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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