HomeMy WebLinkAboutPermit Electrical 2009-6-25
Electrical Permit Application
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225 Fifth S.reet.Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689
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I Date: &/d)/O 7 I
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is uot started within 180
days of issuance or if work is suspended for 180 days.
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1~:~i~lm~i1ltJIFc~R~~;';N;AtJD!l~~t;~;~~~i~~~~ I ~~~~::ti:I.:,el::n(:; service included: $134,00 $ I
I Job site address: 13Ca0 s. ~~ 'S' + . I I ~~~~:fditional 500 sq, ft, or portion $ 25,00 $1
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L \ d I tJ I, I 1- Services or feeders: installation, al/eration, relocation I
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N "'I ,I. I I 401 to 600 amps (2) $158,00 $ I
ame: l.-IIYvf' eVVl ,,0,'1 I
I Address: J3~D S'. W Sb- I I 601 to 1,000 amps (2) $205,00 $ I
I City: ,~"^o,(:;J4 I State: 0'-/( I ZIP: 07'1'77 I I Over 1,000 amps or volts (2) $469,00 $ I
I Phone: '>'-II .ss(;. ,S'Sg- ,I Fax: I 'I Reconnect only (2) $ 63,00 $ I
I E.-mail: I I Temporary services or feeders: installation, alteration, relocation j
This installation is being made on residential or farm property I 200 amps or iess (2) $ 63.00 $ I
owned by me or a member of my immediate family, This I 201 to 400 amps (2) $ 87.00 $ I
property is not intended for sale, exchange, lease, or rent. OAR I
479.540(1) and 479.560(1), I 401 to 600 amps (2) $126.00 $
Signature: lOver. 600 amps or 1,000 volts, see,services or feeders section above I
lif~J.i~e~QNmRA'€JiL~R~II\I$.mA'l!l!l,\ml(:"-N~~~1~~:1 I Branch circuits: new, alteration, ext~nsion per panel I
Business name: MiJ~ ~~ ~~ ;Tor---.- I I a. Feef~r branch circuits with purchase ofaservice or feeder fee: \
I Address: !j7<...6 ?eA;~"~ W"-'1 I I Each branch circuit I I $ 6,00 I $ I
I City: s"..-~D.J4. I State: D'R I ZIP: "17lf 7lr', I b, Fee for branch circuits without purchase ofa service or feeder fee: I
I Phone: 9i1 - ~ll - 31(" 'L I Fax: I First branch circuit (2) $ 55,00 $ I
I E-mail: IXo YFflI ~ t4! y",l."" ,Cev-.- I E~ch additional branch circuit $ 6,00 $ I
I CCB license no,: /7';;1)'-/(., I BCD license no,: I Miscellaneous fees: service or feeder not inciuded I
I Signing supervisor's license no,: I Each pump or irrigation circle (2) $ 63.00 $ I
I Print name of signing supervisor: tn,-J,.,J s....,q.., I Each sign or outline lighting (2) I $ 63.00 $ I
I S' f" --1/{, JJg 1 'Signal, circuit or a lim, ited-energy pa!;el, 1 $ 63.00 $ I
Ignature 0 Slgnmg supervisor: , '/ '
alteration, orextenslOn (2) - "
Each additional inspection: (I) I $58.00 I $ I
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(A). Enter subtotal ofabovefees' , , $ 05- oV
(MinImum Permit Fee $58,00) q 0
(B) Enter 12%surchMge (.12x [A]) $ d/I.90
(C) Technology Fee (5%0f[A]) $ , 0'1
TOTAL fees and surcharges (A through C): $ ~-;. %6>
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440-2584-) (9/08/COM)
CITY OF SPRINGFIELD'
Status
Issued
,
Building/O~mbination Permit
PERMIT NO: COM2008-00976
ISSUED: 0:3/1 112009
APPLIED: 07/02/2008
EXPIRES: 12/24/2009
VALUE: $11134,288.00
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1360 S 2ND ST
ASSESSOR'S PARCEL NO.: 1803022401600
Springfield TYPE OF WORK: Sing!e Family Residence
TYPE OF USE: New,
Residential
PROJECT DESCRIPTION: Single family residence
Owner: YOCI'CHARLENE .
