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Home My WebLink AboutPermit Electrical 2009-12-4 225 Fifth S'm'.Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689 li(':;DgRA~TMEN,' r.;US'E,ONlYr"t",' , ,,,.,,,",',. "O^,,",,', _"'_'" ,,-;, " '. I P~t:::'. Zc> 0 ? - DO 7L( I Date /2 - L( -0 9 I Eletti:i6il Permit Application This permit is issued under OAR 918-309-0000. Permits are nontransferaole. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ,:,~;.;i ';/t~It,'OCALt:G(jVERNMENT"\~~'PROyA~~~~f~i~1t~~;,t?2~t;~';I 1~~~~%\~(I~fJ1f~,o/ft~~:J~1~F;EI;{~,s'qHE,[jJlJ[}e~~t.1~~~w:~~~l~i I Zoning approval verified? . ..,. DYes ..' D No I I N~.ri;;'ei'6fin;~eiti~~i:p~r;i;~~i'(l:"';:IQK.:11FO'~Djl }:O'tal( Ft~i~""";"";YCA'fEGORY*0F,Ji'cONSTRtJCTrOW~:';""''''',;"",\":1' ,',Af>""+o"'_"'\:,>,,,",,,;o,,,nW,j',i,, '":,, ' ,,),,~a,', :" ,cost, ;; ('~'~;::;~~~:;al' 'I D'~~~~~ment' ~I' ~ c~~:~~;:~al":'- "I ] Residential, per unit, service included: l~i}I'Z'~..~!JOBtislmE;'iINF,ORMA:mOI\WAND~lfOCA;mON'"*'''i1F;Y\:')1 11,000 sq ft, or less (4), $134,00 $ I'J~::;tead:ess: "2 ~~fS' Vc,1<4<'?t.-.... ., " 0""'1 I ~~~:ritionaI500 sq ft or portion $ 25,00 $ I City: c;".fld. I State: Or I ZIP:qlJ./7l?' I I Limited energy (2) $ 32,00 $ I Referenc<::"}:;~S?R~P.+I~:~O~J;~~~;;!U~i~~~;,i I ;~~~J~:ns~~~~~~~~~~:r(~)odular $ 63,00 $ I EI J '/) I I Services or feeders: installation, alteration, relocation _ fr 1-V(~<.Y " I I I 200 amps or less (2) ( $ 81,00 $ l') I I,' ;PROP,ERifYJ OWNER '. <, 1 I 201 to 400 amps (2) $ 95,00 $ I Name: De.n" i , N (.oi..u'i;/~ I I 401 to 600 amps (2) $158,00 $ I AddresS! (; r?;, 1 l-k 117' 1 I 601 to 1,000 amps (2) $205,00 $ I City: '5,0 (!-li. I State: Or I ZIP: t?71-(1Y I I Over 1,000 amps or volts (2) $469,00 $ 1 Phone: 5"~1 7-J./(p-79.> I I Fax: '- I I Reconnect only (2) $ 63,00 I $ I E-mail.IIIA 1. /4l ,/f L- f I I Temporary services or feeders: installation, alteration, relocation , Q d ",C/toU<'{.l'o l",' <...<_e<tSJ ,He This Installation IS oeing made on residential or farm properlY. ilet. )'~\Noamps or less (2) $ 63,00 I $ owned oy me or a member of my Immeq!'l.\e ~,f\Wil;rnalN leu,ll )OIUiiIltlJ, 400 amps (2) $ 87,00 I $ property IS n~t I ed for sa~~~ e ~'fI~'(ftJV,tl'i$.~leg ,c.. ' 479540(1) a 79, 60(1), to\lO'H r\,~ ~E:. l' elll1es ~~5~~00 amps (2) $126,00 I $ Sig~ature, ?~J!lflifl~~ _n IOIl~~~I\ l~lliJl amps or 1,000 volts, see servIces or feeders sectIOn above I' ' ,; CONTRACTOR'" ''I (il!llD\aI!\ .~~re: \tie t lIe ~IlP.l).'h circuits: new, alteration, ntens'qn per panel Business name' 0 c...m~J18 center, ~~n Utili\)' t o~ ~or branch CIrcuits w,th purchase ofa Service or feeder fee I Address ftymber ~ ~-iOO~~f Each branch clrcu,t I I $ 6,00 I $ I I City: I State: I ZIP: I ' I b. Fee for branch CirCUits without purch~se of a service or feeder fee: I I Phone: I Fax: I 1 First branch circui' (2) ,$ 55,00 $ I I E-mail: ,..' . II Each addilional branch circuit 'f $ 6,00 $ Z L( I I CCB license no.: I BCD license no.: I I Miscellaneous fees: service or feeder not included I I Signing supervisor's license'no.:"' I I Each pump or irrigation circl~'(2) $ 63.00 $ I I Print name of signing supervisor: I ,I Each sign or outline lighting (2) $ 63.00 $ I ] Signature of si~ing supervisor: :' I' I Signal, ci~cuit or a li!TIited-energy panel, $ 63.00 $ I alteratIon, or extension (2) I Each additional insp~ction: (I) $58,00 $ ~tf-\ l~~:l~~i~ ~:~~ ~E~~~.