HomeMy WebLinkAboutPermit Electrical 2009-10-28
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225 F,fth Street. Springfield, OR 97477+PH(541)726,375HFAX(541)726,3689
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This permit is issued under OAR 918-309-0000. Permits are nontransrerable. Permits expire if work is not starteJQ"~
days of issuanc,e or if work is suspended for 180 days.
Ele~tdcal Permit Application
I ')i)I[Oc:,o.L:,GO\lE.RNMENTc;;.~FtPROYAIl\Ii,'~?;ffJ\;i'):\'r{:,1 I~'r"><""'~ .""",.,,~ f f'"EE'1lSCHE()U[i!E%'f.'iW~ . '''"",~.,,!1
I Zoning approval verified? 0 Yes D No I 1;~tl~~~:~il~~t~~~ipeY;ti~:()';;~4~IIQ"ty;~.7I:;:i~~~~~1'1~~~i':
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F:~,~~r~i,A',i;\C,o.'fEGOR'r:SilbF,j:CONSTRUCJlON~~/'~'i;{;(/-,',!,'I ,'~>"'" ".".." ....,., ""." '.. , ... ,""
I Residential, per unit, service included:
~~!~~~~~Jir:l:jfIN~~R~~~7~~;~NO~~~C~;~;~:~~~{i1i 11,000 sq ft. or less (4)
, Job site address: 71/ S I Y~1H ,I I ~~~~:ritional 500 sq ft, or portion
I City$i1(ltJqFlfLj) State: tJR, I ZIP: I I Limited energy (2)
I Reference: (reotOSl r Tax!otDZOOO I I Each manufactured home or modular
I~;:,,"j!<;": " ':'''"!()ESCRIPtION:;'Of'"!,WORK'Il~{-;;Ui'i'i,,,\\i::ir1~\i';!'I dwelling service or feeder (2)
I 1'ft>(.A.. s, ~ w, "'-6 I I Services or feeders: installation, alteration, relocation
I I I 200 amps or less (2) \; 81.00 $
I .'P:R'O'.P,E.'RT'Y,..,OWN' ER,:,:!' T~r"'" .'.. ','1 I 201 to 400 amps (2) $ 95.00 $
" .. .. .._,... _.'..,.... (,'. 1.-t\ITlfi/\I."",__
I Name ~ftlVARl' S"((NI1WSIJ,f))ilow rllle~ ~d-;;I~ ,'d ~41lJ~~~lliIll>!'OO to $158.00 $
I Address, 71/!;, Y 8'rr/:~~~~a~'~~ ~~,~~e!. Th J~lIh\1Ir~i~~~~~~~.t~, $205.00 $
I citySrRt)/9f,fZW I State: OROO~OZ:IVoumavoV~~'.,tll./tI~h,QJllI~~!.'(2) . $469.00 $
I Phone: 1:J1J}/(}% I Fax: - n~~~g~the center. I (~ da9~~ft~~f~~~ by $ 63.00 $
I E-mail: ~u_o.1vIU it::. vrego l'l1JmRr"N"~_.2r feeders: installation, alteration, relocation
C"'ll",,~ i "OI-..Ot:l.AA '"
This installation is being made on residential or farm property " _.......'.Iess (2) $ 63,00 $
owned bX me or a member of my immediate family. This I 201 to 400 amps (2) $ 87.00 $
property IS not mtended for sale, exchange, lease, or rent. OAR , I
479.540(1) and 479.560(1). 401 to 600 amps (2), $126.00 $
Signature: I-Over 600 amps or 1,000 volts, see services or feeders section above I
I. '..?;C0NTRACJ;OR; INSTAlGA:TION; ::,~. ; :,1 Branch circuits; new. alleralion, eXlension per panel I
I Business name: K~}Jf. rJ ii>P itl 'J I a. Fee for branch circuits with purchase ofa service or feeder fee: . I
I Address 3a\{l( 8" utZBg(J~ RD I I Each branch circuit II $ 6,00 I $ I
I City: CRBWGII I Stat~: Of? I ZIP: 1f'~~~ I b-Fe~.for..branch'clrcuJts'wJtI\6~i purch:se ofa service or feeder fee I
