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Home My WebLink AboutPermit Electrical 2009-9-28 Electrical Permit Application 8 I . . "/!.' 225 Fifth Street+Springfield, OR 97477+PH(541)72G-3753+FAX(541)726-3689 SPR'NGF'ELD 1:{:..;.p~~&MII1ENt:U~EONLV;. ,.: I ~_ .c', I~LoO<;-D(Z.781 ~ ." ~~ Permit no.: I Date: '1-2 g- -0 <J 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. I ;.y:, ',;,'!riiltOCA.L::GOVERNMENT9f.~~ROVAI::.;;~?,~\'ri'lU?;\1 Ip'f,'<~;iJ'~'%::W~Ji'1\\'~;;\~:FEE~SCHEDUllEi'J~~~~'i!\il'i!!,~am I Zoning approval verified? DYes D No I 1.;N~"!~~~:1f;i~!P.~~ti?'ri;:~~i-,~i~~:()'~.f;;+?WI;.~~~~::iJt1~W;,1 1~~~::~~:~~~IA.TEGr~;~~~:~~:~TRur~O~::~::~~1 '/': I Residential. per unit. service included: I . ~':!iU:JJ:)BiSI"[E~INI;QR.MAT:IONFAND~l!QCAliION~}'>1~i1I I 1,000 sq. ft. or less (4) $134.00 $ I I.' .' .. I I Each additional 500 sq. f1. or portion $ I Job slle address: ~1 5"""0 t"'L./'T /4 L~N"- . thereof $ 25.00 . r,;:I::ei'}~f~~~I~~3:F-,:r;~~.I~:~;'7it:j~~~ I ~~~~:~~:~;~~~;~~Pe~~:r(~)odular : :::::: I , L T '; J I Services or feeders: installation, alteration, relocation I /N~7A'-L e t?~' ,e'i:AL L,:""~ rl4/)"'-' c;. II . I I 200 amps or less (2) l $ 61.00 $ ~ .-. 0 ~ft- .N"lAL^' .,..~, '! 6.tf.L1 e I I .. ,. ,PROBERTY.OWNER ., I 201 to 400 amps (2) $ 95.00 $ I I Name: ;1A- T", (~k /'-'1 ,'~ LA <- L I I 401 to 600 amps (2) . 'n $156.00 $ I I Address ~9 ,0 k....t. ,oJ.! LAN <! [", ,~9.\,t.o\!,qQ.0,amp~(2):';,~\JtiiitV $205.00 $ I , . r '. - . ... ,me u' -,. . jortn I I City: S Ii (J I State: ve I ZIP: v.' 9~er,I,000 a~p,~I~r,v3!t~ (2)\ _n' $469.00 $ ,-"d'N1 ,~ I? ?"7 7A' I In!' \\lv....... H'd'Ot.-vv. I Pho e "</,{- . '<lI?R IF. . ,,'. C JReconnect only((2)Of\. I - b" $ 63.00 $ I n S 7"7-<-/. ax....-- __ . _.....""",,11\...1'," .._",,0-. 'I ..,- --- , llJ' ~Vv . - . ~ en lI'V . - I I E-mail: A I L i-II 0 .\,,"\ ";::1;';..- . .,J~WR2r.;1ryrservi!~~~~f~ej.~r:s:.rinstallation, alteration, relocation /A.~CL.L.A-I!- (P)~. CM........, -" \/,,\ rrl--- ,~,(.-,r.. ...- 'j' aHOI\ I This installation is being made'onresidential or farm prop"e'f!Y.\iti9 "he ~?~lam~~~1e,srlmV 1'10\110 $ 63.00 $ owned by me or a member of my Immedtatefamtly. This". ,ber \or20I.h~';\oo amjjS2(Z)?34'1J. $ 87.00 $ property is not intended fo ale, exchange, lease, or rent. 0~lk: I "el'\~'::'; :r: l-uv'" 479.540(1) and 479.560 . ' , 401 to 600 amps (2) $126.00 $ Signature: ~ ~~ lOver 600 amps or 1,000 volts, see services or feeders section above I : '. ;: ,: :,CONTRACtOR:'IINSTAL1..AT:ION: I Branch circuits: new. alteration. extension per panel I Business name: CJJI..A.INl;1tr I a. Fee for branch circuits with purchase ofa service or feeder fee: I Address: / I Each branch circuit I $ 6.00 1 $ I City: I State: tz~ I b. Fee for branch circuits without purchase of a service or feeder fee; I Phone: I Fax/ I . First branch circuit (2) . I $ 55.00 $ I E-mail: /' I Each additional branch circuit L-I I $ 6.00 $ ~ Zl( I CCB license no.: /~ r BCD license no.: !rJ\1iscellaneous fees:. se\'\t:'~l1~\le)/'},\"~luded ' I I Signing supervisor's);&nse no.: ~,~~ ~Ct~~,'lhl,,@iJl''O\.1r~fit\~~ ~~t-2f\ \:>_1 IV.' $ 63.00 $ I I Print name of signing supervisor: " ii, 5,r.tacbWgrt~).l);:,ThO~li.h!'