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Home My WebLink AboutPermit Electrical 2007-9-10 ZON L--[i2..I INITIALS !0H. DATE 0\-\ \-rn SOURCE r (\~~ 0-1 " -0, Date~' 'V 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PER1\1IT APPLICATION City Job NumbWm )J..'107 -- flO(o{')1 1. LOCATION OF INST..,4LL4TION: l5Gf5 Chwbl Lr'Y). T:(2, LEGAL DESCRIPTION: V A. New Residential - Single or Multi-Family per dwelling unit. \1.0 3 ~f'S ~~ t)C\ Lt-C-O Service Included JOB DESCRIPTION: 1000 sq. ft. or less . _ . -. _ Each additional 500 sq. ft. or >e J7J1t (ULJ ~ (lA ~(lA},.) 13.~. (lddcfU;y\portion thereof Permits are non-transferable and expire i ork is Each Manufact'd Home or not started within 180 days of issuance or i work is Modular Dwelling Service or Suspended for 180 days. Feeder CONTR4CTOR INST.ALL4.TION ONL Y :'lectriCal Contractor 6 V Y Y'I ) I [) YO.s Address PO bDX (PCJ'7 City vJf-l )fi(y;)/f Phone 7 ~7" ~7)i 4-7 )} 5 Expiration Date I 0 ,- 0-7 1.3 & L/Lf & Expiration Date / 0 .- 0 7 ~d;~;ing3~ ~ Owners Name~ lc.Q. l...lfJ ~~ Address \SQ5 ~ b l~ lY___. cityS;o},l PhonelY'''' -S'dSl L/ \ \ ..- OWNER tf-,rST ALLA nON Supervisor License Number Constr, Contr. Number The installation is being made on property lawn which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3. COJl!IPLETE FEE SCHEDfJLE BEL01>V $106.00 $ 19.00 $50.00 ATTENTION: Oregon law requires you to frI~~' 'ft.Jlo~...MjA"fO~.'hvtMnretlbn U~'litYi B. Servicc,s','15. eel'S'C':" '1nk"tI:1lf: 'irIt.l\:tlerat1mlS ort el u:ation: NO J lCB.lon enter... ose rUles are se or n in O. AR 952-001-001 0 t~~~2~ ~A~?-OO~ () 200 Amp~~syou may obtain . f~~es.br 201 Amps t~O~rtliM center. (Note: the tetepXbne 40 I Amps ~Wntp~ the Oregon Utility tWtj~_ion 601 Amps to 1000 ~gler is 1-80U-;;;;'-';;~1~3.00 Over 1000 AmpslVolts $375.00 Reconnect Only $ 50.00 C. Temporary Services or Feeders Inst~tlflt~eration or Relocation 200 tWfg fSe~IT SHALL EXPta~ 11= TH~ Wto~K 201 ~Jj'tU~~92~NDER THI'? PE9.Ml'f$I~fQ0T 401 ta~M~lffi~reIOR IS ABANOQ\'lED f$',-t,~.OO Over!ffi~ ~:a0' 9yJ,\D~R@ID~ee "B" above. D. Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ ~VO (1) K 7 E. Miscellaneous (Service/feeder not included) -Each IlIstalla tion Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. Sl.TBTOTAL OF ~4.BOVE q~. mJ 8% State Surcharge Aj . q () 10% Administrative Fee '7 .. x L/ 5% Technology Fee q . y:.fl - } jJ /~O . 5'1 Shared Drivt:(T:)/Building FOl1llS/Electrical Permit Application 8-06,doc TOTAL Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00607. ISSUED: 06/05/2007 APPLIED: 04/26/2007 EXPIRES: 02/22/2008 VALUE: $ 43,749.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1595 RAMBLING DR ASSESSOR'S PARCEL NO.: 1703252209400 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to single family residence Owner: Address: JANICE LEE VANETTEN LIVING TRUST 1595 RAMBLING DR SPRINGFIELD OR 97477 Phone Number: 541-747-5257 Contractor Type General Electrical Mechanical Plumbing A;'TI~~ '''_. , 1.'./ ~vl\l follrllv "H' . uregon law r . I CONTRACTOR INF~~tIb'N tdoPted by th egurres you to In OAR 9;~QfJ~ter. Those r~'e regon Utility Contractor 0090. ~,Ji1-00~~Rtsg~tYet IBJjltne BYRON LANCE RADKE calJitjm Y Obtain ClliiW~ ~52-QQn...461-3075 BURRELL BROS ENTERPRISES INC numbS6~Chenter. (N".2~LlQ,erUleSsb'_747_2724 e Oregon I..1f' w1ephonA MARSHALLS INC 2:OetUer;s 1-80 l'l!fPJif~M9t;f;caf ~41-747-7445 SCHIRMER ENTERPRISES INC 169413 O-~~3tJ~. IO~41-485-1749 BUILDING INFORMATION I VB # of Stories: 1 Height of Structure: 14.50 Type of Heat: Forced Air Gas Water Type: Range Type: Energy Path: Path 1 Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport . Sq Ft Other: Occupant Load: 483 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 13.