I Phone:9ff.llI- O'lJl/ I Fax: - 1'';;~ PI' 'Nn..SH'r.~rtn~ltc\ljnu:.w~N{ I $ 5500 $ I
I E-mail: A'I i,i;HO IZI"n fmIOC4\it'Wl&BliJiIl\iil.tf (~~ I $ 6.00 $ I
I CCB license no: I ff/11 "I I BCD license no. CS gc1MME ~dl3Ui{9~IJ~&Al.lA~!.\).lJAlkv1%':te~ nol Included I
Signing supervisor's license no,: ~'17;] S ANY 181 'qA'l'aJRijR\ltllJr lITIgation Cifcle (2) $ 63.00 $ I
Print name of signing supervisor:~"" l' j\/ t'P'p,)J OJ I Each sign or outline lighting (2) $ 63.00 $ I
I .' e~ ~ I Signal circ~.it or a limited-energy panel, $ I
Signature o. fSlgning superVi.sor: , , ," $ 63.00
alteration, or extension (2)
, Each additional inspection: (I) $58.00 $ I
1,:~~t,~~~lf~t~~ti5~rA'RRJJTCANf~~B-5,E_~~~~fg~~,]l~g'~f~;::;;1
$134.00'
I
$ 17Y]
$/2s1
$ I
I
I
5
$ 25.00
$ 32,00
$ 63.00
$
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(A) Enter subtotal of above fees
, (Minimum Permit Fee $58.00)
,I (B) Enter 12% surcharge (.12 x [A])
I (e) Technology Fee (5% of [A])
I TOTAL fees and surcharges (A through C):
$Z5r
$ 31 o~1
$IZ'rS
$ 7~)'~ D'$
- -.
440,2584,J (9/08/COM)
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Issued.,,,'"
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225 Fifth Street;Springfield;J)R>~t;,;i/""
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541-726-3753 Phone:: ". ' ."
541-726-3676 F~l\ :. .
-' 541-726-3769 IrispectiOli'.Line ..I. '.,.
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01379
ISSUED: 09/18/2009
APPLIED: 09/18/2009
EXPIRES: 04/22/2010
VALUE: $ i40,126.00
SITE ADDRESS: ' 771 S 48TH ST : Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.:' 1,80>~"51102000 ,
'. ',' 1>', ';,'"}';i)i",,,,':', ",:; . TYPE OF USE: Alteration Residential
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PROJECT DEs,SR.-ff:rIgN:Y ?~!"l'letion of Single Fa,?i1y Resid.ence. ~ee C7-672 for original permits and
.. r.:.ry; ,.. . mspections conducted prior to project hemg ahandoned
'O;1Iri.'1<w~'i.. .: ~ cz# ~tt~ .
Contractor Type4,,;tcl!'Contractor
'.: "l t i"' '
General '1,' I OWNER
- Electrical ':!" '. KENT LOUIS NIPPING 181779
Mechanical ! ,1t]~'.I, \. . PACIFIC AIR COMFORT INC \0 39237
Plumbing NORTH DOUGLAS PLUMBING.~'l<;~~~\\'I 162624
~.,,! ~am~' N
'II I I 'lJ![.. ~r I
, ~'O\ 00 ,1)\0" '~"" ~e~01
# of Units: ..... ..._,.,.,' -,....~i\~'I;~? s'a.OO~~ ~~~\~otIe
Primary Occupancyproup:. f\~. ,/l:'3,0 00(\\0 O\Q&~;b~rr iliP::~ .
Secondary Occupancy Group: \:I~~:\\C~tJO;.\)\)\.() ;p~~~t!Ji ~o~ced Au Gas
p'rimary C.~nstr1!cti()~ rype \\O~~$')S \) {\\'a-'1 o(\~.att~~~.~a.', Gas
Secondary Construction Type: \(\ 'g\). '<0 \'(\0 Ce .-\9Iil~~~ Electric
# of Bedrooms: . . . ::P~Ca.\'i\(\~ \ \0' \'(\~~tlf~ Path:
, (\\){\\'oe 00(\\6 Sprinkled Building: n/a
. Owner: '"
A<!dress:
. . ...: \, . i. ~ '"
STEW ART,;oSTEYENSON,
. 199WATAGUAWAY.
