HomeMy WebLinkAboutPermit Electrical 2007-9-21
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 0 FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number COUAzc>c7-- Oro g-b
1.
/ g60 S~b/A-Nl<=- (2.7
LEGAL DESCRIPTION:
/7DS26C(2. ObooO
JOB DESCRIPTION:
tv Ill:: - A~p (\i 0""/
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days,
GJ
j
Electrical Contractor T hi' h-k E/p..cfrk
Address PO i3 O)( is lfLf
City E: UtJOti,! Phone;J. ) ';).. -/1/2
Supervisor License Number L:fb 11..... S
Expiration Date j () / /-1 Q 9'
Constr. Contr. Number I Cj if 3 ?..G
Expiration Date :;t / {I/O ~
I' .,
.x
Signature of Supervising Electrician
eo
#.,"V~
Owners Name $llrt~ lIe-oJ s
Address J660 S W 01.\0\ ~ c..k
City s1> r-D Phone 7Cf7 - DJ 26
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
NunGE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UND~B THIS PERMIT IS NOT
Inspect~l}r~M~~Ei)2b'WtS' ABANDONED FOR
ANY 180 DAY PERIOD.
q/).\~Ol
Date
3.
A.
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.
$1 ]7.00
$ 21.00
$55.00
B.
200 Amps or less- 3 $ 70.00 ~
201 Amps to 400 Amps $ 83.00
40] Amps to 600 Amps $]38.00
601 Amps to 1000 Amps $180.00
Over 1000 Amps/Volts $413.00
Reconnect Only , $ 55 00
AI Il:lffiON: OrC~11 Ion requIres you t;;
C.l~~mJl~taf~ilr~~~ltt J~'~~~~~~.
In OAR 952-001-0010 through OAR 952-001-
Installation, ~otif)fb~m copies of the rules by
200 Amps or les&Calling the center. (Note: ~~phone
201 Amps to 4019'AI1$~r for the. oregon u(~~~ifil,;CLliul'
401 Amps to 600 Amps Center IS 1..aOO..aa $1 tm .
Over 600
D.
New Alteration or Extension Per Pane]
One Circuit
Each Additional Circuit or with 1 _
Service or Feeder Permit ~
$ 48.00
$ 4.00 -!to
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
4.
-;,J, So
70
20
~
307'!C>
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
Shared Drive(T:)/Building Forms/Electrical Permit 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: 1860 SWANK CT
ASSESSOR'S PARCEL NO.: 1703264206000
Springfield
PROJECT DESCRIPTION: Addition of bedrooms, family room, and bath
Owner: SHIRLEY WOODS
Address: 1860 SWANK COURT
SPRINGFIELD OR 97477
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01086
ISSUED: 08/07/2007
APPLIED: 07/23/2007
EXPIRES: 03/21/2008
VALUE: $ 105,560.00
TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
Phone Number: 541-747-0326
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Engineer
Contractor
DAVID S SHEPPARD
THINK ELECTRIC
STEPHEN KEATING
License
146747
154326
Expiration Date
01/18/2009
02/11/2009
Phone
541-520-3112
541-232-1212
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
VN
3
1
16.00
Wall Heat
Electric
Electric
Path 1
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
128
1,000
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
5.00
13.00
20.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Sto'lflJ11t'f:onnects to existing eaves.
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa2e 1 of 4
REQUIRED PARKING
Total:
Handicapped:
Compact:
23.90
._~"lY
Sidewalk Type:
D~iiijtdli~rDiiigon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001.
