HomeMy WebLinkAboutPermit Electrical 2009-7-17
01114/09 WED 11: 06 FAX 5417263689
CITY OF SPRINGFIELD
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225 FdlII_.Spriupdd, Oll17m 'l'B(541)726'37S3'FAX(541)7l6.J6U
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1.Date: 7~/7-0c;
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Electrical Permit Application.
Thi. permit is issued uDder OAR 918-309-0000. Permi" arenontraDsrerable. Permit>; expire ifworl< is Dot .tarted wilhilllSO
days of issuanee or ifwori< is susP'?nded for 180 days.
440-2584-1 (glOB/COM)
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ZoniD~.pprovalv~~? _ DYes D_No~ .:. I !':=~., ___". rei'.
~~~:,{1~~~'!l l'i~':;.':~..J.percD:~$:;:;"iD;"~~:
~~~~~f=~r:~. =:;:O:I~:O(:.h"poItiOO: I. . :1:: I :
I City. <;~. I-'b I ~ C{LI ZIP: ") 7l.f7 . Limited eoergy (2) . I. I $ 3Z.IlO I s
=~~~!~~~~~ .1 =:n==r~(z~ar I 1$ 53.OV I S
I :. Y7.t..o) ~..i" >UUQ-~"'" W - I 5",",,1... Or feed...., installatllJJl. a/""",ion, relocation
b~~~~~~\t;tC'~~'f~$~~ I :::::~; ", :11: ::: :
Name: StJ.AA4^ '5(Jrl - lo .,) ('~ . (40110600lllIljlS(2) I $158.OV S
Address: 4,pV/j 11,"3 os- L,...A(;;A( ~I 60110 I.OOOtlmpS(2) , ,I S2D5.00 I s
I city; S.ffi) I Stale.: C>IL I ZIP: 97f(77 I O"':I.000ampsorvO!ls(2) :: I. $469.00 I S
I PhoDe: - Ill'./( - .W7' If I Fax: I Reoonncct only (2) I: I S 63.00 S
I E-mail:. / I Te~porary senit:es or feeders: ;nStalhztiim. altuirtiOTf. ~/ocaJion
I, Th;; mstaIlation is being _de OD ,~;~....;aJ or fmn propetty I 200 IIIIlp$ or 1= (2) I. 1 S 63.00 I S
owned by moor a member of my immediate family. This 201 10 400 amp. (2) , $ 117.00 S
propeIly is not iDtended far sale, exe~.. lease, or rem. OAR.
479.54O{1} and 479560(l). .' ,401 to 600 amps (2) , I, I $128.00 I S
Signatwe: Om: 600 amps or I,OOO'loJts, SO<: saviccsorfEedeJs section abov<:
~~~U4i.~~~~~~~iW~.~~&.~4~'j Bnacb arcb,a; new, alterar:ion, exremiolfpt!r panel
I llusL.m Dame: . ne./I' S 15 Jit' T iJ).~'_~nM \ilW r~C\!"a.'f""~t~~c:h<in:oits-pIltCbascOfa'=ria:orli:al<rke:
! Add=.::fJ015 i10'i AT't:i~.'.::~~';d~pteq by thll :':t:);~ci!I-~I~f I' I $ 6.00 I $-
I City: lit q~ P I s~~;~Q)(t\onICZIP:q'(.q~;~'. Il\~' :J>Af.~(OI6J8hth c:imJi1s withontpurc:haseofa ~c:rviCC or f<<dc:r fee:
I Phone: <l<:f, ~ 5"- )-/ 5<-/ IrFax:J\ 952-gUl-~~t~i~'~opi IS J\ jFiiF~~"Jmm(2) 'I $ 55.00 I $ --
I E-mail. I" ./s "I'''''''''' 'P /109~Jp;:'/u "'-'A'D" 'Note tt~e lE!.~~iidiii;""bllll1<bcin:uit I S 600 S
. t:lr.l _ c.. eLl "",-, lo/,:;f:'f,'!,~CP C'''''--; I': ili , ::~..,'. ~...,.,.,.... .. .
