HomeMy WebLinkAboutPermit Electrical 2007-5-9
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)SPRINGFI2LIO
225 FIFfH STREET . SPRINGFIELD, OR 97477 . PH'(541)726-3753 . FAX, (541)726-3689 ~, ~. ~~
ELECTRICAft !ERMIT APPliCATION ~
City Job NumberUJrfl:i(TlJt -- ()O&~~ Date b ,t//07
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1. i WCATION OF INSTALLATION r
~,)LI1 o/Sii7nu-LN
LEGAL DESCRIPTION
J:7()-5 25 /~O ()QCj(5lJ
JOB DESCRIPTION
~ are ~~~ and expIre Wwork i.
not started within 180 days of issuance or if work is
r__-,-_Suspended~fod 80,days._. ~~_~
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~.- C~T_Y <?F SPRINGFIELD, OREGON _, \
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2, 1~~~RA~T~)J~_~ST;1Ll.t1TION ONLYJ
Electrical Contractor 12Ji.f..r.5i-h..':'/L E/~ Ara-ni C-5
Address 8'l~ Ii J; '~ffY) :51-::# ~
City ~f)e- 97t//);< Phone I/S4-Q!)?/?
'-'
Supervisor License Nwnber ,3 ff 9,:? LEA
Expiration Date / /) '" () /- D '1
Constr. Contr. Number i if 4 ra R .1)
Expiration Date tP -&3 -.;UJ{) 8
Signature of Supervising Electrician
Owne,,~rJQXblY\U\ \Yvl4l ~
Addres~ ,f2{)\i I itSR 2-
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City. Phone --
OWNER ALLA TION .
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3. L COMP!.jEl!! FEE SCREIXULE ~EL..f!W~--~~~~~~ =---- --;
~---'~----",,- - '--~ - \
A. ~ New~~~i~~_t!llL- Singl!~~~!Iti-!amilypel'_~~~l~!~!!~i!:_..'_;
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
$ 19.00
Each Manufact'd Home or
Modular Dwelling Service or
-_____Eeeder_.~~_ _-_~ _,~_
$50.00
---'-,
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B. I Services 01' feeders - InstuUation, Alterations or Relocation: :
--- -------.----. ~-......__~_~________~ ___.__ "_'<_._._ _____.J
200 AmRs or less $ 63.00
2~tO.4!pslio 400Amps $ 75.00
4PIll~rfI)[~M@@ ~Ik1p\LL EXPIRE IF THE ~e~
61~U~f$OO~Zwoo~[R THIS PERMIT ISI~:f)ifo
gye'M~~q~tWe~"sIS ABANO.DNED FQR75.00
~Nvnnf8tOOBIAY PERIOD. $ 50.00
c. l'empo~~!J_~<<:!vices or F,:~~s___
Installation, Alteration or Relocation
200 Amps or less $ 50.00
20 I- Amps to 400 Amps . _" _ ~6fu00
40J..Aroos-'tAA~~on law re~u\l~a:?', UWil,OO
All ~I'll ~~the UIO~0.. un I'f
f8Mff~~~~~ThO~~~fu'i~sa~tSet fQ~"
~.Qtif.ioaiti{j)llL~~j'il!;er. . hOAR 952-00
.----- - "oot;00-10-throug .-.. . _.- -t ..
In~~la~it10n~rdBt~mieQ)"~!patfe\he rules
o~~P€if&H ma nter. (Note: the tele~~~~~o
EaO~WlMJtM'n~l<drra~g~~Utility NOtITlca Ion
S.~~lteeB~Mrm,t ,:"" ,,"':"' "V:lAA\ $ 3.00
~._--- _.~--_.._~' -_._"~'---- ._._-~..._...-._- -,- ..- ----1
E. ! _M~~cllancous (Servicc/fee~~~~~~ncl~ded) ~~-::~~!~s.~!I~tion :
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential / $ 25.00 d:5
Liniited Energy/Commercial $ 45.00
Minimu~ ~~~~tric P~~mit In_~:_~~i~~~ ~urcharges ~)
4. . SUBTOTAL OF ABOVE ' ./ j < U l.-'
~._._-<._~-~-----------~,._--~- ~- --~ .-.----..- ~-,_..__.~..