Address: 1360 S 2ND ST
SPRINGFIELD OR 97477
Phone Nnmber: 541-556-5558
I CONTRACTOR INFORMATION I
Contractor Type
Architect
Electrical
Low Voltage Electrical
Plnmbing
Contractor
NAGAO PACIFIC ARCHITECTURAL P.c.
KS ELECTRIC
MICHAEL STEPHEN SMITH JR
JOHN I. RILEY
License
Expirati~n Date
70889
175546
160615
12/30/2010
04/13/2011
07/06/2010
Phone
541-687-9600
541-686-6236
541-431-3962
541-998-2812
BUILDING INFORMATION I
2
# of Stories:
Height of Strnctnre 20.00
Type 'of Heat: orced Ail' Electric
Water Type: Electric
Range Type: Electric
Energy Path: Path I
Sprinkled Bnilding: nla
Lot Size:
Sq Ft I~t Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft either:
Occnp~,nt Load:
12,632
1,200
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Constrnction Type
Secondary Constl'l1ction Type:
# of Bedrooms:
I
R-3
U
VB
296
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Yes
11.40
ATTENTION: Oregon law requires you to
{nllnw rlllp~ .::!rlnntprl h\l thA OrAnnn (ltilitv
NOTICE: ' I PUBLIC IMPROVEMENTS aNolification Center. l'hose rules are set forth
J;I-ll~ DI=PMIT SHALL EXPIRE IF 'I nc vv(mf\ '" OA~ 952-001-001O,through OAR 952-001-
Street 1m I'Ovet'nent~: ' 0090Sld"walkl;J'vpe:'ln cop'les of the rules by
QRIZED UNDER THIS PERMIT IS NOT " ,~- "-, ' _.' I
Storm Se A~rTl!vaila - e' caltnn thp Gf(nior' .INpte: the telephone
. )':, Jlif"\!ltl~~tD ~IS ABANDONED FOR , , n',md'Jr~~~~M, ,(P.h'IJri Utilitv Notification
SpecIalln'StriictI09.: DAY P or.I!hwater oramage to Ram garden With overflow to creeli on sonttisld, eUof_l!ropedY)
ANY 11.1u IUU. ' , \Jemer IS ,-ou -v~",""~'t . ,
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
54.00
5.00
43.00
33.00
17.50
Overlay Dist:
# Street Trees Rqd: '
Paved Drive Rqd:
% of Lot Coverage:
Urban Fringe
:, Total:
,: Handicapped:
, Compact:
Notes:
Paee I of 4
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,
n-
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726'3676 Fax
541-726-37691nspeclion Line
Description
Tvpe of Construction
Dwellin!!s
Gara!!e
V Wood Frame
Gara!!e
Fee Description
Plan Review Residential
***+ 100/0 Administrative Fee***
-Mech Iss 2+ Appliances-
+ 12% State Surcharge
+ 5% Technology Fee
2 Baths One or Two Family,
Building Permit
Dryer Vent .
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Heat Pump
Plan Review Minor - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
+ 12% State Surcharge
+ 5% Technology Fee
Irrigation Pump
Low Voltage - Residential
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Residential
Minimum/Adjustment Electrical
Total Amount Paid
CITY OF SPRINGFIELD'
..
