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Home My WebLink AboutPermit Electrical 2009-10-27 t ., , CITY OF SPRINGFIELD, OREGON ~LJij 225 FIFTH STREET' SPRINGFIELD, OR 97477 , PH,(541)726-3753 'FAX: (541)726-3689 ELECTRICAL .Pf,.~T;~PLICATION City Job Number (\q -~:114 . I. l LOCATION OF INSTALLATION: I '0C\C,n \)n1)~\$X'S. L'~O~O{~\\: rp./?ro New A.lteration or Extension Per Panel_ One Circuit $ 50.00 Each Additional Circuit or with p;. L..OO '-:1.r>. a) a fV\ Service or Feeder Permit L.:.I ~.u~ -.x. ./ S~~~~- ~\ Xl \0 ~ E.I Miscellaneous (Service/feeder not included) -~;ach Installation I '_~ \ll:\~4, \\5D Pump or irrigation $57.00 Sign/Outline Lighting $ 57.00 Limited Energy/Residential $ 29.00 Limited Energy/Commercial $ 52.00 Minimum Electric Permit Inspection Fee is $52.00 + Surcharges 4.1 SUBT01'AL OFABOVE I \ \ I .ex;> 12% State Surcharge \~. '51.- 10% Administrative Fee ~ 5% Technology Fee ~,n~ TOTAL .- ..'.YLC1. ,~1 Shared Drive(T:)/Building Forms/EleCtrical .Pemit Application 7-08.qoc JOB DESCRIPTION: JXH$ \ re.- ~ - , ~ r JY\e_S Permits are non-transferable and expire if work is not started within 180 days ofissuance or if work is Suspended for 180 days. 2. I CONTRACTOR INSTALLATIOJy ONLY j ~ J f~ rr +,c.(~-c. Address 3Z :J~'-{ Iv--", (L-f eJ. City So~J 'Phone 7:lq - (07{ . . Electrical Contractor Supervisor License Number , L/ 7Ci8~ _ ::rICE' ~t. WOKl\ ' E~~\~~I1..sl:l"'iaxP~~2~ I~ Not cJ/,UJ.~Q.BJZF,D UND~: Z;;~~Of\ COMNftNC~l}'~R 0 . ExAh\)jo~lilAtpAY PE~ ..:. 7 - 10 Electrician , City OWNER INSTALLATION The installation is being made on property 1 own which is not intended for sale, lease or rent. -Owners Signature: ~D' \\)'~ ~~ '~_.;~.\O ZON INITIALS DATE SOURCE \~r-- Date 3. I COMPLETE FEE SCHEDULE BELOW A. I New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $l21.00 $ 22.00 $57.00 B. , Se!""ices or ~"eeders -Ins'tallation, Alterations or Relocation: 200 Ampsor Jess 20] Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only \ .~ $ 86.00 $143.00 $186.00 $426.00 $ 57.00 I 8lcD c. I TemJ!Q....rary Services or Feeders . , ATTENTION:'Oregon-law'requires'you.to Inst.fG~fl.'<<, ~1~MgRIilt%leP.J(,1n~~Oregon Utility Notification lienfer: i'nose rUles are set forth 200 W~Pf~-001-0010throllg" OA8 ~~70l91. 201 6lJ'!m.t<YlflPri\!!\I'~btain copiesnf fhe Ju'l~81lby 401 ArQl2I!ltl1~Q(l}e.llIl'~ter. (Note: ttie telejSldl41.90 ~ver .ruIf1A~lgl' iBOo~JlQq,Q<:.Uti!J,lllh~~~.ificatibn \:ienter-ls-f-Btl'(j-~3'2-:23''14 J. D. l Branch Circuits ,,' . .'~ l~ . ,_ ,~~: . ,': Status Issued '. .' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00874 ISSUED: 06/26/2009 APPLIED: 06/16/2009 EXPIRES: 03/18/2010 VALUE: $ 123,942.00 ,,: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax ., ," . '. . ~:(f; 541-726-3769 Inspe~tion'Lfn~'"J;'<:::. , " . <:"' :,: ". ' . ... ~ SITE ADDRESS:.: 3990 DOUGLAS DR ASSESSOR'S PARCEL'l'iO:;; 1802061108300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Bedroom and Bath Addition on main floor, second story Bonus Room ,." Residential Owner: BELL TRAvIS &' KA~MERA Address: 3999 DQUGLAS DR'; ", SPRINGFIELD OR 