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HomeMy WebLinkAboutPermit Electrical 2009-8-10 1_I!:O~~[!!IfGCOi\XEB.NM.ENif$~~Ii)iRoN'!~~WS!l IZoning app~o~~I-"erifi~d? _ ... .~Yes [] No ... It~IQ~IUc; 1~ji[E:Am.EGJ1lR1f.\i!,)FJlCJ;)t:l$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 iEjt~DEp.~RTMEFlm;USEfoNlbw~';J\1 ;C!?,;;;:::i;1-;"/;':"'i'-:"i-;"""',';;:,:;L~'.\;"':fd~if~~~lt.~~~ 11 ,~, ":t"", 2tJIiA' -~ ~ Date: )3 -10 -09 I 225 Fifth Street. Springfield, OR 97477 +PH(541)726-3753+ FAX(54t)726-3669 " 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. " ~~ ~~~ \\..~. V"'.:P .,' 440-2584-1 (9/08/COM) u~ 1-. -I I I I I I I I I I I I I I I I I I I I 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 " 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 " 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 " " Building/C6mbination Permit II " 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 " $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 " 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 " 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 " 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 " 'I' Date: 08/11/2009 " 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