinsP<'ctionsp.rit.m() IQty.! ~,:t
I CATEGORY OF CONSTRUCTION
I Residentia~, per unit, se..vice included:
I Qli Residential I D Government I D Commercial 1 .
1.000 sq, ft, or less (4)
I JOB SITE INFORMATION AND LOCATION
I Job site address: C?L;' l/;1' ,0"llcli r I ~~~~ritional 500 sq, It. or portion
City: .\IJfIM6r/~LrI ,I State: fJ~ ZfP: I 'if' I, Limited energy (2)
Subdivision:170 2..3 qq ( Lot nO:I?!).1.?'! V'd~ 821\ Each ~anufactured home or medular
I 'DESCRIPTION OF WORK _ dwelling servIce or teeder (2) ,
I tJl/~ &;..t...Ir6-e NOTICE: ~Senices o!:J~.!..s,{nSfll/laflOn. alferation relocation
I ,THIS PERMIT SHALL t ,r RtiolkmW!'~'l;p&'l; / $ 81.00 $ g I
I PROPERTY ow~ORILtU UNUER:1 rH ;2d~t~I~Udf~f\~2)' $ 95.00 $ I
I Name:/. J A-/",'oP- r -=1dM.U? "",C,OMMENCtU ~~ '" /-ILA ~)ffiY\'I,~go.amps (2) $158.00 $ I
1 Address~ /..~<"",)4' <:,.. ANYlllu UfIY rCRtOfr. 60t to 1.000 amps (2) $205,00 $ 'I
CitY:S~//.F",'/" ,I State: /Jte I ZIP:9?o/?f' I Over 1.000'amps or volts (2) $469.00 $ I
Phone~r'71l._ Ql."2l{ I Fax: 'Reconneelonly(2). . $ 63,00 I $ I
E-mail: I TemporalJ' senices or feeders: installation. alteration, relocation
This in,ta1lation is being made on residential or faro, propetty I 200 amps or less (2) $ 63,00 $
owncd by me or u member of my immediate family, This 1 20110400 amps (2) $ 87,00 $ I
property is not intended for sale, exchange, lease, or rent OAR I 1
479.540(1) and 479.560(1),' 401 (0600 amps (2) $126,00 $
Signature: t<.J,~~~~ 4. 'Y?1~ I Over 600 amps or 1.000 volts. see scrvice..-; or feeders section above -1
I COJ(JTRACTOR I NSTAdA TION :1 I Branch circuits: new, alleralion, exlensian per panel I
I Business name: L-1V1!J E!~f.;rR Ie.... L11./ 1 13. Fcc for branch circuits with purchase ofa service or feeder fee: :\
I Address: I '3<; \ r.,~IlAJf? -r. I I Each branch circuit I I $ 6,00 I $ I
I 'City: W67GAJ6 I State: Of( I ZIP: 1JJ'1t>5 I I b. Fce for branch circuits withoutpu.fchase oCascT\'ice oj-feeder fee:' I
I Phone tJi/-7t'1- '&1t-'1 I Fax'9tr -rB ~5 Z '5 __,,- I "1.Ff'iVJ>{ilJ~hleNttflllooire5 y~u ',u \ S 55,00 I $ I
I 'ILJ- n .... I h UIt;;;'dV'
F-mm! 't'tJllt4/c./lap.1 '2-'7 z.z, IJI{~r""'II/t.."Cf?1F;1!o, i0Jl'lptdtli'tilJ.\a~tiH.~~hgfl'!'lletlort:3 $ 6,00 $ 1Z'1
I CCB license no I~S6'Ob I BCD hcense no Ctt6G\lica 10 1Mii~ih,e,W~~~;;:o""f<\f.}6011.!)lJMTI1c1"ded: I
2.^-11 'O!-\IiI'''W'-v'''''-' QI\li\f11\lI"o'~' I
Stgnmgsupervtsor'sheenseno JlJVT ( .::; tn__~ " (-""aghl'\\'I\I'ttrlllOgll65n 1,_\J~\'nM $ 63,00 $
Print nmne of sigmng snpervisor C tAlj?k 1?, ,K ,04t5iirl~ ~.,jtJ$lgfi\Or b\l\Ii~~I!~~\9'l8Mi(catlor $ 63,00 $
I SIgnature of "gOIng supervIsor (filiAL: f~m~er~:!~:~Jl;~~~&~?zr41Jy panel. . '$ 63,00 I $
I Each additional inspection:'(J) $58.00 I $
I APPLICANT USE
,. (A) Enter snb~otal of above fees
(Minirimm Perrni~ Fee S58.00)
$ 25.00
$
I
Total'l
l"Ost .
I
I
I
I
I
$134,00
$'
$ 32,00
$
'S 63,00
$
);.' ,
", ....;)
I
" 2J ,
$ , /liP"f _
$ l(r~
$ I/rl83
.-
-, (" .
