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Home My WebLink AboutPermit Electrical 2009-11-24 .~:. : of" . Electrical Permit Application 8 D 225 Fifth Street. Springfield, OH. 97477.1'11(541)726-3753. FAX(541)726-3689 ...---' -' SPR'NGF'ELD I':;, ~EP\~RTM_ENJUSE ON.l Y .1 ~. ';"~"~ I Permit no.: C1- 7~c1+ I Date: /I/;J 7'/{J 9. . This permit is issued under OAR 918-309-0000. Permits are nontransferablc. Permits expire if work is not starlcd within] 80 days of issuance or if work is suspended for 180 days. I'':,',,' ,LOCAL- GOVERNMENT APPROVAl.. .[ I' . FEE. SCHEDULE . . . '.<+:1 1 Zoning approval verificd? DYes D No I I'Nu~'6er oiinsp~ctio'ns perilem ()'..JQly.I.;'1~~t J-I '~~~~IJ 1 [f ,.CATEGORY OF'.CONSTRUCTION . '1 I Residential, per unit, service included: ! 1.~,:e~6~;i~ITEJN~~R~~~7;~n~ND~~C~~ll;~rCi:al. .111.000sq II or less (4) $134.00 $ I' tA. Ie; r/7'1 ..--r ~~ 1 I Eaeh additional 500 sq. 11. or portion $ I . I Job site address: .f L. -.J --c> '/ theleof $ 25.00 I, CRei~e;rs.;;--Je c' {I :.I/~?D.-:L_ 11 v p")~ate:Otlll'axIIZotIP:Y'/..~t?-711 1 Limited energy (2) $ 32.00 $ 1 l' :elc-IJ I_~ c.MO (j t~ I Each manufaclured homc or modular I I r~' :' ,.. . DESCRIPTION OF WORK::. '., 1 dwelling service or feeder (2) $ 63.00 $ 1 U I1..f/I1Py./ Cf:r1 Vt:;,/'~)'v--.. 1 I Services or feeders: ins/allation. alteration, relocation 1 I, iJ.... 1 IzoO amps or Icss (2) /, $ 81.00 ~M 1 I :.PROPERTY' OWNER. 1 I 201 to 400 limps (2) $ 95.00 $ 1 ./ Namtfr4RAA-f2-A iUh r-713y I I 401 to 600 amps (2) $158.00 $ 1 Address:} q 01 -s-- <; f- 1 I 60110 ],000 amps (2) $205.00 $ 1 1 City. : <y,Cd .J State~ 1 zIP:97<;t'n lOver 1,000 amps or volts (2) $469.00 $ 1 "I Phone: '1-;-2& LoCi 77 1 Fax:' 3-' I Rcconncct only (2) $ 63.00 $ 1 I E-mail: I Temporary services or feeders: instaftation, alteration. relocation I This installation is being made on residential or farm property 1 200 amps or less (2) $ 63.00 $ ow'ned by me or a member of my immediate family. This 1 20 I to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR . 47.9.54Q(-!-.}'b:79'bO(I). kib~ 1401 to 600 amps (2) $126.00 $ S ( ,,\ I I Ovcr 600 amps or 1 _.000 volts. sce services or fceders scction above Ignature: _'_ ~ fA./\.. ~..J......J \" , . .,' CONTRACTOR: INSTAllATI0N I I Business name: I Address: . ~ I City: ____ I Stat~/ I ZIP I Phone: ~I Fax: I E-mail: /______ CCB license)l~ I BCD licens?;;o:, Sign~ervisor's license no.: "'" J ~~t name of signing supervisor: ., I Sig'riature of signing supervisor: ~~O' \\~~~ ~~ 440.2584.) (9/0B/COM) Branch circuits: new, alteration, extensiollper panel a. Fcc for branch circuits with purchase of a scrvict: or lecder Il:c: Each branch circuit I $. 6.00 I $ b. Fee for branch circuits without purchase of a service or fecder rt:e' . .~ First branch circuil (2) I. f I $ 5500 I $:.' :.: Each additional branch circuit ~ I $ 6.00 . $ v~0 1 1 I I Miscellaneous fees: service orfeeder nol included Each pump or irrigation circle (2) $ 63.00 $ $ Each sign or outline lighting (2) . $ 63.00 Signal circuit or a limitcd~energy panel. alteration. or extension (2) $ 63.00 $ Each additional inspection: (1) $58.00 $ \,., , ",eX .:'. APPlICAlllf'CJSE': .. .... .-, . o. ~..1'.::,- . ''7) $ ,(1/4;. CD . ----- $/;' Lf. ~{' $ 7//: 321.-, $IItS. ,~:s"':> (A) Enter subtotal of above fees (Mini~u-;;; Permit Fee $58.00) .1 (B),E~ter 12% surchargc (.12 x lAD IJc') Technology Fce (5% oflA]) "1 TOTAL fees and surcharges (A through C): St~tus Issued CITY OF SPRlr"L.J.<lELD Building/Combination Permit PERMIT NO: cOM2009-00742 ISSUED: 09/22/2009 APPLIED: OS/27/2009 EXPIRES: 03/22/2010 VALUE: $ 8,329.00 225 Fifth Street, Springfield'; OR " 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Lirie SITE ADDRESS: 1980 J ST ASSESSOR'S PARCEL NO.: 1703254302200 Springtield TYPE OF WORK: Single Family, Residence TYPE OF USE: Remodel PROJECT DESCRIPTION': Garage Conversion to 1 Bedroom and 1 Bathroom. Residential Owner: A~dress: WHITBY BARBARA D 1980 J ST , SPRINGFIELD OR 97477 Phone Number: 541-726-6977 I CONTRACTOR INFORMATION I Contractor Type General Contractor OWNER License Expiration Date Phone BUILDING INFORMATION' # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type, Secondary Construction Type: # of Bedrooms: 1 # of Stories: Height of Structnre Type of Heat: Water Type: Range Type: En~rgy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Electric Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: n/a Occupant Load: R3 VB I DEVELOPMENT INFO~MA TION, , Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: ,. Paved Drive Rqd: % of Lot Coverage: ',,:.