HomeMy WebLinkAboutPermit Electrical 2009-5-22
'Electrical Permit Application
225 Firth Street. Springfield, OR 97477.PH(541)726-3753+FAX(541)726-3689
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I Date: S--l. Z- 0 <=t 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. '
\ Residential, per unit, 'service included: I
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 $
r Services or feeders: installation, alteration, relocation I
1 200 amps or less (2) I $ 81.00 $ ell
1 201 to 400 amps (2) $ 95.00 $ 1
".._~7_ -'o~.-o' 18.1, 49,I ;tg\600.:;nnps (2) $158,00 $ 1
" '- -. 'I r I~ 1'"" 'AUL.Lllll~ I
Sf, 10. ::~:'''GN ',,\!i'in U( 0, )601 to 1,0o.Oh"!Tm~m $205,00 $
I State: oil@' J(;ZIPIla.lqJ\1J:j':~ '~113?~~~1,p;g(fl~p;~6~QJts (2) $459,00 $ 1
I Fax: ":' c,oYc" "~: '0 llB'noJllll (I ~esonllece6iny:rie_~~ 1 $ 53.00 1 $ 1
I,:n-? ,RH~ I "AlIIH'luuq"'V',i"~1'-'~ 01
I E-mail: <:::\"1/\ o..rr.--~ '(0(4) ,~o+-~l~:(:.\F'{<b~~\~': 1~~\llLl~ ~~~~~~r~~~NirX~~~&1 feeders: install~tion, ~lteration, relocation
Th" 11' 'b' d- 'd ']I'!'llfi"(1 I.A\J!J'~"'V '" "" 1 200amRs,or,jessJ(Ql.'V $ I $ I
IS msta atIon IS emg ma eon reSl entia 'or', ,!nn p.f9pem;.1 MB 1\, llJ'd.l( I ;,\IUI,J..i..:J=--' 63.00
owned bJ: me or a member of my immediate fami1Y'Tliis"'~ I 201 to 400 amps (2) $ 8700 $ I
property IS not mtended for sale, exchange, lease, or rent. OAR 1 . 1
479,540(1) and 47q '~OI1), . . 401 to 600 amps (2). $126.00 $ 1
-\-'Signa~~___') .~~ , . .... .!Over690ampsorl,000volts,seeservicesorfeederssectionabove 1
1~~~.c~QNil1~'C;TL(~H3.IIf~;fSm~';-'!I~Nm,5'.d;~j!~j\:G~t~ 1 Branch circuits: new, alteration, extension per panel 1
I Business name: ~".4~ \\o.__~ 1 I a. Fee for branch circuits with purchase of a service or feeder fee: I
1 Address: LJ ~ 0 ';'). ,.".J >l, 1 1 Each branch circuit I! $ 6.00 I $ I
I City: ~,,'~c~/.; 12 (J 1 State: O(/' I ZIP: 9 7L\ 7 Jib, Feefor branch circuits without purchase ofa service or feeder fee: 1
1 Phone:5't1 - (<6 - '110 \1 1 Fax: ,I First branch circuit (2) I I $ 55,00 I $ I
\ E-mail: 1 Each additional branch circuit $ 6.00 $ I
I C~B. license n~.:. I BCD license f~'!"~ ~~: ~ .1 MiscellaneODS,fe.es: service or fi eeder not included I
1 Slgnmg supervIsor's lIcense no.: TI-lI'< pmMIT S Alii Ef!"M'RIfP fP' IJ1I4'I"tl~GI~e (2) '1 $ 63.00 $ 1
1 Print name of signing supervisor: AUTHORIZED U D~Fl'~cpj~~!WlifeIQg~'liili(2) $ 63.00 $ I
I Signature of signing supervisor: COMMENCED 011\ 1:;~NOO1~iWtH@@,d-energypanel, I 1$6300 $ I
. -~;RI ,alteration, or extensIOn (2) .
ANY I bU UAY rt ,t:.
