HomeMy WebLinkAboutPermit Electrical 2009-6-26
225 Fifth Street. Springfield. OR 97477. rH(541)726-3753' FAX(541)726-36B9
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I Permit no (\ C\ - 49J I
I Date: \0 . '2lo.[9\ I
Ele('.tri.~al Permit Application
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.
'1!ilIt~I!(j):<r;~~~:O~i(E;B~ME;!'i!f1f~&Rg(j);\ZlIi~~!!ff,a
ZOnlng approval verified? DYes D No
~<r;~mE;~:eBY~:Ol;lii~ro~$Ji]BI!!!3Ji1IQNJik1ll![~~~
I I I Resi_dential, per unit, service inclu'de'd:
D Residential D Government D Commercial I $t~.C()
$ 25.00
$ 32.00 $
-1~~~I;J]:$:~RIf?"1ii(i)J\'llP~W:I'>B~.~~~1 dwelling service or feeder (2) $ 63.00 $ I
I V Q _\ ci J\..R J ~ 0, J",\I\ I.I.-(\. 'tP --' I I Services or feeders: installation. alteration. relocation I
I II 200 amps or less (2) $ 81.00 $ I
1~'1\l!1a._~aa-(j);BE;g~.t(:fWP.E~~~B'~'?M(ii~~~1 I 20110400 amps (2) $ 95.00 $ I
I Name: \'{\M-. ~ -~\~5Dn I 1401 to 600 amps (2) $158.00 $ I-
I Address:"'\'2.3l p G. \(LC(-ex' I I 601 to 1.000 amps (2) $205.00 $ I
I Cit:l.;,':ro",\-\t.-f.lrO I State: [')9- I ZIP:ct'\4~ lOver 1.000 amps or volts (2) $469.00 $ I
I Phon~:' . _ _ I Fax: _ _ . I I Reconnect only (2) . I $ 63.00 $ I
I E-mail: I I Temporary services or feeders: installation, alteration, relocation ,I
This installation is being made on residential or farm property 200 amps or less (2) $ 63.00 $ I
. owned by me or a member of my immediate family_ This 201 to 400 amps (2) I
property is not intended for sale. exchange. lease. or rent. OAR $ 87.00 $
479.540(1) and 479.560(1). I 401 to 600 ~ps (2) $126.00 $ I
Signature: 1 Ove~\ 600 amps or 1,000 volts, see services or feeders section above 1
e:::~Nm~Tf~~SiTti::;tN~~~i~0lr", I :,r;::~o:i::::~ :i::~~:t::::r:~:7~~::~::e~r feeder fee : .
I Address: 88'b-'-/ ,,-rr"-'7\~r rZJ I Each branch circuit I I $ 6.00 I $ .I
I City: 5o\-.A. I-State: (!) r I ZIP: Q71..(1f') I b. Fee for branch circuits without purchase ofa service or feeder fee: I
I Phone: '/ Fax: I I First branch circuit (2) I I $ 55.00 I $ I
1 E-mail: 1 1 Each additional branch circuit $ 6,00 $ I
I CCB license no.: J to I fJ...7., S- I BCD license no.: fie) -'5~f).. 7C. I I Miscellanenus fees: service or feeder not included I
I Signing supervisor's license no.: . t./70c::' s I I Each pump or irrigation circle (2) I $ 63.00 $ I
I Print name of signing supervisor: ~Q ~ry)}~ I I Each Sign or outlllle lighting (2) I $ 63.00 $ I
I Signature of signing supervisor: ",.-,) il I i 17_.. I I Signal CirCUit or a limited-energy panel. I $ 63.00 $ I
lI~_ v I j w./~ alteration, or extenSIOn (2)
ATTF.N: ~d~e?~~~y we oreg~~~~~;ih . E rv I"'iMih'i[liU\n~1\If~~~.$r!oRJV9~~
talloW ~~i~n Scent~hOse ru~e~~k 952-001- I rr I~IZI ~@\~ISHt~~~o/l1b!FMg,?:(J'i,4'~llv,
NOtl11C 52001-0010throUg ftherulesbY \.>' ' ~rViENLI~" I'n to ou,,',uJ"~~' ~..
in OAR 9 - obtain COpies 0 \ phone ... ~\I 180 0 ,(Y)n1.eF,q~Pil'gy Fee (5% of[A])
90 You may Nt.thetee '~1\1~ I-.......vv.
00 . th center. l 0 e__ Notification TOTAL fees and surcharges (A through C):
calling e h oregon Utility 4)
number for t e. 1 _800-332-234 .