$
~~6\
lx~ ~~
~
,(B) EDler 12~-o surcharge (.12 x [A])
(e) TeelUlology Fee (5% of [A])
TOT~L fees and surcharges (A through C):
440-2584~J (9/08/COivl)
Sta tus
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6754 A ST
ASSESSOR'S PARCEL NO.: 1702344106802
PROJECT DESCRIPTION: Garage
Owner: MADDY WAYNE A & JANICE L
Address: PO BOX 383
WAL TERVILLE OR 97489-0383
Contractor Type
General
Electrical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
v
VB
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00189
ISSUED: 02/10/2009'
APPLIED: 02/1012009
EXPIRES: 10122/2009
VALUE: $ 15,851.00
Springfield TYPE OF WORK: Garage
BUILDING INFORMATION I
# of Stories:
Height of Strncture
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
TYPE OF USE: New
Residential
NU I Hit: .".~oiHffX~
THIS PERi~~CJ:lT:rer~W 1\ .J~'~" I
AUTHORIZED UNDth IMI" n: "
Contrac'C'OMMENCED OR IS ABANDONED ~ense
~~~:~~k1~fifJ~Y PERIOD.
Phone Number: 541-726"9624
Expiration Date Phone
185086
01109/2011 541-729-8727
n/a
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
476
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist~ Oregon laW requires you;.~ Total: 2
# Sfi'e\!NrWes Rgd:ted by the Oregon Utt" Yth Handicapped:
, ,,- ."Ip.c aO:)f.' I a'~ ~t or
Raven'DrIVe'Roilier Those ru es Te 2 00', Compact:
+.'~"'~:rt,g,nvClll . hO~ - ,
%Cof'botc2~a6~!\5il10throUg . \ sby
in OAR 90 ain caples at t e ru e
nnon.. You may obt (.,~to' the telephone
I PUBLIC HViPROFME~'jS'I'Jn Utiiity NomiC","""
.... .,..,.. y"'" 2.2344),
., - t r IS ,_oDO-33
Cen e Sidewalk Type:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
5.00
10.00
6.80
Street Improvements:
Storm Sewer Available:
Special Instruction: Adding 1.5 feet no increased SDC
Notes:
Pa2e I 01'3
Downspouts/Drains:
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00189
ISSUED: 02/10/2009
APPLIED: 02/1012009
EXPIRES: 10/2212009
VALUE: $ 15,851.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DeseriI]tion I
Estimate
Type of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amonnt
15,851.00
Valne
Date Calculated
Description
Total Valne of Project
$15,851.00
$15,851.00
02/10/2009
l.Fpp< PliaJ
Fee Description Amonnt Paid Date Paid Receip't Number
+ 12% State Snrcharge $23.34 2/10/09 1200900000000000090
+ 5% Technology Fee $15.68 2/ I 0/09 1200900000000000090
Fire SF Fee - Residential $23.80 2/10/09 1200900000000000090
Garage/Carport $194.50 2/10/09 1200900000000000090
Plan Review Minor. Planning $119.00 2/1 0/09 1200900000000000090
Plan Review Residential $126.43 2/10/09 1200900000000000090
SDC Sanitary/Storm Admin $11.\3 2/10/09 1200900000000000090
Storm Drainage Impervious Area $222.61 2/10/09 1200900000000000090
+ 12% State Snrcharge $11.88 4/22/09 2200900000000000413
+ 5% Technology Fee $4.95 4/22/09 2200900000000000413
Add, Alter, Extend Circ Ea Add $18.00 4/22/09 2200900000000000413
Perm Serv/Fdr 200 amps or less $81.00 4/22/09 2200900000000000413
Total Amount Paid $852.32
I Plan Reviews I
Public Works Review 02/10/2009 02/0 J /2009 APP LKW Storm water to tie into existing
system
Plannine Revie~\' 02/10/2009 02/10/2009 APP DDK
Structural Review 02/10/2009 02/10/2009 APP , CJC As noted 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.
~eollirerUnsnections ,
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Pa2e 2 01'3
Status
Issued
CITY OF SPRINt..l'lJ!.LD
Building/Combination Permit
PERMIT NO: COM2009-00189
ISSUED: 02/10/2009
APPLIED: 02/10/2009
EXPIRES: 10122/2009
VALUE: $ 15,851.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed bnt prior to backfill.
Electric Service: Approval required prior to utility company energizing service.
Undergronnd Electric: Prior to cover
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 fnrther certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield 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 Safe!)'.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I fnrther agree to ensure that all required inspections are reqnested 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
Pa2e 3 of 3
225 Fifth Street
Spri\lgfi~ld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009"00 189
COM2009-00 189
COM2009-00 189
COM2009-00 189
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
il~::
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000413
. Date: 04/22/2009
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ EaAdd
+ 5% Technology Pee
+ 12% State Surcharge
Paid By
WAYNE MADDY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
01756c In Person
Payment Total:
Page I of 1
11:51:25AM
Amount Due
81.00
18,00
4,95
11,88
$115.83
Amount Paid
$115,83
$115.83
4/22/2009