HomeMy WebLinkAboutPermit Electrical 2009-11-12
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" City Of Springfield'" .,
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~~h . .~.' '", Springfield, OR 97477. ' J _
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Residential Electrical Authorization To Begin Work
69600-BEL-09-00244
Approval Code: 072330 11/12/2009 8:48 am
E-mailedTo:bcelectric@cvcable.com
1l1!1t~~:'1f!.'/~:t'/~'1 .' 1PLAN~RE"iEW~~:7-'~-;~klt;f~~-:..:;-,:r~.r5qr
UI!!,jl:.;~"r~U~~,TYRE;OF.WORK~~!:r.",,~P!tl~;.:.::.
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o New Construction~'. .::..~f,.;::,~, .
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~ Addition/alteration/replacement
fl!l~~jfE:JjQRYi9F.Ic:p~Sl"RU~;:rIq:-I>l~..;:;t~E.~,::':.f-:J;r:
11Xl1 or 2 family dwelling' 0 Multi-family 0 Commercial 0 Accessory
11\liJ\S.~~.l:l&"!(j6BlsITEiINF.ORiViAfioN1AN-D1ifO~CATlciN~~~~t~
I Job Address: 2969 GAME F~~M RD; :'~"l~~'rt)!.?...\.~:.. '.
I CitylState/ZIP: SPR'N.~Fi.E~;DrOR ..97477....-'.';;':..:J:{.-~ .
, I Suitelbldg.laplno.: /.
"I Project Name:'N-ow~i?Re;ia~~~;,.:", "..,>~. -:i,A~ .:I.
I Cross StreeUdireCtlo;" t.o jO~.' s~: -.:~~ ~"".~41~ .X'
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I Tax maplparcel no,: 1703224104800 , ,
1131'-~;;~:d*Do~Sc:RI~~l'iP]1,OF,;\WOR~~;~~-i
Install electrical system in actdition and remodellim!ted existing spaces
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I Name: Robert Cook
I Phone: 541-998-3736 Fax: 541-998-8082
I Email: 4 _,_
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I Elec lie. no,: 20-273C: cca lie. no.: 66799
I Bus;n... 'llI.r.e'jlf~~krRrC<:O ' .'-"
I Contact, THIS PERMrr SHALL EXP;fRE IF TH~ WU~~
I Add'.,,, ~~~>!1~I.Lt:U UNUt:K I ~Il) t:'tn~~1f m tLII
vv"",l.J,(;U; JR 15 AB;'!.laCtl~_ reF!
C;ty/5tataIZ}t'Mir~'iI'I!h9.'V"D~1lInn - "
Phone: 5419983736 :. .. .~ _ ':'-::~ Fax:'54199B8082
I Email: rdC26430@ms.n.co~::
I Metro lic. no.:! ~ .~ '"
City lie. no.:
.. . .. .-. .
Supervising Electrician's lie. no.: . .r.~. 34625 ::
Supervising Electrician's Name: ROBERT D COOK
Number of inspections included in paid services:
Residential Service: 4
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Upon review Ind IpprovII by your lOCI' Jurt.dlctlon, your pennlt will be e.malled or faxed
within one buslneaa day, with Instructions on how to schodule your Inspection.
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NOTE: TIlls ~uthOr1zatlon To Begin Work e.xpl~ ~~In ~~ days If a pennlt Is not obtained.
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The local building department may detennlne that an Authorization To Begin Work Is null Ind
void If It doe. not meet applicable land use laws and loc~1 ordInances.
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Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three stor
o Marinas and boat yards
D Floating buildings
D Commercial-use agricultural
buildings
o Installation ofa 150 KVA or
larger seperately derived sys
o "A", "E", or "1~2" or "1.3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
1~~g:~~~2~~:~~J~~B:~"pUlij= ',:-J~F#4~\~~'~~~~
I Description Qty. Ea.
I Branch circuits without service or
feeder
I Branch circuits each additional
circUit without service
IEI~Ctrt~(~teri{nr~ees~.l ~~.t.~~: ~.:"r.f;t~ :':'r:~~~~
I Subtotal $91.00
I Slate surcharge (12% of permit $10.92
total) .........;~ -.
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$55.00
$55.00
6
$6.00
$36.00
$4.55
$106,47
0q Al'ffillITIONt9rMJon law te~41'1! J~
\., fo"~les ~. by the Ofe~r1 Oiility'
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001.
0090. You may obtain copies of the rules ~
calling the center. (Note: the telephone
number for the Oregon Utility Notificallon
Center is 1-800-332-2344).
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__.... . Inspections Phone: 541-726-3769
.i:J~!s AUthori~ati~~ To Begin,Work must be posted at the job site until replaced by a Permit
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Lll i' OF ~rKll'lt.1'lELD
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Status Issued ,'C,' ,,:"'.,3};i@i./',
225 Fifth Street;'l>piirig!ie1d;,OR\Y, .,:'
541-726-3753 p~oD~r:,:" .,
, 541-726-3676 Fax .,-. .
