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Home My WebLink AboutPermit Electrical 2007-9-11 ZON l:J".("?..- INITIALS N I/V\ DATEC,,\ -\ I... -Of SOURCE"~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION -- City Job Number COiAA. -e:..oo 7 - Df 0 S ') New Alt~.r..Exteusion Pc:.r Panel , . "." t:N nON: uregon law reqy res y~ l<:>> One C~W rul!!s ~dopt~c;t by the OrogoKtJt~)ty Eac~ PNtWi~i6K~atYl?hose rule,! ar~~~orth Serv]c4n>~f.qJQ1ft0010 through OAR 952-001- E. Of:t=lInstanation er or e regon lIity Notification Pump or irrigati~nter is 1-80Q..332-2344).$ 55.00 Sign/Outline Lighting $ 55.00 OWNER INST ALLA nON Limited Energy/Residential $ 28.00 The installation is being made on property I own which Limited Energy/Commercial $ 50.00 is not intended for sale, P~~~iPeq;tlt. Minimum Electric Permit Inspection Fee is $50.00 + Surcharges THIS PERMIT SHALL EXPIRE IF! cC2 Owners Signature: :~LITHORIZED UNDER THIS PERMIT -> "'r('\,~-': 'E~'C[D on It" ABANDONED F~State ~u~char~e l{f"- \J\,I.I.Vl l~ \J ~o Admln]stratlve Fee S-"ZC:::> i\I~Y 180 DAY PERIOD. 5% Technology Fee -Z bC:' b3'~ 1. /..: I ~ 1.--2.12 >:1-: LEGAL DESCRIPTION: /70,SZbC{l( /1100 JOB DESCRIPTION: ;;A-'24;,()r;-,,",~ rtclJ~'/i~'l.__ r A7E-N< .,:.....r47 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. (1 r)-z r Electrical Contractor \.".JOA t-V<:;'/4.,,/~j Address /7"'3 r;. ?JAr .x?oJ'3Ul Av~ City c: A ff_ ~ , Phone 9'S:- Cf7, ) 5-.r- ? Jr~ Supervisor License Number ~ /Sf.:., S Expiration Date /' C) .,-- / .- ;;l LJ I a Constr. Contr. Number J 7 0 1~.5 Expiration Date ,"')- ~r ~ 0 rf' Signature of Supervising Electrician ~,QD t! afi>A.' \ -- Owners Name lu;1-t-y 4Ls...-. Il,. '} IZ.fL.. S+- q f!-v Phone 7ft -csJ.~ 3 Address City Inspection Request: 726.3769 3. A. dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $ 21.00 $55.00 B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55,00 c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 55.00 $ 76.00 $110.00 Over 600 Amps or 1000 Volts see "B" above. D. Lff l{ TOTAL Shared Driye(T:)/Building Fonns/Electrical Pennit Application 7-07.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1219 12TH ST ASSESSOR'S PARCEL NO.: 1703264411100 Springfield CITY OF SPRINGFIELD' Building/Combination Permit I PERMIT NO: COM2007-01055 ISSUED: 08/08/2007 APPLIED: 07/17/2007 EXPIRES: 03/11/2008 VALUE: $ 17,888.00 TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Bathroom and closet addition and 2nd floor dormer Owner:. MARY ANDERSON Address: 1219 12 ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical . Plumbing Contractor CHARLES MCAFEE CONTRACTING INC CRAFTSMAN ROBINSON PLUMBING INC License 171590 170183 107124 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: R-3 VB 16.50 Wall Heat Electric Electric nent Path n/a 1 DEVELOPMENT INFORMATION I 1 PUBLIC IMPROVEMENTS tTTENTJON' 0 I ollow. . regon aw requIres you to Notific~~~~::eth~~~heJ Oregon Utility '" OA~~e~!tSWRtfhn'S~ ru es are set forth 0090 You - rough OAR 952-001- cariing th~~~~~~~f(Ncg~i:e~:ft~~: r~'es by number for the Oregon Utifity Notlf 0;8 Center Is 1-800-332-2344). ca on Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 14.00 43.50 0.00 Street Improvements: Storm SeweliM'f~e: Special Inst~Mi~'PERM'fmq~L<<[:etflln~ tfxmJigWORK Notes: AUTHOR\ZED UNDER TH'5 PERM\T '5 NOT COMMENCED OR \5 ABANDONED FOR ANY 180 DAY PERIOD. Pal!:e 1 of3 Residential Phone Number: 541-746-0553 Expiration Date 08/08/2008 05/30/2008 07/13/2009 Phone 541-517-0715 541-954-7589 541-345-6909 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 96 REQUIRED PARKING Total: Handicapped: Compact: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellinl!s Estimate V Wood Frame Estimate Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% .State Surcharge Building Permit Fire SF Fee - Residential Fixture Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Initial Review Planninl! Review Public Works Review Structural Review Structural Review CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01055 ISSUED: 08/08/2007 APPLIED: 07/17/2007 EXPIRES: 03/11/2008 VALUE: $ 17,888.00 I Valuation Description I $ Per Sq Ft or multiplier $103.00 $1.00 Square Footage or Bid Amount 96.00 8,000.00 Value Date Calculated Total Value of Project $9,888.00 $8,000.00 $17,888.00 07/17/2007 07/17/2007 ~ Amount Paid Date Paid Receipt Number $121.73 7/17/07 1200700000000000925 $20.00 8/8/07 2200700000000001267 $29.21 8/8/07 2200700000000001267 $14.36 8/8/07 2200700000000001267 $22.98 8/8/07 2200700000000001267 $187.28 8/8/07 2200700000000001267 $4.80 8/8/07 2200700000000001267 $48.00 8/8/07 2200700000000001267 $43.00 8/8/07 2200700000000001267 $2.00 8/8/07 2200700000000001267 $122.42 8/8/07 2200700000000001267 $161.00 8/8/07 2200700000000001267 $16.64 8/8/07 2200700000000001267 $49.31 8/8/07 2200700000000001267 $7.00 8/8/07 2200700000000001267 $5.20 9/11/07 1200700000000001182 $2.60 9/11/07 1200700000000001182 $4.16 9/11/07 1200700000000001182 $48.00 9/11/07 1200700000000001182 $4.00 9/11/07 1200700000000001182 07/18/2007 07/18/2007 07/18/2007 $913.69 I Plan Reviews I 07/18/2007 APP NJM 08/02/2007 APP TAJ 07/23/2007 APP MS 08/01/2007 10 LLH 08/08/2007 APP LLH No Planning issues. Storm drainage from addition to existing. 7/23/07 MS Forwarded to the Building Department for review Plans reviewed by Shawn Eaton with the Building Department under contract with the City of Springfield. 07/18/2007 08/01/2007 Pal!e 2 of 3 CITY OF SPRINGFIELD - Status Issued Building/Combination Permit PERMIT NO: COM2007-01055 ISSUED: 08/08/2007 APPLIED: 07/17/2007 EXPIRES: 03/11/2008 VALUE: $ 17,888.00 225 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 . 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. 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 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. 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 ofany 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 Pal!e 3 of 3 225 Fi~tl\ Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01055 COM2007-01055 COM2007-0 1 055 COM2007-01055 COM2007-01055 Payments: Type of Payment Check cReceiotJ RECEIPT #: 1200700000000001182 Date: 09/11/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By CRAFTSMAN ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1505 In Person Payment Total: Page 1 of 1 lO:32:30AM Amount Due 48.00 4.00 2.60 4.16 5.20 $63.96 Amount Paid $63.96 $63.96 9/11/2007