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HomeMy WebLinkAboutPermit Electrical 2009-12-2 ifIectrical Permit Application o D 225 Fifth StrccttSpringfield, OR 97477+PH(541)726-3753+FAX(541)726-3689 SPRONGFIELD Il~L;6EE~~TMENt\j~EONl y l~,' ~'"" I CC>v<1ZCO f - C) 12.. ''1 ~ _ ~~~r Permit no.: . I Date: / Z- ~ L -0 ~ I 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, 1"'1,'" :, "i;I:!OCAL~'G0\fERNMENT;;AP,RROVAt[q,;,#.{""i1\i":(;~'1 I Zoning approval verified? 0 Yes 0 No I l'ft')2:\:'i~i;(:i:HCArEGORy,jIOF,;;C0NS'[RUCTIONI\M"/',;:.;' ";J~:.I I erResidential I 0 Government I 0 Commercial I 1~~~tOBISIJ:E11INFQRMMf()Nr'ANDli1irOC'A'liIOlll~~~ii'i~1 ],000 sq ft. or less (4) I Job site address: 7~1g FI)e/~eo ~ 5r ,I I ~~~~:fditionaI500 sq, ft: or portion . . U I CIty: 5/Jr.-<-J" I) I State: OIL I ZIP: f ~1f;Z,tl I I Limited energy (2) . $ 32.00 $ ~~~;e:en~e/~;~~~~; 0F'WJ;~~:~~i~~';':?: I ~~~~I~:nS~~~~~~~~e~;:r(~)odular $ 63,00 $ I I 1 r;J -v J ? } I I Services or feeders: installation, alteration, relocation I c...'W/,~~e... ~/~t+ f4/O e I q.,A-</# >? ?,ra...,;..L, I I 1200 amps or less (2) , I $ 81.00 $8/ I L,rC:OrH I . cPROPERTY.:OWNER '" I I 201 to 400 amps (2) $ 95.00 $ I I Name: '" I I I 40] to 600 amps (2) $156.00 $ I ,I )4~ '-c/ (.J-I- /VI,-r I Address: 72<;(1, t;;/~/~i'fr S+ )~t60Itol,000ampS(2) $205.00 $ I I City: ~r'~4rl.cf) I State(lO(L ~~IP"~~~I\i'~verl,000ampsorvoltS(2) $469.00 $ I Phone:':'1I-;~I- t,e67 IEalo;_OI~1I~~e~~\;:ie!l1\~)~OnnectonlY(2) $ 63.00 $ I E-mal' t.~~'e.OO\',a ~oset11. O"'~ "')~ ~~orary services or feeders: installatton. alteraltOn, relocatton . J. . ""'ka~ '.\'" ...,,,..4j\l9~t9\ ','\'.e 111\ ~of/lll amps or less (2) $ 6 $ ThIS mstallatlOn IS bemg moo IClllnrr'~~ ,~" 3.00 owned by me or a membe"'~ !i ~ : ~e ~o' \{\I,eRR'to 400 amps (2) $ 87.00 $ property IS not Intended for\1ll "q~tll'I:'1J<,"~P \l\\\\II! 479.540(1) and 479.560(1). ~~\\I\g \l\9 GD'~'()(eldO~,~2'~~ I, 401 to 600 amps (2) $126.00 $ Signature: ~~ \Of ~... ,.&0 Over 600 amps or ],000 volts, see servIces or feeders sectIOn above I ',." CONTRACTOR ~STAL~10N ", I Branch circuits: new, alteratton, eXlensJOnperpane/ I Business name: S~t-{}. I I 8. Fee'for branch circuits with purchase ofa service or feeder fee: I Address: J I Each branch circuit I $ 6.00 I $ I City: I State: I ZIP: 1 I b. Fee for branch ci~cuits without purchase ofa service or feeder fee: I Phone: I Fax: I I First branch circuit (2) I $ 55.00 $ E-mail: I I Each additional branch circuit V'I $ 6.00 $ (/ R CCB license no.: 1 BCD license no,: 1 I Miscellaneous fees: service or feeder ~ot included I I Signing supervisor's license no.: I I I?ach pump or irriga.t.i~n;Cir~.le $ 63.00 $ I I Print name of signing supervisor: I 'Each sign oToutline . ~.: $ 63.00 $ I I Signature of signing supervisor: I I ~it~:~~~~.t.()W ~~N:: $ 63.00 $ I ,,\()'\\c,~~~~ ~~~~~l~~"w I~n;.~)'_.~ _, or.~~8:.~~,.~. ""'11 \;\\\~~;~\1.~ ~)i#~~~'~;:~:~~~ANT'''USE~'~''Jii",S;~,::t\ii"r:'&l;.::::1 ~\~~'t.~ ,($~\fu'.: Permit Fee $58.00) $ I Z. 7 C,v 'O~ . ~~'l \ ,I (B)Enter]2%surcharge(.12x(A]) $ /JC(~I I (C) Technology Fee (5% of[A]) $ bC( ~ 1 I TOTAL fees and surcharges (A through C): $/50 'i'$< 1i'(4:~';::';;!~.~*":~i~!t::'4'~g;'i!~""'it;"I""'E E- 'ilSC '" ED'-!i"iE;~:+mw;~'J'~'~i-;!~~,-';r-~~..f~~' f",;,,-:,'li:\'L'F>';'!:~:~:",]1,:i));I;,'G;;:Ar; _~, " _171 _' ,VI,;,; , jI&;~~~1~~1,!(,lt-4';jJl:~~iii;;~'~}lf47~ 1.,NUni~er'~r.i~;p~~ii~!oisp~[itf~'i) :JIQiy.1 ~;.r.oaSr!1 :'1~~atl; ,'" '"_,,,'>' ,J._. ",~{,'""-!r'..'"..'.~v-"'f~.-"~..,.p.,,,",_,c. ,;-.1.'., ',~".. '_.'