COTTAGE GROVE' OR 97424
...,....;
Frontyard Seth~;c~: i~ :;"'h..
Side 1 Setback: . i . : .
Side 2 Sethack: I: ,;, ~.
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Rearyard Setback:
Solar Sethacks:
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Street Improvements: . '
,_ \. ~..:i.
Storm Sewer A~~ilable:'-
Special Instruction: .
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Notes:
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Phone Numher:
541-729-7408
" I.CONT~CTOR INFORMATION'
License
Phone
Expiration Date
04128/2010
0312512010
0110712011
541-729-0914
541.672-9510
541-836-2022
Lot Size: 6,720
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I 'DEVELOPMENT INFORMATION'
REQUIRED PARKING
Total:
Handicapped:
Compact:
.- .~
Overlay Dist:
# Street Trees Rqd: (;:jv,,'4- '
Paved Drive Rqd: . ~~'tI ~~
% of Lot Coverage~t \~ \' ~ ~ ~
~.~ ''(.v.\f\ ~av" ,
~I .'t' \-. ,."c, V .~,.~H
NBU6-.lP~Q~M" ~~\l\'-
~ ,'I :F.f' ,{ F.f'''~.1
\~~~~a"'~~'i:.a.a~~a~;
1>1 ('\~\l\~ ('\~ V
c,,, ,\'O\)'-' .'
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Sidewalk Type:
D"ownspoutsmrains:
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Paee 1 of 3
t.. ,,' ,,4.,:f,1L..
F D . f (" :;;~C;~!i ---.,--~,~ -Amount Paid
ee escrlp lOn~i . i l' 'r. "
+ 12% State Surcharge
.: '1-' 1 .
'1' 5% Technoloi:Y,F~e.' C .. ,,:
Building Permit :. ..:r. . ~(.:';';IJ--~ _
Copies - Ea Addtl @ 50 Cnts Ea' ,
Copy 6th @ 75 cents '
Miscellaneous Copy Chgs
Miscellaneous Mechanical /,' .,ii,' "
Miscellaneous ~Iumbing ,.~' -
Replacement Plan's pei.'Hou'r
Temp Power 200 amps or less
+ 12% State Su~charge:'.
+ 5% Technology Fee : .' ' '.
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
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Status ' Iss'iied;;.;~:~;;.'':'; '. .,
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. 225 Fifth Street..Springfield, OR
, 541-726-3753 Ph'one 1. ':',.': '
541-726-3676 F~~."t. ..:~.... , '
541-726-3769 Inspection Line
, Description
.t
. Estimate "
., ,','
.:I:'~" :J-,..:'..,";:....
:.~~~ . ; ;~F .:?:~., .
}'.., Type of Constrnction
): ~~~~il;i:Es'~i~a~~ _'i'~:\' ,.1,'
. . .,: . '\":;:'~'~:%f!~':'
Total Amount Paid
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Initial Review U " 1: ~; ~
p
q9/~8/2009
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01379
ISSUED: 09/18/2009
APPLIED; 09/18/2009
EXPIRES: 04/2212010
VALUE: $ 240,126.00
, ,
-.
.,'" I Valuati~n nes~~i.,~i~.~ I
\,
$ Per Sq Ft
or multiplier
$1.00
-
Square Footage
or Bid Amount
240,126.00
09118/2009
Value
Date Calculated
Total Value of Project
$240,126.00
$240,126.00
I' F~rr~ P,ilU
Date Paid
Receipt N umher
$190.39
$79.33
$1,282.62
$34.50
$0.75
u $24.00
$79.00
$162.00
$58.00
$63.00
$31.08
$12.95 .
$134.00
$125.00
9/18109
9/18109
9/18109
9/18109
9/18/09
9/18/09
9/18/09
9118/09
9118109
9118/09
10128/09
10128/09
10128/09
10128/09
1200900000000001080
1200900000000001080
1200900000000001080
1200900000000001080
1200900000000001080
1200900000000001080
1200900000000001080
1200900000000001080
1200900000000001080
1200900000000001080
2200900000000001230
2200900000000001230
2200900000000001230
2200900000000001230
\).
$2,276.62
I Plan Reviews I
0911812009
DJB Permits have expired on original
permit (C7-672). These fees are to
'.}. complete the project. I have used
, ., 75% to calculate applicahle fees.
