HomeMy WebLinkAboutPermit Electrical 2009-8-10
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; \Electrical Permit Ap
225 Fifth Street. Springfield. OR 97477. PH(541 )726-3753. FAX(54 t )726-3689'
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I Date: 8 -/0 -0'1 I
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.
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'... ReSi~~~_tial.J.. g ?_over~m~nt ..... ...J []C?rnm~rcial
IliljIIiJi!(DB!fSlmE;INF:.0RM:A,ffiI0NiIf.A:N~1l1!0c::~ml(DNK'!Ii!t1 1,000 sq. ft. or less (4) $134.00 $
Job site address: /25"1 /J11t11It.-ToN Sf'Il4.tCl I I ~,~~~oarltionaI500 sq. ft. or portion _ $ 25.00 $
i~~;~~~;~E~~iJ~'~l~~fK~~~i~~'71 ~~;:~::~;;i~:~;~e~~:r(~)odular = I : ::::: : - [
1.,.,dc:0.v57....."}Z'-' QJiO,-..J of h Dr;:"""A<:'4~O Acc.i'S.s D12 '( -I I Services or feeders: installation, alteration, relocation I
I ''f <> /. S " / A ~ .--1 I 200 amps or less (2) / $ 81.00 $ 8 I I
~v'-TvJZt::.. u....... ,- S....-rlVL..,-u2-'(.1 Va h'/r :>t...jWA.
I 201'0400 amps (2) $ 95.00 $ I
I Name: LA<-'f: :6i2A,..rHrl: I 401 to 600 amps (2) $158.00 $ I
I Address: fl.">'? /.f/lMIt--r1>r-' 5T' I 601 to 1,000 amps (2) $205.00 $ ~ I
I City: S~~C ?/E:<-.O I State: 071 I ZIP: ?7 ",7 7 lOver 1,000 amps or volts (2) $469.00 $ I
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Phone: - - 7 u, -/'_~.5::111f:.~~ OrcQOP Ip~!~~~~~~~ U~ ~;'i\,connecl only (2) $ 63.00 $--
E-mail: ~o6t2-r--r,+1'" ~~I..! ~;:;II'~~jOpteO oy llll:. \...... '-a~re ~ at ~CJI~\t)porary sen.rices or feeders: installalion, alteration. relocation I
~~\'i"f,f\! \I... v -rL."",n rll es -
This installatIOn is bemg,made~ori rresl&enfiill 'or (far~~propeffy~M 9 :;2 OfOtl-nmps or less (2) $ 63.00 I $ - I
owned by me 0: a memb'~(?fiWyt!l!lfuedlad<!~~JIY::Jh!~~ at t\le U\~2dno 400 amps (2) $ 87.00 $ - I
property IS not Intended for sale, exchange,'lease,ror'rent OiRele )h!:~~
479.540(1) and 479.560(W~U\'\ ,v~I~P dents!. (NOle. \'~t' N' oti \~ Ill1Qhto 600 amps (2) - $125.00 I $ - I
~_ .-/ Co \~' .....<.-n,o,"on Uti \ Y I
Signature/" ~L ;61b,~,t:"'~~ f\f\_~~2.-2344) Over 600 amps or 1,000 volts, see services or feeders sectIon above 1
11i1l~CQl\lmR.A:Cm~R1INSm.A:l!l!:A,mf~I\liiili.'l,iI!iIilt~j!1 I Branch circuits: new, alteration, extension per panel I
1 Business name: oU/.A Ovo.. /oJ{t..fZ..-. JN5-rR L-'-/'TTIO,-J 1 I a. Fee for branch circuits with purchase ofa service or feeder fee: I
1 Address: I I Each branch circuit I: .' $ 6.00 1 $: 1
I City: State: 1 ZIP: lib. Fee for branch circuits without purchase ofa service or feeder fee: 1
