HomeMy WebLinkAboutPermit Electrical 2009-12-11
Electrical Permit Application
225 F;!th Street. Springfield, OR 97477tPH(54J)726-3753. FAX(541)726-3689
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I Permit no, C~ JJ / 0 ~;C/I
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This permit is issued under OAR 918-309-0000, Permits are nonlransferable, Permits expire if work is nol slarted within 180
days of issuance or if work is suspended for 180 days.
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I Zoning approval verified? III Ves 0 No I
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jJobsiteaddress: /S3" "lIp) .1
I City: 5LJ,.;,,},:/) 1 State: OJ( 1 ZIP: 97<;771
I Referenc~: ~ 1 Taxlot.: I
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State C:;j( 1 ZIP:C!f7lf7J I
'. 'PRORERTY,OWNER.
Name: ,}",p' rYlv//"'r
I Address: I", "l <' ct I;,
I City: c;ar,:A,A /J I
1 Phone: ~-.:!D.-', t. 5"9,') I Fax:
I E-maiI: 5..;ntlII..(J)C-omca....f.fJ-e r
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) an'J.A}9.560(1), _______'
Signature: \ / A f2R t__________
, ,;,:C,0'NTRACTOR:INSTALlATlON.
I Business n;(~e:
'l
I AddreJ
I City:
l Phone:
1 E:-mail,---.. ~
1 CCB license n~~ I BCD license no.:
I Signing sypet'V'isor's license no:~
I P!:.inhi~me of signing supervisor:
I Signature of signing supervisor:
I State: ..............izip:
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440.2584-J (9/08/COM)
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I Residential, per unit, service included: I .
1 1,000 sq', ft. or less (4) $134.00 $ I
'I Each additional 500 sq, ft, or portion $ I
thereof $ 25,00
I Limited energy (2) $ 32,00 $ I
I Each manufactured home or modular I
dwelling service or feeder (2) , $ 63,00 $
1 Services or feeders: installation. alteration, relocation I
1 200 amps or less (2) $ 81,00 $ 1
I 20 I to 400 amps (2) $ 95.00 $ I
1 40 I to 600 amps (2) $158,00 $ I'
I 60 I to 1,000 amps (2) $205,00 $ I
lOver 1,000 amps or volts (2) $469,00 $ 1
1 Reconnect only (2) . $ 63.00 $
I Temporary services or feeders: installation, alteration, relocation
I 200 amps or less (2) $ 63,00 $
I' 201 to 400 amps (2) $ 87,00 $
I 401 to 600 amps (2) $126,00 $
Over 600 amps or 1,000 volts, see services or feeders section above
I
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,'1 Branch circuits: new, alteration. extension per pane! I
1 I a. Fee for branch circuits with purchase of a se'rvice or feeder fee: 1
1 1 Each branch circuit I $ 6,00 I $ I
I I b. Fee for branch circuits without purchase of a service or feeder fee: 1
I I First branch circuit (2) I $ 5500 $ "51
1 I Each additional branch circuit $ 6.00 $ l) ~
1 I Miscellaneous fees: service or feeder not included I
I I Each pump or irrigation circle (2) $ 63.00 $ I
1 1 Each sign or outline lighting (2) $ 63,00 $ I
I 1 Signal. circuit or a li~ited-energy panel, $ 63.00 $ 1
'alteratlOn, or extensIOn (2) ,
1 Each additional inspection: (1) $58.00 $ I
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(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
.1 (B) Enter 12% surcharge (.12 x [AD
I (C) Technology Fee (5% of[AD
1 TOTAL fees and surcharges (A through C):
$S-(~/ ]0
$" c'-0
L." t
$ Co .'1i,
$ C;-7. 'Y..i /J
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01079
ISSUED: 08/13/2008
APPLIED: 07/1712008
EXPIRES: 02/03/2010
VALUE: $ 9,016.00
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1535 9TH ST
ASSESSOR'S PARCEL NO.: 170326420360]
Springfield TYPE OF WORK: Garage
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: One Car Garage Addition
Owner: MULLER JOSEPH W
Address: 1535 9TH ST
SPRINGFIELD OR 97477
Phone Numher: 541-359-7794
I CONTRACTOR INFORMATION ,I
Contractor Type
General
Electrical
Contractor
OWNER
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
U
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
I Lot Size:
Sq Ft ] st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
nla Occupant Load:
5,366
VA
I DEVELOPMENT INFORMATION 1
0,00
Overlay Disl:
# Street Trees Rqd: "
Paved Drive Rqd:
, ?~ "of Lot '~ovcrage:
REQUIRED PARKING
Total:
Handicapped:
'Compact:
Frolltyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20,00
8,00
30.00
33.30
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
\UTHORIZED UNDER THIS PERMIT IS NOT
OMMENCED OR IS ABANDONED FOR
NY 180 DAY PERIOD.
