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Home My WebLink AboutPermit Electrical 2009-6-3 Electri~al Permit Application 225 F;fth Street+Spdngfield, OR 97477+ PH(541)726-3753+ FAX(54 1)726.3689 I 'J'-:':DE-~.6.RfMENt:G'.SE"'"ONtY:-1 s',""",',"'d';,",'. c _<,._ <'.,':....'. _ -.' 'I. ". I Pennitno. ~"OJ~I I Date. t ~ 3 /~ 7 I This permit is issued under OAR 918-309-0000. Permits are nnntransferable. Permits expire if work is not started within 180 days of issuance or if workis suspended for 180 days. . I ,'X",;,''';!. 'j';~'rO'C' " AI3'G 0 V'.ER N""' M ENT:', 'A"P'P"RO' V A"'\,.~VWi-;:'tm?'~;;.',1 . ,.1.:::_ .._' ",... .' ....... '__ __ ._Mt"...... c.I':\L'..,..... ,"t___."..... I Zoning approval verified? 0 Yes 0 No I Ir!r;!J3!.t.i<i"~i"\:cMEG.ORtJ(OI'{~c'ONSmRU()IIQN!iii;;;~:.'i)iY,'S";.I ~~~~~~~~Il;EI1IN~~R~~;;N~)l:ND~~~C~fr7;~~~~~::i I Job site address. 13 G,ep 3S'P {zt ST' . I I City. ~(.Jt='. I State6A7 I ZIP "771"771 I Reference.' 1 Taxlot. I -;":,'DESCRIRtlON'~"OF--;WORK::,l~,:gi5t-X\i)'\~\'(~'i'!i;1 I / ~1'~~ FM. JI)';..uJ I I .J j , I I 200 amps or less (2) $ 81.00 $ bf' ~A A1Q."~\-4'v~ I. en, ,. ,PROPERTY(:oWNER. ". .' - 1 201 to 400 amps (2) $ 95.00 $ I Name Pr'r'S AL-J AJ'L:> ;<; ~~ I 401 to 600 amps (2) $158.00 $ I Address/L3lj~ 3~ -Sr- 1601 to 1,000 amps (2) $205.00 $ I City...s:.o JIl .1<-- I State. I ZIP. lOver 1,000 amps or volts (2) $459.00 $ I Phone: . t I Fax: I Reconnect only (2) $ 63.00 $ I E-mail: I Temporary services or feeders: installation, alteration, relocation Th" II' . b . d 'd' lei 200 amps or less (2) $ $ IS msta atlOTI IS emg ma e on rest entia or larm property 63.00 owned by me or a member of my immediate family, This I 201 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 $ Signature: . lOver 600 amps or 1,000 volts, see services or feeders section above I' . ;".' >,' i:;;C'ONTRACTOR:INSTAlLA:rION; . :_ ., 1 Branch 'circuits: new, ai/era/ion, eXfension per panel I Business 'name: ~ (!;r;h-r.A!-~.) 1:..-1 ~~. L..L.. ~ I a. Fee for branch circuits with purchase of a se'rvi<.:e or feeder fee: Address: P. 0, /~ 7 S-c, 4' I Each branch circuit I $ 5.00 I $ City. t=..{4J "lA-I.!.. I State.~ I ZIP''77j<70/ I b. Fee.forbranch circuits without purchase ofa service or feeder fee: I Phone'5Y/9S?' -7<;;f''7 I Fax~/7f;ft. '93 S'o 1 First branch circuit (2) / $ 55.00 I E~mail:' I Each additional branch circuit $ 6.00 ! CCB license no.:) 8'1:.0') Y' ) BCD license no.: I Miscellaneous-fees: service or feeder f}ot inCluded I Signing supervisor's license no.: ~? _.I)~ 5 I Each pump or irrigation circle (2) $ 63.00 I Print name of signing supervis<2Cf) SLJA;1r// I?c')S /;"j I Each sign or outline lighting (2) $ 63.00 I Signature of signing superviso \. . \ { Y\ ,,/J_~. ~ I Signal circuit or a limited-energy panel, $ 63.00 $ ~ K ~ alteratjon, or extension (2) I Each additional inspection: (1) $58.00 $ 1~~%t~~~~~t~~j~~EICA.Ntt~US.El~w~~~~~~~::~,~~i~~~~~t~ I (A) Enter subtotal of above fees $ 5-0- , 6"D (Minimum Permit Fe. $58.00) 0 ' .1 (B) Enter 12% surcharge (.12 x [A]) $ ::> _ oj 0 1 (C) Technology Fee (5% of[A]) $ ~, '7~ I TOTAL fees and surcharges (A through C): $ (o7..I~ ~~ ~ ~~\ 'b' V- . ~~ ~ kV' \g 440.2584-J (9/08/COM) 1~~T~I~~:~+~;:B.;&~0r~K{;1~E:_t;~S~~:RE:JjJ)I!i;~l~~l~~~?!{~~~T11 1~~,~m:~~~~,~,fi,~rJ.#~~.!!~;~j:';~-~f:F~fuL~':,i~::~~~jl~!f:I-::~;-;.'~~~~{ -;.:il.S:~~t1:~,;.,:,:; I I.Residenti~l, per unit, service included: I . 11,000 sq. ft. or less (4) $134.00 $ I ~~~~:ritional 500 sq. ft. or portion $ 25.00 $ I Limited energy (2) $ 32.00 $ I Each manufactured home or modular dwelling service or feeder (2) $ 63.00 $ I Services or feeders: installation, alteration, relocation I I I I ;5S'1 1 $ $ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01293 ISSUED: 09/26/2008 APPLIED: 08/27/2008 EXPIRES: 12/03/2009 VALUE: $ 20,580.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1366 34TH ST ASSESSOR'S PARCEL NO.: . 1702303407100 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Manufactnred home addition Owner: ROSALIND BURGER Address: 1366 34TH STREET SPRINGFIELD OR 97478 Phone Number: 541-968,1849 I CONTRACTOR INFORMATION I Contractor Type' General Electrical Contractor ALOHA BROTHERS CONTRACTING CRAFTSMAN License 173532 170183 Expiration Date 12121/2008 05/30/2010 Phone 541-782-2634 541-954-7589 BUILDING INFORM"..'