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Home My WebLink AboutPermit Electrical 2009-3-17 Electrical Permit Application .- CITY OF 'SP'RIN'i;FiELD:';dRE1';ON~(' ,M . -.~. 't~>'-. . . .Ji. 225 Fifth Street. Springfield, OR 97477tPH(541)726-3753tFAX(541)726-3689 SPRINGFIELD ~ ~AA __ ~~.;~~ -~~'l1iJ14.' ,~~,~ "i""",~j '''~~. ~ """. Ml'. ~. ~....,. ""I; DEPARTMENT USE ONLY . . CoW12"OO?-OO go, Pennit no.: Date: 3-11-/0 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuauce or if work is suspended for 180 days. ',' , . ":l::OC~L:GOVERNMENT,:.o;F1PROVAllle,':~';,'t:;'\i!\: Zoning approval verified? 0 Ves 0 No ::",:;-'t-._:::'C~TEGORY,:';'OI':CONSTRUCTION\~ i" ': J2YResidential I D Government I D Commercial ~~~;if,rJOB~SITE':INFbRMATIONrAN[j!1LOCA'I!IbN~!!ti:,~J:t' Job site address: 25? 2 mAtlo It... '/::)iL City: S 1> F'D State: o(L I ZIP: 97Lf77 Reference: /7032-33:5: !Taxlot.:Ort,OO DESCRIPTION OF -WORK' 'h\ "'>{'."'" . (}V ( tL.r= A-bDl"\ \~(V /Of-A-N~-'-'I\.L.{,~ ( ( PROPERTY OWNER (Name: Z / V c- '/L, .-! ' , Address:? sq i2,' dk}o/1""-- tTJ.-: City: ~r>,Mj ~ ....7) State: C/7T ZIP: IN t '7 Phone;.NZ tl61" / (j {( I I Fax: ~I '-I- 6.5 q 9"'JCJ E-mail: ':~1~\~::';~~"'ri1)-i?t~ir:;,trf~)~A~t{f1FEE~,SC H EP.UeE~)}~~~'~~'tjt~~;~~%~~~t~~~~l N~"\~er ofjnspe~ti~'?~ ~er}te~ f), '0. Qty. ;~~~t, '. ~~~~I Residential, per unit, service included: 1,000 sq. ft. or less (4) I $134.00 $ tJl{ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) / $ 81.00 $~ I 20 I to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volls (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration. relocation 200 amps or less (2) $ $ This installation is being made on residential or fann property 63.00 owned by me or a member of my immediate family. This 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, orrent. bAR 4?9.540(1) and 479.560(1). ') 401 to 600 amps (2) $126.00 $ I~ Signatur4;....- c ---- ~ ~ Ove~~Oampsorl,OOOvolts,seeservicesorfeederssectionabove ".~ JNTRACTOR INS:r1l;[[ATION ...nu,tEl'~\\'Iircuits: new, alteration, extension per panel Business name: c:::> I . I. ,- . ~ . _"'. o(ego~ ::,. I\\e 0 e 1f1>li\&~!anch circuits with purchase of a service or feeder fee: '1"'0'" -"OU' t BE Address: I>-:,~,.. eUleS a.u::. 1\\OSe hcircuit I $ 6.00 I $ City: S\~\~iCa.\\O~ ';friill\l~ ~":.noi~9 ~~. ranch circuits without purchase of a service or feeder fee: Phone: - - .~~~\'\ ::lnu tlIa.'1 O~A' 'll'loI8'",iN NO nch circuit (2) $ 55.00 $ E-mail: \lU~~ilil\g I~~. ~~e Otego.. ';,,( ,'" ch additional branch circuit $ 6.00 $ CCB license no.: I BCWlmlil~~.9o.\et i& ,~- Miscellaneous fees: service or feeder nal included Signal circuit or a limited-energy panel, alteration, or extension (2) Each addit.i~~~I)nspection: (I) $58.00 $ \ ~~.1 ("\ ...."'-";I.i!'r.~;.,,'.,:~'''''P''- i"ICA'N'T.,'U"S"E,::;"f':",,,>,,:;^,,,,,;;,,,;,, , WA ~V . , "~.,,'JS.':':l'v,',,'o,""~~!f"";< , . ~:L , ,,- :~/ r'Sff... ''':.\'t.;;~,..G::.~!:..."v., :~" '..:11; f(" .... . .-.' (~~\~~ ~1e fees ~~ ~~tt~ ~~\.\ 0Xi . ee $58.00) ~ ?t.\\\fI~ ~~~~ rcharge (.12 x [AD \\\~\\O\\\tt.O D 0\\ ~ echnology Fee (5% of [AD t-,IJ \o!I\o!It."C~ ~ Vt.V~ AL fees and surcharges (A through C): CO" '\~\) ~~ t-,~, Signing supervisor's license no.: Print name of signing supervisck Signature of signing supervisor:" 440-2584-J (9/08/COM) Each pump or irrigation circle (2) Each sign or outline lighting (2) $ 63.00 $ $ 63.00 $ . $ 63.00 $ $ZIS- $ 7513:> $ 1()7.r $Z'5I'i~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00887 ISSUED: 06/29/2009 APPLIED: 06/18/2009 EXPIRES: 09/16/2010 VALUE: $ 45,162.