~:~NI~bS".t";~~~ \f(r (()~ 'COMMENCED OR IS f>.1%) Enter 12% surcharge ( 12 x [A]) $ Jt 6,0 I V:-~ p"NY 180 DP"Y PERIOD'I (C) Technology Fee (5% o[[A]) $ S l. ~ ~ ,\ TOTAL fees and surcharges (A through C): $ /22.l!:f:::)" 440-2584,) (9/08/COM) 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: COM2009-00749 ISSUED: 06/25/2009 APPLIED: OS/28/2009 EXPIRES: 06/04/2010 VALUE: $ 23,235.00 SITE ADDRESS: 2985 Yolanda Ave ASSESSOR'S PARCEL NO.: 1702193300803 Springfield TYPE OF WORK: Garage PROJECT DESCRIPTION: Detached garage Owner: NOWAK DENNIS & DIANNE Address: 6867 HOLLY ST SPRINGFIELD OR 97478 TYPE OF VSE: New Residential Phone Number: 541-746-7951 I CONT~GT0RINFORMATlON I Contractor .Type General Electrical Contractor OWNER OWNER BVILD,ING INFORMATION g # of Vnits: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: v # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: VB License Expiration Date' Phone Lot Size: 13,00 Sq Ft Is/Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: nla Occupant Load: 616 I DEVELOPMENT INFORMATION I Front yard Setback: , 'Ove&~ Dist: Side I Setback: '# fequ'fe!!i~ti\\tfrees Rqd: Side 2 Setback: :nON: ore~f}:bha: the Ore9l'\'ift~&llllve Rqd: Rearyard SetbaclPi\\€.~uleS ado?\1~5e lules a~'ll~~JeO'\€over.ge: Solar Setbacks: 10\\?~ tion centel,o rough 0/11 "'lules tIV ' ..,.....trhCa e^" _nO\ ~_~ n1 the ..,-' . in O"OR ~~~ may ob\a'~N~t.Pl'J'B\;IF;\~VEMENTS' 009, \16 center. \" ~ 'I Street Improvementtallin9 t\ I t\16 Olegon ~2..i344)' ' m'Qel 0 . s ,$0' Storm Sewer A vailalWe: centel , Speciallnstrnction: Notes: .,;;pjlOt'!'t ,"',v.. Urban Fringe REQUIRED PARKING Total: Handicapped: Compact: Yes 17.40 Sidewalk Type: Downspouts/Drains: NOTICE: WORK THIS PERMIT SHALL EXPIRE IF THE NOT AUTHORIZED UNDER THIS PERMIT IS COMMENCED OR IS ABANDONED FOR , ' ANY 180 DAY PERIOD. Paee 1 of 3 _S5!JUN!GF,II:II.t!" ~, I r Status Issued 225 Fifth Street. Springfield. OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descrilltion Tv De of Construction Garaee/Misc U VB Utilitv Fee Description Plan Review Residential + 12% State Surcharge + 5% Technology Fee Fire SF Fee - Residential Garage/Carport ' Plan Review Minor - Planning Plan Review Residential SDC Sanitary/Storm Admin SDC Sanitary/Storm Admin Storm Drainage Impervious Area + 12% State Surcharge + 5% Technology Fee Add. Alter. Extend Grc Ea Add Perm ServlFdr 200 amps or less Total Amount Paid Initial Review 06/01/2009 Public Works Review 06/01/2009 Plan nine Review 06/01/2009 Plannint!Review 06/08/2009 I Valuation Deseriotion I $ Per Sq Ft or mnltiplier $37.72 Square Footage or Bid Amount 616.00 Total Value of Project ~ Amount Paid $63.05 $32,70 $19.58""'" $30,80 $272.50 $119.00 $114.08 $10,99 $10,99 $219.76 $12,60 $5,25 $24.00 $81.00 $1,016.30 Date Paid 