Building/Combination Permit
PERMIT NO: COM2008-00976
ISSUED: 031l1/2009
APPLIED: 07/02/2008
EXPIRES: 1:2124/2009
VALUE: $1'134,288.00
I Vahlation Oescdntion ,I
$ Per Sq Ft
or multiplier
$105.00
$28.00
Square Footage
or Bid Amount
1,200.00
296.00
Valuel'
Date Calculated
$126,000.00
$8,28~.00
"
07/0212008
07/02/2008
Total Value of Project
Fp~s~
Amount Paid
$486.29
$129.94
$40.00
$153.62
$69.96
$280.00
$748.14
$7.00
$10.00
$19.25
$14.00
$14.00
$119.00
$117.00
$21.00
$68.71
$302.70
$55.00
$14.00
$11.40
$4.75
$63.00
$32.00
$6.96
$2.90
$56.00
$2.00
$2,848.62
$134;288.00
Date Paid
"
Receipt Number
7/2/08
3111/09
3/11109
3111/09
3/11109
3/11109
3/11109
3/11109
3/11/09
3/11/09
3/11/09
3/11/09
3/11109
3/11/09
3/11/09
3/11109
3/11/09
3/11/09
3/11/09
5/5/09
5/5/09
5/5/09
5/5/09
6/25/09
6/25/09
6/25/09
6/25/09
1200800000000000728
2200900000000000251
2200900000000000251
2200900000000000251
2200900000000000251
220~900000000000251
2200900000000000251
2200900000000000251
2200900000000000251
2200900000000000251
2200900000000000251
2200900000000000251
2200900000000000251
2200900000000000251
2200900000000000251
2200900000000000251
2200900000000000251
2200900000000000251
2200900000000000251
320~900000000000305
3200900000000000305
3200900000000000305
3200900000000000305
2206900000000000711
2200900000000000711
2200900000000000711
2200900000000000711
I Plan Reviews I
Pa!!e 2 of4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status ' Issued PERMIT NO: CPM2008-00976
225 Fifth Street, Springfield, OR ISSUED: 03/11/2009
APPLIED: 07/02/2008
541-726-3753 Phone EXPIRES: L!/24/2009
541-726-3676 Fax
541-726-3769 Inspection Line VALUE: $ 134,288.00
Initial Review 07103/2008 0710312008 APP LLH Credit given for square footage of
existing ~esidence and garage. 1111
square feet per RLID. 385
additional square feet charged for
lire fee. Willamalane fee aud
addressing fee do not apply, This
. owner will remain at this location, so
they may: keep their same address,
Public Works Review 07/0712008 07/09/2008 10 LKW Applicalit needs to submit new way
for stor~ water drainage to street.
No spJas~blocks will be allowed for
tbis site.. Will do review and
forward on to other reviewers but I
am requ~sting not issued until new
site plan 'pI' plans show how water is
being diverted to storm sewer.
Public Works Review 07/10/2008 07/10/2008 WE LKW ,Waiting for approval of Septic from
Lane County and uew plans showiug
either rain garden or draingage of
storm w~ter to swale
Structural Review 07/07/2008 07/16/2008 APP CJC As noted" on plaus
Plaonine: Review 07/07/2008 09/0212008 APP, DDK
Public Works Review 03/1112009 03/1l/2009 APP LKW Option of raingarden was chosen for
stormwa,ter drainage.
To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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<''1P~t!oW
Ufer Electrical Ground: Install ground rod at footing and call for iuspection in conjuuction:with footiug and/or
foundation inspection. '
Footing: After trenches are excavated.
Foundatiou: After forms are erecteil but prior to coucrete placement.
Post and Beam: Prior to 11001' insulation or decking.
Floor Insulation: Prior to decking.
Framing luspectiou: Prior to cover and after all rough in inspections have heen approved. '
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Pa!!e 3 of 4
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINlJl'u..LD
"
Building/Combination Permit
PERMIT NO: GOM2008-00976
ISSUED: 03/11/2009
APPLIED: 07/02/2008
EXPIRES: 12/2412009
VALUE: $ 134,288.00
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the b'uilding is complete.
,
Underlloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumhing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
,
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
Special: See Plan Review andlor Inspector notes.
Low Voltage: Prior to cover.
By signature, I state and agree, that I have carefully examined the completed application and do h~reby certify that all
information hereon is true and correct, and I fnrther certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springtield 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 Commnnity Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed 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 wiII remain on the site at all
times during construction.
Owner or Contractors Signature
Pa2e 4 of 4
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00976
COM2008-00976
, COM2008-00976
COM2008-00976
Payments:
Type of Payment
CreditCard
cReceintl
City of Sprihgfield Official Receipt
,
Development Services Department
Pulilic Works Department
RECEIPT #:
2200900000000000711
Date: 06/25/2009
Description
Low Voltage -'Residential
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
MICHAEL SMITH
Received By
I1Jm
Page I of 1
Item Total:
<":heck Number Authorization
Batch Number Number How Received
,
090993 In Person
Payment Total:
8:05:56AM
Amount Due
56,00
2,00
2,90
6,96
$67.86
Amount Paid
$67,86
$67.86
6/25/2009