I PUBLIC ]MPROVEMEI'U.'i.ImON: Oregon law ~ you to
tOlloW rul~QtI~\t!e Oregon UUIl\y
Notification c.enter. Those IUles are ~~
In OAR 952:.otR~'lfjfGlJgIf1SAR --.. and Glitter
0090. You may obtain copies of the ruIeII bJ
- calling the center. (Note: the hlIephoI,! .
. iIIanmer tor lie Oregon UtII1tY Nolill U"'....
_ Center .. HIOll 112111'-
Street Improvements:
Storm Sewer Available:
Spechtl Instruction:
Notes:
Storm WaleI' to weep holes in curb
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Page I of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descriution
Tvuc of Construction
Garae.c
Garnee
Fee Description
Plan Review Residential
+ t 00/0 Administrative Fee
+ 12% State Surcharge
+ 5% Tcchnulogy Fee
Carage/Carport
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Minimnm/Adjustment Electrical
Tota' Amount Paid
" ,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C0l\12008-01079
ISSUED: 08113/2008
APPLIED: 07/17/2008
EXPIRES: 02/0312010
VALUE: $ 9,016,00
I V~luation Oescri"tion I
$ Per Sq Ft
or multiplier
$28,00
Sqnare Footage
or Bid Amount
322.00
07/17/2008
Value
Date Calcnlated
Tota' Value of Project
$9,016.00
$9,016.00
~ Fpp< ~
Amount Paid'
Receipt Number
Date Paid
$ 77.12
$11.86
$14.24
$11.88
$118.64
$119.00
$8,09
$161.82
$6,96
$2,90
$48.00
$4.00
$6,00
7/17/08
8/\3108
8/13/08
8/13/08
8/13/08
8/13/08
8/13/08
8/13/08
121] 1109
12I] 1109
12/11109
12111109
12/11/09
1200800000000000788
]200800000000000867
1200800000000000867
]200800000000000867
1200800000000000867
1200800000000000867
1200800000000000867
1200800000000000867
2200900000000001373
2200900000000001373
2200900000000001373
2200900000000001373
2200900000000001373
$590,5]
I Plan Reviews I
Initial H.cview 07/17/2008 117/1712008 APP LLH
Public Works Review 07/] 7/2008 07/.2112008' APP LKW Storm water to curb
Structural Review 07/1712008 07/3012008 APP CJC
Planniul!. Review 07/17/2008 08/0112008 APP TAJ
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,~
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Paee 2 of3
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01079
ISSUED: 08/13/2008
APPLIED: 07/17/2008
EXPIRES: 02/03/2010
VALUE: $ 9,016.00
225 Fifth Street, Springlield, OR
541-726-3753 Phone
54 I -726-3676 Fa,
541-726-3769 Inspection Line
Shear Wall Nailing: Before covering sheathing with finish materials,
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Hold Downs Installed: Special Inspection performed prior 10 placement of concrete, Provide report to City
Bnilding Inspector.
Final Bnilding: After all reqnired inspections have been requested and approved and the building 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
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 Cily 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 to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the pennit 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. '
(!./P/~~-
TOI' Contractors Signature
Date
II'
, ,
Paee 3 of3
225 Fifth Street
Springfield" Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 I 079
COM2008-0 I 079
COM2008-0 I 079
COM2008-0 I 079
COM2008-0 I 079
Payments:
Type of Payment
Cash
cRcccinll
RECEIPT #:
~jjl
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000001373
Date: 12/11/2009
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Minimum! Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
JOE MULLER
Item Total;
Check Number Authorization
Received By Batch Number Number Ilow Received
njm
In Person
Payment Total:
f ~: ,:
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. Page 1 of 1
I :07:43PM
Amount Due
48.00
4,00
6.00
2.90
6.96
$67,86
Amount Paid
$67.86
$67,86
12/11!2009