HomeMy WebLinkAboutPermit Electrical 2010-8-2
225 Fifth Street+Springfield, OR 97477 + PII(54 1)726-3753 . FAX(541 )726~3689
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DEPARTMENT USE ONLY
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Penn It no.:
Date: i . Z -/0
This permit is issued uuder OAR 918-309-0000. Permits are uoutrausferable. Permits expire if work is uot started witbin 180
days of issuance or jf work is suspended for 180 days.
Each pump or irrigation circle (2)
Each sign or outline lighting (2)
Signal circuit or a limited-energy panel,
alteration, or extension (2)
Each additional inspection: (I)
NOTICE:.' ;",.1,.."",;,,' '. APPLICANT USE
THIS PERMIT S . ''C' (A) Enlersubtotalofabovefees
AUTHORIZ HAll EXPIRE IF THE OlWPimum Permit Fee $58.00)
COMMENCi~ ~~D,~~~~'~ POERMIT IS ~lE~ter 12% surcharge (.12 x [AD
ANY 180 DAY PERIOD. ~I NED ~O, (C),Technology Fee (5% of[A])
B;s~ TOTAL fees and surcharges (A through C):
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Job site address:
City.
Referen : 17~33
DESCRIPTION OF
5~,,~c...e t:+lIr;.Jrrt>
Name:'
Signature:
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Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
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440-2584-1 (9/08/COM)
FEE SCHEDULE
Number of inspections per item ()
Total
cost
Residential, per unit, service included:
1,000 sq. fl. or less (4)
Each additional 500 sq. ft. or portion
thereof
$134.00 $
$ 25.00 $
Limited energy (2)
Each manufactured home or modular
dwelling service or feeder (2)
$ 32.00
$
$
$ 63.00
Services or feeders: instal/ation, alteration, relocation
200 amps or less (2) , $ 81.00 $81.0
$ 95.00 $
$158.00 $
$205.00 $
$469.00 $
$ 63.00 $
ervices or feeders: instaI/alion, alteration, relocation
$ 63.00 $
$ 87.00 $
$126.00 $
Dver 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per panel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch' circuit
$46.0
b. Fee for branch circuits without purchase of a service or fceder fee:
First branch circuit (2)
Each additional branch circuit
$ 55.00 $
$ 6.00 $
Miscellaneous fees: service or feeder not included
$ 63.00 $
$ 63.00 $
$ 63.00 $
$58.00 $
$1 :lq,
$ 16'-
$l" 45
$ 'o.Cl
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00507
ISSUED: 05/10/2010
APPLIED: 04/23/2010
EXPIRES: 02/02/2011
VALVE: $ 55,000.00
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 441 W D ST
ASSESSOR'S PARCEL NO.: 1703341410900
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition- No Plumbing/Mech applications recieved.
Residential
Owner: WEST MARIAN L MARIE
Address: 441 W D ST
SPRINGFIELD OR 97477
Phone Number: 541-746-6263
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor I.,;: .,! License
OWNER
BHM ELECTRIC COMPANY'''''.;'''' 184005
I BUILDING INFORMATION'
Expiration Date Phone
09/1912010 541-686-0905
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: , s you td
R-3 ATTEN~~!J()tI€~1ll1l~laM:6~~~on Utility
folloW ruT~II'8.~hJse rules are set lorth
VB Notilicati~~w through OAR 952-00~-
In OAR 9=-"'TI' i.n copies 01 the rules Y
0090. '{&p~tl'iiift.. ate: the telephone
callinct'~d%lI\lJIintiti\ity NotllWatlon
...~...o.reaon ,."
