HomeMy WebLinkAboutPermit Electrical 2009-7-27
225 Fifth Street. Springfield, OR 97477.PH(541)726-3753.FAX(541)726.3689
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Date: 7- 27-0 ( I
Electrical Permit Application
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This permit is issued under OAR 918.309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuimce or if work is suspended for 180 days.
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IlIll.~!!;P,[LE;(3J:)RY!ltOIiJlf(i)!'JJ)I$j]jRI!I~)ljIQ~~:tilt~1 '.. ,:~Z - ,ob'","" "'.~,"
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1 City: >~F'b, 1 State;c.:NL I ZIP: 97'{7 71 1 Limited energy (2) $ 32:00 $ 1
1~~S~~~::,d~~~, r !:~il:~:~~::'~:'~:~~~~~o:~::ration, relo~at::~OO $ I
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Name: )./(19 /.p -t?:;:1 . # j L.P LLC _ 1 401 to 600 amps (2) $158.00 $ I
1 Address: /lLz'" BS<6-+ d~ 1 qOI to 1,000 amps (2) $205.00 $ 1
I City: '0A ' I State:(),_ I ZIP:qiLjO/ I Over 1,000 amps or volts (2) $469,00 $ I
1 Phone~f!f:iLfi('90 ~ 1 Fax: I, Reconnect only (2) I,--rt $ 63.00 I $ 1
I E-mail: .j. c .J~D1P~r.ary services or feeders: installation. alteration, relocation .1
This installation is being made on residential or f'ill.!!,PJope'fiY. ~rlb'; ,Cg11'200:!;Wp,t,or less (2) I I $ 63:00-1 $ I,,~
owned b~ me or a member of my imm}~iNManlil~~~hjS)~'(I,eD\e" e.'1~2:n~0~41flramps (2) $ 87,00 1 $ "
property IS no, t mtended for sale, e~~hange,\lej;Se,\or renh0AR n I )1'1" 10" "j , 1 1
479.540(1)~479~560~(1 . \\o'I'J y\,l " eel'\el. 0 \nloDg \ \,(!9'llto'~OJl amps (2) $126,00 $
,'-I .t'_~a\\o"0 OO~ ,es ) i'~n\'c-'"
;X ~ignature: \_, J ~,;, I " , "_._" __,~~~?,:_?~\a\~ ~~r~'J \9 \~~X:~AiJm~p.s or 1,000 VOlts,. see s:rvices or feeders section above I
1~,.E>Nm ".GJTL~!NSili]li~E'A1Ii1l'lN~~,,"\'\i~ \'1 I.,\lE~~ch ClTcu,ts: new, alteratIOn, extension per panel 1
.' IJUo- , 9 \IW - Ole\;- o'l-Zr ' , , ,
Busmess name: c:a\\r\\ ~ ~r.{ \"e. -\ .P'OQ-'3,J'1 a. Fee for branch CirCUits WIth purchase ofa service or feeder fee: I
1 (l'\u~' \e\ '" I I
Address: I'D eel' Each branch circuit W-I $ 6.00 I $ I
! City: , ~bf;\ate: I ZIP: rib. Fee for branch circuits without purchase of a service or feeder fee: 1
1 Phone; , J tJ ~ I Fax; 1 I First branch circuit (2) $ 55,00 $ I
I, E-mail: 0 v I 1 Each additional branch circuit $ 6,00 $ " 1
I CCB license no.: 1 BCD license no.: I I Miscellaneous fees: serviceorfteder not included I
Signing supervisor's license no.: I I Each ,pump or irrigation circle (2) $ 63,00 I $ 1
Print name of signing supervisor: 1 Eacb sign or outlioe lighting (2) $ 63,00 I $ 1
I Signature of signing supervisor; LSignal cirsu.it~~a'lilhIl~~energy panel, ,I $ 63 00 $ I
. ij\'J\~lE!Il,'roM~~!(\'l~ .
