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Home My WebLink AboutPermit Electrical 2009-8-26 Electri~al Permit Application t_~~~!i1J!~~~~ us Fifth Strftt.Spri~ld. OR 97477 +PH(54\)7Z6-3753. FA.X(54t)716.3689 ....,.",...... t .D~PARTNlE~(USEdNLY ~\~f'Of-C>ID'j(lf I Date: g - z b - 0 , '_~-;7~: This frermU is issued under OAR 9J8-309-DOOO. Permit~ are nontransferable. Permihexpire if',work is not started It.ithin 180 days ofissuancc or if\\'ork is suspended for ]80 days. \ ' "tFEESCHEDULEi.7'("C,;.' ;N~~-~r or i.;:s~~tion~, ~r it~ 0 '~.~lQ~JI-.~(}:~~ Residential, per unit, ~rvice included: \1,000 sq. fl, OTI= (4) I .....ach addilional 500 sq. fL or portion tlJ"roof . -"of;' .~.~'l 'I'TOI,{.'j ,,:: cosl 1 1 $ , LOCAL ,GOVERNMENT. APpROVAL> <. Zoning appro\'al verilied? 0 Ycs ' 0 No . CATEGORY OF C'(lNSTRUCTION.( _ ,,' 1: I r:.~~csidential 1 0 Government ~nullercial I J~b sit~~::::E 1;~~Tlor;t~D42~'.lON~ +" City c:;fFh J State ().(L I ZIP:'] 71(71. I Subdivision: I eoz.O S"ZI I Lot no,: 03 360 I i~l :i~I~IONlF ioO;:K . Y~l+- I. I '. 'PROPERTY OWNER.' i ' , ,'-, ,..\ 20lto 400 amps (2) $ 95.00' ,$ I Name: :S"~Fb .5c.I,.cu\ Pl~'+ (., 401 ro 600 amps (2) $158.00 $ I Address: 5 ZS WA.'\ ,r 'So f 60 I 10 1.000 amps (2) $205.00 $ City: ~'?F~ I State: oLl ZIP:'77C{771 I Over 1,000 amp" O1'volts(2) I :$469_00 \ $ Phone: -7111/- 637ST Fax: _ _ , I Recoonect only (2) - $ 63.00 S rE-mal' AI I t:1~ IIV": VI ~!dUIl "'" ,o.,U r'f.inY~h'8 ..rvic.. odeed....' installation. alteration. retoeatin/l .. , .1. ." f"lIpw n;la~ adQpt('rlhy thp. ), ''ioo'a8t:fti "".2 ThIS mSlallatlon IS belllgmade O~~.IWl~'dillni'CIT1{))\e rul ,0 O<P .J'lllhr,tl\' () $ 63.00 S owned b~ me 01' a member of my. ,ill!;' ~ffi\1J.', '0 thrnugr 0 ,~!l~PS (2) $ 87.00 S property IS not 1Illended for sale, l!< ~'1 se! 6r I. OAK .' , 479.540(1) and 479.560(1), 0090. ou may 0 am cople~ 01 tli\l\ WIlOl>_II~p" (2) $126.00 $ Signature' calling the center. (Note:t. Ie L~-'t~,;;mps or 1.000 \'Olls, see services or feeders section abo\'e . .., _ __ --~.;.::l~tle-Q_~~,.m 1IIi,Ii y ,All' I, I" .; CONTRACTOR"INSrIH:[A~~~"'~f'R0lb132. 22 411;~nch drc:W'" new, alteration. cxtensiO/lperpanel I Business name: ...) K("" t-J 0 t-!.-v-L '------'~, . n. Fee forbroncb ci.~uits wlth purchase ofa !'Crviceor feeder tee: I Address: Z-1'51 \)Df\ :"Wr JI o-f ~ - Each branch circuil I $ 6.00 I $ I City: 'Son~i..o rd I Slate: Oe) I ZIP: Q14-11 b, Fee for branch ein:uits without purchaseofa service or feeder fee: I Phone: ~ti I -14b-%'fX:> I Fax:'St!-I '1%-a ~S5 I First branch cin:uil (2) I I I $ 55_00 I $ 5~ I E-mnil: if>,(d).jK"-Elb(...-LOl'Y\ 1 Each additional branch cin;uit I Z $ 6.00 $ I z.1 I CCB license no.: 4'51 z..'1 I BCD license no.: 20.2..1'(, 1 I Mi~celJaneous ft"t"S: service orfeedernol inc,luded I Signing supervisor's license no,: 4'i1....,'5.s I Each pump or imgation circle (2) $ $3.00 I Print name of signing supervisoro_ ~*D.:'-( bvr.un WI2112r Each siS:1 o~ oulline lighting (2) $ 63.00 I Signalnre of signing supervisor. ~ ~ I Stgnal.ctTUJltora11!luted-cnergypanel, S 63.00 S . __ _ -...::J J alteration. or ex1enstOl1 (2) I Euh additional inspectio~: (I) 1 $58.00 $ I"> ' ( '. ,'It. -I!IJrnU!cANT USE. "Oi\C~'. \11\1 rt^Vl\~~~\l'jto~. 