I CCB license DO.: I D1'i? /.p i I BCD, li~seirJfJ.;I:9IJW:!l'~i!;,.2' ,~J.D".' r..., ,,,,,,ice or feoder hor ;"eludEd
I Signing ..."~ ,:..nr',liceQ$e no.: f.t t1?~~enl,n ,~. - - I Eatb pump or irri;atian drcle (2) ,f . I s ~.OO I! s
I Prirrt=eofsifqlint,supervisor:/)elll1tf_ J(tJ5k.O';,'cz-' I Ecllsignorcu!!illeUghliog'(2) I 's 53.00 ;$
I Signature of signjng supervisor: jJ ..",,,...,,,.../:;.,.1. . .4 I" Signal. c:imJi1 Dr .limimd.....ergy pane!"j S 63.00 S
' . :dta-ation. "'_an (2)
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W", rf\ -"""".-.<, =-~~t:':~~ ,..C -~I
{1 ~~. ~ I (~m~~SU~:~:~:) , . I $ Ib~
.. \'~ I (B)EnlerI2%_""-0"'(.l2X[AD . I $ I i'P(
. I (C)T!ldmologyFee(5%of[AJ) . ,I S 5'1
NOTICE. J.TQ:fAL,-........ard>.'P'(Aflln...-q. I S/O' dl S-U
THIS PERMIT SHALL EXPIRfl+: I H= ."'MR,,"" ....~ . ~ ~,7' !
AUTHORIZED UNDER THIS PERMIT IS NOT . ,
COMMENCED OR IS ABANDONED FOR, ,
ANY 180 DAY PERIOD.
. I
~~
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CITY OF SPRINGFIELD
"
Building/Combination Permit
"
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
PERMIT NO: COM2009-00653
ISSUED: 06/05/2009
APPLIED: 05/1212009
EXPIRES: 01/1712010
VALUE:. $ 60,000.00
Status
Issued
SITE ADDRESS: 1635 LINDEN AVE
ASSESSOR'S PARCEL NO.: 1703273201600
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Adding 2nd Story to Existing I-story Single-Family Dwelling
, Side~alk Type:
..., . p f If ,r\f \l'&Q.~,spoutS/Drains: .
No new surfaf-'e% plldflt fi~~S"P,l1.~eP'tic W~~I\I' IS \'>\ ,
1\-\\S PfR~tO lJNOtR ,r\~~oO\'>\fO rOil,
fl.lJ1\-10RI to OR IS fI.\3
CO\\ll\\llt\'>\C fl.'! PfRIOO.
fl.N'! "\800
Owner: LOWE JAMISON A & EILLENN
Address: 1635 LINDEN AVE
SPRINGFIELD OR 97477
I CONTRACTOR ,INFORMATION I
Contractor Type
General
Electrical
Plumbing
License
Contractor
OWNER
OWNER,
CHAPIN ENTERPRISES INC
81994
BUILDING INFORMATION I
# of Units: # of Stories: 2
Primary Occupancy Group: R-3 Height of Structure 24.00
Secondary Occupancy Group: TX, l!eO~HeilldO'~~lred Air Electric
O e9011 ,;.\u.", - n Uti \t'l
Primary Construction Type I\TTEN\\:"!lN., r d ~a,\~~ '(.YPC::" t lorln Electric
Secondary Construction Type: \10'" lules adopteTI.RangeJ\f.ype:e se2 00' _ Electric
. . 10 V~ .. nter. IVJ'- . '"'. q 95 ~ I
# of Bedrooms. N t'\I.lcatl04 Ce '0 EnergY1P,atti. \es by
, 0 " 00 \ Ull....- - ,frih'" I'lj
.n OAR 952-00 - blair~!W\!ikled"t1uildf,~i1e n/a
\ "_,, rYl~\1 0 " ,_. ""'0. te\ep
UU~~\i\~9 the I~DEVELOp.MENiPiNFORMA TlON .
number lor:, . i-80U-"""-~- ", '
cenler IS
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Fronlyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Urban Fringe
7.00
,5.00
22.50
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Page 1 of 4 '
Residential
Phone Number: 541-915-3097/91:
Expiration Date Phone
05/06/2010 541-485-1146
Lot Size:
Sq Ft l.st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
10,454
1,032
1,076
,
340
Yes
13.20
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
, .