NQ1\C~~t-JI\, S'r\f;>,\.~ i~l1;a'ilij){i~k\~ffflection: (I) 1 $58.00 $
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f;>,\J\ t-JI\:l-IC\:1l 01'- \hit) Eoter subtotal of above fees ~aJ
CO~ '\'00 1lP,'/ 1'\:1'-', (Minimum Permit Fee $58.00) $39/'
p,l-I (B) Enter 12% surcharge (,12 x [AD $ 97 -/ff11.?:k>
(C) Technology Fee (5% of[AD $ J4k511fo ~D
I TOTAL fees and surcharges (A through C): $;i/IcfI. ~
.s 63. 76
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440.2584.) (9/08/COM)
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 658 33RD ST
ASSESSOR'S PARCEL NO.: 1702312405300
Ln t OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00633
ISSUED: 08/06/2008
APPLIED: 05/06/2008
EXPIRES: 01127/2010
VALUE: $ 109,000.00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION:, Master bedroom and garage addition/interior remodel
Owner: HOGI LEGACY PROPERTIES LLC
Address: 743 ASCOT DR
EUGENE OR 97401
Contractor Type
General
Electrical
Mecbanical
Plnmbing
Contractor'
HOGLUND
OWNER
OWNER
OWNER
# of Units:
Primary Occnpancy Gronp: R-3
Secondary Occnpancy Gronp:
Primary Construction Type VB
Secondary Construction Type:
# of Bedrooms: 3
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
10.00
22.00
32.00
0,00
Street Improvements:
Storm Sewer Available:
Special Instrnction:
,Notes: Stormwater to existing eaves.
I CONTRACTOR, INFORMA nON,
License
, ~o\J to
laIN leC\\J\leSOIl \jtWIW
,0TegOIl t\\e 0le9 et \Olt\\
__..-hl'\O\'<' . _~,pd 'o~ ,,\D~ ale S._ "",.
r-I'- ._...,,~-. -,_...........-..~ -~"'::'........
\o\\d'NB\:JlLDIN&',,,ruKiI1A,TIONI \\J\es '0'1
\,<ot\1\V'^";:''2,_00\ ,u~' '.' cO?ie~ -' t~\e?\\Olle
\l\ 01'.'" 96(\o,~.,Stpfi!}t\.\'<ote'- t\\e \'<oti\\CatIPl\
0090, 'i Height<6f'Sti:uctur'eltl\lt~'3' ').15.00
\I'{V' \1' I _ tHt;~"" t1~,"..,<-t
ca I Xy!!! bf.'li~at'BOO-33" Electric
l\\Jl\I'oWIl!(j!r,'I'y~e; Electric
. Range Type: Electric
Energy Patb: Path I
Sprinkled Building: n/a
I DEVELOPMENT INFORMATION'
Residential
Phone Number: 541-302-4027
Expiration Date Phone
541-302-4027
541-747-4423
'Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
13,504
1,640
770
REQUIRED PARKING'
Total:
Handicapped:
Co~pact:
\\t. 'tJD'"
. p,"'t Wi,S ~Oi
,_...,l'~'. _;\~"ty;. ~<:u~~\\ _
I PUBLIC IMP.R.O"EMEjh~"Dtl'- \1'1~~\;'G~tD "VI'
r " ii' S~B,,\'\J
fI\.I\\\\jt\~~;iD 01'- \ 'dewalk Type:
WlWItl'V \'tl'-\O.
