HomeMy WebLinkAboutPermit Electrical 2009-6-10
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INITIALS N /Y1
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SOURCE rnLl~.J
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225 FIYfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number CO IIV1 ZOO' , - 00 3' l/ J Date
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LEGAL DESCRIPTION:
1703 'Z6lf]
O~ZOO.
JOB DESCRIPTION:
A dd F='e-e-d~iL
Permits are non-transferable and expire if work is
not started within 180 days ofissnance or if work is
Suspended for 180 days.
A. ~Di&_l~siitRWfm~Mfitlri~m'IT~-~j~elij~~
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Service Included
1000 sq, ft. or less
Each additional 500 sq, ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$117,00
$ 21.00
$55.00
13WoMt0#"'.d1I!M&.'" ,';$"\~%,_H8'~;.J;s;;iij%"',:1l9"~ffi1_4'fu0!:'./.8iOO._" .W#. .1,-,.'. ...:;;*fJ!m~,'Wt'~.. ""~.ii&tl.0J~...~. JJt.~4i\W~.~.t1$?_~~.'''m&~Wl.'JLmi',jffiii~~.'::''--'
2.ie(ll'lf1'cR:ttG1!()Jl.iWST~l$!t'H'()J!jCJLl'iP,' B. i,,\!L~~R!i~S~~i1i~Il!!'lJl~~!,~~~ji~~l.~~!ocatio~;L
Electrical Contractor -JA/n' 4ff! 4 kAmps or I~ss I ~ g'1
, -f)' +J. of'l 201 Amps to 400 Amps $ 83,00
Address <;< '7 n 1;) ,'J -J ..1(,~' Y.e--Ll 401 Amps to 600 Amps $138,00
.' 601 Amps to 1000 Amps $180.00
City ~h.4'-t2-./ Phone lJ P<; ~srvou t(,over 1000 AmpsIVolts $413,00 , '
/" ,/ ATTENTION: Oregor, ; ''';;;; O~egon Utilit\l--econnect Only $ 55,00
follow rules adopted by are set forth. '
'H f Ir!'(i;~sli< Tho;;e rules - ~-:jfu)_-'''10'''4jjjfu)'-,",'Ss_'iil?!lil!lll!lilliIJlItI.1~
Supervisor License~"&~?~~ "rln'@!h)ouQh OAR 952CD . j!,mP!!11t~2l!!'~~rol',lJ!;~~!:!~~
In OAR ~- - - bt 'n copies otthe rules '. '
~~ You may," al h
Expiration Date '1' '" "/r. _S',~r J~ote: the telep on~nstallation, Alteration or Relocati.on
_:. "'",1'" ,&'''', C/ ;,oti1lca\1On. _
number for the Oregon U~~'~344) 200 Amps or less , --
Const!', Cont!', Number ~~86iscl80.3 - . 201 Amps to 400 Amps
401 Amps to 600 Amps
~lA.~ del
L s.+ NOTIGE: E.
Phone 9 S D -~~~~16 ~~ H~ffi\hMIT 6S~NOT $ 55,00
COMMENCED OB.ig&0&lin"iILq!b~l $ 55.00
OWNER INSTALLATION ANY 180 DAY PililHitl;tl EnergylResidential $ 28,00
, The installation is being made on ~.v~_.~) I own which Limited Energy/Commercial $ 50,00
is not intended for sale, lease or rent - Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
4. ;mmmz.;1T:roE~aVE~_"," ,"_ ., 0/
~M1r~~WPlliiii;~' - - l)
12% State Surcharge 9 7 Z
~ Arh'TIlnl(!~tiw:eFee
5% Technology Fee
Expiration Date
/-23-200'1
Address
CrAi c,
9"5.8'
S~~
City
Owners Signature:
Inspection Request: 726-3769
,-,$
~I
56bOO
, /Jo/"
-9&
$ 55.00
$ 76.00
$110,00
Over 600 Amps or 1000 Volts see "B" above,
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48.00
$ 4.00
'I () .)
51?'! K
.
TOTAL
Shared Drive(f:)lBuilding Fonnstplectrical Permit Application I-OS,doc
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2009-00345
ISSUED: 04/06/2009
APPLIED: 03/13/2009
EXPIRES: 12/05/2009
VALUE: $ 44,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 938 L ST
ASSESSOR'S PARCEL NO.: 1703264303200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Master Bedroom and Bath Addition (384 s.f.)
Residential
Owner:
Address:
RANSDELL CRAIG'L & A L
938 L ST
SPRINGFIELD OR 97477
Phone Number:
541-988-9649
Contractor Type
General
Electrical
Mecbanical
Plumbing
ATTENTION: Oregon law requires y~~},?
follow rUles aaopu::1U uy lllC' VI<:;~V" ~"m)
IIC.0NTRA€;J:OREINFORMA'fI0N ,"'~, forth
, . '"52001
In UAI1 t10~-VV I-UV I v .'".........:;:1.. -. .- -) - -
Y Obtain cor.:r:, of the rul~ by. .
Contractor 0090, ou may 'Elcense hc!iillP1ratlOn Date
OWNER calling the center, (Note:,1I18 ""ep "
, h, 'nT thA q(egon Utllltv Notification
WEILAND ELECTRIelm\1l~2~eFIs'1'.800-31.!72R314). 04/06/201 I
OWNER
DAVID EDWARD RICHARDSON
Phone
541-747-7701
157134
09/22'/2009
541.606- 1588
BUILDING INFORMATION I
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
I Lot Size:
12.00 Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft ~asement:
Sq Ft Garage/Carport
Sq Ft Other:
n/a Occupant Load:
12,197
384
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
Front yard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
43.50
15.50
I DEVELOPMENT INFORMATION I
I~U II"". THE WO~QUlRED PARKING
T~I~ BCRMIT SHAll EXPIRE IF
Over a 1s1: IINDER THIS PERMIT IS NCJPtal:. 2
# sioli ~l~~ i=D FOR Handicapped:
Pafl@rOI:h,M'qdJ OR IS ABANDO~~s Compact:
% p,1N1o~GiJvtl1~\!<f.'ERIOD. 20.30
0.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes: Stormwater to existing eaves.