5/28/09 6/25/09 6/25/09 6/25/09 6/25/09 6125/09 6/25/09 6/25/09 6/25/09 6/25/09 12/4/09 12/4/09 12/4/09 12/4/09 06/01/2009 I Plan Reviews I 06/03/2009' 06/04/2009 06/08/2009 APP LLH APP LKW WE DDK APP DDK Pa2e 2 of 3 CITY OF ~rKll~GFIELD Building/Combination Permit PERMIT NO: COM2009-00749 ISSUED: 06/25/2009 APPLIED: OS/28/2009 EXPIRES: 06/04/2010 VALUE: $ 23,235.00 Value Date Calculated $23,235.52 $23,235,52 06/01/2009 Receipt Number 2200900000000000576 1200900000000000737 1200900000000000737 1200900000000000737 1200900000000000737 1200900000000000737 1200900000000000737 1200900000000000737 1200900000000000737 1200900000000000737 ' 1200900000000001303 1200900000000001303 1200900000000001303 1200900000000001303 Submitted with a value of $6,000. Using lhe lowest default valne, project value is $23.235. I have added plan review fee to be collected. Incomplete site/plot plan. Letter sent 6/4/09 (see attached document), ddk Revised site plan received 6/8/09. No occupancy to be given on this structure until the primary structure (house - COM2009-00745) has been fin ailed/given occupancy. -SLJ;;iiI ~.:'" Status Issued UI}' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00749 ISSUED: 06/25/2009 APPLIED: OS/28/2009 EXPIRES: 06/04/2010 VALUE: $ 23,235.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726,3769 Inspection Line Structural Review 06/01/2009 06/0912009 WE CJC Need new site plan, foundation details. framing details. bracing details. Structural Review 06/16/2009 06/16/2009 APP CJC As noted on plans 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. R~ouir~d Tnsnections I Footing: After trenches are excavated, Foundation: After forms are erected but prior to concrete placement. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved, Final Building: After all required inspections have been requested and approved and the building is complete, Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to uimty company energizing service, By signature. I state and agree, that I havc 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 pertaiuing 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. 1 further agree to ensure that all required inspections are requested at the proper time. that each address is readable from tbe street, that the ermil card is located at the front of the property. and the approved set of plans will remain on the site at all times fing co struction. dM~ Date/Y ~7 - /- . / O\'\-'l1er or Contractors Signature " Paee 3 of3 225 Fif::'h Street Springfield, Oregon 97477 541-726-3759 Phone, City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00749 COM2009-00749 COM2009-00749 COM2009-00749 Payments: Type of Payment Check tRc(;cinll RECEIPT #: Date: 12/04/2009 1200900000000001303 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea AM ' , + 5% Technology Fee + 12% State Surcharge Paid By DENN1S NOW AK Item Total: Check Number Authorization Received By Batch Number Number How Received 5902 djb In Person Payment Total: Page 1 of 1 1:44:18PM Amount Due 81.00 24,00 5,25 12,60 $122.85 Amount Paid $122,85 $122,85 12/4/2009