HomeMy WebLinkAboutPermit Electrical 2009-10-22
City ofSpringfie'd
Electrical Authorization To Begin Work
E-mailedTo:gerardelectric@comca~t.net
Check on status of permit
By Phone: 541-726-3753 or Email: permitccnter@ci.springfield.or.us
o New Construction
o Additionfaltcrationlreplacement
01 or 2 family dwelling
DMulti-familY
Dcommercial
o Accessory
D1ii'~~~Jf:mIlTSITE'INFORMATIONfANOI~OCATION,jiJi~,~"~j~l
JobAddrm: 1555 YOLANDA AVE I
City/State/ZIP: SPRINGFIELD, OR 97477 I
Suite/bldg.lapt.no.:
ProjNtName:
Cross Streetldirecrions tojob site:
Tu.p/p."""" ~l')l"io,~A~; OO\\~
1~~4.r~S~21f~@~=', DESl~'RIkTIONlO€wOR~=',,"~0':;;~=.'~1~;w;F~~
~,.._,_. ~_."..".. m.._'~"~_ ,_0~L ,', _ _._ "" ," ~~'3ZJf2:;.,. .~~ _"f,'i;7i?jiiJ/!J!jS{
install new sub panel and circuits for addition
Name:
Phone:
Fax:
Email:
Elee lie. no.: 20-284C
CCB lie. no.: 87145
BuSiness Name: GERARD ELECTRIC
Contact:
Address: 3954 HAYDEN BRIDGE RD
City/State/ZIP: SPRINGF]ELD, OR 97477
Phone: 54]-741-2596
Fax: 54]-74]-2596
Email:
Metrolic.no.:
City lie. no.:
Supervising Electrician's lie. no.:
Supervising Electrician'! Name:
Number of hupeetions included in paid !ervices:
Residential Service: 4
Reconnect Only: I
All Other Services: 2
Upon review and approval by your local jurisdiction, your permit will be
e-mailed or faxed within one business day, with instructions on how to
schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a pennit is
not obtained.
The local building deparbnent may detennine that an Authorization To Begin
Work is null and void if it does not meet applicable land use laws and local
ordinances
Please check all lhatapply:
D,Aserviceorfeederbeginning.at400
Ampswheretheavailablefauh
currenlexceeds 10,000 Amps at
150 Volls or less to groWld exceeds
14.000AmpsforallOlher
installations
o Fire pumps
o Emergency systems
o Addition of anew motor load of
100 HP or more
DSixormoreresidenlialunitsinone
structure
DHea'thCllrefaci~ilies
~o
(;~, \q..,
69600- BE L-09-0020 I
10/22/2009 8:04 am
Approval Code: 079835
DHaz.ardouslocations
DA service or feeder raled at 600
amps or more
DBuildingsmorethanlhreestories
DMarinas and boat yards
DFloalingbuildings
DConlmercial.useagricultural
buildings
Dlnstallalionofal50KVAol1argcr
seperalelydenvedsys
O"A". "E",or"I-2"OI "1.3"
DRecreat;onalvehicleParks
DSUpplyvoltageformorethan600
. supply vollS nominal
Total
Description
Services 200 amps or less
Branch circuits with sel>'iee or feeder
each circuit
Subtotal
State surcharge (12% of penn it total)
Technology fee (5% of permit IOtaJ)
TOTAL PERMIT FEE
$81.00
91
$6.00
.~
()
~rjX~
~- ,0'
\\:"
-, '\
{:om2.cDf - O/;;D 0
/?#l I ()/'d--d/O 7
$54.00
$135.001
$]6:201
$6.75 (
$157.951,
\5J~'O\
\Q''[; ~
~~
S-
This Authorization To Begin'Work must be posted at the job site until replaced by a Permit
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectiou Line
t,
SITE ADDRESS: 1555 YOLANDA AVE
ASSESSOR'S PARCEL NO;: 1703243400113
CITY OF SrJ(1J~\.JFIELD
, Building/Combination Permit
PERMIT NO: COM2009-0I230
ISSUED: 09/04/2009
APPLIED: 08/21/2009
EXPIRES: 04/22/2010
VALUE: $ 46,478.00
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Addition to Single Family Residence
Owner: CLINGAN GEORGE L & RHODA
Address: 1555 YOLANDA
SPRINGFIELD OR 97477
TYPE OF USE: Addition
Residential
Phone Numher: 541-746-0117
, l CONTRACTOR INFORMA nON,
Contractor Type
General
Electrical
Mechanical
Plumhing
Contractor
JERRY TABOR
GMD ELECTRIC INC
COMFORT FLOW HEATING CO,
SHAD CHASAN SURRETT
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constructiou Type
Secondary Construction Type:
# of Bedrooms:
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Rauge Type:
Energy Path:
Sprinkled Building:
VB
License
18222
162191
460
158295
Expiration Date
08/0512011
11/19/20 I 0
06/2712011
02/14/2010
Phone
746-0179
541-726-8601
541-726-0100
541-741-3553
I Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
No Occupant Load:
13,939
480
I DEVELOPMENT INFORMATION I
89,00
0.00
.__.,i..cc \lnU to
A1TENTION: ~re(!:d'~y'ih~ Oregon UIil;ll~LlC IMPROVEMENTS I
folloW rilleS a op '" ~ se rules are set
Stref!,t(.!-cme!;'!,Y-etnents:?r. Th~ ough OAR 952-001- , NOTlCE.Sidewalk Type:
, "'^P~5?_OO_\:9010t1r, ftherulesbY .
