HomeMy WebLinkAboutPermit Electrical 2009-4-30
City of Springfield
Electrical Anthorization To Begin Work
E-mailedTo:levimichaeI2722@hotmail..com
Receipt # EC550916
4/30/20092:18:39 PM
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Check on status of jJermit .'
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield:or.us
10 New construction
Ii] Addition/alteration/replacement
I [X] 1 or2family dwelling D Multi-family 0 Commercial/Industrial
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IJob no.: I.Job address: 6754 A ST
I City/State/ZIP: SPRINGFIELD, OR 97478-7372
I S~ite/bldg.lapt.no.:
I Project name:
Cross street/directions to job site:
I Subdivision:
ITax mllp/pllrcclno.: 1702344106802
I Lot no.:
panel chnnge amp In gardgt' 200 ~l)....fle...\. ~\ ~ (JI\
o.-~ ~~.
IName: lcvijohnson
1 Phone: I Fa"
I Email: I
1~~~!'~~~;~t!e~fG(~~,~i~ONr~~O;::~:i~i4~~f~~""r~~:,~~~X1
1 Bus'"'' NameA~~~~IL>!HAll 8(P/RE IF THE.WClDI( I
IConl"c!: levi .n., C. _ U UIVVtR THIS PERMIT I~ NOT I
IAdd"ss: 1<51 8R'{~if'!ifIVutU UK IS ABANDON En FOD .
I CHY/Slate/ZIP:~"JRlJf;l.Yo:t'tRIOD. I
I "hon" (541)7298727 . IFa" (541)6538323 I
I Email: levimichae12722@hotmml.com
I Metro lie. no.: ICity lie. no.: I
I Supervising electrician's lie. no.: 5434$ I
I Supervising electrician's name: ROBERT S YOUNG
Upon review and approval by your local jurisdiction, your
permit will be a-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
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The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
....'"'~
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1 1,000 sq. fi. or less [4] ]
I Ea. addl 500 sq. ft, or pdrtion
I -Limited energy, resid~ntial
(wIth above sq. ft,) ,
I - Limitcd cnergy, multifamily
residential (with above sq. ft.)
I - Liniited energy, comm.ercial not oflcn.:d online at this jurisdiction
(with above sq. ft,) I'
I - Stand-alone limited en.ergy,
residential ~,
I' - Stand-alone limited energy,
multi-family ,
1 . Stand~alone limited eliergy,
commercial h
1~~f~~~l's.~Q~:!e~~rrsJ!~!i!ll~~!p.~t.~Ii~t~}i~'~::~~&Lg~!F~r~c~~il[f~~~ . .
1 200 llmps or less [2] $8],00 $81,00
1201 amps to 400 amps [2]
1401 amps to 599 amps [~]
1:."TE~,tP(jRARY:SelYjCeSTOR'~erocrS1iiistalliitjoni'iilleration~~'~;~1(.1
r;r.~~Zg~~r~j~'c~fffih~;1.~~~~~1:~;~~~~~~~":;~~~
1200 amps 0' less [2] I
120 I ampsto 400 amps [21 I I
~N;~~i~~;;;:)K~Ji!]l~Bl~Q!<jfiThD;lf~]I~f:~~~~!!t)f,~~,,\:
I A. Fee for branch Circuits with
service or feeder fee, each
branch circuit ,
lB. Fee f?'JI/'I"~'1!!N'l'~!!}N: OrE gon law 'eqUlres' 'ou to .
without WR,I",p,1 ~e.gSeadoJ: ted by th 3 Oregor Utility
first branth ~(?CU'lt 2 J .- _0 , t $ Hl
le"~hadl;,[,1,J!n.lii~~l&:~";~~d'J ~:t'h:O":JI~~~Oi8~$e2~~1 .'
1\;MISCell~lJeb{j'S'J?.3!r't:"!:EL~~.-'" 0'3fr."w,'''''~.*'. ";',{~ ~b/ ,,, '$?J!/'f'+t'Yh'~\~?-"I-::'~-: 'h' ,'j::'
''''!C=tcE'-.rr>r.nn..,'<:"'\I'""'t.,......x'J'^r 1'l'...'..........nI'O'Cbr"l:",..... I, _!:::::!'''--1-''':'
I Smi" re~.R'I>~if,'W'rhGj;e~ LWotPj the tele.. hone
I Each manu\aclO"to'il\1d\'JOb C regon U [lily Notif cation
dwellmg, Q!AoW,"aI6I-'leddl~. 3~ 2 2344)
121 Center IS 1-800- " - ,
I Pump or irrigi:ltion circle;[2]
I Sign or outline lighting [?l
I Signal circuit(s) or limited-
energy. panel, alteration, '9r
extensIOn r21 .
1~~rn~~i\.'r::}~~:,.~f~:qm.t9~f:~R:Mlt!~,~~:'{_,0-::.~~.J:;.':;s--~;ill
I i Subtotal $81.00 I
I Slate Surcharge (] 2% of permit fee) $9.72 I
I :City Of Springfield fees'" $4,05 I
I TOTAL PERJ\lIT FEE, $94.77 I
* City Of Springfield fees: 5% TCl:hnology Fee
[DeC9r~T~9owedJ ~ 4130lCA
This Authorization To Begin Work must be posted at the job site until, replaced by a Permit.
