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HomeMy WebLinkAboutPermit Electrical 2009-12-11 Electrical Permit Application 225 F;!th Street. Springfield, OR 97477tPH(54J)726-3753. FAX(541)726-3689 C~'IOlq 1~;':O~-~~fiTM.ENt.'U~( ONt ,( -I I Permit no, C~ JJ / 0 ~;C/I I Dat~: / ~ II I 10 c; I 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. I ,"i. .v,,' ';""EOC~L~:G0VERNMENT;).I;RRRO.v AIB~\\~\~\lrZ\r~w),~)71 I Zoning approval verified? III Ves 0 No I I:;" ::!;l)(~;;,S::SC.6.TEGORYiXOF,.itCONSTRUCTIONW,:'.i' '., ,. ."t'i ~~~,~~~.~ITE0IN~~R~~~7;~;~AN[j~~~c~;7~:~~;~~Ei jJobsiteaddress: /S3" "lIp) .1 I City: 5LJ,.;,,},:/) 1 State: OJ( 1 ZIP: 97<;771 I Referenc~: ~ 1 Taxlot.: I I"', F' ,.: . ,c' 'DESCRIR,T.10N: 0F"WO RK,,;~,,"\;:''''''''%,~''''>'''':<I . ., " ' " ",_.,-' "\' I '0"', '....~ \,' _~ ;..' I 0/0,'" I 1 I I 1 1 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: I~ ----....... \~~~ ~~ r.r t$.. ~'J' 440.2584-J (9/08/COM) 1~~E~t';~~~~~4~i};111i'1f;~l~~ff{F:El~~S~.HE_DU~E~1~~j~~~J}~4.~*~;~ 1 ;l'(u,,!j,ero:~'i~;p'e~~io;~s~e[.it~;,,'.(r:!;;"IQh,1 ',rosfLI,:rOlli!' '...,~.'~'.. ,,,I . .-' .' ,_ ,-",' '..,./" ,'..,(., "It' '-.t.. ~ . ......'"., '.....,. .,,1", ea. ~",,' cost, _',' 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 I I 1 ,'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 1;~'l&K~t~q~&B~~flmt+~~~AFf~,fiiC~~Nt~lJSE~~;~&h1Wih~;~~~~~frIft:,>1 (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 1 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 :~,. '~''':''. .",':;;' ;.~. . Page I of 3 _~.IN..C!,F;I_t1L,9; ......:.~'.'..'.... Itr} "'. ...,...! L , '" '",." ," '--""";,,, '"'H,~,, 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 -l~'!N.'. ~~I~~?..ji!. &:' '. I . , ", ',: ,,~, <, "", .. ,}I' . ,......"',.., ,.."......,.., 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 ~: ,: ',\." ", " . 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