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Home My WebLink AboutPermit Electrical 2009-9-24 . Ele<;tric~l Permit Application 8 _ D 1(1;~:;:'~~-e~~T~~NVU~'E~ oNLY;,:, , I P~~~o T - 01137 I Date: 9 - z I.{ - () i 225 Fifth Street. Springfield, OR 97477.PH(541)726.J753+ FAX(541)726.J689 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not starled within 180 days of issuance or if work is suspended for 180 days. I ;\V[W,;,'.!"ij[[OCALi:GOVERNMEN;r'\:Ap'gBOVAIJ?::~;'~W5~iJ.\'i'11!1'.1 1~~t~:i'il:l!ffl.\%tg1~'tfi'!ll<J;~~I;EE~,S!>HEb(J~E~~f.ljj\f~~\.'ijf~1 I Zoning approval verified? ." 0 Yes, 0 No I I ;~u_mb,er46~'i@i~~i'~~'r;,i~I~i(r:2~;IQi~.1 :,,'.,.Ci>~~, ':i'I,76ta~;.;1 [\=i:~;;~:i~t;rEGr~~~~:~:~~jf;RUr~O;~:=~:::I'X'>"ll~~;;~~'n:i'~I,~:r::i;:':~;~i:'e i~:;~~:~; ,.." ' ..."ea.. , ' cost" I . 1r,\'i1i,1A~'lIOBs;SI1iE;ijINF.bRIlliATfON?ANJj1;"j'OC'A'liION~1:",,~rll 11,000 sq. ft or less (4) $134.00 $ 1 I.;~~~;'tead';;es;: I ZZ ~-,. ~~=NN~A~~"""I I ~~~~:ritionaI500 sq ft. or portion $ 2500 $ I I City: 'S. PFh. I State: C:JL I ZIP: 't7lf77 I I Limited energy (2) $ 32,00 $ I 1,~:~~;~~ce:I.~,~~&,~~roF-;wJ;~;;~t,~,~t~,~:i~I~IA1;~~'~:"s~~~~~~~ ~e~~~r (~)odular $ 63.00 $ I I Add. s~ . $-~6~ "''''~~~~!/~~v',ll~:fi~~S,:::feeders: installation, alteration, relocation I ' nn -~IO <11/1)200 amps or:less (2) " $ 81 00 vll.9, - "1 9 ., ('_ -'Jn~ - -'/ ,_ 1--. . . ... v. :$1"" - "'llf 'UfY I .....,0/ :" ;PROpERTY:i:oWNER .;', ;:',:,,~~/b;.,r(I'<'f :2QIJ!9,4QO~TPs/?), 'eOI., $ 95,00 1 Name: ~lfi~ aCl-1 '''06e:;J~~1:'401:0:~06,IJIiJ'fs:(2j/~.O'e~~8 YOI,. $158,00 I Address: IZ Z 3 C e7\fTe:-;V'd/A-L Ce;/~IJ61(tQ l;q'90:~ps~~21:~e:~UIf/i;~ $205.00 I City: j f>r~ 1 State:aL- 1 ZIP: '5 ;;>/(7' ;111S>~6~nQ!\6:~fup'~~~Pvg\{{(2)':?::?'1h $469.00 I Phone: - 7'16-b 7 tfbl Fax: I I Rec~,\'.re,,-t,~~'i;':(2)~%.o~~/e8 ;," $ 63.00 I -<::':;l "'UN ....'/0 .I' I E-mail: I Temporary servic,e}i or~r~~/~ers: installation, alteration, relocation This installation is being made on residential or farm property I 200 amps or less (2) -'I I I $ 63,00 $ owned by me or a member of my immediate family. This I 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479540(1) and 479.560(1). I 401 to 600 amps (2) $126,00 $ Signature: lOver 600 amps or 1,000 volts, see services or feeders section above ,:';;:CONTRACTOR'INSTAl:tAJlbN; '.,'. ". .J I Branch circuits: new, alleralion, eXlension per panel 1 BUSiness name: C. ravJ V&\.. I / ~ e (rcl ~~ c I I a. Fee for branch circuits with purchase ofa se'rvice or feeder fee: I Address: 2- "t S Z. r-J II fiN F 2fl!!I;r;~. C!-. I I Each branch circuit I I $ 6.00 I $ I City: /S./<; ell.lE 1 State, q({.!S R~.Y.'. 9 ;;r-oz. 1 I b, Fee for branch circuits without purchase ofa service or feeder fee: I Phone:S<f(-Ef{,1 6sfi 7 . I Falf:'$,t!(.jCWiFlY Il6ItP4L...1 I First branch circuit (2) I I $ 55.00 I $ I E-mail: CCOuJ~(/f...<;6lec.ff-4.t~;~~JtfP.i;;)~1PlRi:.7..l!.h additional branch circuit $ 6.00 $ I CCB license no.: /7'9 'P,Y<r I BCDlicensV r&!1J"iQ_~~ Jl~ :Slfl\'!