8% State Surcharge 35 0 ' d5
10% Admini_Hv, FV5. (5 . '" 0
ro~ ' 4.~
'Shared Drive(T:)/Building Fonns/Electrical Pennit Application ).06,doc
225 Fifth'Street
Springfield, Oregon 97477
541-726-3759 Phone
c:....., of Springfield Official Receipt
l dopment Services Department
Public Works Department
Job/Journal Number
COM2007-00602
COM2007-00602
COM2007-00602
COM2007 -00602
COM2007-00602
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000000713
Date: 05/09/2007
Description
Low Voltage - Residential
Minimum! Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
DIVERSIFIED ELECTRONICS nJm 05538a Phone
Payment Total:
Page I of I
2:54:51PM
Amount Due
25.00
20.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55.35
5/9/2007
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CITY OF SPRINGFIELD'
Building/Combination Permit
Status
OK to Issue
PERMIT NO: COM2007-00602
ISSUED:
APPLIED:
EXPIRES:
VALUE:
04125/2007
11/09/2007
$ 32,445,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2291 BONNIE LN
ASSESSOR'S PARCEL NO.: 1703251209900
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Addition to existing single family residence
MnTII"ii:.
Owner:
Address:
MADISON JEROMY & JENNIFER
PO BOX 7582
EUGENE OR 97401
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
('mn~A~~IC'~': 0D I:^~~~I[,'..'N:!: F~R
I CONTRACTORJiNFORNt1iTI~,IOD,
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Contractor License Expiration Date Phone
MADISON HOME BUILDERS 107359 07/05/2008 541-579-7213
BILLS ELECTRIC 21351" 04/28/2008 541-501-5650
DIVERSIFIED ELECTRONICS 144685 06/23/2008 541-484-9078
PACIFIC AIR COMFORT INC J~B1e on law re(\1\va~M6u to 541-672-9510
COMPLETE PLUMBING LLC ATTENTIC?~JJ9~~,; by the (U(tQgjt20d~tility 541-688-0355
1"'''')''lI.L\,l,-,~--ur ,< - u'esare~t;afVll,
BUILDINGlll~,(J~1(t@.fSlr. Those r hOAR 952-001
. -"AR 952..()01-001 0 thro~9 he rules l
# o~ Sto'tle'S'! () You may obtain XOP'f,%~ile~ ne
Height ~tti~jurethe cent~.(X9lote~'t f!Jt'.F'6~t;
Type of HeWF.' tnQ th ~gen U8ijtVtf'!R~f1<<i0lt}?n
Water TYJW~mber10r ~Iectr-Ie," l")'8q-nM~ement:
Range Type: Electric Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
1
R-3
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
315
VB
3
I DEVELOPMENT INFORMA nON I
REQUIRED PARKING.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
37.00
16.60
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
28,00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes: No new impervious area, storm tied to existing system. SDC fee's reflect new DFU's. JLP APP 4/27/07
Pae:e 1 of 3
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2007-00602
ISSUED:
APPLIED:
EXPIRES:
VALUE:
OK to Issue
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
$103.00
Square Footage
or Bid Amount
315.00
Dwelline:s
Type of Construction
V Wood Frame
Total Value of Project
~
04/25/2007
11/09/2007
$ 32,445,00
Value
Date Calculated
$32,445.00
$32,445.00
04/25/2007
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
Amount Paid Date Paid Receipt Number
$176.28 4/25/07 2200700000000000584
$4.50 5/9/07 2200700000000000713
$2.25 5/9/07 2200700000000000713
$3.60 5/9/07 2200700000000000713
$25.00 5/9/07 2200700000000000713
$20.00 5/9/07 2200700000000000713
Total Amount Paid
$231.63
I Plan Reviews I
04/2612007 APP NJM
04/3012007 APP TAJ
04/26/2007 WI JLP
04/27/2007 APP JLP
04/27/2007 10 LLH
Initial Review
Plan nine: Review
Public Works Review
04/26/2007
04/2612007
04/26/2007
Public Works Review
04/27/2007
Structural Review
04/26/2007
Structural Review
04/27/2007
05/08/2007
APP LLH
No Planning issues.
Rcvd 4/26/2007---Waiting in order
PW rcvd for rvw.JLP WI 4/26/07
No new impervious area, storm tied
to existing system. SDC fee's reflect
new DFU's, JLP APP 4/27/07
Forwarded to the Building
Department for structural review
under contract with the City of
Springfield
Plans reviewed by Dave Mortier
with the Building Department under
contract with the City of Springfield
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.
Foundation: After forms are erected but prior to concrete placement.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Pae:e 2 of 3
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
OK to Issue
PERMIT NO: COM2007-00602
ISSUED:
APPLIED:
EXPIRES:
VALUE:
04/25/2007
11/09/2007
$ 32,445.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 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.
Storm Sewer Line: Prior to filling trench.
Low Voltage: Prior to cover.
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
Pae:e 3 of 3