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Home My WebLink AboutPermit Electrical 2007-9-10 ~fY2-' N~ q ....1 C.... C-, ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION (()()f\ 7rL')7 '()l \5L L 1. LOCATION OF INSTALLATION: g I 7 R i v wlL '" on 1/ W rAw I City Job Number LEGAL DESCRIPTION: j I 03 ~'<.., 4_~ 11ft; O() JOB DESCRIPTION: fl..~~fJ / AJ~ttJ?]Y\ , Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor p~~ C,'c... hi ~ Address PotS SO 111/ City ~~ Phone tff!;'1- ~z....OO Expiration Date i"rrl ~ IIJ /t; 1 , Supervisor License Number Expiration Date 157-7 fp{, Q/5/og Constr. Contr. Number Si71gntur. , S~,.' g ~ectrician , __ _.~'~._96I ,. - . ~ Owners Name ~{!on PI J;;ClN''T} fr1.-- + Address City Phone OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ~ ()y; f{ rLt h .fLvvl ZON INITIALS DATE SOURCE Date q -- J (j -- ;) fS7x7 3. COMPLETE FEE SCHEDULE BELOW A. New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $117.00 $ 21.00 Each Manufact'd Home or Modular Dwelling Service or $55.00 Fiefff::~'TI;ON: Oregon law re"l~I'':'Q-yett:t.O 'Nir"MI ..tti~~-ted e Oregon UtIlity , B. t~~ic~ tf \'a~~tmi@lwtbor Relocation: NotificatIon ;O~R 952~C, H10, 1 0 through OA!l952~001. ,'6O':mv&sr,Yfiv obmln co~ies cUbe rul~ byOo ~~ tl1d~Wl~ (Nct9:.t~e tel~pho~~3.00 4~tfmi ~'Wl~~sgon Utlllty Notlfi~~.oo 60 1 Amp~IIl~\) Wn1~(J0-332~~J. $180.00 Over 1000 AmpsNolts $413.00 Reconnect Only $ 55.00 C. .'femporary Services or Feeders Ins"t:llati~I,t,eration o,r Re,location, ' '~R\{ 20~~\'~}71. II EXPlRE \f "H~~ ~ 2orr"""f,'.t~,...~~~, ~i\i~Ef\ THIS PEKNilT$ o:r 401Mlrl~~~I~fiR \S ABANOONEU i .00 oveC~'~~sdJ\f~R~ikee "B" above. D. BNii~h~Vcuits New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with J I Service or Feeder Permit I oV $ 48.00 $ 4.00 AI 1'. /ft.7 E. ,Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited Energy/Residential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4. SUBTOTAL OF ABOVE ( /J Ll. dO 8% State Surcharge '3 ~;;)O 10% Administrative Fee '5 . ) ~ 5% Technology Fee (p. 40 TOTAL i "/ f.72- Shared Drive(T:)/Building Fonns/Electrical Permit Application 7-07,doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01154 ISSUED: 08/06/2007 APPLIED: 08/06/2007 EXPIRES: 03/10/2008 VALUE: $ 26,265.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 817 RIVER KNOLL WAY ASSESSOR'S PARCEL NO.: 1703234311600 SPRINGFIE TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to existing single family residence Owner: OWNER UNKNOWN Address: 125 E 8TH AVE EUGENE OR 97401 I CONTRACTOR INFORM A TION I Contractor Type Contractor License Expiration Date Phone General OWNER Electrical WIZARD ELECTRIC LLC 152766 09/05/2008' 541-484-5200 Mechanical MARSHALLS INC 25790 12/23/2009 541-747-7445 Plumbing R J PLUMBING INC 158500 01/30/2008 541-521-1389 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 n/a I DEVELOPMENT INFORMATION I ,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: REQUIRED PARKING Total: Handicapped: Compact: 16.00 52.00 Street Improvements: Storm S~#.'1;r~iilable: Special In~t€ufitiQl1t:Ali SHAll EXPIRE IF THE WORK i ITHORIZED UNDER THIS PERMIT IS NOT Notes: . 