HomeMy WebLinkAboutPermit Electrical 2009-8-10
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IZoning app~o~~I-"erifi~d? _ ... .~Yes [] No ... It~IQ~IUc;
1~ji[E:Am.EGJ1lR1f.\i!,)FJlCJ;)t:l$jJjRl!!<.>1111QI{~ii~i:.if~~1 ,. ~"~" ."o.,,~ a
!=~a~~ffifEJlu~~~~i~;~;~~D]{~~0~~;;;~~q~~'11 I ~~~~::tl:I,:,el:~n(:; service inclut, $134,00 $
I J b' ddr' /i /7/' C J / / ".I H' d l '. I Each additional 500 sq, ft, or portion' $
o Slte a ess, d- 7....J 70/t)/n 0 a " 1/ ~ . thereof Ii $ 25,on
I City: 5',-7R:,IJcJ;! I State: 07<- I ZIP: 171/171 I Limited energy (2) !i $ 32,00 $
ri~&1~~~i~fii~"r~~_ I ~~~?,f;:"s~~~~r~~ Fe~~~r (~)OdUI1 I I $ 63,00 $
I WII(~ t5l9 1"4 ~ ; I I Services or fe~ders: ,mstallatlon, a!t,~ration, relocation
1~~~~~B.ORE~liWb10Wf[EB.'t~J~~~~;'1~~i I ~:~ ::~oo::; ;~~ } : ::::: : &/
I Name:m,'j'!" i[)on/ltt 5-~m,'tl-;- I I 401 to 600 amps (2) $158,00 $
I Address: 2. t) / ,<:: '-/0/ tvh ~ Ad ~ I I 60 I to 1,000 amps (2) r~"lli(eS yo~ ,;~" $205.00 $ .
I City: ~,;).t213 /'d/ I State: erR... I ZIP: 617477 :rJ"Q,\,\,\c!jjJP(J)mfs'W ~~i~'@},J(eg~r"~;;7w $469,00 $
I Phone:'54-1 -747-3077 J Fax: _ . \;\\f~,conn':E1~~~,'(21\10se(U,~e~~R:~5:-00,~ $ 63.00 , $
I E-mal'], /l A c-Tl..-r L.. i . ,-1- (i2' fl h L I p-//'" otill\"f 'eM~~r~, ,;,y\;tr~ice~~~C'r~Jtj~r;:: iMaiidtrb~,~~teration, relocation
. 1~^r_M I .;;x;...nmJ/1/T (~c...u..:;.Jr. 'I.-> ,. .-: .....- ~~. . _'"'n"...,~.... " .-".",p
~" _ . \.. t ~ '~- ......1.:,11...-' telt:::t'''-
This installation is being made on residential or farm property , '0' ri10~i'I1Ip.lI9rJl€S:~~2 INote: t\1e ..AHli, ;atiol' $ 63,00 $
owned by me or a member of my immediate family, This I) d'201Itbl4'6b\iii;'S~(2} 'on Ul\1"~ . -.)
property is not intended for sale, exchange, lease; or rent OAR ":;, - \ ;;;: .."P -' ,9 u':r::;?,,_?344 . $ 87,00 $
479.540(1) and 479,560(1), rlU40r~0~,~q\~pS'(i\)-ti $126,00 $
~ignaturev1JtrL~ ~L#/J .. .... . lOver 600 amps or 1,000 volts, see services or feeders section above
r~;:;Nm~G~~:::~]IOH~~~t~;~~1 r :r;::~o:i:::~ :i::~i::t:i:~::r:~~:s:na~:~::e:r feeder fee
I Address: I I Each hranch circuit , I /J, I $ 6.00 I $ q 6 , ~
I City: I State: I ZIP: I I b, Fee for hranch circuits without purchase of a service or feeder fee:
I Phone: I Fax: I I First branch circuit (2) $ 55,00 I $
I E-mail: I I Each additional branch circuit $ 6,00 I $
I CCB license no.: / BCD license no.: I Miscellaneous fees: service or fted~'[ not included
.[ Signing supervisor's license no.: [ Each pump orirrigation circle (2) 1> $ 63.00 $
I Print name of signing supervisor: I Each sign or outline lighting (2) $ 63.00 $
I Signature of signing supervisor: 1 Signal circuil or a limited.energy panel, $ 63,00 $
. alterallon, or extension (2) .... \l\I()1 \v...
