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Home My WebLink AboutPermit Electrical 2007-9-27 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERJlIIIT APPLICATION C6h12&),-OJO'-1 q City Job Number 1. LOCA.TION OF INSTALLATION: ( fo rIb 1-f Sf' ; LEGAL DESCRIPTION: \ ,o?J 3~ ~ \ 0(0000 JOB DESCRIPTION: I bWu0 ~~ I I 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 RJ; \dQJ"'s t:::.\.e.c+rtC Address \ <1' s; yVl tl.. cl.~ ~ 0-;) S-\. City ~ lA:f ..t12 - Phone l-fC&~ -09 ;)d.-. Supervisor License Number 305 (0 S I 0 ) I \ 2..00 I Y)..90 Expiration Date Constr. Contr. Number Expiration Date \ 2- I, Q \2-0 \) 1 Signature of Supervising Electrician r ~ -1~,._-Q_,~~ ) Owners Name N !3DGO Address 7g3 0f?;U1'li SC; . A,IT ITE; . Nl\lTT!!OOlNnQI,rm;p '..! 11 la,'W ~]~s ~,. t City ~ g~~~J1fil 6, .' , N t.lIi,..h. I J .:.-..' ,~.., o l\!y<"Nm Cent3~, 'j'hose I"Ui",S 8."-' "'l:'"..{,l., ,x~-.PM':\ ...~ ,1\.1\ .1'V...J~,.!vJ~.. On"0tl~6,.}~TJA.rn~W 'll1!"ough v,!'.r-t (;5?-001- The inst~~~~~~:0~di~~Sfiftl1f~~:Wfliffi' . ' )". I" \"'^'" , '1. rerc,,;S.J, IOn6 IS not lIUkWtfs'eflfol'<ms apS~b~~limy Notilicatforl , Center is 1-800-332-2344). Owners Signature: Inspection Request: 726-3769 3. Date q 11-, I lJ7 I I CO~MPLETE FEE SCHEDULE BELO~Y. ZON ~ :()Q.. INITIALS N M DATE \~-()I - C:, SOURCE r'('vF~' ) A. New Residential- Single or Mul~i-Famj]y per 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 $106.00 $ 19.00 $50.00 . . B. Services or Feeders.'- Installation, Alterations or Relocation: . . 200 Amps or less 201 Amps to 490 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only c. 'Temporary Services or feeders Installation, Alteration or Relocation I 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New AIteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $~60 s:s-OU $ 69.00 $100.00 $ 43.00 $ 3.00 . . E. Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 rH~~~~fnergY/Residential $ 25.00 ::E1~~~~~~~l:~~IRE iF THE WO~lt5.00 lYIin r\tjum~~~ 11~ff_i'PtRitll it~N0f Surcharges 4, C~~MiB M4WAnANOONED FOR \~ lID A~ StBIG ~hliiiSIO D. t.f: lfll 10% Administrative Fee <-_~ 5% Technology Fee Z .'%- TOT AL & 7~ bE: Shared Drive(T:)/Building Fonns/Electrical Permit Application 8-06.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1646 H St ASSESSOR'S PARCEL NO,: 1703362106000 Springfield CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01049 ISSUED: 09/1212007 APPLIED: 07/16/2007 EXPIRES: 04/12/2008 VALUE: $ 7,000.00 TYPE OF WORK: Foundation TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Foundation for moved house - House moved from 3349 Baldy View to this location Owner: NED CO Address: 783 GRANT STREET EUGENE OR 97402 Phone Number: 541-345-0446 I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor RAINBOW VALLEY DESIGN & CONSTR BUILDERS ELECTRIC INC License 56107 4296 Expiration Date 04/04/2008 12/10/2007 Phone 541-342-4871 541-485-0922 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: . # of Bedrooms: 1 R-3 # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: VB 4 2 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: n/a Occupant Load: 1,258 683 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 22,60 8,40 24.80 46,00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ATTENTION: Oregon law 'J'l>:tJnCIe::iMVROVEMENTS I follow U'l.llles adopted by th R._ ~ -.- I .,,~~. . Street ImproveWMt~tation Center. Those rules are set forth St S Ain [;)1\.o.