Building was based on 75% of the
original value, Plumbing was based
on 3 haths less $45.00 for storm and
sanitary lines (they have already
been inspected and approved) then
75% of the original plumhing
permit. Mechanical equal to curren!
minimum for 1st appliance.
10
,)
.
To Request an inspection call the 24'hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7;00 a.m. will be made the following
~, .~'I,!..' I
work day. . * . r " "
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Pa2e 2 of 3
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CITY OF SPRINGFIELD
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Building/Combination Permit
PERMIT NO: COM2009-01379
ISSUED: 09/18/2009
APPLIED: 09/18/2009
EXPIRES: 04/2212010
VALUE: ,$ 240,126.00
. Status Issued .
" :-, <. :t-.-:-:"'f;:"::'\':}"" ~. .':-
;; 225 Fifth Street;iSpiiiigfleId;OR)!
541-726-3753 Phone' '....";,ii',':,i \\',,'
.. 'rh.,'....."
541-726-3676 Fax, ...', ;,c '"
541-726-3769 Inspection Line
ReouirerlTn,snections'
Floo!,..Ills,\'lation:"rrior to.de~king.
....: '~:L '~;' I"', ~:';::'.: . " . '. ";:C" -i: .
Shear Wall Nailing: B~.fore'~!,vering sheathing with finish materials.
'ce....;; .
Framing Inspection: prio';'tci coverand after aU rough in inspections h~ve been approved.
WaUlnsnlation: Prior to cover. '
(
,.,'.,.!o:. .'
Ceiling Insulation: priorti.~:over.'
Final Bnilding:Afterall reqnired inspections have been requested and approved and the huilding is complete.
t ~! ~ - i
Rough Plnmhing: Prior to cover and including required testing.
wa;~~ LN:~tit~# to filling trench and including required testing.
Final Plnmbing: When all pl~mbing.work is complete.
Rongh Mechanical: ' Prior to Cover 0
Final M~~h~nica~ When~U c!"echanical Work is complete.
Rough G.as: After line is insialled and required testing and capped if not attached to an appliance.
:: . I
Gas Service: ,After line is instaUed and line has heen connected to a minimum of one appliance including required
testi~g; 'Pres~re jest done at this point. . . '
Final Gas: When aU gas work is complete.
Temporary Electric: Approval required prior to Utili!)' Company energizing pole.
Rough Electric: Prior to Cov'er
.' ,_.,j h- ....~-li' Ct." . ~
Electric ~ervice: :Approval reqnired prior to utili!)' company energizing serVice.
:: ,;! ' . . ~
Final E1e~tric: When all e.lectrical work is complete.
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By signature, 1 stale 'and agree, that I have carefnUy examined the completed application and do herehy certify that aU
information hereop. is, true and correct, and ~ further certify that any and all work performed 'shall be done in' accordance with
the Ordinances of the Ci!)' of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will he 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 fnrther agree to ensure, that aU'req~i~ed 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 aU
times during constrnction.
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Owner or C~ntractors Signature
'Date
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225 Fifth StreeC:, " , ..:<'",'::::\"
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Springfie'ld, Orego1.l:;?7477(.:'c'i,,7!;T' '.
541-726-3759 P~~ii~'" , '
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JoblJournal Number;:
COM2009-01379
COM2009-01379
COM2009-0 1379
COM2009-01379
Payments:' ,.
Type of Payment
Check
cReceintl
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.RECEIPT.#: '2200900000000001230
.;
Desc,ription ., ,
Reside,\ce Wrri~g .I.OO?~q Ft .'
.. ,:Residence,Widrig Ea Addtl 500
Y/ :';tt')r.:r~;;hri~lo~Y"h~ ' .
','i;, :('1:+/1'2% State Suitharge
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:Paid By,:: '.
KENT KIPPING--,.~
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Page 1 of 1
City of Springfield Official Receipt
Development Services Department
Public Works Department,
Date: 10/28/2009
Item Total:
<":heck Number Authorization
Batch Number Number How Received
2068 In Person
Payment Total:
9:28:39AM
Amount Due
134.00
125.00
12.95
31.08
$3U3.03
Amount Paid
$303.03
$303.03
1012812009