__n '.,1"; Residential, per unit, service included: I $134.00 $ $ 25.00 $ \jJ\V.cf\ \fq: t~y ~ 440.2584-J (9/08/COM) _S;~_~;,llILD",,', .: \,' w.:,:::Aft:. J ."""''-'''' -; w ~ , ., ' "....., """jf .".J ...,,'........-.,.,......., Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01214 ISSUED: 09/03/2009 APPLIED: 08/20/2009 EXPIRES: 06/02/2010 VALUE: $ 62,688.00 Springfield TYPE OF WORK: Single Family Residence SITE ADDRESS: 7298 ELDERBERRY ST ASSESSOR'S PARCEL NO,: 1802022100600 Residential TYPE OF USE: Addition PROJECT DESCRIPTION: Bed/Bath and Garage Addition to Single Family Residence Phone Nnmber: 541.231-6867 Owner: WITTMER DANIEL A JR Address: 7298 ELDERBERRY ST SPRINGFIELD OR 97478 Contractor Type General Electrical Mechanical Plnmbing Contractor OWNER OWNER OWNER OWNER # of Units: Prima.)' Occnpancy Group: Secondary Occnpancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: I CONTMCTOR INFORMATION I License' Expiration Date Phone '/Ou\o la'" tequltllS Utility _\'TIO\ll: o!ego~ b~ the Ole~~~et 10M ~, I ""~.~.&o.j!.do\lte Tr_.o.I\l1eS,e::\ 2"".00'. ~,\U". ..... :t \l.'- _u - ~I.- a bY Notiflcat 0181::1 WlI I ., 0",1\ 9 - obtaIn , \he \e e ~en .n 'IoU mIl:.""" "tJote" "otilica\.iO I 0990. ll",..r",~, .\.!.\i\\W" R-3 calling the ~lDt6f'$'l}~t1i344). 17,00 nllmbet 10 j\l'Ul'I\tiP.if: aseboard Electric VB ce ater Type: Range Type: Energy Pat~.:_ Sprinkled Bii.i1ding: ......... Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: 'Sq Ft 'Garage/Carport Sq Ft Other: Occllpant Load: 15,246 342 784 .-;-::;..-..;~;_........... No I DEVELOPMENT INFORMATION I REQUIRED PARKING 2 Overlay Dist: Total: # Street Trees Rqd: . -. Handicapped: Paved Drive Rqd: Ye....:'...'''';,.'Co~~ct: % of Lot Coverage: 23.~\i: 1~'E. '140 NOi\~~~,"\'f ~\-\t>.\.\. ~~'d' Of?JJ\\1 \S ~Oi I PUBLIC IM~QViMm:~' '~\Jt:: :~~~OO~E\J rvr. , ",_ ~.U\ \\\vl'\\J . , CO"NlEN cD\"Jl}~walk Tvpe: fully ImlJrOved '" Q DIW \,,,,, '0 . Yes r>,N'I '\ \) Downspouts/Drains: 20,00 25,00 6.00 0.00 Curbside 5' Curb and Gutter Notes: STORM DRAINS TO CURB AND GUTTER Paee I of 4 _5;, ~RINQ~I,m:.,", .~,,' ., r," ~;..J., ,"A,....." ~,!" ,:' , .~' \ ."~~'...' .."..~ j Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Garaee/Misc SFlDnplex U VB Utilitv R-3 VB 1&2 Familv Fee Description Plan Review Residential + 12% State Surcharge + 5% Technology Fee 1st Appliance Building Permit Fire SF Fee - Residential Fixture Minimum/Adjnstment Plumbing Plan Review Major - Planning Sanital)' Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps 0.. less Total Amount Paid Structural Review 10/19/2009 Initial Review Initial Review 08/20/2009 08/21/2009 Plannin2 Review 08/21/2009 I Valuation Descriotion I $ Per Sq Ft or multiplier $37,72 $96,83 Square Footage or Bid Amonnt 784,00 342,00 Total Value nf Project U'''r< PlW Amount Paid $343,56 $79,87 $43,83 $79,00 $528.56 $56,30 $57,00 $1.00 $211.00 $176,37 $231.94 $44.62 $484.16 $15.48 $6.45 $48,00 $81.00 $2,488,14 Date Paid 8/20/09 9/3/09 9/3/09 9/3/09 9/3/09 9/3/09 9/3/09 9/3/09 9/3/09 9/3/09 9/3/09 9/3/09 9/3/09 12/2/09 12/2/09 12/2/09 1212109 I Plan Reviews I 08/21/2009 08/21/2009 08/25/2009 WI NJM APP LLH WE Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01214 ISSUED: 09/03/2009 APPLIED: 08/20/2009 EXPIRES: 06/02/2010 VALUE: $ 62,688.00 . Value Date Calculated $29,572.48 $33,115.86 $62,688,34 08/20/2009 08/20/2009 Receipt Number 2200900000000000938 1200900000000001024 1200900000000001024 1200900000000001024 1200900000000001024 1200900000000001024 1200900000000001024 1200900000000001024 1200900000000001024 1200900000000001024 1200900000000001024 1200900000000001024 1200900000000001024 1200900000000001291 1200900000000001291 1200900000000001291 1200900000000001291 Engineering for retaining wall at garage addition DDK Hillside - Requested revised plot plan showing complete site, including walkways, drivc\\-'ay, decks, patios, all structures etc. in order to determine lot coverage. Plans on hold until new plot plan received, ., -jrm..