0f,'/lMENCED OR IS ABANDONED FOR ,'\NY 1 SO DAY PERIOD. I PUBLIC IMPROVEMENTS ,ATTENTION: Oregon law requires you t ollow rules aq,o t d b 0 Notifi~~~"'~tft~e~ y the Oregon Utility in OA~1 . Those rules are set forth 0090 1i~~~1rl$n:h~ath50U9h OAR 952-001- caliingO~h may obtaIn copies of the rules by nu e center. (Note: the telephone mber for the. Oregon Utility Notification Center IS 1-800-332-2344). Pae:e 1 of 3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01154 ISSUED: 08/06/2007 APPLIED: 08/06/2007 EXPIRES: 03/10/2008 VALUE: $ 26,265.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Dwelline:s V Wood Frame $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 255.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $26,265.00 $26,265.00 08/06/2007 ~ Fee Description Amount Paid Date Paid Receipt Number -Mech Iss 2+ Appliances- $40.00 8/6/07 2200700000000001246 + 10% Administrative Fee $35.62 8/6/07 2200700000000001246 + 5% Technology Fee $17.81 8/6/07 2200700000000001246 + 8% State Surcharge $28.50 8/6/07 2200700000000001246 Building Permit $260.22 8/6/07 2200700000000001246 Dryer Vent $7.00 8/6/07 2200700000000001246 Fixture $32.00 8/6/07 2200700000000001246 Gas Outlets 1-4 $5.00 8/6/07 2200700000000001246 Miscellaneous Mechanical $45.00 8/6/07 2200700000000001246 Plan Review Residential $169.14 8/6/07 2200700000000001246 Sanitary Sewer - Improvement $40.81 8/6/07 2200700000000001246 Sanitary Sewer - Reimbursement $53.67 8/6/07 2200700000000001246 SDC Sanitary/Storm Admin $4.72 8/6/07 2200700000000001246 Vent Fan $7.00 8/6/07 2200700000000001246 + 10% Administrative Fee $6.40 9/10/07 3200700000000000606 + 5% Technology Fee $3.20 9/1 0/07 3200700000000000606 + 8% State Surcharge $5.12 9/10/07 3200700000000000606 Add, Alter, Extend Circ $48.00 9/10/07 3200700000000000606 Add, Alter, Extend Circ Ea Add $16.00 9/10/07 3200700000000000606 Total Amount Paid $825.21 I Plan Reviews , Plannine: Review 08/06/2007 08/06/2007 APP EMM Public Works Review 08/06/2007 08/06/2007 APP BRC Adding one new sink. No new impervious surface. BC Structural Review 08/06/2007 08/06/2007 APP DLM See documents for plan review comments 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. Pae:e 2 of 3 CITY OF SPRINGFIELD - Building/Combination Permit Status Issued PERMIT NO: COM2007-01154 ISSUED: 08/0612007 APPLIED: 08/06/2007 EXPIRES: 03/10/2008 VALUE: $ 26,265.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line LReauired Insoections I Footing: After trenches are excavated. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish 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. 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. Final Plumbing: When all plumbing work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work 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 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 t per itja d is located at the front of the property, and the approved set of plans will remain on the site at all times durin con tucti . . i I~ 411/07 owner(f coVtractfJ Signature Date Pae:e 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01154 COM2007-01154 COM2007-01154 COM2007-01154 COM2007-01154 Payments: Type of Payment Check cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3200700000000000606 Date: 09/10/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JENNIFER GILL Item Total: Check Number Authorization Received By Batch Number Number How Received nJrn 786 In Person Payment Total: Page 1 of 1 8:54:31AM Amount Due 48.00 16.00 3.20 5.12 6.40 $78.72 Amount Paid $78.72 $78.72 9/10/2007