97478 Phone Number: 541-954-1150 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor OWNER U , JEM ELECTRIC INC OWNER, OWNER License Expiration Date Phone 161235 09/0712010 541-729-1074 .. ~UlLDlNG INFORMATION I Frontyard Setback: Side 1 Setback: Sidc 2 Setback: Rearyard Setback: Solar Setbacks:.. # of Units: #of Stories: 2 Lot Size: Primary Occupancy Group: R-3 Height of Structure 25.00'" Sq Ft 1st Floor: Secondary Occupancy Group: ., Type of Heat: orced Air Electric Sq Ft 2nd Floor: Primary Con!t~Type I" '" VB Wat~r~~)'pe: Sq Ft Basement: Secondary c.\~SlU~lilI1Mi1"~1-1ALL EXPIRE IF TH[l.WglliI'ype: Sq Ft Garage/Carport # of BedroomIHIS PER'S PERM1~~l'ath: ATTENTJON:sql'FgatllMw requIres you to f\UTHORIZED UNDER THI ~eRnkled Building: follOj(flules ~liIl<Ijl~~tl1i<IDregon Utility '_ ~... .~,,"rn no Ie: ARANDONED NDtificatin.n,r.~f1t~ Thno'''''Jn~ n.~ M"_~I_ ';'~~'i8o'DAY PERiOD. I DEVELOPMENTINFORMAri&i,"~52:001-0010througli OAR 952-cio1~ .l. , .' ,. . lU may obtain ll.~R\fuEIfAlRiKb1G __ calling the center. (Note: the telephone Overlay Dist: number for the Oreg6I'PUIllity Notification # Street Trees Rqd: Center is 1-80~P.: Paved Drive Rqd: Compact: % of Lot Coverage: 31.20 6,534 640 640 19.00 10.50 '. 6,00 22.00 22.00 I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved ., Yes. Downspouts/Drains: Storm water to tie into existing storm drain and piped into weep hole Sidewalk Type: Curb and Gutter Notes: ~! " Pal!e 1 of3 ;j Status " CITY OF SPRINGJ<lhLlJ Building/Combination Permit PERMIT NO: COM2009-00874 ISSUED: 06/26/2009 APPLIED: 06/16/2009 EXPIRES: 03/18/2010 VALUE: $ 123,942.00 Issued'" '.' \'. , ' 225 Fifth Street,Springfjeld, OR 541-726-3753 pjj'onet. ,.(,. ,.., 541-726-3676 Fax ' ," 541-726-37691nspection Line I V~luation 1,lescrintion I 'i! $ Per Sq Ft or multiplier $96.83 Square Footage or Bid Amount 1,280.00 Value Date Calculated SFlDuplex , "Tvpe of Construction i. '1} ,.,' . ..' it R-3 VB1&2,Familv Description .,'.., ~,. Total Value of Project $123,942.40 $123,942.40 06/16/2009 ~ f~p~ pqi~" " -:..ji.'. . . ;. Amount Paid Date Paid Receipt Number FeeDescriptiou. . f Plan Review Residential $524.18 6/16/09 3200900000000000463 ~, . I $124.25 6/26/09 1200900000000000747 + 12% State Surcharge.' + 5% Technology Fee - $57.72 6/26/09 1200900000000000747 . 1st Appliance $79.00 6/26/09 1200900000000000747 Add, Alter, Extend Circ $55.00 6/26/09 1200900000000000747 Add, Alter, Extend Circ Ea Add . $6,00 6/26/09 1200900000000000747 Building Permit $806.43 6/26/09 1200900000000000747 Fire SF Fee - Residential $74.00 6/26/09 1200900000000000747 " Fixture $76.00 6/26/09 .1200900000000000747 Miscellaneous Mechanical $13.00 6/26/09' . . 1200900000000000747 .. ,.. . Plan Review Minor - Planning $119.00 6/26/09 1200900000000000747 Sanitary Sewer - Improvement $105.18 6/26/09 1200900000000000747 Sanitary Sewer - Reimbursement $138.33; : " ., 6/26/09 120090~000000000747 SDC Sanitary/Storm Admin $26.53. 