HomeMy WebLinkAboutPermit Electrical 2009-11-10
225 F;fth Street,+Spdngfield, OR 97477 +PH(541)726-3753 + FAX(541)726-3689
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Eledr.ical Permit Application
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Date:
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.
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I ' .~ - "~O"AL' GOVERNMENT .A......ROVA'!: ~\olS.'..,...~""'. "".-, ~<'I 1<,~-"y>"~:,;,:,,,,;>"~:"-,\"''''',(J':~~<FEE01' <' -, D'- -,- fl' . ""'!iHt:l:""r."'Y".""')1h'!'~'i.'I!!:KCt'i"c-
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.UUlE;~l,!f;\:~'r~;~-WP"fr_,~r~~~Ji't;~$~;l
II, ZO,~ing,",p'p:oval verified? 0 Yes 0 No, . II 1;i\;~,~~~~;~J,;r.J~~~11~'~~ip,~h,~~~~'~;i~~+.18!f.I.,i:fe~ffY;'I.:,,1~t~~.;
';~~::~;:e~:;~~TEG(t~~~~~~:~;ifRUr~O~::~e:~::;'''\::'1 I Res;dential, per unit, serv;ce ;nciuded: .
i~::~:d;:s~Tlb~M~bS~&~00\1~/N~~~~;ljll ~~;~O;d:':O~:li:S~O(:~ ft or portion :1::::: ;-'14PU
I CitY' ~ r( I State:O~ I zIPc:rll1f; Llmltedenergy(2)
_ Reference ~ "(f7 ,,)D'2J~?-I-aTaxlot : O:i32Cr.~ I Each manufactured home or moduiar $ 6300
'..' " . . "-"ESCRlpTIO ',..,. WORK"n , ..'...."y, ,.,.~ dwelJlDgservlceorfeeder(2) , $
. , . . _ '1.:1 .1' I.:Jr -.1t,q~I"" . ,ct..." ',1>:' ....
. VJL,-\ t)~ .::;\\ UI'~ - . 1', \., I I Services or feeders: installatIOn, alteratIOn, relocatIOn
- I I 200 ~ps or less (2) $ 81,00 $
I PROFlERTY.-OWNER," , . I I 201 to 400 amps (2) $ 95,00 $
I Name:,LesIJe:. /f1. IY7 //J,"OLLVl I ) 401 to 600 amps (2) $158,00 $
I Address:~ 5"4 5 3 _&9 17;: I I 601 to 1,000 amps (2) $205,00 $
I City:'5nQI'N::;f;-eIJ I StateOt<. I ZIP97'-1)~ I I Over 1,000 amps or volts (2) $469,00 $
I Phoneh/l-7Jil-:-.9f"JC? I Fax: I I Reconnect oniy (2) $ 63,00 $
) E-mail: ./' I I Temporary services or feeder~: installation, alteration, relocation
This installation is being made on residential or farm property I 200 amps or Jess (2) $ 63.00 $
owned by me or a member of my immediate family, This I 201 to 400 amps (2) $ 87,00 $
property is not intended for sale, exchange, lease, or rent. OAR
479,540(1) aJd"9,5~0{~)(J../l '/1/1 t2 _ I 401 to 600 amps (2) $126,00 $
XSignature~..,r~ Y(I'o/JIl, p&f3---- lOver 600 amps or 1,000 voits, see services or feeders section above
I, . :.. >.' .~iCONTRAGTOR:JNSTjl.LLA'I'191(! ., :. ,".:. '1 I Branch circuits: new, alteration, extensian per panel
I Busi.Q.ess name: I I a. Fee for'branch circuits with purchase of a service or feeder fee:
I Addre~ ./ I Each branch circuit I $ 6.00 I $
\ City: ~ I State: ./" r ZIP: I b. Fee forbranch circuits without purchase of a service or feeder fee:
I Phone: ~ J)>tI5C I I First branch circuit (2)
I E-mail: ...--./IIEach addj[jonal branch circuit $ 6,00 $
I CCB license no.: ./. ~D license no.: I I Miscellaneous:fees: service o~ feeder ,:pt included
.1 Signing supervisor;8"'lk:ense no.: ~, I I Each pump or irrigation circle (2) $ 63.00
I Print name o~ing supervisor: '.'.,,' ~ _,J I I Each sign or outline lighting (2) $ 63,00
I Signatu~e~(sig;;-.i~"g '~upervjs-;~~' .". vJ\~. :~..._~. r-;..\,I I Signal circuit or a limited~energy panel, $ 63.00 $
,\V (7,,), alteration, or extension (2) '\,
I Each addit;onal inspection: (I) I $58,00 I $
ATTENTION: Oregon Jaw requIres you to ~ ~ 1,~~~t~~l~N~~I#!:i1l(7Al'1eiTIcANt,~:UsEli>'~ffi5.~lJ~!'\~;;I~~,~~~:t;
follow rules adopted by'the Oregon Utility V- (A) Enter subtotal of above fees
Notification Center. Those rules are set for1h . (Minimum Permit Fee $58,00)