,.Each additional' U\~~o\\': rlS.~ Ii; ~ i)\ $56.00 I $
~01\C~f+f~..~,,' "'e~lt~~~~U:SE~~~
\'[\\S ? -rt.E.~~SbJ;rot"/.,e,I)'!]:lP}gft1es III '
fl.,\l\'[\\ 1?~f'~'B~~1~t Fee $58,00). ! $ I 77
CO~\I'~~F~i2m'urcharge(12X[A])li $ 2! ~~
fl.,~'/ \\6) Technology Fee (5% of[A]) I: $ Q ""1
TOTAL fees and surcharges (A through C): $ Z C 71 ~
Electr,cal Permit Application
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11
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Date: )3 -10 -09 I
225 Fifth Street. Springfield, OR 97477 +PH(541)726-3753+ FAX(54t)726-3669
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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 issuance or if work is suspended for 180 days. "
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440-2584-1 (9/08/COM)
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CITY OF SPRINGFIELD
, . 'I .
Building/C~mbination Permit
II .
Status
Extended
"
PERMIT NO: COM2008-01340
ISSUED: 09/18/2008
APPLIED: 09/04/2008
EXPIRES: 02/11/2010
VALUE: $'44,800.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2915 YOLANDA AVE
ASSESSOR'S PARCEL NO.: 1702193300600
Springfield TYPE OF WORK: Garage
"
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: New shop
Owner: SCHMIDT MICHAEL C & DONNA J
Address: 2915 YOLANDA AVE
SPRINGFIELD OR 97477
Phone Number: 541.747-3077
I CONTRACTOR INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Contractor . '-NcP.icense
OWNER 'x \\\t. ~Cl\
OWNER :-f-\'\?-t. 'I ?-\\\\\ \S
OWN~R.~\C~::' :t S\\~\.\. \\\\S \'~~t.\) xCl?-
BE~~p ~t~;s.E.~~ '\1.[\~\) 93126
\~\;~~\\Cl~~\C' ~i1HJIi.biNc INFORMATION.
"U \\\\\\\::\' ~'( V l\ I ,
CCl :--I 'I ~() \) # of Stories:
f>-~iJ Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Expiration Date Phone
Contractor Type
General
Electrical
Mechanical
Plumbing
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08/23/2011
I~
,
541-343-9339
I
21.00
11
Lot Size:
If
Sq Ft 1st Floor:
J'
Sq Ft 2nd Floor:
Sq Ft B,asement:
SqFt Garage/Carport
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Sq Ft O'ther:
Occup~nt Load:
"
52,272
VB
1,600
No
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
40.00
23.80
356.00
0.00
I DEVELOPMENT INFORMATION I '.~9.~
' , iREQft'~ PARKING
.' (I \a.'/'J le~U " 0(1 "jc... \1'1
Overlay Dist: \01'1', 0le90 0 b~ \ne O~Tg\ti!l,e\ \01 _
# Street Trees R9!1:'t.\'-\\ \eS a.OO?\e \nose 1U\~~ar.djclip<(,~1
Paved Drive RqdbllO'/'J fUo~ ce(llel. '0''''loU911 mpii~I~S
. , II" 00 \'" 's'" (Ie
% of Lot Cover~ge':\\ICa. 952,00\ - \a.\(I COll,e ne \e\ellno \\on
\n 01\1'\ {(\a.~ ob \.\,-\o\e, t, \,\O\I\\Ca.
^"oO. '{oel . rp.n\el. _^ \\tI\\\~ _. ,\
I PUBLIC IMPROVEMEN'f~"L~I'i~1 \ne~\~_BOO-33'?-"v .
i ,_ cp.nlel I ,
Sidewalk Type: '
Street Improvements:
Storm Sewer Available:
Special Instruction: Storm to tie into existing system
Downspouts/Drai'~s:
, II
l'
Notes:
Paee I of4
I
;1.
