HomeMy WebLinkAboutPermit Electrical 2010-2-22
225 Fiftb Street. Springfield, OR 97477. PH(541 )726-3753. FAX(541)726-3689
coMt:OC)?-O (73
Perrmt no.:
Date: 2-2-7 -10
This permit is issued uuder OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or ifwork is suspended for 180 days. ' ,
L ~ t 1]'0
ZIP: 'l740(
Phone: . on laVl re 1II.r:e3n}\
E-mail: I..-:-es.~dopted./ r~ e
This installation is being made on resi~~ntWt l/!\$niilflil/ Wi \\'IrO g
owned b~ me or a member of my ~di~lei{ami'!YOIfull . co ie
property IS not mtended for sale, excl"IllJ.i'.'1e"'8u~1O~N e'
479.540(1) and 479.560(1). 069'0.. thecenter.-( OUt' ~_'(2) $126.00 $
calling Oregon ~....A~ '. .
Signature: bel tOI the. 003 _",,0 amps or 1,000 volts, see servIces or feeders sectlO~ above
tl;~~;::'::~b:~~Wji~:ff:c0Nm'RJ\e1t()RliNSrtAt.ttAtffON~J+c:r,,;~<,,~~'i~k;:I:Ut~ Branch circuits: new, alteration, extension per panel
Business name: E" 575) () E EL t C-r/?.; C a. Fee forbraoch circuits with purchase ,ofa service or feeder fee:
Address: ?> 'S 1 S' J 13 05 C A (j f L ^' N 6 Each braoch circuit $
City: 5 P !C CD State: 0 ZIP: Q'7 Y 7 b. Fee for braoch circuits without purchase of a service or feeder fee:
Phone: 5 1- 7 V. / -I I./Q9 Fax: - '7 Jt;, - 1(,0 First braoch circuit (2) $ 55.00 $
E-mail: 'R-/::./Cf:."S75JOf (1 Y(llf(J(J ,COin Each additional braochcircuit $ 6.00 $ ZL
CCB license no.: J 1'77 "2 () BCD license no.:;;;" 0 -YO S C. Miscellaneous fees: service or feeder not included
~7)75
OG-(f(
:;"",;",,;'t'S''i!(fo' 'CA'" (f'S'SGOVE. .R. .N"MENJ1';"A"P'"R.'0' , 'v..A'j,j(""~'~.j;lJo;,4;,"i"
01t;Jj}j;f%:2~.^'3r;k .. _-' .""",, __, _, _'. __ , _ _ _ _ __,'0, -,;..'W ''''' __ '" _ _ L;:7i'",,*(~':r&;:"'/t''''
Zoning approval verified? DYes 0 No
~1~:;;::f1;~~CA-TEG0RY,Jd'O~~CQNSTRj!jj3Tj()riir:;tiG~'~~,y;~.ll
IDesidential 0 Government 0 Commercial
;:-#!~ji;j0B;;SITE1INi;QRMAtl()NIfANb;,,1..0cA-tl()N,..;~~;1
Job site address: " z. ~
City: si>A:>
70:5:3
Name: ;1-1' c::.
Address: 72-
City: f:u
Residential, per unit, service included:
1,000 sq. ft. or less (4)
Each additional 500 sq. ft. nr portion
thereof
$134.00 $
$ 25.00 $
$
$
$
$
$
$
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
Limited energy (2)
Each manufactured home or modular
dwelling service or feeder (2)
$ 32.00 $
$ 63.00 $
$
$
$
$
\J?o/, ~ $ zl-(
~f?'W $ Z88
'?'<-
~~ $ /l.:!--
$ egO
440-2584-J (9/08/COM)
Services or feeders: installation, alteration, relocation
200 amps or less (2)
$ 81.00
$ 95.00
$158.00
201 to 400 amps (2)
401 to 600 amps (2)
601 to 1,000 amps (2)
$205.00
$469.00
$ 63.00
Over 1,000 amps or volts (2)
(2)
$ 63.00
$ 87.00
$ 63.00
$ 63.00
$ 63.00 $
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I735
ISSUED: 12/15/2009
APPLIED: 12/07/2009
EXPIRES: 08/12/2010
VALUE: $ 20,000.00
If
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1726 H ST
ASSESSOR'S PARCEL NO.: ]703362120900
Springfield TYPE OF WORK: Fonndation
TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: Foundation for relocated Residence. Being relocated from 980 Country Club Road,
Eugene
Owner: WOOTEN MICHAEL B & JOAN C
Address: 72 CENTENNIAL LOOP STE DO
EUGENE OR 97401
Contractor Type
Electrical
Plumbing
I CONTRACTOR INFORMATION I
Contractor License
EASTSIDE ELECTRIC INC 117770
SPECIALTY PLUMBING CO .~. 102974
I BUILDJNG~ If!wI.J.
\"".1~
. O\eQ,O~ ~ \~e S e.t8 fl.$\-
,,-~~\O~"a.OO\l\~~~~'lfi~ O~ ~..6.~ \f\! 16.0~
p..\\ t\l\eS ~\ef".~l.~rrn~\WJ-~
\O\\~~\iO~~~\.o~~~e~
~~bf\\'-~~~~a.~~aa~~~\~\o
009~~\\~~ \~i,Q\ .
00:,_",,,, \ot ~~t\fIi ed Building:
nU"~- r.eft'
I DEVELOPMENT INFORMATION I
# of Units:
Primary Occupancy Group:
Seconda,'y Occupancy Group:
Primary Construction Type
Secoudary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Sethacks:
Street Improvements:
Storm Sewer Available:
Special I nstrnction:
Notes:
n/a
14.00
28.80
15.00
10.00
0,00
Overlay Dist: .