In OAR 952-001-0010 through OAR 952-001. I
0090. You may obtain copies of the rules bV ' (B) Enter 12%surcharge,{, 12x (~])""."
calling the center. (Note: the telephQnft NOTIC~~C) Technology Fee ~t\I~f!~DM
number for the Oregon Utility Notilicalion THIS PE~~ ~fi~~w ~ Nfih C):
. Center 18 HlOO-332-2344). .AUTHOR1Lt;u UMJ{,;f,1lw fOR
COMMENCED OR IS ABANDONED ...
ANY 180 DAY PERIOD.
$ 32,00
$
$ 55,00
$
$
$
$t2f\P:J
$ tto .(10
$ 1<, _1f)
$\~l 0:-8
440.2584-) (9108/COM)
Status ,Issued" '"
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225 Fifth Street;Sprlngfleld, OR~;;
541-726-3753 Phone '
541-726-3676 Fax'
541-726-3769 Inspection' Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01355
ISSUED: 10/01/2009
APPLIED: 09/1412009
EXPIRES: 05/1012010
VALUE: $ 47,068.00
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SITE ADDRESS: ,';'654 53RD PL',
ASSESSOR'S ~ARCEL NO,: 1702331303500
Springfield TYPE OF WORK: Single Family Residence
,';, . '. TYPE OF USE: Addition
PROJECT DESCRIPTION:, ,Addition to Existing Residence- 370 s.f, and New Garage- 298 s.f,
Residential
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Owner:
Address:
MILLIGAN LESLIE M
654 53RD PL ,. ;,("
SPRINGFIELD OR97478 .
"
Phone Number: 541-461-1872
Phone Number: 541-747-9619
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Contractor Type"
General
Electrical
Plumbing
I C:ONTAAC~OR INFORMATION'
,
, t Contractor
OWNER'
OWNER
TOM CHARPENTIER PLUMBING INC
License
Expiration Date
Phone
112138
03/27/2011
541-895-4517
.,
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secoudary Occupan~y Group: '.
Primary Constructiou Type
Secoudary Construction Type:
# of Bedrooms:
R3
U
;VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Spriukled Building:
1
Lot Size:
Sq Ft 1st Floor:
,Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
370
298
No
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I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
i
Frontyard Setback:;! ,.:
Side 1 Setback: .
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
19.50 Overlay Dist:
5.50 # Street Trees Rqd:
Paved Drive Rqd: Yes
84.00 % of Lot Coverage: 15.80
0.00
I PU,BLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:; ,
Special Instruction:
Sidewalk Type:
, '. . , . Downspouts/Drains:
For this parcel in Jasper Meadows7, it is the recommendation to the Building Division, by the City
Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the
subdivision is accepted by City Council",
Notes:
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Status Issue.d::."'}:' ' ii'
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225 Fifth Street; Springfield, OR
541-726,3753 Phone',
541-726-3676 F';~ ""::' ,',. '"
541-726-37691nspection Lin'e' :.' '" ':.'
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Description
'-. ~
i Tvoe of Constrnctlon
,Garaee/Misc :\;,
SFlDuplex ' .
,',UVB Utility.
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R-3 VB'I&fFamilv
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Fee Descriotion'.
Fire SF Fee - R~sidential
Plan Review Residential
+ 12% State Surcharge
+ 5% Techuology'Fee
1st Appliauce
Add, Alter, Exteud Circ Ea Add
Building Permit _ "":'
Fixture . ,.