I bEVE~~ irNIl'MMITION I
Lot Size: 15,682
Sq Ft 1st Floor: 89
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
75.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIQIMpROVEMENTS I
Street Improvements:
, Si,de",.Ik.\Cf;Y'ij<"':"::' " :
. 1.,'N..." .;....,_.~, -,' ~t\. ".-'
E 3013 /25 foot perpetu~ii~U~Ct" \-I~\.\. ~~",,'f~;:~~ltl\,~
, ?E\'.WlI1 S E\'.1I-'\\S P E~ fa\'. ;~\;;
Storm water to tie into existing system \ \-lIS Ll()RIIE~ \)~U '" f>.\)fl,~UO~ ,,' "
h\J\ n E~ O\'. Iv." '
CONlNlE~C ({ ?E\'.IO~.
h~'i '\ 80 Up.;
Storm Sewer Available:
Special Instruction:
Notes:
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00507
ISSUED: 05/10/2010
APPLIED: 04/23/2010
EXPIRES: 02/02/2011
VALUE: $ 55,000.00
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I Valuation Description I
Descriotion
$ Per Sq Ft '
or mnltiplier
$1.00
Sqnare Footage
or Bid Amount
55,000.00
Estimate
Tvpe of Construction
Estimate
Total Value o~ Project
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Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fire SF Fee - Residential
Plan Review Minor - Planning
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid :.
Date Paid
$318.24
$58.75
$30.43
$489.60
$4.48
$119.00,",
. ,-<,:.~I'. ~
$33.65""'"'.,
$1.68,...",..,
. -"',
$15.48,;,;,,;
$6.45"
$48.00
$81.00
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4/23/10
5/10/10
5/10/10
5/10/10
5/10110
5/10/10
..5/10/10
5/10/10
812/10
8/2/10
8/2/10
812/10
Total Amount Paid
$1,206.76
I Plan Reviews I
Initial Review 04/26/2010 04/2~/2010 ~'. ....,... '. A~P LLH
Structural Review 04/2612010 04i2~/ioIO" . WE CJC
Structural Review 04/30/20 I 0 04/3012010 APP CJC
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.- Plan nine: Review
04/23/2010
05/07/2010
APP T AJ
Paee 2 of3
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Value
Date Calculated
$55,000.00
$55,000.00
04/23/2010
Receipt Number
2201000000000000400
1201000000000000414
1201000000000000414
1201000000000000414
1201000000000000414
1201000000000000414
1201000000000000414
1201000000000000414
2201000000000000907
2201000000000000907
2201000000000000907
2201000000000000907
Need claritication of engineering
details
Additional details for footings and
foundations to support engineered
shearwall shall be designed by the
engineer ofrecord and submitted
for review and approval when
existing conditions are exposed for
evaluation by the engineer, before
casting of shearwall footings and
before framing inspection request.
This 89 sf addition is ontside the 75'
Riparian corridor and outside the
established (Jo # 1995-05-0106)
Greenway setback line and it
doesnot constitute a visual impact.
CITY OF SPRINGFIELD
.: Building/Combination Permit
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
,4/;"),.
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PERMIT NO: COM2010-00507
ISSUED: 05/10/2010
APPLIED: 04/23/2010
EXPIRES: 02/0212011
VALUE: $ 55,000.00
Status
Iss u ed
Public Works Review
05/07/20]0
05/07/20]0
APP
LKW
No portion of structure in easement.
Storm water to tie into existing
system
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To Request an inspection call the 24 hour reC!Jrding.at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, i~~pections requested after 7:00 a.m. will be made the following
work day.
ReQuired Insoections ~
Footing: Aner trenches are excavated.
Foundation: After forms are erected but prior to concr~te plac~ment.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
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Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector. .
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Epoxy Anchors: To be done by Certified SpciaJ:lnspecto.r. Rrovide Inspection results to City Building Inspector.
Final Building: After all required inspectio~s'H'il'v~ 1i1i~ri;requested and approved and the building is complete.
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Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company 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 a.nd 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 structure'without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are hi compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspecti.ons ~re requested at the proper time, that each address is readable from the
street, that the permit card is located at the front'iinhe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000907
Date: 08102/2010
1:28:44PM
Job/Journal Number
COM20 I 0-00507
COM20 1 0-00507
COM201O-00507
COM20 I 0-00507
Description
Penn Serv/Fdr 200 amps or less
,..:
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
BHM ELECTRIC CO
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
DJB 1496 In Person
Payment Total:
Amount Due
81.00
48.00
15.48
6.45
$] 50.93
Payments:
Type of Payment
Check
Amount Paid
$150.93
$150.93
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