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Home My WebLink AboutPermit Electrical 2007-11-9 ZON LGO.", INITIALS \fi\... DATE \ \ .~ .()\ _ SOURCE ~_~V' 225 FIFTII STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ( C> &AA. 'Z-O 0 7 - D 0 7 6 L Date ATTENTION' 0 200 Amps or less , reg on raw .I:~mll'l'~ . fol~~w rules adopted b thZOll'tllHfJS~IdI;~ Amps NotIfIcation Center. Tho~e rl~9%Q~~tbltiijtv Amps 10 OAR 952-001-001 0 througi~ ~~~ b~qa Amps Phon~O:~iin~o~ may obtain COPiEl9.tHW~nsiirolts e "\;-ilIt\7l~ (Note' tne~~ftlf <uy number for th~ Oregon Utility Notificati ~ ~ Center IS 1.800.3~ 0 ~~" , ...) tit; In'lallation, Alte...tlon nr Relocation o Owners Name/~At<D ~/;Rku..( Address ~I'J S,Iit l/7Ft.. er NOTICE: E. City ~",~f),~/j Phone 729- ~~.iERM'T SHNJ.~JR~M;JHE WORK $ 55.00 . Al}l MORIZED UN~~<lhl:l&~,S NOT $ 55.00 OWNER INSTALLATION COMMENCED ORrJ~~liiOOial $ 28.00 The installation is being made on property I o~'tJ~R DAY PEIt~d Energy/Commercial $ 50.00 ::;.1; ite, l...e or ..... ~.nimum Electric Permit In'pection Fee ~ $50.00 + surcha~b A Mz:;!:! 8% State Surcharge '$ 'r ;/ - 10% Administrative Fee I.( 1:1 '" 5% Technology Fee ZTb s-6~ 1. 3. ~.c- ~ii1 570Srf.. 47/4 ,. LEGAL DESCRIPTION: 17 D z.. '3 2 l{ J C' LJr/M:1j/~/d (JR. L) yJ'O~ i ../ JOB DESCRIPTION: L/uw b),w 9w,_~e 11 ,~~ )"'np ~-mJ~ /(0;< 1<.qJ/k1~ to/tONv! ..d rtl .. . Pertntts'are non-ttaBSfe'rn6 e and expire If work IS not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor Address City Supervisor License Number Expiration Date Constr.Contr.Nurnber / Expiration Date Signature of Supervising Electrician Inspection Request: 726-3769 A. Service Included 1000 sq. ft. orless Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $]17.00 $ 21.00 $55.00 B. $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 55.00 $ 76.00 $] 10.00 Over 600 Amps or 1000 Volts see "B" above. D. New Alteration or Extension Per lnel One Circuit Each Additional Circuit or with / Service or Feeder Permit { If $4~0 $ 4.1 TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application 7-07.doc Status Issued CITY OF SPRINGFIELD C Building/Combination Permit PERMIT NO: cOM2007-00762 ISSUED: 06/08/2007 APPLIED: OS/25/2007 EXPIRES: 03/19/2008 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 570 S 47TH ST ASSESSOR'S PARCEL NO.: 1702324308800 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Partial replacement of roof structure Owner: Address: WIRKUS RICHARD E & CAROL JEAN 570 S 47TH ST SPRINGFIELD OR 97478 Phone Number: 541-729-5394 Contractor Type General Electrical Mechanical Plumbing . ._c "oU ~~'I ~eGu" - U\\\.. .' - .-f'n(\ _t.r.t~ N.Ote9 Sf! eWWkMATION. :{1EN\\O s ~oo'Pt '(\os~ Of>.~ot.- eS b'l ~8fa~EP ce(\\e~~ \'(\tOU~~ 0\ \'(\e t~O(\. e. License ~ ~T~i9"fr;.u ,tlJ{tf' .ne \e\e~. c<=>.\\o1\ 82441 fl& 9~2 ~ ob~al\T NOte'. ~ NO\\\\ "" ~~OU {t\&;cet\\et. ~ 0(\ U\W\\i~l\l\). ~~t\g \'(\e \'(\e Ote~OO''3'3'2: OWNI5f{ het \ot _~ i9. ,\-g "...1" \,,\:>>,f.. I BUILDING INFORMATION I Expiration Date 12/07/2007 Phone 541- 72 9-6490 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: . Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 1 Lot Size: 17,00 Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: nla Occupant Load: R-3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: .12,50 I DEVELOPMENT INFORMATION. _ . ~REQUlRED PARKING / ..,,\~~ Overlay D.ist: . '(\t 'l~ O'fotal: # Street Trees Rqd: ~~t \~ ~\~ \CO ~ Handicapped: Paved Drive Rqd: ~\.. -6-~ S ~tW'l\ fO~ Compact: % of ~~ver~~);\~ c..