Each additional inspection: (I) I $58.00 $
~~I!'!:l:G~[,,'iG12'iLEBf\lIlllE:NIT'J!'~p.eB.(;)YA~'i~!~1
1 ZOlling approval verified? DYes D No 1
1!f~il[c:;~mE:~l:lJ~.Yi()FJ'ic;~Qf\l$mB.-'!J,e::jIjIQf\lm-if~!i;::~1
i=;~~~:~Iir:E~IN~~B.G~;'~:~~~NOJ}~~c:;~;~i;~~
I Job site address: L-f"6o ('2~)' St. 1
1 City: Cp t,'^') C:"I,1 1 State: 0t<" 1 ZIP: '17 '{ ?2
I Subdivision: /702 r S"J ( I Lotno,:C> lr.10 0
11&~'PE:St'Rll?mjl:lNIQF;,"WJ;>B.K~~~
I ~lc...l:: c tfA-N t; ~
1 Name: '-,:',;,.\,}.. \\"",A
I Address: Lj lfO 77~ VI c!
I City: C,or,'rv:{,e 1&
I Phone:5vI-S,fl- q /0 '?
~~
'6f\,V;~~
~~
440-2584.J (9/08/COM)
(A) Enter subtotal of above fees
(Minimum Permit Fee $58,00)
1 (8) Enter 12% surcharge (,12 x [AD
I (C) Technology Fee (5% of[AD
I TOTAL fees and surcharges (A through C):
$
B(
'7"12-
'14')
9r!)L
$
$
$
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00288
ISSUED: 04/16/2009
APPLIED: 02/27/2009
EXPIRES: 1112212009
VALUE: $ 46,478.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspectioll Line
SITE ADDRESS: 480 72ND ST
ASSESSOR'S PARCEL NO.: 1702353108300
Springfield TYPE OF WORK: Single Family Residellce
TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition to Existillg Single Family Dwelling
Residelltial
Owner:
Address:
HAAS TODD D & SARA B
480 72ND ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor
OWNER ua:) u
EUGENE HEAT!\"r~;J'OO~f~~J\ la~\l.l~() 149452
OWNER '1\,~~7,-v 'uo\la10 1.\ a"\ \luI\\ ~O
' '.., ,,-\ ~,\,AQ "'I '/"Ic:."
- .,,,.. ~ . -... "......... "
\' .:.\ alII "I :BUlL;DlNG'INF.ORMWT'ION I
. .il; ~"\\ \0 5a;(')011.\\ 0 \U~,,~~:) 1l0\\<J'o",'-O\
# of Units: '. '-lee I::I\iO \.Ie aso~:9f'Storiesja\".l r-I\O\\""
'0 G \ '0- ,,,, -a\(ll 'I' dh"o~S ,~\ .\."
Pnmary ccupancy roup: " ',~sR3e ~ "\ 'co.e1g t of. tructul'C-
. lO~. 'O~ - a..... 1\ .. \'"\8\n .\~........-
Secondary Occupancy Group:l' \[\ uo\lalO I r-I\ll,1:ype or-Heat:
Primary Construction Type ~~~ l\oYBal\l\ba Water Type:
Secondary Construction Type: Rallge Type:
# of Bedrooms: Energy Path_: .
Sprinkled Building:
License
Expiration Date Phone
Contractor Type
Electricai
Mechanical
Plllmbing
10/22/2009 541-726- 7654
Wall Heat
Electric
Lot Size: 7,841
Sq Ft 1st Floor: 480
Sq Ft 2nd Floor:
Sq Ft Basement: ,
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
,Total:
Handicapped:
Compact:
11.50
10.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd: \JIIG?-\\
% of Lot Coverage:~?\?-t. \r \\'\~\~G\
,,\Oi\C~~,~\,,~ '0\'\[>.':.';, t,1'1-I1S ?t.?-,!;\[\~
I pUiib~~JU)~tV\ENrrfl\\J\J\W-
/ ",I
F II. I ';,.:;"~n~t.~\"t:.~, ;:'c?-\GD. Sidewalk Type:
u v mprot,ea\" 'ilO \)fl;' r <..
Yie)\'{ '\
Downspouts/Drains:
Curb and Gutter
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
6.50
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: Storm water to tie into existing system
Pa~e I of 3
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_~ii
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726.3676 Fax .