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2592 MANOR DR ASSESSOR'S PARCEL NO.: 1703233301600 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition of Second Story over Garage, Covered Porch and Converting Garage to Storage. Owner: Address: SIMHI ZIV Y 2592 MANOR DR SPRINGFIELD OR 97477 Phone Number: 541-914-9046 I CONTRACTOR INFORMATION ~ Contractor Type Contractor License General . OWNER VO'!. \0 Electrical o'WNER ,a'lf t~lllt~Ol\ U(\\~ Mechanical OW~~O"': Ote90~ '0'1 \\le Oleate set \00,_ Plumbing Ojt\'{~..:.; ado~~e osetll1es 952-0 ~ .,,\. . ::~c~~~, ION~ '" O~ 95 l'IIa'l 0 ~o\e: .' tlo\i\ICe. # of Units: 0090. 'IOU e cen\et., \\~}X~44). 2 Primary Occupancy Group: ce.\1'''~ot \\le.O'~_ ~70tstructure 25.50 Secondary Occupancy Group: ~ Cel\\et ,S ype of Heat: Primary Construction Type VB Water Type: Secondary Construction Type: Range Type: # of Bedrooms: \ Energy Path: Sprinkled Building: nla Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 9,148 163 355 123 I DEVELOPMENT INFORMATIO~ Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10.50 8.00 Urban Fringe REQUIRED PARKING Total: Handicapped: Compact: 28.00 Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: "'.. ,rJ- 'J'!j. Notes: Stormwater to existing eaves. No new fixtures. Pa2e 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Gara!!e/Misc Gara!!e/Misc SF/Dul>lex Tvpe of Construction U VB Utilitv U VB Utility R-3 VB 1&2 Familv Fee Description Fire SF Fee - Residential Plan Review Residential + 12% State Surcharge + 5% Technology Fee 1st Appliance Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add - Building Permit Copies - Ea Addtl @ 50 Cnts Ea Copy 6th @ 75 cents Fixture Minimum/Adjustment Plumbing Plan Review Minor - Planning Plan Review Residential SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan + 12% State Surcharge + 5% Technology Fee Fixture Perm Serv/Fdr 200 amps or less Residence Wiring 1000 Sq Ft Total Amount Paid Initial Review 06/22/2009 Public Works Review 06/22/2009 I Valuation Description ~ $ Per Sq'Ft ' or multiplier $37.72 $37.72 $96.83 Square Footage or Bid Amount 163.00 123.00 355.00 Total Value of Project ~ Amount Paid $32.05 $207.25 ' $77.88 $38.40 $79.00 $55.00 $12.00 $435.97 $12.00 $0.75", ,< $19.00 '~ $39.00 .If ~ $119.01(1 .. $76.13' $6.83 $136.63 $9.00 $32.64 $13.60 $57.00 $81.00 $134.00 $1,674.13 Date Paid .: '.... 6/18/09 6/1 8/09 6/29/09 6/29/09 6/29/09 6/29/09 6/29/09 6/29/09 6/29/09 6/29/09 6/29/09 6/29/09 6/29/09 6/29/09 6/29/09 6/29/09 6/29/09 3/17/10 3/17/10 3/17/10 3/17/10 3/17/10 , (, I Plan Reviews ~ 06/22/2009 06/23/2009 ~' I',.i . ,i; .~. .." APP LLH APP TSS ; ~, " Pa!!e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00887 ISSUED: 06/29/2009 APPLIED: 06/18/2009 EXPIRES: 09/16/2010 VALUE: $ 45,162.00 Value Date Calculated $6,148.36 $4,639.56 $34,374.65 $45,162.57 06/22/2009 06/22/2009 06/22/2009 Receipt Numher 2200900000000000688 2200900000000000688 1200900000000000751 1200900000000000751 1200900000000000751 1200900000000000751 1200900000000000751 1200900000000000751 1200900000000000751 1200900000000000751 1200900000000000751 1200900000000000751 1200900000000000751 1200900000000000751 1200900000000000751 1200900000000000751 1200900000000000751 1201000000000000241 1201000000000000241 1201000000000000241 1201000000000000241 1201000000000000241 Adjusted value of project using minimum default table. Stormwater to existing eaves. No new fixtures '.' " Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00887 ISSUED: 06/29/2009 APPLIED: 06/18/2009 EXPIRES: 09/16/2010 VALUE: $ 45,162.