~952-001-001 0 through OAR 952-001- orm ewer val If!) , ., S . I I t Of\90 OU may obtam caples of the rules by pecla ns rUCfI'(fn: ' h calling the center. (Note: the telep one n.fLumher fo.r the Orenon Utilitv NOlificaticn Notes: No Pw-'lssuls at this tIme. ;r,~e Ber-miMsA~or foundation only. vemer IS \-ouU-O.:l<:' -":::v't't /. Pal!e 1 of 3 Hospital Support 2 Yes 17,00 REQUIRED PARKING Total: 2 Handicapped: . Compact: Sidewalk Type: N OTI ~:nspoutslDrains: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Foundation Onlv Use Bid Amount Fee Description Plan Review Residential, + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Addressing Assignment Fire SF Fee - Residential Foundation Permit Moved Structure Plumbing Conn Plan Review Minor - Planning Sanitary Sewer ~ 1st 50 Feet Storm Sewer - 1st 50 Feet Water Line - 1st 50 Feet + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Temp Power 200 amps or less Total Amount Paid Initial Review 07/1712007 Initial Review 07i18/2007 Planninl! Review 07/18/2007 Public Works Review 07/18/2007 Structural Review 07/18/2007 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01049 ISSUED: 09/12/2007 APPLIED: 07/16/2007 EXPIRES: 04/12/2008 VALUE: $ 7,000.00 I Valuation Description I $ Per Sq Ft . or multiplier $1.00 Square Footage or Bid Amount 7,000,00 Value Date Calculated Total Value of Project $7,000,00 $7,000,00 07/16/2007 ~ Amount Paid Date Paid Receipt Number $60,39 7/16/07 2200700000000001138 $38,99 9/12/07 2200700000000001438 $20,45 9/12/07 2200700000000001438 $23.43 9/12/07 2200700000000001438 $35,00 9/12/07 2200700000000001438 $97,05 9/12/07 2200700000000001438 $92,90 9/12/07 2200700000000001438 $50,00 9/12/07 2200700000000001438 $116.00 9/12/07 2200700000000001438 $50.00 9/12/07 2200700000000001438 $50.00 9/12/07 2200700000000001438 $50.00 9/12/07 2200700000000001438 $5.50 9/27/07 2200700000000001519 $2.75 9/27/07 2200700000000001519 $4.40 9/27/07 2200700000000001519 $55.00 9/27/07 2200700000000001519 $751.86 I Plan Reviews I 07/1712007 WE LLH Floor plan not included in submittal. Left message for Sandy at Nedco to fax floor plan, 07/18/2007 APP LLH Received floor plan, Okay to proceed with review, 08/03/2007 APP TAJ Provide 2 off street parking spaces. 2 street trees are required unless they are already in, 07127/2007 APP TSS No PW issues at this time. The permit is for foundation only. 08/01/2007 10 LLH Forwarded to the Building Department for review Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01049 ISSUED: 09/12/2007 APPLIED: 07/16/2007 EXPIRES: 04/12/2008 VALUE: $ 7,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 08/01/2007 08/06/2007 WE LLH Information requested from NEDCO to complete plan review, Plans are with Shawn Eaton with the Building Department under contract with the City of Springfield Plans reviewed by Shawn Eaton with the building department under contract with the City of Springfield Structural Review 08/08/2007 09/04/2007 APP LLH 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. I Reouired Insoections I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection, Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Final Building: After all required inspections have been requested and approved and the building is complete. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Temporary Electric: Approval required prior to Utility Company energizing pole. 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 3 of 3 225 Fifth Street Springfield: Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01049 COM2007-01049 COM2007-0l049 COM2007-0l049 Payments: Type of Payment CreditCard cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001519 Date: 09/27/2007 Description Temp Power 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BUILDER'S ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 717282 Phone Payment Total: Page 1 of 1 3:29:42PM Amount Due 55.00 2.75 4.40 5.50 $67.65 Amount Paid $67.65 $67.65 9/27/2007