1\1IS 1't.1"~11 S \:1::~lWW9'" - r~58.00) 1\UI\101"Ilt.D UI'-I\1 ~)tffi~\~m:lJ;.h\arge (12 x lAD O\-.J\\-.J\t.I'-ICt.D 0 ,~<t1f1'echnology Fee (5%oflAI) C1\I'-I'{ ~ '00 D1\'{ I't.t YOTAL fees and surchal'J(es (A through C): ~f $134.00 $ 25.00 $ $ 81.00 $~z. I I 1 I 1 \ 1 1 1 j 1 1 $ Limited t..'11ergy (2) Each manufactured home or modular dwel1ing service or feeder (2) 1 $ 32.00 $ 63.00 Sen-'ices or fcedus: inslallatio,r, alteralion. relocation 200 amps or less (2) $ $ S 95 $ II '61- $ '1 YJI. $ J Ir 8~ IIJ $ 440.2584-J (9i08tCOl\I) ~~~ O~~ O~~ CIne OF ~t'KIN(JNELD Building/Combination Permit PERMIT NO: COM2009-01084 ISSUED: 08/11/2009 APPLIED: 07/27/2009 EXPIRES: 02/27/2010 VALUE: $30,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 725 S 42ND ST. ASSESSOR'S PARCEL NO.: 1802052108300 Springtield TYPE OF WORK: Sch~ol TYPE OF USE: Addition Public PROJECT DESCRIPTION: Restroom Addition: Add (I) Accessible Unisex WC/ Lav. and (1) Uri'isex WC/ Lav. . ~ " Owuer: SPRINGFIELD SCHOOL DISTRICT 19 Address: 525 MILL ST SPRINGFIELD OR 97477 I . CONTRACTOR INFO~MA TION I ' Contractor Type General Electrical Plumbiug Contractor License LEE CONSTRUCTION COMPANY 63579 J K GUCKENBERGER ELECTRIC INC 45129 ROBINSR-ij,P,P.j!'w.I\",~~'!:,,~ law requires YOUl07124 . .. . _ ., . ......~ . .r<..>""" . ""H~ follow rulesl ~BUmDlNG'INEORMA:HON\1 Notification G~"w.. .' h hOAR 952.001- in OAR 952-001-0~t1JltSt~o:i~~:. of the rules by ~ may OI~!.31n liUH'v,", . 0090.E ou n\/,\ei~!Vv~fS!Fi!!C!!i.(~)hone calling the ce Ty'pe of Heaty Notilicatioo nuv-wer for tthe :wl~(e~D' J; ~Y.;;~';2344). Ceo er I~ 'VV . ,,.- 'Range Type: Energy Path: Sprinkled Building: # ofUuits: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Phone Number: 541-744-6375 I' . " Expiration Date 01116/20 IO 04/24/2010 07113/2011 Phone 541-683-3607 541-746-4656 541-345-6909 Lot Size: ,. Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: , REQUIRED PARKING :: Total: Handicapped: ~ Compact: I PUBLIC IMPROVEMENTS I, Ell' I\"\E \NGI'; ~IU\\\.I"" \.I'LL \O~?I\'- -,nIl IS ~G '" E\'-t-AII Sn" S\d\\'1?!ItT\ype: O\'- 1\"\\'0 P IJ~OEI'> \"I ..,,(IN\OO f. .n1G\'-IIED Ie J?.(nl'nspoot~/Drams: p.,1J \ I \ EO 01'>" . COt-AW\E~~p.,'1 ?EI'>IOO. :, p.,~'1 "\ \)0 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Page I of 4 _~~~'~C!'E;nI~J~ . ~1: ~ji Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541.726.37691nspection Line Descriotion Tvpe of Construction Estimate Estimate Fee Description Plan Review Comm/IndlPublic + 12% State Surcharge + 5% Technology Fee Building Permit Fixture Mechanical-Value Plan Review Fire &. Life Safety Sanitary Sewer. Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ . Add, Alter, Extend Circ Ea Add Low Voltage. Residential Total Amount Paid Structural Review 07/29/2009 Initial Review 07/29/2009 Public Works Review 07/29/2009 Plan nine Review 07/29/2009 Structural Review 08/05/2009 I Valu,ati~~. Descrirtion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 30,000.00 Total Valne of Project ~ F,y,< f~i.IU Amount Paid $207:25 $58.90 $24.54 $318.85 $Il4.00 $58.00 . $127.54 $877.24 $1,797.32 $133.73 $11.88 $4.95 $55.00 $12.00 $32.00 $3,833.20 Date Paid 7/27/09 8/11/09 8/11/09 8/11 /09 8/11/09 8/11/09 8/11/09 8/11/09 8/11/09 8/11/09 8/27/09 . 