HomeMy WebLinkAboutPermit Electrical 2007-11-9
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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
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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