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Urban Fringe Total: Handicapped: Compact: 21.00 0.00 28.00 I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer A vailable: ?~ an C iE: Do~nspouts/Drains: Special Instruction: THIS PERMIT S I~U,T)j I HALL EXPIRE IF THE WnR Notes: Storm tied to existing system. LC sanitarian responSibihJYMM~16~iUiiltrgw.eifHs9"~~med7No,hV5d'bwner via phone msg. JLP APP 5/3/07 GO ENGED OR IS ABANDONE~' l(j I T ANY 180 DAY PERIOD. FOR Paee 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00607 ISSUED: 06/05/2007 APPLIED: 04/26/2007 EXPIRES: 02/22/2008 VALUE: $ 43,749.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Dwellinl!s v Wood Frame $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 483.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $49,749.00 $49,749.00 04/26/2007 ~ Fee Description Amount Paid Date Paid . Receipt Number Plan Review Residential $218.11 4/26/07 1200700000000000462 -Mechanical Issuance Fee- $10.00 6/5/07 1200700000000000687 + 10% Administrative Fee $46.37 6/5/07 1200700000000000687 + 5% Technology Fee $27.58 6/5/07 1200700000000000687 + 8% State Surcharge $35.16 6/5/07 1200700000000000687 Building Permit $335.55 6/5/07 1200700000000000687 Fire SF Fee - Residential $24.15 6/5/07 1200700000000000687 Fixture $14.00 6/5/07 1200700000000000687 Minimum/Adjustment Mechanical $9.00 6/5/07 1200700000000000687 Miscellaneous Mechanical $36.00 6/5/07 1200700000000000687 Plan Review Minor - Planning $112.00 6/5/07 1200700000000000687 SDC Sanitary/Storm Admin $6.23 6i5/07 1200700000000000687 Storm Drainage Impervious Area $124.51 6/5/07 1200700000000000687 Storm Sewer - 1st 50 Feet $45.00 6/5/07 1200700000000000687 + 10% Administrative Fee $9.80 9/10/07 2200700000000001420 + 5% Technology Fee $4.90 9/10/07 2200700000000001420 + 8% State Surcharge $7.84 9/10/07 2200700000000001420 Add, Alter, Extend Circ Ea Add $28.00 9/10/07 2200700000000001420 Perm Serv/Fdr 200 amps or less $70.00 9/10/07 2200700000000001420 Total Amount Paid $1,164.20 Initial Review Planninl! Review Public Works Review Public Works Review I Plan Reviews I 04/27/2007 04/27/2007 APP LLH 04/27/2007 05/18/2007 APP TAJ 04/27/2007 04/27/2007 WI JLP Rcvd in PW 4/27/07 05/03/2007 05/03/2007 APP JLP Storm tied to existing system. LC sanitarian responsibility form to Building Dept is required. Notified owner via phone msg. JLP APP 5/3/07 04/27/2007 05/07/2007 APP RJB Structural Review Pal!e 2 of 3 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2007-00607 ISSUED: 06/05/2007 APPLIED: 04/26/2007 EXPIRES: 02/2212008 VALUE: $ 43,749.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Reouired Insoections I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. 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. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. 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 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 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 Pa2e 3 of 3 ~25 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number CO M2007 -00607 COM2007-00607 COM2007-00607 COM2007-00607 COM2007-00607 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000001420 Date: 09110/2007 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Item Total: Check Number Authorization Paid By Received By Batch Number Number How Received JOSH BURRELlBURREL BROS nJm 04528b In Person Payment Total: Page 1 of 1 1 :44:35PM Amount Due 70.00 28.00 4.90 7.84 9.80 $120.54 Amount Paid $120.54 $120.54 9/1 0/2007