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Home My WebLink AboutPermit Electrical 2007-12-11 ZON LA-v INITIALS '" 1 1\/\ DATE l''). -i~ _01 SOURCE ~~17 ') I c::. -(1-0 7 2251'IFrH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (_OUo1 Z-C> 0 7 - C>O tb b 0 Date I. 3. J '2 2:, -2. 1-- <7/7/"'<;;s.h ) /O{f)~ LEGA\DEsC~TI :~ OJ. 7~!701bJ)j.. , V Service Included OB DE' RIPTION: ] 000 sq, ft, or less ,1 _ I I (Each additional 500 sq, ft, or yr cl ~ e" L " c......... ~ I portIOn thereof Permits are non-transferable and expire if work is not started witbin 180 days of issnance or if work is Suspended for 180 days. Each Manufact'd Home or Modular Dwelling Service or Feeder 2. B. E]ectrica] Contractor 200 Amps or less 20 I Amps to 4fl(OAmps 40),&fll~~~ps ~ OI6~~~~~~~~~PS ....c:Jo\ (\0 9,009\6 "t"oft.~~ :Q~6&~ '" '~tU\ee l\\et. ,<<<f,lJuvr 0 U' /roo<<' ~?~~~:~~c;o~.oo~~,t~~e~~~'\)~'F~~d~r'sH:"......- ~uj\<l'~oult'\e;~t\\et. ~~t\u\~3ft,'\O..,...... .. .... ,...............,... . OO~;\\t\~ \~~ ,<<<6 ~t~rron, Alteration or Relocation ,8\ (;;at\\et 200 Amps or less 20] Amps to 400 Amps 40 I Amps to 600 Amps Over 600 or 1000 V o]ts see "B" above, Address City Phone t'f\, Supervisor License Number ~ Expiration Date .1 \ v Constr, Contr, Number 0 Expiration Date Signature of Supervising Electrician D. New Alteration or Extension Per Panel One Circuit I $ 48,00 V V Each Additiona] Circuit or with Z Cj? Owners Name il VI. ~e..) '~<:'OL,cJ:,~ se~iceorFe.ederpe=t.........,<,.,.....__.........._._7'~;:o..,.._.._......,....,._.,........_.., Address 17:. S3 bn~ E. i~1~~2'c\I,a~~\~~~~.'irc_~~t_i~~}~2'i_dr:!t~E~I~stallatiOn , City ~ J& Phone, S ;::C2~-:1 1~~'i~\1 \S\\ $ 55,00 \W ?'t.\\\J\\i S, ~1IIIll!~U~fO, $ 55,00 OWNER INSTALLATION 1f\\~f\O\\\1't.~ \), ..~~gy/Residentia] $ 28,00 The installation is being made on property I o~~'t.~C't.~ ~~nergy/Commercial $ 50,00 IS not Intended for sale, lease or rent. Cf>.~'/ '\ ~OjQllIimum Electric Permit Inspection Fee is $50.00 + Snrcharges 9-~ 4. '56 ~ ---1 <'- ~ 8% State Surcharge 'i'ffJ 10% Administrative Fee ~ f.,O 5% Techno]ogy Fee Z "70 ba~ Inspection Request: 726-3769 TOTAL Shared Drive(f:)/BuiJding FormslElectrical Pennit Application 7~07.doc $1 ]7,00 $ 21.00 $55,00 $ 70,00 $ 83,00 $]38,00 $180,00 $413,00 $ 55,00 $ 55.00 $ 76,00 $110,00 I Plan Reviews I 05/10/2007 05/10/2007 APP NJM 05/1012007 05/1 0/2007 WI JLP Rcvd 5/10/2007mWaiting in order PW rcvd for rvw.JLP WI 5/10/07 05/1112007 05/1112007 APP JLP Storm tied to existing system. JLP A PP 5/10/07 05/10/2007 05/15/2007 APP TAJ Outside flood zone and fnrlher than 25' from wetland. 05/1 0/2007 05/15/2007 WE RJB called owner and he will bring footing/foundation cross section in t( city OS/22/2007 OS/22/2007 APP RJB Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descriution Tyoe of Construction Dwellines V Wood Frame Fee Description Plan Review Residential + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Fire SF Fee - Residential Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid loitial Review Public Works Review Public Works Review Plaonine Review Structural Review Structuraf Review CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00660 ISSUED: 06/06/2007 APPLIED: 05/0812007 EXPIRES: 06/1112008 VALUE: $ 29,870.00 I v alu~tion Descrintion