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Home My WebLink AboutPermit Electrical 2007-11-20 Date ZOl\ ~ ~ fNlTIALS \ I DATE - \ .7J).ill SOCRCE _~n- \\~1o/6-1 ,"f.: '.' ',"' '" ~", ~ ..; ~ .'. ~ '.: ,'., ',' \. -.~ .\'1 22;; FWrH STREET. SJ>RI:\GFIELD, OR 97477 . I'H:(34J)726-37;;3 . FAX: (;;41)726-3689 City Job ;\lumber 2. Electrical Contractor Efljl{. ()J(j)/IJ1liIAJ .f1E"c- Addressff5Agg DIW/Rf) flaESS J?J) cityEU0EIl/b:.. Phone 1!IJP t( tt 4/otj()_ 5 /() //0 /3h~q% Expiration Date ~ r/ (fJ ~ s,gn# of~'r 'ng8'''tr~''~ /~/ -./ ~ ;> . - Supervisor License Number Expiration Date Constr. Contr. Number ~ ;OO\<K OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: A; II:I.JTION: Oregon taw reaufras you to fOllOW rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952.Q01-0010through OAR 952-001- Inspe_OOeVog;tnay~fafh copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is ~'2344). 4.6\ 3. A. 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 $ 2 I. 00 $55.00 B. 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to ] 000 Amps Over 1000 AmpsiVolts Reconnect Only $ 70.00 $ 83.00 S138.00 $180.00 $413.00 S 55.00 c. Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 55.00 $ 76.00 $1/0.00 Over 600 Amps or 1000 V olts see "8" above. D. New ~lte~ation or Extension Per pane\ An '^ AIlrf) One Clrclllt ~ K]. Each Additional Circuit or with l)" W) \~/)(J Service or Feeder Permit 50.001 -c..J}'V E. Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited EnergylResidential $ 28.00 Limited Enerh'Y,Commercial $ 50.00 Minimum Electric Permit Inspection Fee is S50.00 + Surch~gf7 4. O'6.(J) 8% State Surcharge 4- .~ 10% Administrative Fee c:; 5% Technology Fee 'J': : ' TOT A \,,'''' ""'''l'lO'I'I'C!:'',"''EI'''''''' p,~" ^P.Jm~ ,:,,~ THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01217 ISSUED: 10/05/2006 APPLIED: 09/30/2004 EXPIRES: 11/17/2007 VALUE: $ 77,616.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 741 LAKSONEN LP ASSESSOR'S PARCEL NO.: 1702352301200 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to existing sfr Owner: CLA WSON TUCKER & L LISA Address: 741 LAKSONEN LP SPRINGFIELD OR 97478 Phone Number: 541-741-0578 I CONTRACTOR INFORMATION. Contractor Type Contractor License Expiration Date Phone General OWNER Electrical BEAR MOUNTAIN ELECTRIC LLC 136298 08/06/2009 541-953-6747 Mechanical OWNER Plumbing STEVEN DOUGLAS JACKSON 1311 09 08/24/2006 541-683-7535 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 n/a I DEVELOPMENT INFORMA nON I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 17.00 36.00 40.00 69.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: 2 20.00 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Connect to existing curb weep Sidewalk Type: DownspoutslDrains: Curbside 5' Curb and Gutter Notes: Pa2e 1 of 4 ,~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01217 ISSUED: 10/05/2006 APPLIED: 09/30/2004 EXPIRES: 11/17/2007 VALUE: $ 77,616.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion , Dwellinl!:s Tvpe of Construction V Wood Frame $ Per Sq Ft , or multiplier $92.40 Square Footage or Bid Amount 840.00 Value Date Calculated Description Total Value of Project $77,616.00 $77,616.00 09/30/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $311.90 9/30/04 1200400000000001417 -Mechanical Issuance Fee- $10.00 1111/04 1200400000000001545 + 10% Administrative Fee $63.99 1111104 1200400000000001545 + 7% State Surcharge $44.79 11/1/04 1200400000000001545 Building Permit $479.85 1111104 1200400000000001545 Fixture $70.00 1111/04 1200400000000001545 Minimum/Adjustment Mechanical $33.00 1111/04 1200400000000001545 Miscellaneous Mechanical $45.00 1111104 1200400000000001545 Plan Review Minor - Planning $59.00 11/1/04 1200400000000001545 Sanitary Sewer - Improvement $201.08 1111104 1200400000000001545 Sanitary Sewer - Reimbursement $264.44 11/1104 1200400000000001545 SDC Sanitary/Storm Admin $36.30 11/1104 1200400000000001545 Storm Drainage Impervious Area $260.40 11/1104 1200400000000001545 Vent Fan $12.00 1111104 1200400000000001545 + 10% Administrative Fee $5.00 12/4/06 2200600000000001649 + 5% Technology Fee $2.50 12/4/06 2200600000000001649 + 8% State Surcharge $4.00 12/4/06 2200600000000001649 Service Reconnect $50.00 12/4/06 2200600000000001649 + 10% Administrative Fee $5.80 11120/07 1200700000000001422 + 5% Technology Fee $2.90 11120/07 1200700000000001422 + 8% State Surcharge $4.64 11120/07 1200700000000001422 Add, Alter, Extend Circ $43.00 11120/07 1200700000000001422 Add, Alter, Extend Circ Ea Add $15.00 11120/07 1200700000000001422 Total Amount Paid $2,024.59 I Plan Reviews I Initial Review 10/01/2004 10/0112004 APP SKG Public Works Review 10/0112004 10/04/2004 APP CS Planninl!: Review 10/0112004 10/1312004 APP EMM Structural Review 10/0112004 10/26/2004 APP RJB Pal!:e 2 of 4 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-01217 ISSUED: 10/05/2006 APPLIED: 09/30/2004 EXPIRES: 11/17/2007 VALUE: $ 77,616.00 225 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. ~eouire1Jnso((ctions 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. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor 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. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor 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 Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. Pa2e 3 of 4 .~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01217 ISSUED: 10/05/2006 APPLIED: 09/30/2004 EXPIRES: 11/17/2007 VALUE: $ 77,616.00 225 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 Page 4 of 4 725 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number CO M2004-0 1217 COM2004-01217 COM2004-01217 COM2004-0 1217 COM2004-01217 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000001422 Date: 11/20/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BEAR MOUNTAIN ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 11351 By Mail Payment Total: Page I of I 11 :22:27 AM Amount Due 43.00 15.00 2.90 4.64 5.80 $71.34 Amount Paid $71.34 $71.34 11/20/2007