~se!IMte<t~'Aees: service or feeder nol included I Signing supervisor's license no.: '17'1 zs -~'1/uiJ. I 1~J'.0"J~~of.iw.tion circle (2) $ 63.00 $ Prmtnameofslgnmgsupervisor' J'Yl1'l12.+<: ~el! Y 1 I Eachsf6ifJro~t(inelighting(2) $ 63.00 $ I S,onature of signing supervisor:~A A --r~ I I Signal CIrCUIt or a hmlted.energy panel. $ 63.00 $ I <0 . _ &A ~_ alteration, or extenSion (2) ..-l naP --'^ . I Each additional inspection: (I) I 1 $58,00 $ ~\l\;\~'U;~~ ~ ~t{k9:II~::::t:~;~~~~~:ANT~USE~~~~\\{&tt~~~ \J ' 'f<.~ (Minimum Permit Fee $58,00) $ I t; ~ ~ 'I (B) Enter 12% surcharge (.12 x [Al) $ 17 ~ ~ I (C) Technology Fee (5% offAl) $ It I ~ I TOTAL fees and surcharges (A through C): $ } Q q I~ ,(.." - 0e6bFe 7Cf 6 -CJIf[;f 440-2584-J (9/08/COM) s-or 76/( \S~~11 ~,,-c~ erclsof( $ 16~'- $ $ $ $ $ Status Iss u ed CITY OF SPRING1<lt<.LlJ Building/Combination Permit PERMIT NO: COM2009-01137 ISSUED: 08/1912009 APPLIED: 08/05/2009 EXPIRES: 03/24/2010 VALUE: $ 40,000,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1223 CENTENNIAL BLVD ASSESSOR'S PARCEL NO,: 1703264415000 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Kitchen, Bath, and Laundry Addition Owner: Address: BOLT DAVID L & JANE D 1223 CENTENNIAL BLVD SPRINGFIELD OR 97477 Phone Number: 541-746-6786 .. Contractor Type General . Electrical Plumbing lau, retlUllvv ,-- . ATTENTION: Oregon ". ~ , ,.""" t II rules adopted '<;JONTR'NO,'fORINFORMATlON 1 o ow T . , ~I"litication Center. "hU"" ,vh~OAR 952-001- 'I,ContractorJ1.0010 t mug t the rules by License Expiration Date Phone I vrH' .....-- . . pies 0 Of?JY.Nl))RI may obtain ~~te: the telephone Q;~N, EJthe center. ( Ut'II'ltV NotiticatlOn ,. ..I-".. ~ronnn ~SiP.nUMB~NGS:P~;~M\2T;!~C;). 103816 01/04/2010 541-461-4714 v....,,~_. I ~UILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Height of Structure Type of Heat: Water Type:. Range Type: Energy Path: . Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ff2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 6,534 176 R-3 No Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: -:t"'\ I DEVELOPMENT I!"Ji~TtbN 1 , ' t: ,I ,'" ('v' . e'e:. \ \.. 1:.1-\'\\\ p~",\-JI'''\ ;:, \\0\\ ~D"'''\ S\-\f>.Ovel'l,~y,'DlSt:,,\r:\) to?> ~ ,.,~"W' \I,mrJ.' ",nl II; Co ,,\\,30.00\>-llt.\) \' # ~rl',~l'frees Rqd: 1\\1,,\\-\0 t.\) OVI'~ved Drive Rqd: , c,~1:9,O\t.~~I\'i \,~'6f\[:ot Coverage: 23.50 ^ 0;00\ '2,0 .....\~\ REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS J Street Improvements: Storm Sewer Available: Special Instruction: Stormwater to tie into existing system Sidewalk Type: DownspoutslDrains: Notes: Pa2e 1 of 3 Status Issued CITY OF SPRI~\jJ! lELD Building/Combination Permit PERMIT NO: COM2009-01137 ISSUED: 08/19/2009 APPLIED: 08/05/2009' EXPIRES: 03/2412010 VALUE: $ 40,000,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Bid Amount Tvpe of Construction Use Bid Amount $ Per Sq Ft . or multiplier $1.00 Square Footage or Bid Amount 40,000.00 Value Date Calculated Description Total Value of Project $40,000.00 $40,000.00 08/10/2009 lJ',T fr1irl I Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $254.83 8/5/09 2200900000000000883 + 12% State Surcharge $80.41 8/19/09 