!vll'ti~D I'ufl $ 63.00 $ I l\1\1n' "... .r l\-qtpt,\U I Signature of signing supervisor: ' .-0' J\\lhS.iWi.Idi'\'\li\)i,~;;'ited-energy panel. $ 63.00 $ I C 1')!!Cf~!1'ln~~~reMlon (2) f>,N{ !'E':.chadditionalinspection: (I) . $56.00 I $ !;.{.~~~~~~~AFi~iliC'KNt1il S-E~tt;f~1!~;~~~.t;1~&1~~~~ I (A) Enter subtotal of above fees $' , 10' (Minimum Permit Fee $58.00) ~ .1 (B)EnterI2%surcharge(.12x[A]) $ /264>_ I (C) Technology Fee (6% of[A]) $ 5 t1 s I TOTAL fees and surcharges (A through C): $ \ ZZI ~ ~~ ,~~ ~ 440-2584.) (9/08/COM) Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0I298 ISSUED: 09/17/2009 APPLIED: 09/02/2009 EXPIRES: 03/28/2010 VALUE: $ 46,811.00 Springfield TYPE OF WORK: Garage SITE ADDRESS: 5950 KALMIA LN ASSESSOR'S PARCEL NO.: 1802032301900 TYPE OF USE: New Residential PROJECT DESCRIPTION: Garage / Shop Owner: MICHAEL PATRICK Address: 5950 KALMIA LN SPRINGFIELD. OR 97478 Contractor License. Expiration Date Phone LASSEN CONSTRO'CTfO'Nj'Dic'Jregon law rq'70562' you to 06/07/2010 OWNER !ouow rUles adopted by the Oregon U1ility OWNER Notification Center. Those rules are se1 forth In OAR 952-001-0010 through OAR 952-001- OWNER 0090_ Vnr I m::w nhbin t"'f,nio.C' ....of th..... ... .1....... (..... r'BUILDINGINFORM\\'10Nllephone ' .l......__. ,__. ....... ...........::1.....,,; !JUJUY ''lvtlflcatlon #Co'frs{(M€s:1-800-332-2344). 1 Height of Structure 14.00 Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Contractor Type General' Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: . Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: 22.50 5.00 10.00 0.00 Notes: Stormwater to curb and gutter. I CONTRACTOR INFORMATION I U Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basemcnt: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,106 . 135 7,841 VB I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: N Oll{ S(i~et Trees Rqd: THlsP~t~~I\lj>,lJi\@I~ifu. EXPIRE IF THE ~tQR1< AUTI'4b'MMD~~mSf:rHIS PERMIT31EoblOT COMMENCED OR IS ABANDONED FOR " ,. -- - A'l f''''-~~''''' I PtlBLI(.OIMPROV't.:MENTS I Total: Handicapped: Compact: 2 Sidewalk Type: Downspouts/Drains: . Pa2e I 00 Status. Issued- 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726'3769 Inspection Line Descrintion Tvpe of Construction GaraeeJMisc U VB Utility. Fee Description Plan R~view Residential + 12% State Surcharge + 5% Technology Fee Building Permit Fire SF Fee - Residential Fixture . Minimnm/Adjustment Plumbing Plan Review Minor - Planning Plan Review Residential Storm Drainage Imperviou~ Area + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea'Add Perm S.erv/Fdr 200 amps or less Total Amount Paid Inidal Review 09/03/2009 Planninl! Review 09/03/2009 Public Works Review 09/03/2009 Structural Review 09/03/2009 I Valuation Descriotion