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Home My WebLink AboutPermit Electrical 2007-11-8 ZON l ff'} ~ INITIAL~ ~ \.M DATE \\.~(I( SOURCEU - \ /(-~-07 225 FIFI1I STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ~,zoo 7 - c> a 2( ( 2 Date 1. ~17/L{ IS LE~A7 ~s3Zb3 3 JOB DESCRIPTION: Add 3. A. D 2-706 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 $117.00 7 , C ( ~ LC,A. \' OJ j $ 21.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. $55.00 2. B. Expiration Date 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Phone ~~gg~ohs ATTENTION: Orego: ~e r~~l\tf. ~taI'ow rules adopte e Supervisor License Number _~ OWotification center'1~~ J \n OAR 952-001-00 , copies ot the 81 Expiration Date 0 0090. YO\1, m~n~~~tion or Relocation calung II tv the or~on:M"~~ Constr. Contr. Number numblf ~w.. ,___ ~~~ Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. City Electrical Contractor $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 Address $ 55.00 $ 76.00 $110.00 Signature of Supervising Electrician Owners Name ..~~ Vv ~ ( t l); Vv\ Uv v~ Address \ 1 J ,+ I 501- City S f~ J,...l Phone New Alteration or Extension Per Panel ! One Circuit ' Each Additional Circuit or with Service or F~eder. Permit $ 48.00 l(f 2t( /-, $ 4.00 NOTice. ~ l-i /--,/. b.L;r}i'S PER~~i\fMtS PERMIT'S NOT $ 55.00 , , AUTHOR\~tiMljSeAMNlONED FOR $ 55.00 OWNER INST ALLA nON CO~~:~ bjwitpfR~/Residential $ 28.00 The installation is being made on property I own whic~ Limited EnergylCommercial $ 50.00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $50.00 + Surcharges Owners Signature: -7 (\;~ (VJJ)fYVv(/v-.- 4. 8% State Surcharge 10% Administrative Fee 5% Technology Fee 77 57.6 7Zo -:J'bC:> 88 ~L. Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application 7-07.doc CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00892 ISSUED: 06/29/2007 APPLIED: 0611812007 EXPIRES: 03/05/2008 VALUE: $ 71,070.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1124 1ST ST ASSESSOR'S PARCEL NO.: 1703263302700 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Bedrooms and bath addition. TYPE OF USE: Addition Residential I PUBLIC IMPROVEMENMENTION: Oregon law requires you to o ow ru~~ew!m>~~ the Oregon Utili~ Fully Improved Notification Center. - Those rules are set forMtback 5' Yes in OAR 9512-v(f~~/filIf~h OAR 95!tbCJlfLd Gutter 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). Owner: KLUSMAN THOMAS E & CHERYL Address: 1124 1ST ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor License WADE MADE CONSTRUCTION SERVICES 188718 CAMP CREEK ELECTRIC LLC 164877 OWNER OWNER BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: 1 R-3 Height .of Structure: 14,50 Type of Heat: orced Air Electric ~:I~~M1T ~ _e 1F THE WORK AUTHORIZED \J.m~'1l<<i P~RM'T IS NQ.'tth 1 r.nMMENCED dtf'SkJmAtf00~D FOR nla ANY 1~ENT ll~..uRMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 15,00 8.60 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 0,00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Stormwater to tie into existing gutter, Pae:e 1 of 4 Phone Number: 541-741-2641 Expiration Date 02/02/2009 06/09/2009 Phone 541-343-0108 541-746-1471 Lot Size: Sq Ft 1st Floor: 690 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00892 ISSUED: 06/29/2007 APPLIED: 06118/2007 EXPIRES: 03/05/2008 VALUE: $ 71,070.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I DwelIinl!s v Wood Frame $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 690,00 Value Date Calculated Description Tvpe of Construction Total Value of Project $71,070.00 $71,070,00 06/18/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $296.69 6/18/07 2200700000000000976 -Mechanical Issuance Fee- $10.00 6/29/07 1200700000000000845 + 10% Administrative Fee $59,20 6/29/07 1200700000000000845 + 5% Technology Fee $33.47 6/29/07 1200700000000000845 + 8% State Surcharge $44,60 6/29/07 1200700000000000845 Building Permit $456.45 6/29/07 1200700000000000845 Fire SF Fee - Residential $34.50 6/29/07 1200700000000000845 Fixture $56,00 6/29/07 1200700000000000845 Minimuml Adjustment Mechanical $39.00 6/29/07 1200700000000000845 Plan Review Minor - Planning $112.00 6/29/07 1200700000000000845 Sanitary Sewer - Improvement $118.74 6/29/07 1200700000000000845 Sanitary Sewer - Reimbursement $156,16 6/29/07 1200700000000000845 SDC SanitarylStorm Admin $26,83 6/29/07 1200700000000000845 Storm Drainage Impervious Area $261.78 6/29/07 1200700000000000845 Vent Fan $6.00 6/29/07 1200700000000000845 + 10% Administrative Fee $6.90 8/3/07 1200700000000000996 + 5% Technology Fee $3.45 8/3/07 1200700000000000996 + 8% State Surcharge $5.52 8/3/07 1200700000000000996 Add, Alter, Extend Circ Ea Add $6,00 8/3/07 1200700000000000996 Perm ServlFdr 200 amps or less $63,00 8/3/07 1200700000000000996 + 10% Administrative Fee $7,20 11/8/07 2200700000000001691 + 5% Technology Fee $3.60 11/8/07 2200700000000001691 + 8% State Surcharge $5.76 11/8/07 2200700000000001691 Add, Alter, Extend Circ $48.00 11/8/07 2200700000000001691 Add, Alter, Extend Circ Ea Add $24.00 11/8/07 2200700000000001691 Total Amount Paid $1,884,85 I Plan Reviews I Initial Review Plannine: Review Public Works Review 06/19/2007 06/19/2007 06/19/2007 06/19/2007 06/2612007 06120/2007 APP LLH APP T AJ APP BRC Stormwater to tie into existing gutter. BC Structural Review 06/19/2007 06/2212007 APP RJB Pae:e 2 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00892 ISSUED: 06/29/2007 APPLIED: 06118/2007 EXPIRES: 03/05/2008 VALUE: $ 71,070.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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, Drywall: Prior to taping, Final Building: After all required inspections have been requested and approved and the building is complete. Undertloor Plumbing: Prior to insulation or decking, Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete, Undertloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service, Final Electric: When all electrical work is complete, Pae:e 3 of 4 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00892 ISSUED: 06/29/2007 APPLIED: 06/1812007 EXPIRES: 03/0512008 VALUE: $ 71,070.00 225 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. '71h/'~ I!JA)l)V'~ I J ,- is -0--;- I Owner or Contractors Signature Date Pae:e 4 of 4 225- Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007 -00892 COM2007-00892 COM2007-00892 COM2007-00892 COM2007-00892 Payments: Type of Payment Check cReceint 1 RECEIPT #: 2200700000000001691 Date: 11/08/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By TOM KLUSMAN Item Total: Check Number Authorization Received By Batch Number Number How Received 4654 DJB In Person Payment Total: Page 1 of 1 2:25:45PM Amount Due 48.00 24.00 3.60 5.76 7.20 $88.56 Amount Paid $88.56 $88.56 11/8/2007