3200900000000000592 + 5% Technology Fee $33.50 8/19/09 3200900000000000592 1st Appliance $79.00 8/19/09 3200900000000000592 Add, Alter, Extend Circ $55.00 8/19/09 3200900000000000592 Add, Alter, Extend Circ Ea Add $36,00 8/19/09 3200900000000000592 Building Permit $392,05 8/19/09 3200900000000000592 Exhaust Hoods $13.00 8/19/09 3200900000000000592 Fire SF Fee - Residential $8.80 8/19/09, 3200900000000000592 Fixture $95.00 8/19/09 3200900000000000592 Sanitary Sewer - Improvement $22,05 8/19/09 3200900000000000592 Sanitary Sewer - Reimbursement $28.99 8/19/09 3200900000000000592 SDC Sanitary/Storm Admin $5.42 8/19/09 3200900000000000592 Storm Drainage Impervious Area $57.43 8/19/09 3200900000000000592 + 12% State Surcharge $19.44 9/24/09 2200900000000001088 + 5% Technology Fee $8.10 9/24109' 2200900000000001088 Perm Serv/Fdr 200 amps or less $162.00 9/24/09 2200900000000001088 Total Amount Paid $1,351.02 I Plan Reviews , Initial Review 08/05/2009 08/1012009 APP LLH Plannine: Review 08/1012009 08/11/2009 APP DDK No Planning Issues. Public Works Review 08/I0/2009 08/I2!2009 APP LKW Stormwater to tie into existing system Structural Review 08/I0/2009 08/1812009 APP CJC As noted on plans 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, Pace 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-0] 137 ISSUED: 08/]9/2009 APPLIED: 08/05/2009 EXPIRES: 03124120]0 VALUE: $ 40,000,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reouired ]nsnections 1 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 Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underlloor 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 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, 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 furtber 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 compliance with ORS70I.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 tbe approved set of plans will remain on the site at all times during construction, Owner or Contractors Signature Date Paee 3 of 3 225 Fifth Street Springfield; Oregon 97477 541-726-3759 Phone ",_"r~.I('_I~<Q,,~,BLO. ....,... .'._..__" '"., ti. " ~? .. . ,A!i:. , . ~ ~..~,-,~' "",' ....~.......". "'d .. .,."" City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-01137 COM2009-01137 COM2009-01137 Payments: Type of Payment Cash Change Job/Journal Number COM2009-01137 COM2009-01137 COM2009-01137 Payments: Type of Payment Cash Change cReceintl RECEIPT #: 2200900000000001088 Date: 09/24/2009 Description Penn Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge Paid By LONNIE BOLT LONNIE BOLT Item Total: Check Number Authorization Received By Batch Number Number How Received djb In Person djb In Person Payment Total: Description Penn Serv/Fdr 200 amps or less . + 5% Technology Fee + 12% State Surcharge Paid By LONNIE BOLT LONNIE BOLT Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person In Person Payment Total: Page 1 of I 11:13:35AM Amount Due 162.00 8.10 19.44 $189.54 Amount Paid $200.00 ($10.46) $189.54 Amount Due 162,00 8.10. 19.44 $189.54 Amount Paid $200,00 ($10.46) $189.54 9/24/2009