Perm ServlFdr'200 ';,~ps or less
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Draiuage Impervious Area
+ 12% Sfate Surcharge
+ 5% Technology Fee
Residence Wiring 1000 Sq Ft
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Total Amouu't Paid
~;
, ,
luitial Review
09/15/2009
Plannio2 Review
Structural Review
09/15/2009
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Public Works Review
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01355
ISSUED: 10/01/2009
APPLIED: 09/14/2009
EXPIRES: 05/10/2010
Y ALUE: $ 47,068.00
'I V ~luati~n D'escrintion I
$ Per Sq Ft
or multiplier
$37.72
$96.83
Square Footage
or Bid Amount
298,00
370.00
09/14/2009
09/14/2009
Value
Date Calculated
Total Value of Project
$11,240,56
$35,827:10
$47,067,66
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Fpp", P'1iaJ
Amount Paid
Date Paid
Receipt Number
1200900000000001058
1200900000000001058
3200900000000000688
3200900000000000688
3200900000000000688
3200900000000000688
3200900000000000688
3200900000000000688
3200900000000000688
3200900000000000688
3200900000000000688
3200900000000000688
2200900000000001271
2200900000000001271
2200900000000001271
$33.40
$292.90
$85.99
$41.78
$79.00
$30.00
$450.61
$76.00
$81.00
$119.00
$13.30
$266,01
$16.08
$6,70
$134.00
9/14109
9/14/09
1011109
10/1109
, 10/1109
10/1109
10/1109
10/1/09
10/1/09
10/1109
10/1109
10/1109
11110/09
11/10/09
11/10109
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$1,725.77
I Plan Reviews I
09/2112009
APP' LLH
09/22/2009
APP DDK
Approved as shown on plans,
09/28/2009
APP
CJC
As noted on plans
09/29/2009
APP
Storm water to tie-into existing
system. Foundation must be
minimum of 10 feet from septic or
drainfield
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
work day. " !.'"
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CITY OF SPRINGFIELD'
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3,676 Fax
541-726-3769 In,spectio'1,Line '.",
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PERMIT NO: COM2009-01355
ISSUED: 10/01/2009
APPLIED: 09/14/2009
EXPIRES: 05/10/2010
VALUE: $ 47,068.00
, Status
Iss u ed
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~e~,uir$d r nSI)~dions I
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Footing: After trenches are excavated,
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to 0.00.. insulation or decking,
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Floor Insulation:;,Priorto decking,
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Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
I; . .; .
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover,
Drywall: Prior to taping. ..,0;..
Final Building: After all r~q~ired inspections have been requested and approved and the building is complete,
'-)
Rough Plumbing': Prior to cover and including required testing,
Undertlo,or Drain: Prior to c!lver or placement of concrete,
UnderOoor Plumbhig: Prior,to insulation or decking,
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover "
Final Mecbanica.!: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
,- ... ". ..
Electric Service: Approval r~quired prior to utility company energizing service.
By signature, I state and agree, that 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 aU work performed shall be done in accordance with
the Ordinances of th~ Cij)' 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. t? ~n~ur~ 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 olthe property, and the approved set ofp/ans will remain on the site at all
t?~d~J ;;; ~:_,
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Owner or Contractors SIgnature j..
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Date
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225 Fifth Street, "', , ,"
Springfield, Oregon'~7:477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT#:, ".2200900000000001271
Date: 11/10/2009
9:27:13AM
Received By
Item Total:
Check Nu-mber Authorization
Batch Number Number How Received
Amount Due
134,00
6,70
16,08
$156.78
Job/Journal Number
COM2009-01355
COM2009-01355,
COM2009-01355
Description
, Residence ~iri~g lOOOSq Ft
',,,,.:+5%Techh6fogyFee '
'", :',,'..-. .',"---:
..',";+,12% State Surcharge
, ;:
Payments:' ':'
Type of Payment
Check
>':1;;'~~i'~'~~;J_!f .... - ~i
LESLIE MILLIGAN'
Amount Paid
IIh
1021 In Person
Payment Total:
$156,78
$156,78
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11110/2009