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Home My WebLink AboutPermit Electrical 2009-10-30 225 Fifth Street. Springfield, OR 97477.PH(541)726-3753+FAX(541)726.3689 ~o <=':;;_'.,""~":'_"';"-"'''''' .___."";.."-,._,,,,,,~,,,,,,,,=,,~,,......,..~ ~ .,"';"l.:""....",',..,', ',:".',',"..,,'~,.,..,.-,. .,"'_'.,.,.o,.'*=~"'.,,~, ,_,<:<',,"~,.........,,..., si{;~8EgA~~~,'lE~~~ IC::.o"""Z.O",),-C/5'-1~ I PermIt no.: I DatejOfi 0., I Electrical Permit Application J This permit is issued under OAR 918-309-0000. Permits are nontransferable. Perniits,expire if work is not started within 180 days of issuance or if work is snspended for 180 days. t~~(f0:([j~~G'€j~E:R~M!;~if~?~~~RQ:\(~~1 I Zoning approval verified? 0 Yes 0 No 1 1~.[G;~mgG:(;)R~iL€ji;;p~tilSlil~P1Q.ill!Q.rii~,4~ I I~Residential I 0 Government I 0 Commercial I I Residential, per unit, service included: 1B.~0E(~$Il[E;~L&gQgM;lXmr0f'[bf~RQJJ~fr.G;'e.~ilI@:ilI~~iEI 111 ,000 sq, ft, or less (4) I $134,00 $ / s. 41 I Job site address: L-{ ( 3 \ F c;;. T I ~~~~o"tditional 500 sq, ft,;or portion '$ 25,00 $ zrl I City: 'So '?Fh I State: OIL- I ZIP: '7 71{ 7!i' I 1 Limited energy (2) $ 32,00 $ , 1 1~~~~~~,~?_IB~~~~n~;~;;111 I ~~~~I::::'s~~~~~r~~7e~:r (~)odular I $ 63.00 $ II ft'-c VV' I'-t:. rrrJv\.~c.- / ......f~~ -::.. ~v '-- I. Services or. feeders: installation, alteration, relocation I / I I 200 amps or less (2) $ 81,00 $ 1 li!1iP~~~RKQB"'B.WXI.0Y\lNIO~<~~~~lJit1i.~&1 I 201 to 400 amps (2). $ 95,00 $ I I Name: bMAlt-7V -,-a.v.. 'i::.'-;-, ',' .,,~, 401 to 600 amps (2) $158,00 $ I I ' 0 Q / IAA \.1/ L-.J7""' ,.' ,9' "i;o'i'w rr.lJU-lr~vOO to I Address, Z r = y", LA..>T-C I ' ' , ,,]C,UI,r9 i ~'/ 1\l,~''IY~:ilzn ~~-Hjty' $205,00 $ .1 City: f:-v..(;-elVC I State: dL/ ZIP:,'1,~'Lf:~'~\1(.lt~hJ1Wl;'WIMI'I9lli~) , $469,00 $ I I Phone: 54( ,~^~ /7';;71 Fax: _ fj.',:,'. "', "] ".RilQl!Ul!lcOAij~-o01-. 1$63,00 $ I ~~ ,I- v. v, )0 J l11av oHta, 'w...'v~,/, .I,,, JUI.... [lV' , I E-mail: C8"'11J the ,cel1t~r. (l\ifJll!':offllWtl.'~Phe08;'.eders: Instol/ation, alteration, relocation ,I This installation is being made on residential or 'fanHpi'qp~m' '~, \. re, JGljjlXJtllllo/<l'J~O" $ 63,00 $ I owned by me or a member of my immediate family, Thi!;'en er IS 1-1%i'itR601~ (2) , $ 87,00 $ 1 property is not intended for sale, exchange, lease, or rent OAR 1 1 1 479,540(1) and 479,560(1). 401 to 600 amps (2) $126,00 $ Signature: .' _~c lOver 600 amps or),OOO vqlts,..see services or feeders section above I _lIl'~~&~I!Ii1l~~m1!i~IJSf$iI!~Il!~~11l1011~t1,;'iiiiWJI I Branch circuits: new, alteration, extension per panel I I Business name: LHAJJl.1' S t:'t(..J~ I 1 a, Fee for branch circuits with purchase ofa service orfeederfee: I I Address: /30'1- i+. I 1 Each branch circuit I I $ 6,00 I $ 1 I City: ffl/ LIZ'i6 k. I State: 6fl I ZIP: 91Y'gf3 1 I b, Fee for branch circuits without purchase ofa service or feederfee: I I Phone: s-= y'/_ '1:zt.-'1J'?15' 1 Fax: s-W.. '7t/l.- "'1'2' ~z-. 1 First branch circuit (2) $ 55,00 $ I I E-mail: b'i.1-1d //JfS 2" (2, Afs,u , t'" dWl I Each additional branch circuit $ 6,00 $ I I CCB license no,:. 1''%1./ ~ 1 BCD license no,: Zo.. nl-c:../ I Miscellaneous fees: service or feeder not included I I Signing supervisor's license no,: :J sS 1- 5 NQTII"s:.1 I Eacr pump or irrigation circle (2) I $ 63,00 ' $ 1 1 Print name of signing supervisor: k"'AJ p. ~I=RriJ1l~Ml~Il'Xl"lPiEel~M~i $ 63,00 $ 1 I Signature of signing supervisor: ~ f ~RI~EQ\I Yf},~:~:r~;o<< ,_.el, I $ 63,00 $ I , COMMENGI;:nal~ . . ,~bfJ1fitional inspection: (1) 1 ,$58,00 $ I ~ ANY 180 0 "c:ii&~';f'3'i!!\~ r""'lf?l:'B"D me';4;Nm!lilllsE_I~""'''''-'''",'l!i''''&'' ...~ ~~~i'f~_~ ~ffi __......._~\:J _ ~J~'2:~~*~~~ " \ '>. /....y,~ '" .tA) Enter subtotal ofabovefees ~ "- . \. '\ \ V;::; (Minimum Permit Fee $58.00) $ /5 't ~~ ~ \ ~ I ~ I (B) Enter 12% surcharge (,12 x [A]) $ / '7 "8( \9. \" "t>"-. I (C) Tectu1ology Fee (5% of [A]) $ 7951" ~ ~ I TOTAL fees and surcharges (A through c): $ /8b ~I 440--2584,J (9/08/COM) Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01349 ISSUED: 10/23/2009 APPLIED: 09/11/2009 EXPIRES: 04/30/2010 VALUE: $ 16,000.00 Springfield TYPE OF WORK: Interior SITE ADDRESS: 4131 E ST ASSESSOR'S PARCEL NO.: 1702322300600 TYPE OF USE: Remodel PROJECT DESCRIPTION: Remodelinterior Contractor OWNER LYNNS ELECTRIC t', "I' ,')' r 102316 10/14/2011 , ,:," egon ,:.. . MARSHALLS INC ,', , ' ." " adopted 'b -,.51lJO)Ulres you to12/23/2009 KEVIN MARK COHE;N ,; ^'~~t!fon Center, Th^~!lJlI3J:lregOn U(ilitoP5/30/2011 I '-IlUlLDINGJNf' 6kM~A"Rre9s5et forth , " iiIi , ""'I' ii;ii.