I Phone: I Fax: I I First branch circuit (2) 1- I $ 55.00 1 $ - 1
1 E-mail: 1 Each additional branch circuit '.~. $ 6.00 $ ,-3-0
I CCB license no.: 1 BCD license no.: 1 Miscellaneous fces; service or feeder not included 1
1 Signing supervisor's license no.: 1 Each pump or irrigation circle (2) I -I $ 63.00 $..,- I
f Print name of signing supervisor: 1 Each sign or outline lighting (2) 1 --I $ 63.00 $ I
I Signature of signing supervisor: I Signal circuit or a limited-energy panel, I I $ 63.00 $ I
alteration, or extension (2) -
additional inspection: (1) 1 -- 1 $58.00 $
Residential, per unit, service included:
~\\.oo.., MOIICE: (A). Enter Slil't\'/:'Iffl,/!,.^I{J~I\
CCr (f).,q,- THIS PERM\T SH \t~IQWu\F'!~~~\I\<~~5!lJ\!llf
~ AUTHORIZED UNPlil'EJ\~t1:\Y20/o,.wll'!I"fI\OClW x [A])
\J COMMENCED O~(lJ.j ~~H~yrF~;; (5% of[A])
ANY 180 DAY P~Ii'&f'AL rees and surcharges <A through C):
$' rtr ,
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$' I ?,''!$L;j
$ 5'5>!
$, /z5 .e:f!
440.2584.J (9108/COM)
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00087
ISSUED: 03/0212009
APPLIED: 01/20/2009
EXPIRES: 02/10/2010
VALUE: $ 72,000.00
SITE ADDRESS: 1259 HAMILTON ST
ASSESSOR'S'PARCEL NO.: 1703342200227
SPRINGFIETYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Add New Detached Accessory Structure
TYPE OF USE: Addition
Residential
Owner:
Address:
Phone Number: 541-726-1685
BRANCH MICHAEL L & MEREDITH R
1259 HAMILTON ST
SPRINGFIELD OR 97477
Contractor Type
Electrical
Plumbing
Contractor
OWNER
OWNER
# of Units:
Primary Occupancy Group: R3
Secondary Occupancy Group: U
Primary Construction Type VB
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
16.00
15.00
27.00
0.00
I CONTRACTOR INFO~ATlON I
License Expiration Date Phone
ATTENTION: Oregon law requires youto
u,_... ...,;,~ orlnntRd bv the Oregon Utility
.- __, _ _ ~",r<>"" r--,,~ ;:Jlo::llVllH
Ncl,i1BUNJDlNG'INFORMAT.ION 1952-001-
in G"n ~,,~-u~,; ';;ht~i~ copies of the rules by
0090., Y#lor;,s~"e"J~l: (Note: the telephork Lot Size:
callmrif.!1ght Of Structure't'llity Notit:?r1;l!Om Sq Ft 1st Floor:
bu" fnf ttV::l ur6\:lull U
num 'f,YpetofJ;Isea,t.=aOO-332-2344)., Sq Ft 2nd Floor:
W:I'{,\r6fype: Sq Ft Basement:
Range Type: Sq Ft Garage/CaqJOrt
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
10,890
480
480
I DEVELOPMENnN~ORMATlON I
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Yes
16.48
Total:
Handicapped:
Compact:
2
f'/'~'~f
~'II. ~.'\:. ~
I PUBLffi.'I.:M:!,,~y,El)1-f~l:; IXPIRE IF THE WORK
Fullv ImproveflUTHORIZED UNDER THiS~I!'R1\i1\Hg~OT
Ye;COMMENCED OR IS ABANOOlllliijJrr.o~Drains:
. ANY 180 DAY PERIOD.