CO -\ <Q() DfI'1 Downspontsffiniins:
fI~'1 \
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Paee I of 4
_$~RI~'Il,~I~"
1l~ "
-I'
-,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
I Bath One & Two Family
Building Permit
Copies - Ea Addtl @ 50 Cnts Ea
Copy 6th @ 75 cents
Fire SF Fee - Residential
Minimum/Adjustment Mechanical
Plan Review Minor - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Storm ,Drainage Impervious Area
+ 12% State Surcharge'
+ 50/0 Technology Fee
Perm ServlFdr 200 amps or less
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00633
ISSUED: 08/06/2008
APPLIED: 05/06/2008
EXPIRES: 01/27/2010
VALUE: $ 109,000.00
I Valuation Desc,riotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Date Calculated
Value
Total Value of Project
Fpp~ P~i,\U
Amount Paid
Date Paid
Receipt Number
2200800000000000596
2200800000000001202
2200800000000001202
2200800000000001202
2200800000000001202
2200800000000001202
2200800000000001202
2200800000000001202
2200800000000001202
2200800000000001202
2200800000000001202
2200800000000001202
2200800000000001202
2200800000000001202
2200800000000001202
2200800000000001202
1200900000000000844
1200900000000000844
1200900000000000844
1200900000000000844
1200900000000000844,
1200900000000000844
$425,79
$20,00
$92.56
$103,81
$49,05
$160.00
$655.06
$9.50
$0.75
$60.50
$50,00
$116,00
$204.04
$268,33
$41.30
$353.55
$39.36
$16.40
$81.00 '
$134.00
$50.00
$63,00
5/6/08
8/6/08
8/6/08
8/6108
8/6108
8/6/08
8/6/08
8/6/08
8/6/08
8/6/08
8/6/08
8/6/08
8/6/08
8/6/08
8/6/08
8/6/08
7/27/09
7/27/09
7/27/09
7/27/09
7/27/09
7/27/09
$2,994.00
I Plan Reviews I
Initial Review 05/08/2008 05/08/2008 APP NJM
Public Works Review 05/08/2008 05/08/2008 APP TSS Stormw~ter to existing eaves.
Structural Review 05/08/2008 06/09/2008 WE RWC need owner to provide-truss details
and layout
Plannine: Review' 05/08/2008 06/18/2008 APP TAJ
t
Structural Review 07/14/2008 07/16/2008 APP RWC Received truss layout and detail
dwgs 7/14/08dlm.
Pa!!e 2 of 4
Status
, Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00633
ISSUED: 08/06/2008
APPLIED: 05/06/2008
EXPIRES: ill/27/20IO
VALUE: $109,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726~3769 Inspection Line
Plan Review Comments
10114/2008
10/14/2008
10
LLH
Incorrect fees identified in sumI}1ary
of fees, The plumbing permit was
incorrec.fly identified as "1 bath".
Fee for fixtures should have been
$76.00,Mechanicallssuance should
have been $40,00, Storm Sewer
should have been $50.00.
, ,
1
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 req~ested after 7:00 a.m. will be made-the following
work day. I
Rp'\WJfI'" Tn"nliftinr" I
UferElectrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
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 Tnspection: 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 Bnilding: After all required inspections have been requested and approved and the bnilding is complete,
Perimeter Fou_ndation Drains: After gravel and liIter cloth is installed but prior to backfill,
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plnmbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing,
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling tr~nch and including required testing.
Final Plnmbing: When all plnmbing work is complete.
Und~rfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
, Paee 3 of 4
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/C.ombination Permit
PERMIT NO: COM2008-00633
ISSUIW: 08/0612008
APPLIED: 05/0612008
EXPIRES: 01/2712010
VALUE: $ 109,000.00
, 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Electric Service: Approval required prior to utility company energizing service.
Temporary Electric: Approval required prior to Utility Company energizing pole,
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 ~ccordance with
the Ordinances ofthe City of Springfield and the Laws ofthe 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 ~ddress is readable from the.,
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.
;{2~/~'
/f;;ner or c,o~s Signature
7/::2 7/ cre1
I
Date
Pa~e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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Job/Journal Number
COM2008-00633
COM2008-00633
COM2008-00633
COM2008-00633
COM2008_00633
COM2008-00633
Payments:
Type of Payment
Check
cReceint 1
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
RECEIPT #:
1200900000000000844
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddU 500
Temp Power 200 amps or less
Penn Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
HOG! LEGACY PROPERTIES
LLC
djb
Page 1 of 1
!O!
City of Springfield Official Receipt
Development Services Department
,Public Works Department
Date: 07/27/2009
1:33:3IPM
Amount Due
134,00
50,00
63,00
81.00
16.40
39.36
$383.76
Amount Paid
In Person
$383,76
Payment Total:
$383.76
7/27/2009