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Home My WebLink AboutPermit Electrical 2007-11-1 SPIi1.INGlFIlIlLD ' .. ZON LAJf!r-.r LP~. OOT~LS ,~, ~~.'< ~~CE~~~~J)1) Date 11-0) -- 01 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (O~ ZOO 7 - 0 { z. , 7 1. '1~TIOd;:::r:+N: u LEGAL DESCRIPTION: /BOZ-ObfL( /~/oo JOB DESCRIPTION: t/ /" ,( L-rrc..U\ D " 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 INSTALLATIONONLY Electrical Contractor GMD Eleeti"ie Ine. Address 957 Northridge Ave City 8pf Id Phone 726 - 8 6 0 1 SuperVisor License Number 48748 Expiration Date 10/~/O Constr. Contr. Number 1 621 91 Expiration Date 11/2008 Signature of Supervising Electrician ~~- Own", Nom' ~ l-l, IE,! Address' 9 Z b ,-I-A- ~(!-t."L +- [IV City .s~ I~ a Phone 22.(- "ZICJb I OWNER INST ALLA nON 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. COMPU1.l!- FEE SCHEDULE BELOW A. ;-, New Residential- Single or Multi";Family per dwelling unit. Service Included lOoo~TltCJ;iessEXP~f!.~ IF THE W~ Eac\iI~~iftfn~Mom ~~b; THIS PERMIT IS NOT portion-there',..w;ZED UNDE."'\ N[D F,$,-Ql.OO 1-\ U l ' I V 1'(1 Ai\11j'=' lJt'\ E 1i'1>:w.';';' iJJ: ~t\0. c..n n Q IS AB I U ac ..ly'"anUIaC .U'Ht5me'or D MQ(~~!~{D~ii~e~fJHQ . $55.00 Feeder B. , Services or Feeders -Installation, Alterations or Relocation: 200 Amps or less $ 70.00 201 Amps to 400 Amps $ 83,00 401 Alij5's:~olJOM:mpsegon law reauires )JijrJlt~O 601 WJ#p'Sltol]OOO WIhp-sted by tile Ol'egon$ltJsolbt> Ov ~qt6~oc;.{~qsXr't~It-r. Those rUles are S$ll/s>.ij@ Re~p'Qe~RhIy -001-0010 throu8/1 CAM 9~9.~~- UUg'O. 'feu may obtain copit::::i ur m-e- rules by C i'T caliing..tQ.13 center.~~e: the telephone . LfmH%~Pf8F'illI~ebf~~~~ Efdlity Notification Center is 1-800-332-2344). Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps t?ve.r 600 AI?P~ or 100.0 Volts see ~'B" above. D. ~ Branch Circuits $ 55.00 $ 76.00 $110.00 New Alteration or Extension Per Panel One Circuit I $ 48,00 Each Additional Circuit or with ? Service or Feeder Penn it ,> $ 4.00 48 /2 E. . Miscellaneous (Service/feeder not included) -Eacb InstaUation Pump or irrigation $ 55,00 Sign/Outline Lighting $ 55,00 Limited EnergylResidential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges , . . . 4. SUBTOTAL OFABOVE ' 8% State Surcharge 10% Administrative Fee 5% Technology Fee bO '{80 b ~ 7.3 Bo TOTAL Shared Drive(T:)IBuilding FormslElectricaJ Permit Application 7-07.doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01297 COM2007-01297 COM2007-01297 COM2007-01297 COM2007-01297 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000001663 Date: 11/01/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By PATRICK HURLEY Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 003796 In Person Payment Total: Page I of I 2:22:1SPM Amount Due 48.00 12.00 3.00 4.80 6.00 $73.80 Amount Paid $73.80 $73.80 11/1/2007 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01297 ISSUED: 09/05/2007 APPLIED: 08/29/2007 EXPIRES: 04/23/2008 VALUE: $ 36,462.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 926 HAZELNUT LN ASSESSOR'S PARCEL NO.: 1802061415100 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Addition over existing garage TYPE OF USE: Addition Residential Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive J.l..9~: . h,ompact: % ofI.h.T(tij~wag~~: Oregon law reqUires you, , follow rules adopted by the Oregon Utility. Mntifir:Ation Center. Those rules are set forth . -. - {:,:S.1 0 througn UAH. ~o.::.-uu I- I PUBLIC I]\I1mOV~'M' " b 000 O. ': l I taln copies of the rules y calling the center. (1'Si~~i. ~~one Fully Improved number for the Oregon Utility Notlfic~tion Yes Center is 1_80&-~~291\~rams: Storm Sewer will drain to existing Owner: PATRICK HURLEY Address: 926 HAZELNUT LN SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor CHALUS CONSTRUCTION L TD GMD ELECTRIC INC COMFORT FLOW DOUG HAXBY PLUMBING COMPANY License 113083 162191 460 140768 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 # of Stories: 2 Height of Structure: 22.00 Type of Heat: orced Air Electric Water Type: Electric Range Type: Energy Path: Path 1 Sprinkled Building: n/a VB 1 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 18.00 11.50 Street Improvements: Storm Sewer.A vailable: Special Instruction: NoteNOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Paee 1 of 3 Phone Number: 541-221-2106 Expiration Date 04/24/2008 11/19/2008 06/27/2009 03/01/2008 Phone 541-461-1932 541-726-8601 541-726-0100 541-995-4725 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 354 REQUIRED PARKING To Storm Sewer Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvve of Construction Dwellinl!s v Wood Frame Fee Description Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Fixture Furnace - up to 100,000 btu Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Plan Review Minor - Planning + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Planninl! Review Public Works Review Structural Review CITY OF SPRING~lELD - Building/Combination Permit PERMIT NO: COM2007-01297 ISSUED: 09/05/2007 APPLIED: 08/29/2007 EXPIRES: 04/23/2008 VALUE: $ 36,462.00 I Valuation Description I $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 354.00 Value Date Calculated Total Value of Project $36,462.00 $36,462.00 08/29/2007 ~ Amount Paid Date Paid Receipt Number $211.00 8/29/07 1200700000000001118 $42.46 9/5/07 1200700000000001162 $27.03 9/5/07 1200700000000001162 $33.97 9/5/07 1200700000000001162 $324.62 9/5/07 1200700000000001162 $16.00 9/5/07 1200700000000001162 $14.00 9/5/07 1200700000000001162 $36.00 9/5/07 1200700000000001162 $34.00 9/5/07 1200700000000001162 $116.00 9/5/07 1200700000000001162 $6.00 11/1/07 2200700000000001663 $3.00 11/1/07 2200700000000001663 $4.80 11/1/07 2200700000000001663 $48.00 11/1/07 2200700000000001663 $12.00 11/1/07 2200700000000001663 $928.88 I Plan Reviews I 08/29/2007 08/29/2007 08/29/2007 08/29/2007 APP TAJ APP MS Storm drainage to existing. No new impervious, so no SDC charges. - MS 8/29/07 Need engr's letter on adequacy of existing ftg. for the addition. Contractor will provide 8/29/07dlm. Received engineering 8/30/07dlm. 08/29/2007 08/30/2007 APP DLM 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. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01297 ISSUED: 09/0512007 APPLIED: 08/29/2007 EXPIRES: 04/23/2008 VALUE: $ 36,462.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reouired InsDections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Floor Insulation: Prior to decking. 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. Drywall: Prior to taping. 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 Page 3 of 3