\\ \'(\~ ~O~f,.\) \$) f,.~~\ 'U~$~ ~'?>~~ i\'~~ : ,r':1f~.... , ~ ,<; I PUBLIC ~~~1~\)\l. G \\J l C, ,,"'\ CO~ Sidewalk Type: ~~, Downspouts/Drains: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa2e 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-00762 ISSUED: 06/08/2007 APPLIED: OS/25/2007 EXPIRES: 03/19/2008 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Estimate Tvve of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 20,000.00 Value Date Calculated Descrivtion Total Value of Project $20,000.00 $20,000.00 OS/25/2007 ~ Fee Descrivtion Amount Paid Date Paid Receipt Number Plan Review Residential $120,51 5/25/07 2200700000000000838 + 10% Administrative Fee $18.54 6/8/07 1200700000000000725 + 5% Technology Fee $9,27 6/8/07 1200700000000000725 + 8% State Surcharge $14.83 6/8/07 1200700000000000725 Building Permit $185.40 6/8/07 1200700000000000725 + 10% Administrative Fee $5.00 8/1/07 2200700000000001216 + 5% Technology Fee $2.50 8/1/07 2200700000000001216 + 8% State Surcharge $4,00 8/1/07 2200700000000001216 Miscellaneous Plumbing $50.00 8/1/07 2200700000000001216 ~Mechanical Issuance Fee~ $20,00 11/2/07 2200700000000001666 + 10% Administrative Fee $10,00 11/2/07 2200700000000001666 + 5% Technology Fee $5,00 11/2/07 2200700000000001666 + 8% State Surcharge $8,00 11/2/07 2200700000000001666 Add, Alter, Extend Circ $43,00 11/2/07 2200700000000001666 Add, Alter, Extend Circ Ea Add $3,00 11/2/07 2200700000000001666 MinimumlAdjustment Electrical $4.00 11/2/07 2200700000000001666 Minimum/Adjustment Mechanical $44,00 11/2/07 2200700000000001666 Vent Fan $6.00 11/2/07 220070000000000]666 Total Amount Paid $553,05 I Plan Reviews I Initial Review 05/29/2007 05/29/2007 APP LLH Plannin2 Review 05/29/2007 06/01/2007 APP TAJ No Planning issues. Public Works Review 05/29/2007 05/31/2007 APP JLP No new Imp area & no new DFU's, Gutters tied to ditch line per owner, JLP APP 5/31/2007 Structural Review 05/29/2007 05/30/2007 APP RJB 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. Pa2e 2 of3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00762 ISSUED: 06/08/2007 APPLIED: OS/25/2007 EXPIRES: 03/19/2008 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reouired Insnections I Footing: After trenches are excavated. Post and Beam: Prior to floor insulation or decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved, Final Building: After all required inspections have been requested and approved and the building is complete. Ceiling Insulation: Prior to cover, 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, By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certify that aU 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 "m~7l!J' /,~J;;7 Owner or Contractors Signature Date Pa2e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-126-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00762 COM2007-00762 COM2007-00762 COM2007-00762 COM2007-00762 COM2007-00762 COM2007-00762 COM2007-00762 COM2007-00762 Payments: Type of Payment Check cReceint] RECEIPT #: 2200700000000001666 Date: 11/02/2007 Description Vent Fan Minimuml Adjustment Mechanical -Mechanical Issuance Fee- Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Minimum/Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By RICHARD WIRKUS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 4416 In Person Payment Total: Page I of I 1l:41:30AM Amount Due 6.00 44.00 20.00 43.00 3.00 4.00 5.00 8.00 10.00 $143,00 Amount Paid $143.00 $143.00 11/2/2007