.- ON' IIII VB # of Stories: Height nf Structure Type of Heat: Water Type: . Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: 9,148 196 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 No I DEVELOPMENT INFORMATION .1 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 14.00 12.50 40.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: . Handicapped: . Compact: 14.50 Street Improvements: I requlrre:; v'"~ .~ I PUBLIC IMPROVEMENTS'I'TENTION: Oregon aW Oregol' t""hty "Ins arlonted by tile t f rlh lollOW rSiilewalk Type:ose rules are se 0 NotJiicallo~ ~.'::"~~<~'\\',:(Jugh OAE 952-001' in OAR DownspoutsfDraISS:,es of the I ules by 0090. You may ebtalO ~oie. the telephone calling the center. ( Utility Notification number lor the. or1e8g00~_332'2344). Center IS ' Storm Sewer Available: Speciallnstruc!i.o,!1nCE: Notes.' THIS PFRM!T.<;I:fAIJ EXPIRE IF THE WORK Storm water to eXlStmg ea es . 'I' :iiJHlitD UI~DER THIS PERMIT IS NOT (,:,!:'J~1EfI!C~D OR IS ABANDONED FOR ; .'\' 1 GO DAY PERIOD.' . . Page I of 3 I Plan Reviews I Initial Review 08/2912008 09/05/2008 APP .LLH Public Works Review 09/05/2008 09/09/2008 APP TSS Structural Review 09/05/2008 09/10/2008 APP DLM Planning: Review 09/05/2008 09/11/2008 WE DDK &F'RING"'IELD ~. '~' "", ",~",~"",~,__,.,,_._,,-d " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726,3769Inspection Line Descrivtion Tvpe of Construction V Wood Frame Dwellines Fee Description Plan Review Residential + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee .Building' Permit Fire SF Fee - Residential SDC Sanitary/Storm Admin Storm Drainage Impervious Area + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimnm/Adjnstment Electrical Total Amount Paid Plannine: Review 09/11/2008 I Valu'ation Descrintion I $ Per Sq Ft or multiplier $105.00 Square Footage or Bid Amount 196.00 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01293 ISSUED: 09/26/2008 APPLIED: 08/27/2008 EXPIRES: 12/03/2009 VALUE: $ 20,580.00 Value Date Calculated Total Value of Project Fpp~ P1irlJ ' Amount Paid Date Paid $20,580.00 $20,580.00 08/27/2008 $143.22 $23.01 $26.44 $11.02 $220.34 $9.80 $4.28 $85.62 $6.96 $2.90 $55.00 $3.00 8/2 7/08 9/26108 9/26108 9/26/08 9/26/08 9/26/08 9/26/08 9/26/08 6/3/09 6/3/09 6/3/09 6/3/09 Receipt Number 1200800000000000913 1200800000000001009 1200800000000001009 1200800000000001009 1200800000000001009 1200800000000001009 1200800000000001009 1200800000000001009 2200900000000000598 2200900000000000598 2200900000000000598 2200900000000000598 Storm water to existing eaves. See documents for Plan review comments Spoke with Rosalind Burger and let her know that we will need measurements from the proposed addition to the property lines. Rosalind called. back with measurements. No planning issues. 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. $591.59 09/1112008 APP DDK Paee 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-01293 ISSUED: 09/26/2008 APPLIED: 08/27/2008 EXPIRES: 12/03/2009 VALUE: $ 20,580.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line Recjuired Inspections I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Final Building: After all required inspections have been requested aud approved and the building is complete. Rough Electric: Prior to Cuver Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 herenn is true and' correct, and I 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 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 I . 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 Page 3 of3 225 Fifth Street Spring.field, Qregon 97477 541-726-3759 Phone &PJ:~~;~ 1IJi:. . City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-0 1293 COM2008,O 1293 COM2008,O 1293 COM2008-0 1293 Payments: Type of Payment Check cReceintl RECEIPT #: 2200900000000000598 Date: 06/0312009 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 12% State Surcharge Paid By CRAFTSMAN ELECTRIC Item Total:' Check Number Authorization Received By Butch Number Number How Received 5033 In Person Payment Total: njm Page 1 of 1 8:43:33AM Amount Due 55.00 3.00 2.90 6.96 $67.86 Amount Paid. $67.86 $67.86 6/3/2009