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Home My WebLink AboutPermit Electrical 2009-5-27 225 Fifth Str('('ttSpringtield, OR 97-t77+PH(5-II)726-3753+ F,-\.\':(54I)726-3689 I.' 'DEPARTMENT USEONL y' iif~ I perrmtno,:Cq ~ CoLf-S I Date: S ./d7 -O~ Electrical Permit Application _ '. . 0> CITY OFSPRINGFIELI), OREGON, ' ~ ' , ' This permit is issued under OAR 918-309~OOOO. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. I ,LOCAL GOVERNMENT, APPROVAL: 1 1 Zoning "pproval verified? 0 Yes 0 No I I,' CATEGORY. OF, CONSTRUCTION I I I Residential, per unit, service include~: I 0 Residential I1:&'Govemment I 0 Commercial I' "JOB" SITE INFORMA TIONAND LOCATION .I [1,000 sq, ft, or less (4) '" )'n2L1 ~ f) <err' I I Each additional 500 sq, ft, or portion Job site address; U 7 l.J I thereof -city:oCYiDa-\lt>Ac1 State: Of< I ZIP:Cj7'-1 77 I Limited energy (2) ,I I Refere;ce: I'7D~24, ITaxlot.:O\"l...()(; I Eachmanulilcturedhomeormodular !,'.i I' DESCRIPTION 'OF WORK: '> ' I dwellmg servIce or feeder (2) , ,T{/19aJ (1Yrt an IJ;r/P, fCW7d p -er,Ir/(''(1 J I I Services or feeders: instal/ation, alter~'ion, relocation 'Mrlr;j M 2trJrafJp j !!l,~d ' I 1 200 amps or less (2) I, $ 81,00 $ I Name: 1Vt1@'n:;=Rp:;~Ep~;~~- f)5Ind : ~~: :: :~~ ::: ~~; :1::::: : I AddresslOX2 N ::?Io:!fr (')f '1 I 601 to 1,000 amps (2) $205,00 $ I City:jfJ(d')O@Jd I State: ()f!.. I ZIPH7'171 I lOver 1,000 amps or volts (2) $469,00 $ I Phone:rJ/f -7:?b -I.{/()I./ I Fax: I I Reconnect only (2) :: $ 63,00 I $ j E-mail: IITempOraryServicesorfeeders:instaZ.ation. alteration, relocation This installation is being made on residential or [ann property I 200 amps or less (2) $ 63.00 $ owned by me or a member of my immediate family, This 1201 to 400 amps (2) $ 87,00 $ property is not intended for sale, exchange, lease, or rent. OAR I 479,540(1) and 479,560(1), 401 to 600 amps (2) $126,00 1 $ Signature: lOver 600 amps or 1,000 volts, see servi~es or feeders section above I"CONTRACTOR INSTALLATION, '~I I Branch circuits: new, alteration, extemionper panel I Business 'name: 'N \t\ r f ~a. Fee for branch circuits with purchaseQfa service or feeder fee: I Address: N l-I1 I Ii Each branch circuit ,I I $ 6,00 I $ I City: IV hQ I State: N!IJ I zw; NIIJ. 11th. Fee for branch circuits without purchase of a sCf\'ice or fceder fee: Phone: I Fax: I I Fjr,;t hranch circuit(2) I ~ $ 55,00 I $55 E-mail: [ f Each additional branch ci;cuit - '/ $ 6.00 $ C,CB liccn~e no.: I BCD license no.: I I Miscellaneous fees: service or feeder not inCluded I Signing, supervisor's I icense no.: Lf ()Z:33 I I Each pump or irrigation circle (2) $ 63.00 I $ Print name of signing supervisor: KEN f<--AN'fJ.AbL.. . II I I Each sign or outline lighting (2) $ 63.00 $ Signature of signing' supervisor: /~.--rI---~/ ...,/ IZ// I I.Signal.cir,CUitorali~nited-energypanel, $ 6300 I $ ~ dINhU/L-"/ .,II r ~~ alterahon.ore:\.1enslOn(2) . . 1 Each additional inspection: (l) I $58.00 I $ I" . APPLlCANTIUSE I (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) I (B) Enter 12% surcharge (.\2 x [A]) I (C) Technology Fee (5% o[[A]) I TOTAL fees and surchuges (A th~:ough C): I, ' I;EE SCHEDULE I' Number offuspections:per.~_temO ~jQty.! Cost ea; Total cost $134,00 $ $ 25,00 $ $ 32,00 $ $ 63,00 $ ~tf\ b./);lb~r ~ ~ $ 53 $&,.'qro $2,40 $fDT ~tO. 440-2584,) (9/08/COM) eIT\') OF SPRINGFIELD Building/CJmbinatio~ Permit I~ Status In Review " PERMIT NO: COM2009-00645 ISSUED: !i APPLIED: 05/11/2009 EXPIRES: 11119/2009 VALUE: $i9,000.00 t j: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-376910spection Line SITE ADDRESS: 1024 W D ST , ASSESSOR'S PARCEL NO,: 1703342401200 . Springfield TYPE OF WORK: Acc~~sory Bnilding TYPE OF USE: A Repair , , Pnblic PROJECT DESCRIPTION: Reconstruct access bldg " ., Owner: Address: WILLAMALANE PARK &REC D1ST 250 S 32ND ST SPRINGFIELD OR 97478 Phone /IInmber: 541-736-4644 I Contractor Type General Electrical Contractor OWNER OWNER I