Storlil ~ewe }\.'Vai)'f'6titain COpies 0 h ne'.. TiilS PER~ s outs/Drains: , '
SpecOO'Ii.st Hl!tro\~enter. ~brtiI:~%'r.J~lIle'k.'Ilexisting system lIITHORIZEIf~RAll EXPIRE IF THE WOR
calling'tne on Utility "otiilca1lu -- D UNDER " K
Notes:oumber lor the'~;~OO_332-2344). "WVlENCED OR IS ATBH1S PERMIT IS NOT
. Center! ' ; ":7 nAY PERIOD, ANDONED FOR
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
9.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Pa2e 1 of 4
Urban Fringe
REQUIRED PARKING
Total:
Handicapped:
Compact: '
14,60
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
Tvpe of Construction
Estimate
R-3 VB 1&2 Familv
Estimate
SF/Duplex
Fee Description
Plan. Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Ist Appliance
Building Permit
Fire SF Fee - Residential
Fixture
Plan Review Minor - Planning
Plan Review Residential
SDC Sanitary/Storm Admin
Storm Draiuage Impervious Area
Vent Fan
+ 12% State Surcharge
.+ 5% Technology Fee
1st Appliauce
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alier, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Total Amount Paid
Structural Review
08/26/2009
luitial Review
08/26/2009
Public Works Review
08/26/2009
CITY OF SPRlNtJJ:<H.LD
Building/Combination Permit
PERMIT NO: COM2009-01230
ISSUED: 09/04/2009
APPLIED: 08/21/2009
EXPIRES: 04/22/2010
VALUE: $ 46,478.00
I V ~luation Descriotion I
$ Per Sq Ft
or mnUiplier
$1.00
$96,83
Square Footage
or Bid Amount
37,000.00
480.00
Value
Date Calculated
Total Value of Project
$37,000,00
$46,478.40
$83,478.40
09/03/2009
09/03/2009
Fp:e~,~
Amouut Paid
Date Paid
Receipt N umher
$240,56
$75,15
$37.26
$79.00
$443.29
$24.00
$95.00
$1l9.00
$47.84
$11.59
$231.80
$9.00
$11.52
$(80
$79.00
$17,00
$8,04
$3,35
$55.00
$12,00
$16.20
$6.75
$54.00
$81.00
8/2l!09
9/4/09
9/4/09
9/4/09
9/4/09
9/4/09
9/4/09
9/4/09
9/4/09
9/4/09
9/4/09
9/4/09
9/14/09
9/14/09
9/14/09
9/14/09
1012l!09
10/2l!09
1O/2l!09
10/2l!09
10/22/09
10/22/09
10/22/09
10/22/09
2200900000000000948
2200900000000001008
2200900000000001008
2200900000000001008
2200900000000001008
2200900000000001008
2200900000000001008
2200900000000001008
2200900000000001008
2200900000000001008
2200900000000001008
2200900000000001008
3200900000000000647
3200900000000000647 '
3200900000000000647
3200900000000000647
3200900000000000717
3200900000000000717
3200900000000000717
3200900000000000717
3200900000000000720
3200900000000000720
3200900000000000720
3200900000000000720
.,
$1,762,15
1 Plan Reviews -I
08/26/2009 '
APP NJM
09/02/2009
APP LKW
Addition to tie into existing storm
drains
Pal!e 2 of 4
_G~~l~~,
lL <, I' t.
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
,
PERMIT NO: COM2009-01230
ISSUED: 09/04/2009
APPLIED: 08/21/2009
EXPIRES: 04/22/2010
VALUE: $ 46,478.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
09/02/2009
09/02/2009
10
KLK
Starting review.
Structural Review
09/03/2009
09/03/2009
WI
KLK
Plan nine Review
Structural Review
08/26/2009
09/04/2009
09/04/2009
09/04/2009
APP
APP
DDK
KLK
Approved as shown ou 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. wilrbe made the following!
work day.
R,rnl/lrp,! I.-.snections .
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement,
Post and Beam: Prior to Iloor 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 Iusulation: Prior to cover.
Roof Sheathing
Roof SheathinglNailing: Before covering sheathing with finish material.
Hold Downs Instalied: Special Inspection performed prior to placement of concrete. Provide report to City
Bnilding Inspeetor. '
Fiual Bnilding: After all required inspections have been requested and approved and the building is complete.
Underlloor Plumbing: Prior to insulation or decking,
U nderlloor Drain: Prior to cover or placement of concrete,
Rough Plumbing: Prior to cover and including reqnired testing.
Fiual Plumbing: When all plumbing work is complete,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Underlloor Mechanical. Prior to insulation or decking and including required testing,
Rough Electric: P~ior to Cover
Final Electric: When all electrical work is complete,
Electric Service: Approval required prior to utility company energizing service.
~
Paee 3 of 4
_~.llll(llQf,!.~.
'It\',
i"
Status
Iss'ued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01230
ISSUED: 09/04/2009
APPLIED: 08/2i/2009
EXPIRES: 04/22/2010
VALUE: $ 46,478.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726_3676 Fax
541-726-3769 Inspectiou Line
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
informatiou hereon is true and correct, and I further certify that any and all work performed shall he 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,
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 address 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.
Owner or Coutractors Signature
Date
,
Paee 4 of4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
irji,
City of Springfield Official Receipt
Development Services Department,
Public Works Department.
RECEIPT#:
3200900000000000720
Date: 10/22/2009
8:38:08AM
Job/Journal Number
COM2009-01230
COM2009-Q.1230
COM2009-01230
C0M2009-01230
Description
Perm Serv/Fdr 200 amps or less
- ,
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
,
Amount Due
81.00
54,00
6,75
16,20
$157,95,
Payments:
Type of Payment ' Paid By ,
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid'
ONLINE CHGS
ONLINE PERMIT CHGS
njm
ONLINE
gerard Online
Payment Total:
$157,95
$157,95
cReceint'
Page I of 1
10/22/2009