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description,
Plan Review Residential
1st Appliance
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Dryer Vent
Fire SF Fee - Residential
Fixture
Gas Outlets 1"4
. Miscellaneous Mechanical
Plan Review Minor - Planning
Vent Fan
+ 12% State Surcharge
+ 5% Technology Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr200 amps or less
Total Amount Paid
Structural Review
05/12/2009
Initial Review
05/12/2009
Public Works Review
05/12/2009
Structural Review
05/15/2009'
Planning Review
0511212009
I Valuation Descdotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
60,000.00
Total Value ofrroject
~
Amount Paid
Date Paid
$334.07
$79.00
$55.00
$54.00
$513.95
$9.00
$52.80
$152.00
$7.00
$20.00
$119.00
$27.00
$110.03
$45.85
$19.44
$8.10 .
$162.00
5/12/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/5/09
6/12/09
6/12109
7/17/09
7/17109
7!l7/09
$1,768.24
Plan Reviews ,
05/1212009
APP NJM
05/1512009
APP LKW
05/15/2009
WE KLK
0.5/18/2009
APP DDK
Page 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
,
PERMIT NO: COM2009-00653
ISSUED: 06/05/2009
APPLIED: 05/12/2009
EXPIRES: 61/17/2010
VALUE: $ 60,000.00
Value
Date Calculated
$60,000.00
$60,000.00
05/12/2009
Receipt Number
. 1200900000000000399
1200900000000000625
1200900000000000625
1200900000000000625
1200900000000000625
1200900000000000625
1200900000000000625
1200900000000000625
1200900000000000625
1200900000000000625
1200900000000000625
1200900000000000625
1200900000000000673
1200900000000000673
1200900000000000815
1200900000000000815
1209900000000000815
No new surfaces, added fixtures on
septic no sdc's
Provide truss engineering, anchor
bolts- both existing and new, and
special inspection form signed by all
responsible parties.
CITY OF SPRINGFIELD
"
Status-
Issued
Building/Combination Permit
PERMIT NO: COM2009-00653
ISSUED: 06/05/2009
APPLIED: 05/12/2009
EXPIRES: 01/17/2010
VALUE: $,60,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax.
541-726-37691nspection Line.
Initial Review
06/08/2009
06/08/2009
10
LLH
After reviewing permit, I have asked
Kip Kaufman to coptact owner for
additional fees that are due and an "
original electrical permit
application.
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.J?pn~,i';PtUnsnections 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.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and .after all rough in inspections have been approved.
Walllnsulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roof Sheathing
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provi,de report to City ,
Building Inspector. .
Epoxy Anchors: To be done by Certified Spciallnspector. Provide Inspection results to qty Building Inspector.
Final Building: After all required inspections have oeen requested and approved and tbe building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
FinalPlumbing: When all plumoing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After lioe is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final.Gas: When, all gas work is complete.
Final'Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Paee 3 of 4
CITY OF SPklJ'<GtIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: ('OM2009-00653
ISSUED: 06/0512009
APPLIED: 05/1212009
EXPIRES: 0111712010
VALUE: $'60,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Final 'Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company e,iergizing service.
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 tbe 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 furtber 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 aI'proved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 4 of 4
n5.Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt,
Development Services Department
Public Works Department'
Job/Journal Number
COM2009-00653
COM2009-00653
COM2009-00653
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
1200900000000000815
Date: 07/17/2009
Description
Perm ServlFdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Paid By.
PHANTOM lNC
It.em Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 1612 In Person
Payment Total:
7
Page 1 of 1
II :46:54AM
Amount Due
162,00
8,10,
19.44
$189.54
Amount Paid
$189.54
$189.54
7/17/2009