Status
Extended
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Garaee
Garaee
Fee Description
Plan Review Residential
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Boiler/Comp 3-15 HP
Fixture
Garage/Carport
Minimum/Adjustment Mechanical
Plan Review Minor - Planning
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtll00'
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Vent Fan
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend CircEa Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
CITY; OF SPRINGFIELD
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Building/C6mbination Permit
II
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PERMIT NO: COM2008-0I340
ISSUED: 09/18/2008
APPLIED: 09/0412008
EXPIRES: 02/11/2010
VALUE: *4,800.00
I Valuation Descrilltion I
$ Per Sq Ft
or multiplier
$28.00
Square Footage
or Bid Amount
1,600.00
Value '
Date Calculated
Total Value of Project
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$44,800.00
$44,800.00
,:
09/04/2008
fpp:. rqill .
Amount Paid
Date Paid
Receipt Number
,
2200800000000001339
"
1200800000000000980
1200800000000000980
"
1200800000000000980
"
1200800000000000980
1200800000000000980
"
1200800000000000980
"
1200800000000000980
"
1200800000000000980
1200800000000000980
.,
1200800000000000980
1200800000000000980
1200800000000000980
1200800000000000980
1200800000000000980
1200800000000000980
"
1200800000000000980
1200800000000000980
1200800000000000980
1200900000000000905
1200900000000000905
1200900000000000905
1200900000000000905
$252.71
$42.00
$69.88
$83.85
$40.89
$26.00
$51.00
$388.78
$18.00
'$119.00
$52.00
$17.00
$4.24
$84.73
$52.00
$17.00
$8.00
$52.00
$17.00
$21.24
$8.85
$96.00
$81.00
9/4/08
9/18/08
9/18/08
9/18/08
9/18/08
9/18/08
9/18/08
9/18/08
9/18/08
9/18/08
9/18/08
9/18/08
9/18/08
9/18/08
9/18/08
9/18/08
9/18/08
9/18/08
9/18/08
8/1 1109
8/11/09
8/1 1109
,8/11109
$1,603.17
I Plan Reviews ,
;:
Initial Review 09/05/2008 09/05/2008 APP LLH Ii
Public Works Review 09/05/2008 09/11/2008 APP LKW Storm to'itie into existing system
Structural Review 09/05/2008 09/11/2008 APP CJC II
Approved as noted on plans
Plan nine Review 09/05/2008 09/15/2008 APP DDK II
I,
Paee 2 of 4
Status
Extended
CITY VI' ~rKlNGFIELD
Building/Combination Permit
11
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PERMIT NO; COM2008-0I340
ISSUED; 09/18/2008
APPLIED; 09/04/2008
EXPIRES; 02/ll/20IO
VALUE; *4,800.00
225 Fifth Street, Springfield, OR
541-726"3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
II
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. willlibe made the following
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work day.
9t'~:"ir~ ,,,snections I
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunctio<<lwith footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
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. .
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
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 aod filter cloth is installed but prior to backfill..
Rough Plumbing: Prior to cover and includin"g required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including reqnired testing.
Line to Septic Tank: Prior to filling trench and required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Underslab Electric: Prior to cover
.Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
Paee 3 of 4
Status
Extended
CITY OF SPRINGFIELD
"
Building/Cl~mbination Permit
]1
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PERMIT NO: GOM2008-01340
ISSUED: 09/18/2008
APPLIED: 0'9/04/2008
EXPIRES: 02/11/2010
'I
VALUE: $144,800.00
,
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 h~reby 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 Oregoo pertaioing to the wJrk described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Se..vi~es 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. i;
~A~~~ 9-/~-~9
Owner or Contractors Signature Date
Page 4 of 4
22::; Fifth Street
Sprirrgfield;Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1340
COM2008-0 1340
COM2008-0 1340
COM2008-0 1340
Payments:
Type of Payment
Check
cReceintl
RECEIPT #;
1200900000000000905
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
MIKE SCHMIDT
Check Number
Batch Number
Received By
djb
Page 1 of 1
City of Springfield Official Receipt
Developme~t Services Department
Pu~lic Works Department
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'I'
Date: 08/11/2009
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Item Total:
Authorization
Number How 'Received
4450
In ~erson
,I
Paym~nt Total:
2:50:56PM
Amount Due
81.00
96,00
8,85
21.24
$207.09
Amount Paid
$207,09
$207.09
8/11/2009