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax '541-726-3769 Inspection Line Planninc Rcview 06/22/2009 06/26/2009 APP DDK Approved per Jim Donovan - meets front yard setback and allows for 2 off street parking spaces. as noted on plans Strnctnral Review 06/22/2009 06/26/2009 APP CJC 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. l...ieClllirerU~snectjons ~ Footing: After trenches are excavated. Fonndation: After forms are erected bnt prior to concrete placement. Post and Beam: Prior to 1100r insnlation or decking. Floor Insnlation: Prior to decking. Shear Wall Nailing: Before covering sheathing with linish 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. Underl100r Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Final Plnmbing: When all plnmbing work is complete. Rough Gas: After line is installed and reqnired testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover ,.. '. ,; .1..' : ~ 1 i , Final Gas: When all gas work is complete. w,>\,'" 'I, .."'. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Final Building: After all required inspections have been requested and approved and the building is complete. Pace 3 of 4 'iir-..'I'1I. !~..rii..'.j..l)..'"...~'Y'-.'."'.-...-.' .......'...... Iti;:A .'. .. ....-........ .} Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726.3676 Fax 541-726-3769 Inspection Line il CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00887 ISSUED: 06/29/2009 APPLIED: 06/18/2009 EXPIRES: 09/16/2010 VALUE: $ 45,162.00 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 fnrther certify that any and all work performed shall be done in accordance with the Ordinances oflhe City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and tbat NO OCCUPANCY will be made of any structnre witbout permission of the Community Services Division, Building Safety. I furtber certify tbat only contractors and employees who are in compliance witb ORS 701.005 will be used on tbis project. I furtber agree to ensure that all required inspections are requested at tbe proper time, that each address is readable from the street, tbat the permit card is located at the front of the property, and tbe approved set of plans will remain on the site at all times during construction. ,;..''''''''. 'w.". . .1. ,~"",~~ ' '/;:/ ., Paee 4 of 4 ~!;z/;~ . Date 225 Fifth Street . . Springfield, Oregon 97477 541-726-3759 Phone Iii~, City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000241 . Date: 03/17/2010 12:06:25PM Job/Journal Number COM2009-00887 COM2009-00887 COM2009-00887 COM2009-00887 COM2009-00887 Payments: Type of Payment CreditCard cRcceintl Description Residence Wiring 1000 Sq Ft Penn Serv/Fdr 200 amps or less Fixture + 12% State Surcharge + 5% Technology Fee Paid By ZIV SIMHI ~ Reech'ed By djb Check N umber Batch Number , Page I of 1 Item Total: Authorization Number How Received Amount Due 134.00 81.00 57.00 32.64 13.60 $318.24 Amount Paid 170854 In Person Payment Total: $318.24 $318.24 3/17/2010