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Status
Issued
CITY OF SPRINGFIELD'
Bu;lding/Combination Permit
PERMIT NO: COM2007-01086
ISSUED: 08/07/2007
APPLIED: 07/23/2007
EXPIRES: 03/21/2008
VALUE: $ 105,560.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellinl!:s
Patio/Porch
v Wood Frame
Use Bid Amount
$ Per Sq Ft
or multiplier
$103.00
$1.00
Square Footage
or Bid Amount
1,000.00
2,560.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$103,000.00
$2,560.00
$105,560.00
07/23/2007
08/02/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $411.83 7/23/07 2200700000000001181
-Mech Iss 2+ Appliances- $40.00 8/7/07 2200700000000001257
+ 10% Administrative Fee $82.43 8/7/07 2200700000000001257
+ 5% Technology Fee $44.52 8/7/07 2200700000000001257
+ 8% State Surcharge $61.95 8/7/07 2200700000000001257
Building Permit $644.32 8/7/07 2200700000000001257
Dryer Vent $7.00 8/7/07 2200700000000001257
Fire SF Fee - Residential $50.00 8/7/07 2200700000000001257
Fixture $80.00 8/7/07 2200700000000001257
Miscellaneous Mechanical $36.00 8/7/07 2200700000000001257
Plan Review Minor - Planning $116.00 8/7/07 2200700000000001257
Plan Review Residential $6.98 8/7/07 2200700000000001257
Sanitary Sewer - Improvement $142.83 8/7/07 2200700000000001257
Sanitary Sewer - Reimbursement $187.83 8/7/07 2200700000000001257
SDC Sanitary/Storm Admin $41.53 8/7/07 2200700000000001257
Storm Drainage Impervious Area $500.00 8/7/07 2200700000000001257
Vent Fan $7.00 8/7/07 2200700000000001257
+ 10% Administrative Fee $8.20 9/18/07 2200700000000001465
+ 5% Technology Fee $4.10 9/18/07 2200700000000001465
+ 8% State Surcharge $6.56 9/18/07 2200700000000001465
Fixture $16.00 9/18/07 2200700000000001465
Storm Sewer - 1st 50 Feet $50.00 9/18/07 2200700000000001465
Storm Sewer Each Addtll00' $16.00 9/18/07 2200700000000001465
+ 10% Administrative Fee $25.00 9/21/07 1200700000000001226
+ 5% Technology Fee $12.50 9/21/07 1200700000000001226
+ 8% State Surcharge $20.00 9/21/07 1200700000000001226
Add, Alter, Extend Circ Ea Add $40.00 9/21/07 1200700000000001226
Perm Serv/Fdr 200 amps or less $210.00 9/21/07 1200700000000001226
Total Amount Paid $2,868.58
I Plan Reviews I
Initial Review
Planninl!: Review
07/24/2007
07/24/2007
07/24/2007
08/03/2007
APP NJM
APP T AJ
Pal!:e 2 of 4
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01086
ISSUED: 08/07/2007
APPLIED: 07/23/2007
EXPIRES: 03/21/2008
VALUE: $ 105,560.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
07/24/2007
07/27/2007
APP TSS
Structural Review
07/24/2007
08/03/2007
APP DLM
Storm water connects to existing
eaves.
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.
~eouire~nSDections I
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to tloor insulation or decking.
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.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Undertloor Plumbing: Prior to insulation or decking.
Undertloor Drain: Prior to cover or placement of concrete.
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.
Undertloor Mechanical. Prior to insulation or decking and including required testing.
Electric Service: Approval required prior to utility company energizing service.
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01086
ISSUED: 08/07/2007
APPLIED: 07/23/2007
EXPIRES: 03/21/2008
VALUE: $ 105,560.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
Pal!e 4 of 4
225 Fifth Street
Spripgfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01086
COM2007-01086
COM2007-01086
COM2007 -01086
COM2007-01086
Payments:
Type of Payment
Check
cReceint 1
RECEIPT #:
1200700000000001226
Date: 09/21/2007
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DAVID SHEPPARD
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1933
In Person
Payment Total:
Page 1 of 1
11:58:53AM
Amount Due
210.00
40.00
12.50
20.00
25.00
$307.50
Amount Paid
$307.50
$307.50
9/21/2007