8/27/09 8/27/09 8127/09 8/2 7/09 I Plan Reviews I 07/29/2009 07/30/2009 08/03/2009 08105/2009 APP LLH APP EW APP EMM WI Paee 2 of 4 eIT):'; OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01084 ISSUED: 08/11/2009. APPLIED: 07/27/2009 EXPIRES: 02/27/2010 VALUE: $:30,000.00 Value Date Calculated $30,000.00 $30,00,0.00 07/27/2009 " Receipt Number I' 1200900000000000846 2200900000000000907 2200900000000000907 2200900000000000907 2200900000000000907 2200900000000000907 2200900000000000907 2200900000000000907 2206900000000000907 2206900000000000907 1200900000000000995 1200900000000000995 1200900000000000995 1200900000000000995 1200900000000000995 SDC Worksheet Attached KLK Fire _~!!It!'l!\ll~I~rq~ """", . -Th' i ~il'" . ~. 0_..._ . , "u.,'~" ..>".,........H ._ _.. Status Issued i: CITY, OF SPRINGFIELD Building/Combination Permit I, PERMIT NO: COM2009-01084 ISSUED: 08/11/2009 APPLIED: 07/2712009 EXPIRES: 02/2712010 V ALl!E: $ :30,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review 07/29/2009 08/07/2009 APP GRG Plans Reyiew: remodel of storage room to two ADA bathrooms. Job #COM2009-01084. Occupancy Classificiition: E. Construction Type: V.B. Remodel space , approximately 105 sq. feet out of a total building area of 11,670 sq. ft. Total building occupant load: 234. Plans reviewed under the 2007 Springfield Fire Code and 2007 Oregon Structural Specialty Code. Plans appear to meet code requirements. Structural Review 08/07/2009 08/0712009 APP KLK , II. 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 rel/uested after 7:00 a.m. will:be made the following work day. I ]?pnllirprl I nsnections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. ;' Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the b~i1ding is complete. Underslab Plumbing: Prior to filling the trench aud including required testing. Vnderfloor-Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior tp Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Pal!e 3 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726"3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD I Building/CQmbination Permit PERMIT NO: COM2009-01084 ISSUED: 08/11/2009 APPLIED: 07/27/2009 EXPIRES: 02/27/2010 VALUE: $,30,000.00 By signatnre, 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 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. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 wil\be used on this project. 1 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 wiII remain on the site at all times during construction. Owner or Contractnrs Signature Paee 4 of 4 Date 225 :Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1 084 COM2009-0 1 084 COM2009-0 1084 COM2009-0 I 084 COM2009-0 I 084 Payments: Type of Payment CreditCard cReceint 1 RECEIPT #: 1200900000000000995 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Low Voltage - Residential + 5% Technology Fee + 12% State Surcharge. Paid By DEANNA GUCKENBERGER Received By Check Number Batch Number djb Page I of I City of Sprihgfield Official Receipt Development SerVices Department Public Works Department 1', Ii Date: 08/27/2009 8:38:04AM Item Total: Authorization Number Amount Due 55,00 12.00 32,00 4,95 11.88 $115.83 i How Received Amount Paid 03524a In Person Payment Total: $115.83 $115.83 8/27/2009