HomeMy WebLinkAboutPermit Electrical 2007-9-10
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Numberl..orn ?--6Dl .- m ~{
1.
557, OS\Yb'&lj
LEGAL DESCRIPTION:
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JOB DESCRIPTION:
,
(UnL (A, V?/' 1 LA-+-
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.
:s::nrractm
City ~
Phone
/'
/
~
~
\
Expiration Date
Cnn,rr. ~ber
E)p~n Date
~ignature of Supervising Electrician
D~ R ;;tJa~s
Address 5~1? aC. /:)Y24 Dy-
City S t of" ':"-1 fi ..,Jd p~n!e .f 36 - <i /'(,,0
OWNER INST ALLA TION
Owners Name
The installation is being made on property I own which
is not intended for sale, lease or rent.
own'u2~J<~t?~
Inspection Request: 726-3769
C1 '" 10---0,
Date
3.
A.
Service Included
1000 sq. ft. or less $117.00
Each additional 500 sq. ft. or
portion thereof $ 21.00
Each Man'~ifJ(w~Hblli~ Q-regon law requires you to
ModularfOwefIiiigiS'e1Vi€'i9med by the Oregon Utility
Feeder No:jf:cP,tlon Center. Thosl'> r111.es..are seHdNh
i ' 52-001-
B. ~Iocation:
L .
200 Amp~~trII?W for the, Oregon Utility No~f~n
201 Amps to 400qEfRJ~r IS 1-800-332-2S44~ 83.00
401 Amps to 600 Amps $138.00
601 Amps to 1000 Amps $180.00
Over 1000 AmpsNolts $413.00
Reco~~!: $ 55.00
WOHK
c. NOT
~ IMM~CEQ OR 1& ABANDONED FOR
Insta~ ~~hi ffAV~~lntl?cation
200 Amps or ess $ 55.00
201 Amps to 400 Amps $ 76.00
401 Amps to 600 Amps $110.00
Over 600
D.
New Alteration or Extension Per Panel
One Circuit V
Each Additional Circuit or with
Service or Feeder Permit
-1~- tnJ ,
$-4.&00
$ 4.00
E.
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
J/ UV
/5.
2 . ;;;2 ~
3-&0
)-j -.5 0
stS5. g5
4.
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
Shared Drive(T:)/Building FormslElectrical Permit Application 7-07,doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00821
ISSUED: 06/27/2007
APPLIED: 06/06/2007
EXPIRES: 03/10/2008
VALUE: $ 27,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3577 Osprey Dr
ASSESSOR'S PARCEL NO.: 1702194305400
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Sunroom and Porch Cover.
Owner:
Address:
EVANS DALE R & VIRGINIA C
3577 OSPREY DR
SPRINGFIELD OR 97477
Phone Number: 541-736-5660
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor
JHC COMMERCIAL LLC
OWNER
License
158061
Expiration Date
12/22/2007
Phone
503.624-7100
BUILDING INFORMATION I
VB
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type: .
Energy Path:
Sprinkled Building:
1
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
322
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
5.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes: Storm tied to the existing system. EW 6/14/07
Pae:e 1 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00821
ISSUED: 06/27/2007
APPLIED: 06/06/2007
EXPIRES: 03/10/2008
VALUE: $ 27,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
27,500.00
Value
Date Calculated
Description Tvpe of Construction
Total Value of Project
$27,500.00
$27,500.00
06/06/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $157.27 6/6/07 2200700000000000919
+ 10% Administrative Fee $25.81 6/27/07 1200700000000000832
+ 5% Technology Fee $12.10 6/27/07 1200700000000000832
+ 8% State Surcharge $19.36 6/27/07 1200700000000000832
Building Permit $241.95 6/27/07 1200700000000000832
Fire SF Fee - Residential $16.10 6/27/07 1200700000000000832
SDC Sanitary/Storm Admin $6.21 6/27/07 1200700000000000832
Storm Drainage Impervious Area $124.18 6/27/07 1200700000000000832
+ 10% Administrative Fee $4.50 9/10/07 3200700000000000607
+ 5% Technology Fee $2.25 9/1 0/07 3200700000000000607
+ 8% State Surcharge $3.60 9/10/07 3200700000000000607
Add, Alter, Extend Circ $43.00 9/10/07 3200700000000000607
Minimum/Adjustment Electrical $2.00 9/10/07 3200700000000000607
Total Amount Paid $658.33
1 Plan Reviews I
Initial Review 06/07/2007 06/08/2007 APP LLH Held for distribution until Monday.
Cannot deliver plans to public work!
after 12:00 noon.
Plan nine: Review 06/08/2007 06/22/2007 APP TAJ 5' side setback OK - no other
Planning issues.
Public Works Review 06/11/2007 06/14/2007 APP EW Storm tied to the existing system.
EW 6/14/07
Structural Review 06/08/2007 06/08/2007 APP RJB
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.
~eauireCUnsnecti~ns I
Footing: After trenches are excavated.
Post and Beam: Prior to floor insulation or decking.
Pae:e 2 of3
Status
Issued
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2007-00821
ISSUED: 06/27/2007
APPLIED: 06/06/2007
EXPIRES: 03/10/2008
VALUE: $ 27,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building 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 OCCUP ANC.Y 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
Pae:e 3 of 3
225 Fifth Str:eet
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00821
COM2007 -00821
COM2007 -00821
COM2007 -00821
COM2007 -00821
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
3200700000000000607
Date: 09/10/2007
Description
+ 10% Administrative Fee
Minimum! Adjustment Electrical
Add, Alter, Extend Circ
+ 5% Technology Fee
+ 8% State Surcharge
Paid By
DALE R. EVANS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm 354 In Person
Payment Total:
Page 1 of I
9:07:31AM
Amount Due
4.50
2.00
43.00
2.25
3.60
$55.35
Amount Paid
$55.35
$55.35
9/10/2007