6/26/09, 1200900000000000747 Storm Drainage Impervious Area '$287.18 6/26/09 120090~0~0000000747 + 12% State Surcharge ' ." .: ~ :;./ , $3.36 10/6/09 2200900000000001142 + 5% Technology Fee :: $1.40 10/6/09 2200900000000001142 Air Haudliug Vnit Vp to 10,000 $11.00 10/6/09 2200900000000001142 Heat Pump $17.00 10/6/09 2200900000000001142 , + 12% State Surcharge $13.32 10/27/09 3200900000000000732 + 50;. Technology Fee $5.55 10/27/09 3200900000000000732 Add, Alter, Extend Circ Ea Add $30.00 10/27/09 3200900000000000732 Perm ServlFdr 200 amps or less $81.00 10/27/09 3200900000000000732 Total Amount Paid , $2,654.43 I Plan Reviews I Initial Review ft;' . , .1,'" 06/17/2009 06/18/2009 APP .LLH Public Works Review 06/18/2009 06/22/2009 APP LKW Storm water to tie into existing storm drain and piped into weep hole Structural Review 06/18/2009 06/22/2009 APP CJC As noted on plan.s . ,.:~. . Plannin2 Review' " . Approved as shown on plans. 06/18/2009 06/24/2009 APP DDK ilt:.;.' ., Pa2e 2 of3 " .. _IUNQI!I~' -Wi"".' t " I ~, ,...e ~, " > ~ , , Tl~ '>',)il" ~ " ~ J: ~ CITY OF SPRIr~\J,l'1ELD Building/Combination Permit Status Issued ." / PERMIT NO: COM2009-00874 ISSUED: 06/26/2009 APPLIED: 06/16/2009 EXPIRES: 03/18/2010 VALUE: $123,942.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax , ' ,. , .'. .' ~.~. - :~.:. 541-726-3769 In.spec#on'Line j;" To Request an inspection calI 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. '. "" ~eru~re~ I~snect.ions I ~f .. .,; ,,:~.:: 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. Underfloor.Plumbing: Priofto insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and inc1udingreqnired testing. .. ,..' ... . .~l .t 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. Final Building: After all required inspections have been requested and approved and the building is complete. By signature, I state and agree; tli'ai i have carefully examined the completed applieation aud 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 Ordinauces of the City of Springfield and the Laws of Ihe State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made o(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 ai 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. l) :, ;~;.. , . '. Owner or Coutractors Signature Date .) Paee 3 of 3 225 Fifth Street Springfield, Orllg()II'l)747J__________.. 541-726-3759Phone ." . ". :~: " RECEIPT#: , ' , Job/Journal Number.,it:j.~:~~e~cripti~~ .::.~,:"~,~ ,.:i COM20.o9-.o.o874 ' :Perm Se~vli'5fr,:~O.o amps or less COM2.o.o9-00874 ' Add, Alter, Ext~ndCirc Ea Add COM2009-0.o874 '+'5% Technology Fee COM2.o09-.o0874 + 12% State .~ufcharge' . ,_~ , ," :7;i....',:,',>,~.,;.',:~. : - --.t,:' .::'-1---: ' Payments: Type of Payment CreditCard .' ~'t,.'::.';" ':Paid'By YrRAYISBELL, , 'i?"' """".::~y..':. -:;<i:fXf/ ,"," ....-"t:- .,'" ~'. . I... . ;, , ',:';1 ~H;l! 0 0 -:1,", , , , el] :~! t ,- " ~ ] ,- , , . , : , <'; " . d " ,;, - ,. cReceintl . ,) City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000732 Date: 10/27/2009 Item Tolal: Check Number Authorization Received By Batch Number Number How Received KR .086887 Phone Payment Total: ., Page I of 1 10:50:16AM Amount Due 81..00 30..0.0 5.55 13.32 $129.87 Amount Paid $129.87 $129.87 10/27/2.0.09 "