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
,
;j .,i ,. ,
Expiration Date
10/04/2011
11/2 1/20 11
Phone
541-915-9828
541-686-4191
Lot Size: 6,970
Sq Ft 1st Floor: 1,740
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnp~nt Load:
REQUIRED PARKING
Yes
24.73
Total:
Handicapped:
Compact:
2
. I PUBLIC IMPROVEMENTS I '. ,.
. ' " ~'(..
F II I d' S,dewalk Tv~en::~O ~
u V mprove ~\f ,no. ,,0'
Yes et~ \.~ i1:i: To Storm Sewer
Curhcut on permit # com2008-&Ul1~~'C.~Wt$~l-\\= ~~ater to weep hole in
curh i\'llS ol7.t.~ \)~~" "'B~~~O<<~
1\\.rn-lOfl ~ oPo ~" r-
CO\lll\lllt.~C~I\'1 ?t.PoIO';),
1\~'1 ~'O() ';)
Paee 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvue of Construction
Estimate
Estimate
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Addressing Assignment
Fire SF Fee - Residential
Foundation Permit
Moved Strllcture Plumbing Conn
Plan Review Major - Planning
Plan Review Residential
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Trail Reimburs-Residential
SDC Trans Improvement-Resident
SDC Transportation Admin
Storm Drainage Impervious Area
Willamalane Single Family
+ 12% State Surcharge
+ 50/0 Technology Fee
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Initial Review
12/07/2009
Planning Review
] 2/07/2009
,
.,,1.;
.' ,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01735
ISSUED: 12/15/2009
APPLIED: 12/07/2009
EXPIRES: 08/12/2010
VALUE: $ 20,000.00
I Valuation Description ~
$ Per Sq Ft
or multiplier
$1.00
Square Foofage
or Bid Amount
20,000.00
Value
Date Calculated
$20,000.00
$20,000.00
- 12/0712009
Total Value of Project
~
Amount Paid
$34.98
$25.13
$38.00
$87.00
$233.50., '
$58.001.,:.
$211.00
$151.78
$440.93
$579.86
$10.00
$1,044.54
$101.97
$160.22
$211.21
$931.65
$75.70
$1,398.28
$2,858.00
$2.88
$1.20
$24.00
$8,679.83
Date Paid
Receipt Number
. ,
..; (j..
12/15/09
12/15/09
12/15/09
12/15/09
12/15109
12/15/09
12/15/09
12/15/09
12/15/09
12/15/09
12/]5/09
12/15/09
12/15/09
12/15109
12/15/09
12/15109
12/15/09
12/ I 5/09
12/15/09
2/22/1 0
2/22/10
2/22/10
2200900000000001385
2200900000000001385
2200900000000001385
2200900000000001385
2200900000000001385
2200900000000001385
2200900000000001385
2200900000000001385
2200900000000001385
2200900000000001385
2200900000000001385
2200900000000001385
2200900000000001385
2200900000000001385
2200900000000001385
2200900000000001385
2200900000000001385
2200900000000001385
2200900000000001385
1201000000000000156
1201000000000000156 .
1201000000000000156
Plan Reviews I
12/071200'9,
12/09/2009 '
APP LLH
APP DDK
Minimum setback from front yard
to garage is 18', OK to move house
back .2' from what is shown on
plans which wunld allow for an 18'
garage setback and 10' rear setback.
Paee 2 01'3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01735
ISSUED: 12/15/2009
APPLIED: 12/07/2009
EXPIRES: 08/12/2010
VALUE: $ 20,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Pnblic Works Review
12/09/2009
12111/2009
APP LKW
Storm water to weep hole in cnrb .
Previous curbcut done on permit #
C8-41l to bebefit 1726 & 1728 H
Street.
Structural Review
12/07/2009
12/1'4/2009-
. .
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.
I ReQuired InsDections ~
Erosion/Grading Inspection: Prior to ground disturbance and after ei'osion measures are installed.
Ufer Electrical Gronnd: Install gronnd rod at footing and call for inspection in conjnnction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insnlation or decking.
Final Bnilding: After all reqnired inspections have been reqnested and approved and the bnilding is complete.
Underfloor Plnmbing: Prior to insnlation or decking.
Perimeter Fonndation Drains: After gravel and filter cloth is installed bnt prior to backfill.
'1'; "."
Undertloor Drain: Prior to cover or placement.of concrete.
Final Plnmbing: When all plnmbing work is.complete.
Temporary Electric: Approval reqnired prior to Utility Company energizing pole.
Electric Service: Approval reqnired prior to ntility compaoy energizing service.
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 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 stmcture withont permission of the Commnnity Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I further agree to ensure that ~II required inspect~ons are requested nt the proper timel 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.
Owner or Contractors Signature
Date
. ,I~(
. Pa~e 3 of 3
225 Fifth " Street
Springfield, Oregon 97477
541-726-3759 Phone
8r.p~:'.'.I..,L".ifi...."... .....:..
Mr" ... ·
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........-......................... ......~ ..~ ,., .. "
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000156
Date: 02/22/2010
2:20:3IPM
Payments:
Type of Payment
CreditCard
Paid By
ROGER KING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
.'. 'r
Amount Due
24.00
2.88
L20
$28.08
Job/Journal Number
COM2009-0 173 5
COM2009-0 1735
COM2009-0 1735
Description
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Amount Paid
djb
01586c In Person
Payment Total:
$28.08
$28.08
, ~> i. \
\;11
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~; 1 \
cReceintl
Page I of I
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