center IS
$~V
:~
f.>~?.'U>
440-25B4-J (9/0B/COM)
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rL ' r "i
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00048'
ISSUED: 04/28/2009
APPLIED: 01/12/2009
EXP]RES: 12/19/2009
VALUE: $ 70,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726"3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7236 GLACIER DR
ASSESSOR'S PARCEL NO.: 1802022102500
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
PROJECT DESCRIPTION: Fire Damage Plans Required for new floors
Residential
Owner: NESKE-ROBINSON DANA S
Address: 7236 GLACIER DR
SPRINGFIELD OR 97478
I CONTRACTO~ INFORMATION I
Contractor Tvp.e
General '
Electrical
Low Voltage Electrical
Plumbing
Contractor
MCKENZIE TAYLOR
THORNTON 'ELECTRIC INC
'SECURETECH INC
TOMS PLUMBING SERVICE INC
License
109867
II 6329
156618
159425
Expiration Date
1II09/2010
08/21/2010
08/08/2009
05/12/2010
Phone
747-5413
541-686-4 I 51
541-521-2837
541-607-8879
BUILDING INFOR~ATlON I
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq, Ft'Gara.ge/Carport
Sq Ft Other:
Occupant Load:
6,098
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
I DEVELOPMENT INFORMATION I
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
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
. s you IV
Street Improvements:~. Oregon law reqUire Ut'I'ty
All t:1~ IIV' . d b the Oregon II
Storm se>y!'rrAvailabIe:tdopt\hJse rules are set lorth
Special Iqstniictioi!:n cente~1OthrOugh OAR 952-001-
in OAR 952-001 -~btain copies 01 the rules by
Notes: 0090. you may t (Note: the telephone
calling the cen ~r. on Utility Notilicatlon
number lor the. ~eBgOO_332-2344).. '
Center IS I'
Sidewalk Type: ,
Downspouts/Drains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
. COMMENCED OR IS ABANDONED FOR.
. ANY 180 DAY PERIOD.
Paee 1 of 4
"
_U~!I1!$il~!~1?!i.,.
ii ,<
W.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone '
54 I -726-3676 'Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Descriotion
+ 12% State Surcharge
+ 5% Technology Fee
Temp Power 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Temp Power 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Building Permit
Dryer Vent
Exhaust Hoods
Fixture
Furnace - up to 100,000 btn
Plan Review Residential
Vent Fan
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Residential
+ 12% State Surcharge
+ 5% Technology Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500.
Total Amount Paid
Structural Review
04/14/2009
Initial Review
04/1 4/2009
Initial Review
04/23/2009
I V ~Iuatio~ D~~criDtion I
$ Per Sq Ft
or mnltiplier
$1.00
Sqn~,re Footage
or Bid Amount
70,000.00
Total Value of Project
Frp~ PqidJ
Amount Paid
Date Paid
$7.56
$3.15
$63.00
$7.56
$3.15
$63.00
$95.12
$39.63
$79.00
$562.65
$9.00
$ 13.00
$76.00
$17.00
$365.72
$36.00
$6.96
$2.90
$58.00
$34.08
$14.20
$134.00
$150.00
1/21/09
, 1/21/09
1/21/09
)/5/09
3/5/09
'3/5/09
4/28/09
4/28/09
4/28/09
4/28/09
'4/28/09
4/28/09
4/28/09
"4/28109
'4/28/09
4/28/09
'6/19/09
6119/09
6/19/09
: 6/26/09
, 6/26/09
; 6/26/09
6/26/09
$1,840.68
I Plan Reviews I
04/14/2009
.;
APP LLH
04/24/2009
APP LLH
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT'NO: cOM2009-00048
ISSUED: 04/2812009
APPLIED: 011]212009
EXPIRES: 12/19/2009
VALUE: $ 70,000.00
Value
Date Calculated
$70,000.00
$70,000.00
04/03/2009
Receipt Number
2200900000000000072
2200900000000000072
2200900000000000072
1200900000000000159
1200900000000000159
1200900000000000159
1200900000000000307
1200900000000000307
1200900000000000307
1200900000000000307
1200900000000000307
1200900000000000307
1200900000000000307
1200900000000000307
1200900000000000307
1200900000000000307
2200900000000000694
2200900000000000694
2200900000000000694
1200900000000000746
1200900000000000746
1200900000000000746
1200900000000000746
floor plans suomitted as requested
by Robert Castile. forwarded to
Robert for review.
Revisions
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00048
ISSUED: 04/2812009
APPLIED: 011]2/2009
EXPIRES: 12/19/2009
VALUE: $ 70,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
04/24/2009
04/27/2009
APP CJC
Approved as noted on plans / review
letter. Field inspection to verify code
compliance of unknown issues as
they are discovered by demolition.
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.
UleollireCUnsnections I
Temporary Electric: Approval required prior to Utility Comp~ny energizing pole.
Post and Beam: Prior to tloor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with Hnish materials.
Framing Inspection: Prior to cover and after all rough in inspedions have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Undertloor Plnmbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including reqnired testing.
Final Plumbing: When all plumbing work is complete.
Undertloor Mechanical. Prior to insulation or decking and including required testing.
. . . I.
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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Low Voltage: Prior to cover.
Paee 3 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I - 726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
'. PERMIT NO: cOM2009-00048
ISSUED: 04/28/2009
APPLIED: 011]212009
EXPIRES: ]2/]912009
VALUE: 5; 70,000.00
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 of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will be made of any ,structure without permission of the Community Services Division, Building Safety.
I fnrther 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 properly, and the approved'set of plans will remain on the site at all
times during construction.
Owner or ContractOl~s Signature
Paee 4 of 4
, Date
225 Fifth Street
~pringtield, Oregon 97477
54]-726-3759 Phone
Job/Journal Number
COM2009-00048
COM2009-00048
COM2009-00048
COM2009-00048
Payments:
Type of rayment
CreditCard
cReccintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Pl!blic Works Department
]200900000000000746
Date: 06/2612009
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea 'Addt1 500
+ 5% Technology Fee
+ 12% State Surcharge
raid By
GEM ELECTRIC
Item Total:
Check !'lumber Authorization
Received By Batch Number Number How Received
LLH 131858 In Person
Payment Total:
Page 1 of I
I:I5:33rM
Amount Due
134,00
150.00
14.20
34,08
$332.28
Amount Paid
$332.28
$332.28
6/26/2009