_,q',~",r~ltg!;~!~er
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;11
Status
Issued
CITY OF SPRINGFIELD
Buildi~g/Combination Permit
PERMIT NO: COM2009-00189
ISSUED:' 02/10/2009
APPLIED: 02/10/2009
EXPIRES: 10/27/2009
VALUE:' $ 15,851.00
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 lnspeetion Line
SITE ADDRESS: 6754 A ST
ASSESSOR'S PARCEL NO.: 1702344106802
Springfield TYPE OF WORK: Garage
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Garage
Owner: MADDY WAYNE A & JANICE L
Address: PO BOX 383
WALTERVILLE OR 97489-0383
L
Phone Number:' 541-726-9624
I CONTRACTOR INFORMATION I
Contractor Type
General
Eleetrieal
Contractor
OWNER
LMJ ELECTRIC LLC
License
Ex'piration Date Phone
185086
01109/2011 541-729-8727
BUILDING INFORMATlON,,1
# of Units:
Primary Oecupancy Group:
Secondary Oecupancy Group:
Primary Construction Type
Secondary Construetion Type:
# of Bedrooms:
U
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft1slFloor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft.Other:
:Oceupant Load:
476
VB
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
5.00
_ Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Yes
17.20
Total:
Handicapped:
Compact:
2
10.00
6.80
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk irype:
ATT~AA'rJPP.l\!'i/~<YiP!\1w requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010Ihrough OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
numberfor the Oregon Utility Notification
Center is 1-800-332-2344).
Storm Sewer Available:
Speciallnst.MBi7;ACE: Adding 1.5 feet no jnereased SDC
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD:
Notes:
Paee I on
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construetion
Estimate
Estimate
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Fire SF Fee - Residential
Garage/Carport
Plan Review Minor - Planning
Plan Review Residential
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
+ 12% State Surcharge
+ 5% Teehnology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
+ 12% State Sureharge
+ 5% Technology Fee
Storm Sewer - 1st 100'
+ 12% State Surcharge
+ 5% Technology Fee
Perm Scrv/Fdr 200 amps or less
Total Amount Paid
CITY OF SPRINul'mLD
Buildiqg/Combination Permit
PERMIT NO: cOM2009-00189
ISSUED: 02/10/2009
APPLIED: 02/10/2009
EXPIRES;' 10/2712009
VALUE: $ 15,851.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
15,851.00
02/1 012009
Value
Date Calculated
Total Value of Projeet
$15,851.00
: $15,851.00
Fee. Paid I
Amount Paid
Receipt Number
Date Paid
$23.34
$15.68
$23.80
$194.50
$119.00
$126.43
$11.13
$222.6 I
$11.88
$4.95
$18.00
$81.00
$9.12
$3.80
$76.00
$9.72
$4.05
$81.00
1200900000000000090
1200900000000000090
1200900000000000090
1200900000000000090
1200900000000000090
1200900000000000090
1200900000000000090
1200900000000000090
2200900000000000413
2200900000000000413
2200900000000000413
2200900000000000413
2200900000000000447
2200900000000000447
2200900000000000447
2200900000000000462
2200900000000000462
2200900000000000462
2/10/09
2/10/09
2/10/09
2/10/09
2/10/09
2/10/09
2/10/09
2/10/09
4/22/09
4/22/09
4/22/09
4/22/09
4/28/09
4/28/09
4/28/09
4/30/09
4/30/09
4130/09
$1,036.01
I Plan Reviews I
Public Works Review 02/10/2009 02/01/2009 APP LKW Storm water to tie into existing
system
Plannine Review 02/10/2009 02/10/2009 APP DDK
Strnctnral 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.
Page 2 of 3
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00189
ISSUED::: 02/1012009
APPLIED: 02/1012009
EXPIRES:. 10/27/2009
VALUE: $ 15,851.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rell.uired I nSllections I
Footing: After trenches are excavated.
Fonndation: After forms are erected bnt prior to concrete plaeement.
,
Framing Inspection: Prior to cover and after all rough in inspeetions have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electrie: Prior to Cover
Final Electric: When all electrical work is complete;
Perimeter Foundation Drains: After gravel and tilter cloth is installed but prior to backfill.
Eleetric Service: Approval required prior to utility company energizing service.
Underground Eleetrie: Prior to cover
,
By signature, I state and agree, that I have carefully examined the eompleted applieation arid do hereby eertify that all
information hereon is true and eorrect, and 1 further certify that any and all work performed 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 Community Serviees Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this projeet.
I further agree to ensure that all required inspections are requested .at the proper time, thar each address is readable from the
street, that the permit card is loeated 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
Paee 3 on
,
225 Fifth Street
Spr!ngfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00 189
COM2009-00 189
COM2009-00 189
Payments:
Type of Payment
ONLINE CHGS
cReceinl1
RECEIPT #:
2200900000000000462
DeSl'ription
Penn Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 04/30/2009
2:49:4lPM
Amount Due'
81.00
4.05
9,72
$94.77
Item Total: '
Check Number Authorization
Received By Batch Number Number!' How Received
KR
. Page I of I
Amount Paid
ONLINE LMJ Electric Online
.Payment Total:
$94.77
$94.77
4/30/2009