Street Improvemeuts:
Storm Sewer Available:
Special Instruction:
Notes: Storm water to curh
Paee 1 of 4 _
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Valuation DescriDtion I
Description
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
72,000.00
Estimate
Tvpe of Construction
Estimate
Total Value of Project
~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00087
ISSUED: 03/02/2009
APPLIED: 01/20/2009
EXPIRES: 02/10/2010
VALUE: $ 72,000.00
Value
Date Calculated
$72,000.00
$72,000.00
01/20/2009
Amount Paid Date Paid , Receipt Number
,
Fee Description
+ 12% State Surcharge $104.57 3/2/09 1200900000000000147
+ 5% Technology Fee $49.52 3/2/09 1200900000000000147
1 Bath One & Two Family $220.00 3/2/09 1200900000000000147
1st Appliance $79.00 3/2/09 1200900000000000147
Building Permit $572.39 3/2/09 1200900000000000147
Fire SF Fee - Residential $48.00 3/2/09 1200900000000000147
Fire SF Fee - Residential $48.00 3/2/09 1200900000000000147
Plan Review Minor - Plauuing $111).00 3/2/09 1200900000000000147
Plan Review Residential $372.05 3/2/09 - 1200900000000000147
Sanitary Sewer - Improvement $210.37 3/2/09 1200900000000000147
Sanitary Sewer - Reimbursement $276.65 3/2/09 1200900000000000147
SDC Sanitary/Storm Admin $34.36 3/2/09 1200900000000000147
Storm Drainage Impervious Area $200.14 3/2/09 1200900000000000147
+ 5% Technology Fee $6.98 5/18/09 3200900000000000372
Encroachment Permit $139.50 5/18/09 3200900000000000372
+ 12 % State Surcharge $13.32 8/10/09 2200900000000000903
. + 5% Technology Fee $5.55 8/10/09 2200900000000000903
Add, Alter, Extend Circ Ea Add $30.00 8/10/09 2200900000000000903
Perm Serv/Fdr 200 amps or less $81.00 8/1 0/09 2200900000000000903
Total Amount Paid $2,610.40
I Plan Reviews I
Initial Review
01/20/2009
APP LLH
01/14/2009
01/20/2009
WE
Public Works Review
01/28/2009
Structural Review
01/28/2009
WE CJC
01/20/2009
Public Works Review
02/06/2009
02/06/2009
APP LKW
Paee 2 of 4
Called and left message for Lane to
contact me. Have questions
regardiug the relocating of sanitary
sewer and storm water.
need truss docs and bracing info-
contacted applicant 1/28/09
Land Alteration Drainage permit is
heing required for this site. Storm
~ater drains to drainage easement
~i!RING~Im:t),I "
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,
CITY OF SPRINGFIELD
Status
Iss u ed
Building/Combination Permit
PERMIT NO: COM2009-00087
ISSUED: 03/02/2009
APPLIED: 01/20/2009
EXPIRES: 02/10/2010
VALUE: $ 72,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Plannine: Review
01/20/2009
02/09/2009
APP DDK
Detached accessory structure/shop i,
not approved as an additioual
dwelling unit and may not he used
as as dwelling unit.
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.
~lIir~r In<~~
Ufer Electrical 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.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall lusulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underslab Plumbing: Prior to filling the trench and including required testing.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing; Prior, to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Final Plumhing: When all plumbing work is complete.
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.
Electric Service: Approval required prior to utility company energizing service.
Page 3 of4
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Status
Issued
CITY OF ~ntlNGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00087
ISSUED: 03/02/2009
APPLIED: 01/20/2009
EXPIRES: 02/10/2010
VALUE: $ 72,000.00
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 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 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 compliauce 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 approved set of plans will remain on the site at all
times during construction.
~/---L-.~' g/O/c:f7
Owner or Contractors Signature
Date
Paee 4 of4
225 Fiftli Street
> ..'
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00087
COM2009-00087
COM2009-00087
COM2009-00087
Payments:
Type of Payment
CreditCard
cReceiotl
RECEIPT #:
2200900000000000903
Description
Penn ServlFdr 200 amps or less
. Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
MICHAEL BRANCH
Received By
<':heck Number
Batch Number
djb
Page I of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/10/2009
Item Total:
Authorization
Number How Received
560796z In Person
Payment Total:
1I:34:18AM
Amount Due
81.00
30.00
5.55
13.32
$129.87
Amount Paid
$ J 29.87
$129.87
8/10/2009