Paee I of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuatio,n Descriotion I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00345
ISSUED: 04/06/2009
APPLIED: 03/13/2009
EXPIRES: 12/05/2009
VALUE: $ 44,000.00
Description Tvpe of Construction $ Per Sq Ft Square Footage
or multiplier or Bid Amount
Estimate Estimate $1.00 44,000.00 "
SFfDuplex R-3 \'B 1&2 Familv $96.83 384.00
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Circ Ea Add
Building Permit
Fire SF Fee - Residential
Fixture
Perm ServfFdr 200 amps or less
Plan Review Minor - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC SanitaryfStorm Admin
Storm Drainage Impervious Area
Vent Fan
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 100 Feet
Water Line - 1st 100'
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Cire Ea Add
Low Voltage - Residential
+ 12% State Surcharge
+ 5% Technology Fee
Perm ServfFdr 200 amps or less
Total Amount Paid
Initial Review
03f16/2009
Public Works Review
03f18/2009
Total Value of Project
F'PP~. P'1irl J
Amount Paid
Date Paid
$273.86
$82.12
$40.17
$79.00
$18.00
$421.33
$19.20
$76.00
$81.00
$119.00
$168.29
$221.32
$27.21
$154.65
$9.00
$18.24
$7.60
$76.00
$76.00
$4.56
$1.90
$6.00
$32.00
$9.72
$4.05
$81.00
3f13/09
4/6/09
4f6/09
4f6/09
4/6/09
4/6/09
4/6/09
4/6f09
4f6f09
4/6/09
4f6/09
4/6/09
4/6/09
4/6/09
4/6f09
5/lf09
5/lf09
5flf09
5flf09
6/2/09
6/2/09
612/09
6/2/09
6/10/09
6/1 Of 09
6flOf09
$2,107.22
I Plan Reviews I
03/18/2009
APP LLH
03fl9f2009
APP TSS
Pace 2 of 4
Value
Date Calculated
$44,000.00
$37,182.72
03fl3/2009
03f26/2009
,
$81,182.72
!,
Receipt Number
2200900000000000261
2200900000000000336
2200900000000000336
2200900000000000336
2200900000000000336
220~900000000000336
2200900000000000336
2200900000000000336
2200900000000000336
'2200900000000000336
2206900000000000336
2200900000000000336
2200900000000000336
2206900000000000336
2200900000000000336
1200900000000000327
1200900000000000327
1200900000000000327
1200900000000000327
2200900000000000591
2200900000000000591
2200900000000000591
2200900000000000591
1200900000000000654
1200900000000000654
1200900000000000654
Stormwater to existing eaves.
CITY OF SPRINGFIELD
,
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-00345
ISSUED: 04/06/2009
APPLIED: 03/13/2009
EXPIRES: 12/05/2009
VALUE: $144,000.00
225 Fifth Street, Springfield, OR
541- 726-3 753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plannin1! Review
03/18/2009
03/20/2009 APP DDK
03/23/2009 JO KLK Beginning review.
03/26/2009 WE KLK Phone call with customer today:
solved footing and wall bracing
issues; New HV AC attic system
location, weight and snpport to be
determined, and changes for
electrical plans pending.
04/03/2009 APP KLK
Structural Review
03/18/2009
Structural Review
03/26/2009
Structural Review
04/03/2009
,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.
Rp~ In".npPtir~
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and 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 inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required i,nspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
UnderIloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Sanitary Sewer Line: Prior to filling trench and including required testing.
Water Line: Prior to Iilling trench and including required testing.
Paee 3 of 4
Status
Issued
CITY; OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00345
ISSUED: 04/06/2009
APPLIED: 03/13/2009
EXPIRES: 12/05/2009
VALUE: $ 44,000.00
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shaWbe done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to tbe 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 furtber 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 wiil remain on the site at all
times during construction. .
Owner or Contractors Signature
Date
Page 4 of 4
225 Fifth.Street
Sp~ingfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009.00345
COM2009-00345
COM2009--00345
Payments:
Type of Payment
Cash
Change
Job/Journal Number
COM2009.00345
COM2009-00345
COM2009-00345
Payments:
Type of Payment
Cash
Change
cRcceintl
RECEIPT #:
~r~~-~'~S::I_IlI,O.._., ..-.'..'.'.
T" ",,:
!iiI!IIIt-c-
..... " '
-."--'-"', .
City of Springfield Official Rec,eipt
Developme'!t Services Department
Public Works Department
1200900000000000654
Date: 06/10/2009
Description
Penn Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
CRAIG RANSDELL
CRAIG RANSDELL
Ite'm Total:
Check Number Authorizlttion
Received By Batch Number Number How Recejved
djb
djb
In Person
In Person
Payment Total:
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Snrcharge
Paid By
CRAIG RANSDELL
CRAIG RANSDELL
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
djb
In Person
In Person
Payment Total:
Page I of I
I :38:46PM
Amount Due
81.00
4,05
9,72
$94.77
Amount Paid
$100,00
($5,23)
$94.77
Amount Due
81.00
4,05
9,72
$94.77
Amount Paid
$100,00
($5,23)
$94.77
6/1012009