~,f:!!;, Q.',',' i,', ~;A~"., .." .' '.. 'i 1IIi:., ,) Status Issued CITY VI' ~ndNGFlELD Building/Combination Permit PERMIT NO: COM2009-01214 ISSUED: 09/03/2009 APPLIED: . 08/20/2009 EXPIRES: 06/02/2010 VALUE: $ 62,688,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726.3769 Inspection Line Plannine. Revicn' 08/27/2009 08/27/2009 API' DDK Received revised plot plan showing all improvements on site, Approved as shown on plans, Removal of 5 or more trees will require a tree felling permit. Puhlic Works Review 08/2112009 08/28/2009 API' BJG STORM WATER TO CURB AND GUTTER. WORK BEING DONE ON FAIRLY FLAT GRADED SOIL. NO LDAP REQUIRED, As noted on plans Structural Review 0812112009 08/28/2009 API' CJC Initial Review 10/19/2009 10/19/2009 APP LLH Received engineering for retaining wall at garage addition 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. Rp'\IW;rrt In<nections ~ Footing: After trenches are excavated, Foundation: After forms are erected hut prior to concrete placement. Slab: To be made after all inslah building service eqnipment, cunduit piping and other equipment items are in place but prior to concrete. Floor Insulation: Prior to decking, Shear Wall Nailing: 'Before covering sheathing with finish materials, Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping, Special Inspection . Soils/Compaction: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield, Copies of inspection results shall he provided to the City of Springfield, Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and tilter cloth is'installed but prior to backlill, Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to covel' and including required testing, Water Line: Prior to filling trench and including required testing, Sanitary Sewer Line: Prior to filling trench and including required testing. .' Storm Sewer Line: Prior to filling trench, Paee 3 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01214 ISSUED: 09/03/2009 APPLIED: 08/20/2009 EXPIRES: 06/02/2010 VALUE: $ 62,688.00 225 Fifth Street, Springfield, OR 54] -726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Plumbing: When all plumbing 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 electdcal work is complete, Electric Service: Approval required prior to utility company energizing service. By signature, ] 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 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, ] further certify that only contractors and employees who arc 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 times during construction. ~' ;fI f If} . c:::J../-' r ~ - ?~L/7 Owner or Contr~gnature Date Paee 4 of 4 225.Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01214 COM2009-01214 COM2009-01214 COM2009-0 1214 Payments: Type of Payment Check cRecein!l v~: ~.- City of Springfield Official Receipt Development Services Department Puhlic Works Department RECEIPT #: 1200900000000001291 Date: 12/02/2009 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By DANIEL WITTMER Item Total: <":heck Number Authorization Received By Batch Number Number How Received djb 2062 In Person Payment Total: Page I of I I :20:00PM Amount Due 81.00 48,00 6.45 15.48 $150.93 Amount Paid $150.93 $150,93 12/2/2009