-,; REQUIRED PARKING Total: ... Handicapped: Compact: Street Improvements: Storm Sewer Available: Sp~cial.Instruction : " Fixtures only, nO)I~~V _slIrface _ ."...,-e"rTI"~," '"'....,'!'......, .....,... r^~tll"?a j~.T"" I PUBLIC IMPRO~NrnNlfS!tadoPted by the Oregon Utility , . , .. U."." 'enter. Those rules are setforth In OAR 952-001-00iftYml%u9W\9'AR 952-001- 0090. You may 0~~p&iJi~/9~lIlRsfUles by. calling the center. (Note: the telephone number for the Oregon Utility Notification Cen1er is 1-800-332-2344). Notes: NOTICE: ""'0 r-tliIVIII l:iHAll ~XPIfl!:.IfTHE WORK AUTHORIZED UNDER THIs....ewauJ'lOtl@m:rintion I COMMENCED OR IS ABANMNEn EnR \ . i\f\!ifv~&\Jf~nsffi"u'ill@i)) '$l'er ~<i ~ ' Squa.re Footage . . or multIpher or Bid Amount Value Date Calcnlated Description .,. Paee I 01'3 " CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2009-00742 ISSUED: 09/22/2009 APPLIED: OS/27/2009 EXPIRES: 03/22/2010 VALUE: $ 8,329.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726"3676 Fax 54)-726-3769 Inspection Lirie SFlDuolex R-3 VB 1&2 Familv $96,83 253.00 $24,497.99 $24,497.99 OS/27/2009 Total Value of Project Flit< P1irl I Fee Description P\an Review Residential + U% State Surcharge + 5% Technology Fee 1st Appliance Building Permit F~xture lV(,inimum/Adjustment Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin +,12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $82.06 $31.59 $13.16 $79.00 $126.25 $57.00 $1.00 $147.26 $193.66 $17.05 $11.88 $4.95 $18.00 $81.00 5/27/09 9/22/09 9/22109 9/22/09 9/22/09 9/22/09 9/22/09 9/22/09 9/22/09 9/22109 11/24/09 11/24/09 1I/24/09 11/24/09 2200900000000000567 1200900000000001087 1200900000000001087 1200900000000001087 1200900000000001087 1200900000000001087 1200900000000001087 1200900000000001087 1200900000000001087 1200900000000001087 2200900000000001321 2200900000000001321 2200900000000001321 2200900000000001321 Total Amount Paid $863.86 I Plan Reviews I Initial Review OS/28/2009 OS/28/2009 APP LLH Public Works Reyiew OS/2812009 OS/29/2009 . APP LKW Fixtures only, no new surface 'I Plannim! Review OS/28/2009 06/03/2009 APP DDK No Plan~ing issues. Structural Review 0512812009 06/0312009 APP CJC As noted on plans / review letter T? 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. I R'rrrI"irPrl 1nfnectio'l'1 Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Final Bnilding: After all required inspections have been requested and approved and the bnilding is complete. Paee 2 of 3 CITY OF SPRINGFIELD );::, Building/Combination Permit PERMIT NO: cOM2009-00742 ISSUED: 09/22/2009 APPLIED: OS/27/2009 ,EXPIRES: 03/22/2010 VALUE: $ 8,329.00 St~tus Issued 275 Fifth Street, Springfield; OR 541-726-3753 Phone 54 i -726-3676 Fax 54 i-726-3769 Inspection Line Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. F:inal Plumbing: Wh'en all plnmbing work is complete. 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. By:!signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all inform,ition hereon is true a'nd 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 wil;:be made of any structure without permission of the Community Services Division, BniIding 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 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 .t~'1'':: during construction.. .........1 ~ n ~rJ ^ \-)(;{/\ C" \ J ~) / / - d y~ (j~ ~ O;ner or Con,tractors Signature c Date ,. Paee 3 of3 225 F'ifth Street Springfield, Oregon 97477 . 541-726-3759 Phone VJ~~.I~~_'.iIIlIIl~."...IIII1I"'~1I ':....:..... ~,..... . '." ." -,- . ~-'. ,-' ,,'. "".'___"'_,,':..c_',' City of Springfield Official Receipt Development Services Department Public Works Departmcnt RECEIPT #: 2200900000000001321 Date: 11/24/2009 8:24:00AM Paid By BARBARA DB WHITBY Item Total: <":heck Number Authorization Received By Batch Number Number How'Received Amount Due 81.00 18.00 4.95 11.88 $1I5.S3 Job/Journal Number COM2Q09-00742 COM2009-00742 COM2009-00742 COM2009-00742 Description Perm Serv/Fdr 200 amps or less Add, Alter, Exiend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Payments: Type of Payment Check' Amount Paid njm 5357 In Person Payment Total: $115.83 $115.83 ,~~ " j cReceintJ Page 1 01'1 1l/24/2009