~ 2^01 ~"'J/ng th ' "~ ""pIes of th -v. nU~Ef~i~Nt~:. (Note:, !he tel:;K~~s ~t Size: Hei~~rlli"f. UtIlIty Ndlttill!lWo9Sq Ft 1st Floor: Type of Heat: -3:32'2344), '!;q Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Owner: Address: DANNEN JOINT TRUST 2096 MUSKET EUGENE OR 97408 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: Notes: Phone Number: 541-520-1752 I, CONTRACTOR INFORMATION ~ License Expiration Date Phone Industrial 541- 726- 7895 541-747-7445 541-607-9208 R.3 VB 3 1 DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Nil'IWI~rive Rqd: TH~ A~t Coverage: AI,'T~~~*J:~~,liRf '~TW'I.'tY'lrc . I PUB~~,~" y,. Sr:;ERMrtl6 NOT , rHO DAY PERIOD ~f.JUlHhype: DownspoutslDrains: No new SDC's. Interior remodel has not impact on Public Works or SDC's, No worksheet attached. i . Page 1 of 3 1,080 240 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Tvpe of Construction Estimate I Valuation Description I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 16,000,00 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01349 ISSUED: 10/23/2009 APPLIED: 09/11/2009 EXPIRES: 04/30/2010 VALUE: $ 16,000.00 Value Date Calculated Total Value of Project , Fpp~ PqirU $16,000.00 $16,000.00 09/11/2009 Fee Description Plan Review Residential + 12% State Surcharge + 5% Technology Fee 1st Appliance Building Permit Fixture ' Minimum/Adjustment Plumbing Vent Fan + 12% State Surcbarge + 5% Technology Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Amount Paid Date Paid Receipt Number $126.43 9/11/09 1200900000000001054 $40.86 10/23/09 1200900000000001180 $17.02 1 ~/23/09 1200900000000001180 $79.00 10/23/09 1200900000000001180 $194.50 10/23/09 1200900000000001180 $57.00 10/23/09 1200900000000001180 $1.00 10/23/09 1200900000000001180 $9.00 10/23/09 1200900000000001180 $19.08 .1 0/30/09 2200900000000001240 $7.95 10/30/09 2200900000000001240 $134.00 . 10/30/09 2200900000000001240 $25.00 10/30/09 2200900000000001240 Total Amount Paid Initial Review 09/15/2009 Structural Review 09/15/2009 Plannimz Review 09/15/2009 Public Works Review 09/15/2009 $71 0.84 I Plan Reviews I 09/15/2009 09/16/2009 APP APP NJM CJC 1\s noted on plans 09/17/2009 APP EW Altering existing interior of building Has same number of rooms and function. ,.._, 1_. . . No new SDC's " , ' 09/17/2009 APP EMM To Request an inspection call the 24 hour recording at 726c3769. 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, I Rpn~&i,r~ri I~ Framing Inspection: Prior to cover and after all rough in inspections have been approved., Rough Plumbing: Prior to cover and including required testing. Pa!!e 2 01'3 _~~'1.!!Q!lI!i!!'!t~'\ , . <, ~... .,: ~., . ~~,~.7.F":< Status, Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT,NO: COM2009-01349 ISSUED: 10/23/2009 APPLIED: 09/11/2009 EXPIRES: 04/30/2010 VALUE: $ 16,000.00 225 Fifth Street, Springfield, OR 541.726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Plumbing: When all plumbing work is complete. Rougb 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 h'ave been requested and approved and the building is complete. Electric Service: Approval required prior to utility company energizing service. By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify tbat 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 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 reqnired 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 Contractors Signature Date Pa2e 3 00 225 Fifth Street Springfleid; Or~gon97.:177 , 541-726-3759 Phone Job/Journal Number COM2009-0 1349 COM2009-0 1349 COM2009-0 1349 C0M2009-0 1349 Payments: Type of Payment CreditCard cRcceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000001240 2:58:35PM Date: 10/30/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 04028d In Person Payment Total: Amount Due 134.00 25,00 7,95 19,08 $1116.03 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addt' 500 + 5% Technology Fee + 12% State Surcharge Paid By MARSHALL C DANNEN Amount Paid $186,03 $186,U3 Page 1 of 1 10/30/2009