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Home My WebLink AboutPermit Electrical 2001-6-6 DEVELOPMENT SERVICES DEPARTMENT ZOnin~ _(p _.Q..) Date , ' ~ Autrlorized Signature - 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97477 726-3769 1. LOCATI2f OFINSTALLATIO~ ;)../ 75 [~ Lrv\ \J LEGAL DESCRIPTION !7,0~2"::>( "7 JOB DES~PTIqN, , 3 &fl fAilt tJ /0'3 c:J () 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 ~ ~( , 1 Address fS]3q~ b.~1 ~ v: " ~A~\f\f\ rRQ I Ci ty 5p4t\. ;hone 7'1; oq~ ~ Supervisor License Number 37/ CJ ~ lu L J~) ~ Constr Contr. Number l1030~ /0/' lO) rvisihg ~lectrician Expiration Date Expiration Date Signa tur, of I J\-}J Owners Name ~ ~ Address -;:)11 N.-, Ci ty 5? I-tJ Phone 51; o:l-~?> OVNER INSTALLATION The installation is being made on property lawn which is not intended for sale, lease or rent, Owners Signature: ...... ~A~~~----------25~2)(;csj7---~-~;;--- RECEIPT #: c::. b -, ) RECEIVED BY: 4:>5 ' 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (j ( .- 00 3, J'b - 0 ( 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or M~lti-Family per dwelling unit, Service Included: Items Cost Sum 1000 sq. ft. or less $ 85,00 Each additional 500 sq. ft ~r portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40,00 B. Services or Feeders Installation, Alterations or Relocation: 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 $ 50,00 $ 60.00 $100.00 $130,00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55,00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit I $ 35.00 35/1:5L> Each Additional Circuit or with Service' 9. C'CJ or Feeder Permit ?- $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ 40,00 $ 40,00 ~ -I $ 20 00 I 0 ;:;c! . :r., :r., ;;:J:- '-', $ 36,00 ril rri co c-:l -. ..... (J t:::l C-...j ,. 3Q.@ ;'.J~~ 2..7f3 (J -Eft c.? 2:, J jl.l..l -'- 0"-, 0 . ;;;rJ::D..j::~ 0 ,d ,;;;!- a cf... ..<:.. [....J I'''':) r,J1 -, O-,....J G1. (:) 0'. - 1_('. I I I ....u 1:::::S ....0 I-'- .. (,;:l I--'- c..n SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL Job# 01-00356-01 Page 1 of 3 225 North Fifth Street Springfield, OR 97477 TRANS#: 0l-00051f47 DA TE ~ fplA Y 18 2001 AMT RECD:2 $ 26.50 CHANGE: f"1i')QUTCD = {'t.. of wnWi iJ.Li\. Uul RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00356-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 2195 Bonnie Ln Spr Assessors Map#: 17032512 Lot: 22 Block: Addition: Owner: Address: Tax Lot #: 10300 Subdivision: Nicole Park Chan Huynh 2195 Bonnie Lane Phone Number: 541-747-4044 City/State/Zip: Addition Springfield, OR 97477 Value: $23,399 Scope Of Work: Single Family Residence '. Office & Fun Room Addition Contractor Type General Contr Electrical Contr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor J Allards Construction 1986 Elanco Ave, Eugene, OR 97408 Cannon Electric 541-747-0959 88396 little dearhorn rd, springfield, ORATTENTION:Oregon le,l.v rc<:.i;(;)S YC~j :0 97477 follow rules adoDted bv '}},.o Ore"'on L 1,,"',' ". ..... (- J lo. h.;.; l.0I I Jndnl Office U~~\,J"'"\'Cl.lIU! I vemer. II10se rulas are set foith ::.~~;;r; ~?~.-001-~O.1 0 through OAR $52-001- 2RNW Lan~ Use: SI~gle.Fralrnlya~welJ!Og co!!;9J~l.n!S'pl..