541-726-3769 I~~P~cjio,~'!-inr ,if:
Building/Combination Permit
PERMIT NO: COM2009-00023
ISSUED: 01/21/2009
APPLIED: 01/07/2009
EXPIRES: ,04/27/2010
VALUE: $ 80,000.00
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SITE ADDRESS: 2969 GAME FARM RD
ASSESSOR'S PARCEL NO,: 1703224104800
Springfield TYPE OF WORK: Single Family Residence
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PROJECT DESCRIPTION:!: Addition
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TYPE OF USE: Addition
Residential
"Owner: ".,MICHAELiNOWAK :,"
Address: 2969 GAME FARM RD .
SPRINGFIELD OR :97477
Phone Number: 541-746-0687
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" I CONTRAC~OR INFORMA!ION I
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Contractor Type;:tifContractor
General . f " f';.. OWNER ..'
'Electrical ' ".;" ", ", BC ELECTRIC CO
Plumbing ,1"",,: OWNER.
License
Expiration Date Phone
66799
06/04/2010 541-998-3736
BUILDING INFORMATION I
u # of Stories: I Lot Size: ,'."',',,":..._-. .33,541
." R-3 Height of Structure 16.00 Sq Ft 1st Floor: 429
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Seconda!1:.2!'i'Wancy Group: -''': " ' - Type of Heat: Heat Pump Sq Ft 2nd Floor:
PrimarN~hion,T~p.e EXP' I'R'~lllEwomtterType:, ~~. ONiFtBasement:
Second:mIStjll!R~oS~J,l. ,I: IF lit NfWnge Type: Ie i . rlli14~r~. you.to
# of Be<mlll'!mRIZED UNDER T.HI~ PERMtr IilI Energy Path: ~r~W ~~ e~ ~ ~r'f!1e Oregon UtiliIJ
COMMENCED OR IS A~~~DONED FOR Sprinkled Building: In ~~?f~g~-o~~-6'lA Rr~8~~J':: ~t~~
ANY lllU UI-\l n:mG3. I DEVELOPMENT IN FORMA Hl3N.~u may 0018'" copies ollnellfJes bf
, ' I J,j the center. (/I),~lh.tll~tlII.epbWlA-N
:" ,u ' number for the OregcM'Uffil~'NbtiIiCllIi'MfG
Frontyard Setb~ck:_;: ::Ii;:, ::"f;,~:n1.50 Overlay Dist: Urban !'A1l\!i!" I. HlO~ll-2344).
Side I Setback:': ' ' ,i' ,'!,,', , , ; ,'44.00 # Street Trees Rqd: Handicapped:
Side 2 Setback:T ' 1 . . 27.00 Paved Drive Rqd: Compact:
Rearyard Setback:.., :. % of Lot Coverage: 8.20
Solar Setbacks: ,.f '~: , 0.00
# of Units:
Primary Occupancy Group:
I PUBLIC I,MPROVEMENTS I
Street Improvements: '.>
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Storm Sewer Available:- ,,- '-, -.,:,0.";;':"'.
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Special Instruct~on: ii -'":...... \
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Notes: Storm drain to existing
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Sidewalk Type:
Downspoutsmrains:
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, Status ,( Issued;, >, .' .
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225 Fifth Street; Springfield;:OW",;,,, '
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541-726-3753 Phone' "i",t" '.
541-726-3676 Fax '
541-726-3769 Inspection Line
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Description ")"TYpe 'of CiiostrilCtion
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Estimate Estimate " ",.
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Fee Description~~ ~11,)ii.l~r:.",~/
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Plan Review Residential',. ,..
+ 12% State Snrcharge .;! ';
+ 5% Technology Fee
1st Appliance ,,'
B 'Id' P' ' ~
UI mg ermlt ~ I" "1 . .:; ~.t.;~,,-'~~;;_.
D V ,4,'. ",.\., -,' '_'0.,'-.."1.,, .
ryer ent ~; -, ,," "'.,;';' ..-. -::.;~ ~;-:...
Fire SF Fee _ Re~idential . ' 't
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Fixture ""
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Plan Review Minor.' Planning ,
SDC Sanitary/Storm Ad~iii" ,. :.:.,
Storm Drainage lmp~rvious An;~ '..
