HomeMy WebLinkAboutPermit Electrical 2007-11-9
.~";,,:,)';~':~f~:"~~'~'~r',,~~~->>:~ "'f':: ~~""._':>,H""~"'" .;:~.,:, '1~;O~"'- ". -~~-:->~""-~J;,><".;: :~~;'~~"~~.~,
:;il;,N>~{,':~~lVJ:~~~,OEJ}$RRlNGIUELD~l: RE6,0N,,',":~,:,,:,::x. '
!",,'.~:;"~iS;;'i"'. ..,'.!?jr-'.t-....~.J< .:...."......"...;,..' '. ..... < ~(l'>..;~. 'f..:_~' .~'. ""..... ,..- "';. ." l'lt;. "1': ~.~ ,,' ,'.~ :;;,'~''''
ZON~
INITIALS~
DATE \~.o"\
SOURCE }l ~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number, COlN\-z.oC -7 - c) I Z IODate
1.
,,~, ':":;--'-':~,t:;:O/~bij;rffS~~~f~i!~;F/i".<:
. ~'~;:'_ -:E:/,'~-.L'Yf,'1:~'!J... ~
Jtt.'~~,,:it::0H',_Zl<5~LtJ:i$f~?~~);J.&)jjfi';:f~~;
/007 L sf-
LEGAL DESCRIPTION:
/7C '3?bL{L(
o 7 5'00
3, ~j[qjf~~?"
~""'>;;;:::~'~0i}-~A~,,"";,:S_:;.Sj~;t';:?;;~1:"t'.a~"~3~;b..o;~:~
'EESCHEDULE::BEEO " .. .,'
'"~.;~~'2:E':~~.;;.~}~a.ji3\,~k:~~~~',4.:~it~;:,~,Z:~~: .
-::j?i:<lit~~~; .',~"~lf_
:,iSiti 'l~,o'
':L'J'c-'f;~~;r:.&::;
1'"JiJ!~i~iioo~~!{~~~~
Service Included
$117.00
JOB DESCRIPTION:
200 ~p S'r2vL
1000 sq. ft. or less
. ,r.+rtff Eac~ additional 500 sq. ft. or
C {"f-V ., 7" cPortlOn thereof
$ 21.00
E. .> '.... .'. '. . " e .. ;;i"f'f;i:?i~N~ti6t.t
l~~l':' 'kJ'ii;ii~~&'il:Yn\i' '1'i!r<' :1l'1~, ,..,,,,,,<,..,!
.~ ". T RII/llli)n'''\LL . c~ U'HI\' .---.,,,.'
Pump or~ippf&AIZED UNDER THIS PERM\Sf;,\reNOY
Sign/Ou~mM~~D OR IS ABANDONBDsifi}~ .
OWNER INST ALLA TlON Limited ~~~~~f/t~ERIOD. $ 28.00
The installation is being mad7<\'Fr~~lj15\\l own which Limited Energy/Commercial $ 50.00
is not intended for sale, leas10fielnt~ ~ : Oregon law I"WiulrlWbilP~l~tric Permit Inspection Fee is $50 00 + Surcharges
o .~w li'~ t&~ adopted by the Ore ";l'';;'~''3''f''V4:>(C'":':':-''' /""""
Owners Signature: ' NotificatIon Center. Those i'ulels a; :~":;gl7l~;gi(;~ 7 L/
in OAR 952-001 -001 0 through OA.'", m"!",.,;.",,,,,,,,,..,', 6
. /'\{Ian y".. may obt . . 8 Il~SrgQ'Burcharge , S 0
- -. ~.. am copies 01 th~JIe:;a~ll"\w . . '
calling the center, (Note: the teir\l'76l'\'OMmlstratlVe Fee '7
, !number for the Oregon Utility No~~~OIOgy Fee . '7)0
Center is 1-800-332-2~'3L 0- / ~
Inspection Request: 726-3769 \ \' (\ t\. 'TOT AL . C) b
. . ~ ~~~.c}\ '"M" D,;,,(T,)IB,;Id;., F~""l,ori,,' P,~;t A"II,,,;,, 7-07.""
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. f~~Nlfi~e~~~~:;b:~0~ ,
Electrical Contractor r) V V Y y } I
Address P 0 6~ 'I Gq 7
City KJ flI11'v,') )'f Phone 7 Y 7 '-17') Y
Supervisor License Number
Expiration Date
Constr. Contr. Number
Expiration Date
~A~3;:;':r;WwJ" '
U Nam, C;A--{ Vl<fLy ,O!:-<;V &f,,/.,-
II Ib ~ .fc,~~,A- ( Qvd
Phone 7c(7- 7/2)
Address
City
s ~~-.O
Each Manufact'd Home or
Modular Dwelling Service or
Feeder. '
$55.00
B,
~?!.~~~:J;\'~iJ~..;1~~ftr:::, ':J':;';;~;,
;Reloca'tio'ri:;j~q
'~~'~::~::::.Z'::- :;l;-,.~_;~', ';~~'"?.':;:~'?-;
200 Amps or less
, 20 I Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
I
$ 70.00
$ 83,00
$138.00
$180.00
$413.00
$ 55,00
70
c.
- ,iSl~1i~1n~~i~f~~~f
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D, .1IB~\i'A:;'" 'iE~~1't~,
;'t<;."r'-=;,....l~1 ~~:..'(;:*":...;~j-~>
$ 55.00
$ 76.00
$110.00
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48.00
$ 4,00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1009 L ST
ASSESSOR'S PARCEL NO,: 1703264409900
Springfield
PROJECT DESCRIPTION: Addition to existing single family residence
Owner: CALVARY OPEN BIBLE
Address: 1116 CENTNENNIAL BLVD
SPRINGFIELD OR 97477
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01210
ISSUED: 10/10/2007
APPLIED: 08/1612007
EXPIRES: 05/08/2008
VALUE: $ 58,704.00
TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
Phone Number: 541-747-7125
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor
STEPHEN K HUFFMAN
BURRELL BROS ENTERPRISES INC
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedro'oms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path: .