CONTRACTOR INFORMATION ,I License ' Expiratipn Date Phone BUlLDlN~ INFORMA!,ION I # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Gronp: Primary Constrnction Type Secondary Constrnction Type: # of Bedrooms: U # of Stories: Height of Strnctnre Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1St Floor: Sq Ft 2~d Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: " Occnp~,nt Load: , 180 I VB No I DEVELOPMENT INFORMATION 1 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: "REQUIRED PARKING i: I Total: ;,Handicapped: , I' Compact: __" tf'\ Street Improvements: I PUBLIC IMPROVEME~LTS InoN, oregon la"':\~:~.'~g~~ Utility , ' M'opted by l re set lorth . loll oW rules $ide,,;al\<:'.fype:U\eS a 952-001- N tllieatlOn cel1\~,,:, (1 Ih,nlJQb OAR by 00 AI" 952,lDownsponts/Drains: the rules in y u may obtain COf!'~{h~ telephone 0090\'1' gO the center. \Notuet, '1IIty Notihcatlon ca \n Oregon number lor the, <_800-332-2344), center IS , I' Storm Sewer Available: Speciallns(",\@fii)~E: THIS PERMIT SHA Noles: AUT/1GR/ZED UND~~ EXPIRE IF THE 'WORK COMMENCED OR IS A~HIS PERMIT IS NOT ANy 180 DAY PERIOD ANDONED FOR Paee I of 3 CITY OF SPRINGFIELD Building/Combination Permit Status In Review PERMIT NO: COM2009-00645 ISSUED: ,APPLIED: EXPIRES: VALUE: 05111/2009 11/1912009 $ 9,000.00 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Valuation DescriDtion I ' Description Tvpe of Construction Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 9,000,00 , . Value' $9,000,00 $9,000,00 Date Calculated 05/11/2009 Total Value of Project Ff'f'~ P.jrl I $82,06 $6,96 $2,90 $55,00 $3,00 5/11/09 5/27/09 5/27/09 5/27109 5/2 7/09 Receipt Number 2200900000000000511 2200900000000000565 2200900000000000565 2200900000000000565 2200900000000000565 Fee Description , Plan Review Comm/1nd/Pubiic + 120/~ State'Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjnstment Electrical Amount Paid Date Paid Total Amount Paid $149.92 I Plan Reviews I, Fire Department Review 05/15/2009 Initial Review 05/12/2009 05/13/2009 APP LLH Planning Review 05/15/2009 05/18/2009 APP EMM Approved per Jim Donovan in parcel tag notes on 2/3/09, Public Works Review 05/15/2009 ' 05/18/2009 APP EW No new SDC's (replacement stru~ture) Structural Review 05/15/2009 05/19/2009 APP CJC Approved as noted on substandard found per B,O, 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. L..lV.rrlir~rl \m~wctjf'~ Framing Inspection: Prior to cover and after all rough in inspections have been approved. ,'. Shear Wall Nailing: Before covering sbeathing with linish materials, Roof Sheathing Final Building: After all.required inspections have been requested and approved and the building is complete, Rough Electric: Prior to Cover Pa2e 2 013 "'''''I'II~Qt;;IEL.ti!; -.. ,,' .....--' ; " , CITY OF SPRINGFIELD I Building/Combination Permit St. tus In Review PERMIT NO: COM2009-00645 ISSUED: APPLIED: EXPIRES: VALUE: 05/11/2009 11/19/2009 $ 9,000,00 225 Fifth Slreet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Electric: When all electrical work is complete, 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 tbe work described herein, and that NO OCCUPANCY will be made orany 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 t;?:~::;Z~Jt S'''-27-ZC?Y1 Owner or Contractors Signature Date .. Pa~e 3 01'3 City of SpriIlgfield Official Receipt Developme'!t Services Department' Public, Works Department 225 Fifth Street Springfield,"Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00645 COM2009-00645 COM2009-00645 COM2009-00645 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200900000000000565 9:47:08AM Date: 05/27/2009 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 12% State Surcharge Amount Due 55,00 3,00 2,90 6,96 $67,86 Paid By WILLAMALANE PARK D1ST Item Total: <":heckNumber Authorization Received By Batch Number Number How Received njm 062571 In Person Payment Total: $67.86 $67.86 Amount Paid Page 1 of 1 5/27/2009