Vent Fan
+ 12% State Surcharge ,
+ 50/0 Technology F~~., ~. " L.f,;i l~ti~:ii\"'l
Add Alter Extend Circ ' ,." 'c "'i 'n:;-
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Add, Alter, Extend tire Ea Add \
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Total A~ou~t Paid .' ;
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CITY OF SrKmGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00023
ISSUED: 01/21/2009
APPLIED: 01/07/2009
, EXPIRES: 04/27/2010
VALUE: $ 80,000,00
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I Valuation Descriution I
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$ Per Sq Ft
" or multiplier
,. $1.00
Square Footage,
or Bid Amount
80,000.00
01/07/2009
Value
Date Calculated
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" "Total Value of Project
$80,000.00
$80,000.00
"
Fe~s Paid J
AmounfPaid Date Paid Receipt Number
$397.38 1/7109 3200900000000000007
$106.60 1/21/09 2200900000000000076
$50.37 1/21/09 2200900000000000076
'" $79.00 1/21/09 2200900000000000076
$611.35 1/21109 2200900000000000076
$9.00 1/21/09 2200900000000000076
$21.45 1/21109 2200900000000000076
$171.00 1/21/09 2200900000000000076
$119.00 1/21/09 2200900000000000076
$8.95 1/21109 ' 2200900000000000076
$179.09 1/21/09 2200900000000000076
$18.00 1/21/09 2200900000000000076
c, $10.92 11/12/09 2200900000000001278
$4.55 11/12/09 2200900000000001278
$55.00 11112109 2200900000000001278
$36.00 11112/09 2200900000000001278
$1,877,66
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.. . I Plan Reviews ,
Initial Review 01/09/2009 '.> 01/09/2009 APP NJM
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Public Works Revie,,!'& ' _.... "1~. .
,. ' 01/09/2009 01/12/2009 APP BJG
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Planninl! Review \, 01/09/2009 01/13/2009 APP DDK
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Structural Review ' to"~ , 01/09/2009 01/21/2009 APP CJC Approved as noted on plans and
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.' , conditions letter
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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
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CITY OF SPRINGFIELD
Building/Combination Permit
Status ' Is~ti.~d'. ~;1.' .:,;;~>,t{"'i;,,.,
225 Fifth Street, Springfield,'OlC: .~ ' ,',
541-726-3753 Phone ,,' ,
541-726-3676 Fax, ~,.,',.. "
541-726-3769 Inspection'Line .,,',i;;;6;%J;:'i:,:\ ,
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PERMIT NO: COM2009-00023
ISSUED: 01/21/2009
APPLIED: 01/07/2009
EXPIRES: 04/27/2010
VALUE: $ 80,000,00
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Footing: After tre1ich'es'are:excavated.
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Fonndation: After forms are erected but prior to concrete placement.
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Reou','ed Insoectioos I
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Post and Beam: Prior to floor insulation or decking.
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Floor Insulation:'.' prior.iii'decking: '
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Shear Wall Nailing': Before covering sheathhtg with finish materials.
Framing!!I~Ilectio,n: Prior t~ cover and after all rough in inspections have been approved,
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Wall Ins~iaiion: :Prior to cover. '
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping. ;:~:~.~ , . ,:'
Final Building: ~fter all req'uired inspections have been requested and approved and the building is complete.
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Underflo.or,Pluriibing: Prior'to insulation or decking.
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Un(\erfl~~r Drai1!:, Prior to cover or placement of concrete.
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Rough Plumbing: Prior to cover and including required testing.
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Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Pri'.'r to insulation or decking and including required testing.
Rough Mef~~ni~~l.: , rri~r, !o,;Cover
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Final Me,chariical: When all mechanical work is complete.
Rough Electric: Prior to Cover
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Final Electric: When all el~ctrical work is complete.
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'j further certify that any and all work performed shall be done in accordance with
the Ordinances of theCi!y of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUfAN:~'y~ill"j,e m.,j'd~ 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 readahle from the
street, that the phn;-ii c~rd'i~ loc~ted at the front ofthe property, and the approved set of plans will remain on the site at all
times during construction.' :!otl ~': lj ~.
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Owner or Contr~ctor~,~Jgn~turet~_lB\: ;;!
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Date
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Springfield, Oregon' 97477';ii;'~j;; ,',
541-726-3759 Phon~' ...:
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';:RECEIPTi#: ' 1
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2200900000000001278
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Job/Journal Number ):<( I?e~.cription ....\
COM2009-00023 :',;.: ,Add, Alter, Extend Circ
COM2009-00023 ;:,~i!t:;:'::Add: Ailer, Ext~.nd Circ Ea Add
...... .,..."..,.
COM2009-00023 . '+ 5o/~ TechnqIogy Fee .-
COM2009-00023 + 12% Stat,iSurcharge;
Payments:
Type of Payment
ONLINE CHGS
Paid,By,,';.. '
':ONBINE PERMIT CHGS
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Received By
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Page 1 of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/12/2009
. Item Total:
Authorization
Number How Received
BC Online
ELECTRIC
Payment Total:
9:00:42AM
Amount Due
55,00
36,00
4.55
10,92
$106.47
Amount Paid
$106.47 '
$106.47
11112/2009