541-726-3769 Inspection Line
Description
TYIJC of Construction
SF/Duolex
R-3 VB 1&2 Familv
Fee Description
Plan Review Residelltial
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air' Halldlillg Unit Up to 10,000
Heat Pump
+ 12.% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State SlIrcharge
+ 5% Technology Fee
Building Permit
.Fire SF Fee - Residential
Fixtllre
Minimum/Adjustment Plllmbing
Plan Review Minor - Planning
Sanitary Sewer - Improvement
Sanitary Se',"'cr - Reimbursement
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Total Amollnt Paid
Public Works Review
03/03/2009
Structural Review
02/27/2009
CITY OF SPRINGFIELD
Building/Combination Permit
,
PERMIT NO: COM2009-00288
ISSUED: 04/16/2009
APPLIED: 02/27/2009
EXPIRES: 11/2212009
VALUE: $ 46,478.00
1 v alu~tion Oescriotion I
$ Per Sq Fl
or multiplier
$96.83
Square Footage
or Bid Amount
480.00
$46,478.40
$46,478.40
03/09/2009
Value
Date Calculated
Total Value of Project
f"'" P~ilU
Amount Paid
Date Paid
Receipt Number
$288.14
$13.56
$5.65
$79.00
$17.00
$17.00
$7.32
$3.05
$55.00
$6.00
$62.67
$32.06
$443.29
$24.00
$76.00
$3.00
$119.00
$189.33
$248.99
$32.19
$205.49
$9.72
$4.05
$81.00
2/27/09
3/25/09
3/25/09
3/25/09
3/25/09
3125/09
3/26/09
3126/09
3/26/09
3/26/09
4/16/09
4/16/09
4/16/09
'4/16/09
4/16/09
4/16/09
4/16/09
4/16/09
4/16/09
4/16/09
4/16/09
5/22/09
5122/09
5/22/09
1200900000000000143
1200900000000000211
1200900000000000211
1200900000000000211
1200900000000000211
1200900000000000211
2200900000000000303
2200900000000000303
2200900000000000303
2200900000000000303
1200900000000000269
1200900000000000269
1200900000000000269
1200900000000000269
1200900000000000269
1200900000000000269
1200900000000000269
1200900000000000269
12009U0000000000269
12009UOOOOOU0000269
1200900000000000269
1200900000000000520
1200900000000000520
1200900000000000520
$2,022.51
I Plan Reviews I
03/04/2009
Storm water ro tie into existing
system
Provide stamped truss ellgineering
for engineered trusses. Phone call to
contractor, he will provide
documents ASAP.
APP LKW
03/04/2009
APP KLK
Paee 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00288
ISSUED: 04/16/2009
APPLIED: 02/27/2009
EXPIRES: 11122/2009
VALUE: $ 46,478.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone '
541-726-3676 Fax
541-726-3769 Inspection Line
Plannine: Review
02/27/2009
03/06/2009
APP
DDK
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
worl{ day.
Reouired 1nsnections I
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post alld Beam: Prior to noor 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 inspectiolls have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complete.
Undernoor Plllmbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: Whell all plumbing work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Final Buildillg: After all required inspections have been requested and approved and tbe building is compiete.
Rough Mecbanical: Prior to Cover
Final Mechanical: When all mechanical 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
informatioll hereon is trlle and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordillances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, alld
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that ollly contractors and employees who are in compliance with ORS 701.005 will be used 011 this project.
I further agree 10 ellsure that all required inspections are requested at the proper time, that each addrcss is readable from the
street, that the permit card is located at the frollt of the property, alld the approved set of plans will remain on the site at all
times during construction. '.,
------
Q;
-
~~.-
~
~ -(,c ' O~
----
Owner or Contractors Signature
Date
-
I'aerl-of 3
225,Fifth Street
Springficld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00288
COM2009-00288
COM2009-00288
Paymellts:
Type of Payment
Check
cRcccintl
~::~;
City of Springficld Official Receipt
DcveIopment Services Department
Public Works Department
RECEIPT #: . 1200900000000000520
Date: 05/22/2009
9:36:36AM
Item Total:
Check Number Authorization
Rec~ived By Batch Number Number How Received
Amount Due
81.00
4,05
9.72
$94.77
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surch~rge
Paid By
SARA HAAS
Amount Paid
djb
5068
$94,77
$94.77
In Person
Payment Total:
Page 1 of I
5/22/2009