Sprinkled Building:
1
R2
U
VB
3
License
39226
136446
Expiration Date
03/01/2008
08/20/2009
Phone
541-747-7174
541-747-2724
1
18.00
Electric
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:
216
528
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
22,00
12.30
13.60
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
0,00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: Stormwater to tie into existing gutter system,
NOTICE~
THIS PERMlT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pae:e 1 of 4
REQUIRED PARKING
Total:
Handicapped:
Compact:
18.30
Att\!n'l~ilJYJ6llegon law requires you.t.o
'ri."nt~ by the Oregon Utility
fO~AArIi~~68~ItJ1llu 'h e rules are set forth
NotificatIOn Center. os 01
. OAR 952-001-0010 through OAR 952-0 -
~090. You may obtain copies of the rules by
callin the center. (Note: the tel~~ho~e
numb~r for the Oregon Utility Notification
Center is 1-800-332-2344).
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01210
ISSUED: 10/10/2007
APPLIED: 08/1612007
EXPIRES: 05/08/2008
VALUE: $ 58,704.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Carport
Dwelline:s
Tvpe of Construction
Carport
V Wood Frame
$ Per Sq Ft
or multiplier
$20.00
$103.00
Square Footage
or Bid Amount
216.00
528.00
Value
Date Calculated
Description
Total Value of Project
$4,320,00
$54,384.00
$58,704.00
08/16/2007
08/16/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $290.52 8/16/07 1200700000000001050
-Mech Iss 2+ Appliances- $40.00 10/10/07 1200700000000001289
+ 10% Administrative Fee $75,42 10/10/07 1200700000000001289
+ 5% Technology Fee $41.65 10/10/07 1200700000000001289
+ 8% State Surcharge $57,36 10/10/07 1200700000000001289
Add, Alter, Extend Circ $48,00 10/10/07 1200700000000001289
Add, Alter, Extend Circ Ea Add $28.00 10/10/07 1200700000000001289
Building Permit $446.95 10/10/07 1200700000000001289
Dryer Vent $7,00 10/10/07 1200700000000001289
Exhaust Hoods $10,00 10/10/07 1200700000000001289
Fire SF Fee - Residential $37,20 10/10/07 1200700000000001289
Fixture $144.00 10/10/07 1200700000000001289
Minimum/Adjustment Mechanical $26.00 10/10/07 1200700000000001289
Plan Review Minor - Planning $116,00 10/1 0/07 1200700000000001289
Sanitary Sewer - Improvement $142.83 10/10/07 1200700000000001289
Sanitary Sewer - Reimbursement $187.83 10/10/07 1200700000000001289
SDC Sanitary/Storm Admin $30.44 10/10/07 1200700000000001289
Storm Drainage Impervious Area $278.20 10/10/07 1200700000000001289
Vent Fan $7.00 10/10/07 1200700000000001289
+ 10% Administrative Fee $10.00 10/24/07 1200700000000001336
+ 5% Technology Fee $5.00 10/24/07 1200700000000001336
+ 8% State Surcharge $8.00 10/24/07 1200700000000001336
Sanitary Sewer - 1st 50 Feet $50.00 10/24/07 1200700000000001336
Water Line - 1st 50 Feet $50.00 10/24/07 1200700000000001336
+ 10% Administrative Fee $7,00 11/8/07 2200700000000001692
+ 5% Technology Fee $3,50 1118/07 2200700000000001692
+ 8% State Surcharge $5.60 1118/07 2200700000000001692
Perm Serv/Fdr 200 amps or less $70,00 1118/07 2200700000000001692
Total Amount Paid $2,223.50
I Plan Reviews I
Initial Review
08/20/2007
08/20/2007
APP NJM
Pae:e 2 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01210
ISSUED: 10/10/2007
APPLIED: 08/16/2007
EXPIRES: 05/08/2008
VALUE: $ 58,704.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plan nine: Review
08/20/2007
09/07/2007
APP T AJ
Front building setback for existing
house is 24' not 14' as shown on the
site plan per Steve Huffman,
contractor. Therefore, the carport
front setback is 22'.
Stormwater to tie into existing
gutter system. SDC Worksheet
attached,
Plans reviewed by Shawn Eaton
with the Building Department under
contract with the City of Springfield.
Public Works Review
08/20/2007
08/23/2007
DON BRC
Structural Review
08/20/2007
09/13/2007
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.
~eouireCUnsDections I
Footing: After trenches are excavated,
Foundation: After forms are erected but prior to concrete placement,
Post and Beam: Prior to floor 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.
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,
Sanitary Sewer Line: Prior to filling trench and including required testing,
Water Line: Prior to filling trench and including required testing,
Electric Service: Approval required prior to utility company energizing service.
Pae:e 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01210
ISSUED: 10/10/2007
APPLIED: 08/16/2007
EXPIRES: 05/08/2008
VALUE: $ 58,704.00
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
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
COM2007-01210
COM2007-01210
COM2007-01210
COM2007-01210
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200700000000001692
Date: 11/08/2007
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
CAROL SYLLIAASEN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
DJB
4038
In Person
Payment Total:
Page 1 of 1
2:41:15PM
Amount Due
70.00
3.50
5.60
7.00
$86,10
Amount Paid
$86.10
$86.10
I 1/8/2007