~~8 by . Zonmg Code: LDR11hng the center. (NotmGPYP.!l,Q~YI~r&Up: Dwelling (VN) Wood Frame Bedrooms: number for th~Oregon ll!tea~ S'o,Cir~~.::tidrprced Air Electric Range: Center IS 1-800-3Sq;~Reo~age: 308 Registration # 117829 Expiration Date 12/28/2002 Phone 541-687-8487 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 working day. Footing Foundation Post and Beam Floor Insulation Ceiling Insulation Shear Wall Nailing Framing Wall Insulation Drywall Final Building , Rough Electrical Required Inspections I Building -After trenches are excavated.. NOTICE: -After forms are erected but pnor to concrete placement. L EXPIRE IF THE WORK .Prior to floor insulation or decking. THIS PERMIT SHAL .Prior to decking. AUTHORIZED UNDER THIS PERMIT IS NOT -Prior to cover. . COMMFNCED OR IS ABANDONED FOR - Before covering sheathing with finish materials. ~ - Prior to cover. ANY 180 DAY PERIOD. - Prior to Cover - Prior to taping. - When all required inspections have been approved and the building is complete. Electrical - Prior to cover. Final Electrical Job# 01-00356-01 I ... Required Inspections I Electrical - When all electrical work is complete. I Plumbing - Prior to filling trench. Page 2 of 3 ~ Storm Sewer Line Mechanical Rough Mechanical Final Mechanical - Prior to cover. - When all mechanical work is complete. Zoning:' LOR FloodPlain? D Wetlands? D Journal numbers 1: 2: Comments: Overlay District: # of Street Trees: land Use: Single Family Dwelling Pave Driveway? D 3: Planner: Liz Miller Urban Growth Boundary?D Glenwood Area? D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Panel 1153 01.2975 Additional Requirements: Required Attachments: Source locn: Material: Flood Plain FEMA: Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? D rArea (Sq. Feet) Main: 308 Accessory: # Of Stories: 1 Current Units: 1 Census Code: Does not apply Height (feet): 15 Proposed Units: Total:308 Fee Paid On Receipt# Plan Check 04/12/2001 4908 Value/Quantity Fee Amount Residential Plan Check Total Plan Check 23,399 $106.93 $106.93 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 05/01/2001 5109 05/01/2001 5109 05/01/2001 5109 23,399 $164.50 $11.52 $4.94 $180,96 Minimum Plumbing Permit Fee State Surcharge - Plumbing Storm Sewer Footage Administrative Fee - Plumbing Total Plumbing Plumbing 05/01/2001 5109 05/01/2001 5109 05/01/2001 5109 05/01/2001 5109 20 $.00 $1.75 $25.00 $.75 $27.50 Minimum Mechanical Permit Administrative Fee - Mechanical Mechanical 05/18/2001 5447 05/18/2001 5447 $10.50 $.45 ~ . Fee ApplianceVent (Not Covered in SchedulE Mechanical Issuance State Surcharge -Mechanical Total Mechanical Residential - Single Family - Storm SDCAdministrative Fee Total System Development Grand Total Plan Check Type Checked By Initial Review-Res Lisa Hopper Initial Review-Res Lisa Hopper Engineering-Res Planning-Res Structural-Res Steve Templin Liz Miller Tom Marx Job# 01-00356-01 Paid On Receipt# Mechanical 05/18/2001 5447 05/18/2001 5447 05/18/2001 5447 Page 3 of 3 Value/Quantity Fee Amount 1 $4.50 $10.00 $1.05 $26.50 System Development 05/01/2001 5109 05/01/2001 5109 352 $95.39 $4.77 $100.16 $442,05 Date Completed Comment 04/16/2001 Hold. Proposed addition on easement. Called contractor and left message to call me. Received information from contractor. Revised plot plan and plans to reflect smaller addition to fit without encroaching into easement. 04/16/2001 04/23/2001 04/29/2001 04/27/2001 By sig~ature, 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 701.055 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 ofthe property, and the approved set of plans Wi.II~r\~ the S~II times during construction. ,....../ ( ~ (J- ~~'c-...) . ' . S//f3/0( SignaL" 07 /