I $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 290.00 Value Date Calculated Total Value of Project $29,870.00 $29,870.00 05/08/2007 FpPIl, P<;)i,y Amount Paid Date Paid Receipt Number $164.87 $26.82 $18.28 $20.29 $253.65 $14.50 $112.00 $5.24 $104.71 $5.60 $2.80 $4.48 $48.00 $8.00 5/8/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 12/11/07 12/11107 12/11107 12/11107 12/11/07 2200700000000000674 1200700000000000709 1200700000000000709 1200700000000000709 1200700000000000709 1200700000000000709 1200700000000000709 1200700000000000709 1200700000000000709 1200700000000001483 1200700000000001483 1200700000000001483 1200700000000001483 1200700000000001483 $789.24 Paee 2 of 3 ' -iii"~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1233 KENRA Y LP ASSESSOR'S PARCEL NO.: 1703272207638 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00660 ISSUED: 06/06/2007 APPLIED: 05/08/2007 EXPIRES: 06/1112008 VALUE: $ 29,870,00 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence Owner: Address: DANIEL BASARABA 1244 KENRA Y LP SPRINGFIELD OR 97477 Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10.80 33.00 0.00 Street Improvements: Storm Sewer Available: Special Instruction: Residential Phone Number: 541-520-1303 I CONTRACTOR INFORMATION I , . Q laW requires YOU .t~ .!; .', :'1: ?re{e~iY,c{lSl) oreg;)l/Pet~~WRn Date Phone 1. l' '" a~~~r Those rules are se2 001- \~oc:;:~~~_ggi -OOi ~ th~~~i~~ ~~~e9~u\~S by Qoe J You may obtaIn Note' the telephone -. ,;,~'l lp" center. ( , );""\' Mn~ilication BUILDINGI~~qR1\1~1.i.Olij-332-2344). ......' . VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Electric Electric Electric Path I n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 290 J DEVELOPMENT INFORMATION I REQUIRED PARKING Overl'WBiftCf.: T9$~~, # Streo . '~~~~lIT SHALL EXPIRE IF THE 'NMIlIltapped: Paved' i -i'H'lf roZED UNDER THIS PERMIT 1~lllWact: % OfL6o~V E~i:D OR IS ABANDONED FOR ...v '!In nAY PFRIOD. I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspouts/Drains: Fully Improved No Curbside 5' Curb and Gutter Notes: Storm tied to existing system. JLP APP 5/10/07 Page I of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00660 ISSUED: 06/06/2007 APPLIED: 05/08/2007 EXPIRES: 06/1112008 VALUE: $ 29,870.00 225 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. Rellllirerl Tnsllections 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 witb 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 he used on this project. I further agree to ensnre that all required inspections are requested at tbe proper time, that each address is readable fromtbe 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. , ...---. (V~ Own;':~actors Signature ) 21/// U/ Date / Page 3 01'3 225 Fifth Street Springfield, Qregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00660 COM2007-00660 COM2007-00660 COM2007-00660 COM2007-00660 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000001483 Date: 12/11/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge -I- 10% Administrative Fee Paid By DANIEL BASARABA Item Total: Check Number Authorizntion Received By Batch Number Number How Received djb 0 I] 48B In Person Payment Total: Page I of I 2:01 :OOPM Amount Due 48,00 8,00 2,80 4.48 5,60 $68.88 Amount Paid $68,88 $68.88 12/1 1/2007