I $ Per Sq Ft or multiplier $37.72 . Square Footage or Bid Amount 1,241.00 Total Value of Project Fpp<. PiWLI Amount Paid $221.53 $60.15 . $31.01 $443.29 $62.05 $38.00 $20.00 $119.00 $66.61 $486.78 $12.60 $5.25 $24.00 $81.00 $1,671.27 Date Paid 9/2/09 9/17/09 9/17/09 9/17/09 9/17/09 9/17/09 9/17/09 9/17/09 9/17/09 9/17/09 9/28/09 9/28/09 9/28/09 9/28/09 09/03/2009 I Plan Reviews I APP LLH 09/04/2009 09/09/2009 09/15/2009 APP DDK APP TSS APP CJC Pal!e 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01298 ISSUED: 09/17/2009 APPLIED: 09/02/2009 EXPIRES: 03/28/2010 VALUE: $ 46,811.00 Value Date Calculated $46,810.52 $46,810.52 09/03/2009 Receipt Number 1200900000000001020 1200900000000001071 1200900000000001071 1200900000000001071 1200900000000001071 1200900000000001071 1200900000000001071 1200900000000001071 1200900000000001071 1200900000000001071 1200900000000001097 1200900000000001097 1200900000000001097 1200900000000001097 Garage height exceeds height of primary structure. Covered/attached walkway between primary structure and garage satisfies height requirements/restrictions regarding primary and accessory structures. Stormwater to curb and gutter As noted on plans CITY OF SPRIr~\...J< U-LD Building/Combination Permit Status. Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2009-01298 ISSUED: 09/17/2009 APPLIED: 09/02/2009 EXPIRES: 03/28/2010 VALUE: $ 46,811.00 To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before .7:00 a.m. wili be made the same working. day, inspections requested after 7:00 a.m. will be made the following work day. I Reouiretl Insnections I 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. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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. Electric Service: Approval required prior to utility company energiz.ing sendee. By signature, I state and agree, tbat 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 th'!.t only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agre~ , .nsure that all required inspections are requested at the proper time, that each address is readable from the street, that th?i'e mit card is located at the front of the property, and the approved set of plans will remain on the site at all timesd7-1il ;#~ L ;-y o~ (=~wn~r Contractors Signature Date / / Pa2e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ap..~N..'!.",~..IIU>".ii'" '.' ...... . , ' ~ \, ~:'..,: -" ". '. ~ ,_., . __'''''H'' , . City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200900000000001097 Date: 09/28/2009 1I:32:48AM Job/Journal Number " COM2009-0 1298 COM2009-0 1298 COM2009-01298 COM2009-0 1298 I?escription Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Payments: Type o{Payment .Paid.By CreditCard PATRICK MICHAEL Item Total: <":heck Number Authorization Received By Batch Number Number How Received DJB 023214 In Person Payment Total: Amount Due. 81.00 24.00 5.25 12.60 $122.85 Amount Paid $122.85 $122.85 cReceintl Page 1 of I 9/28/2009