HomeMy WebLinkAboutPermit Electrical 2007-12-27
ZON
INITIALS
DATE
SOURCE
22'i FIFfH STREET 0 SPRINGFIELD, OR 97477 0 PH (54t)726-3753 0 FAX (541)726-3689
ELECTRICAL PERMIT APPLICATION
CIty Job Number COM:2-0oi- nl'62-Z-
1 LOCATIONOFINSTALLATION:
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LEGAL DESCRIPTION
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.-
JOB DESCRIPTION
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L.OW \JO\ffl~ In.(/ An",
Permits are non-transferable and expire If.Glrk IS
not started wltbm 180 days of ISsuance or If work IS
Snspended for 180 days
- ~,---~-~- ~ -~--.., -- - - ---
I L/~-:7 ) nl
. ,
Date
3 COMPLETE FEE SCHEDULE BELOW
A New ReSJdenhal- ~IIlg~(}r Multl;FamJly per dwellmg Ubi!.
ServIce Included
1000 sq ft or less
Each addlhonal 500 sq ft or
portIOn thereof
Each Manufact'd Home or
Modular Dwellmg ServIce or
Feeder
$11700
$ 2100
$55 00
2 ,CON}'RACTOR INSTALLATION ONLY B ServIces nr Feeders - Installahon, Alterahons or RelocatIOn
Electncal Contractor -rf(', (I f.l.roi'r1Vl. ):(1 a..fJM-S 200 Amps or less $ 70 00
l'-.._ . L. () 201 Amps to 400 Amps $ 83 00
Address ?-AIO m (' ~ 401 Amps to 600 Amps $13800
<:::'" . ~~D2 1_ 601 Amps to 1000 Amps $18000
CIty CJJ./!,I JIll. (L.. Phone lY~c.j a.LeS--V Over 1000 AmpsNolts $413 00
a. ~'f- \~ ~c\. oe.. CnLll) ReconnectOnly $5500
Owners Name :r~dfv( \11~ (){' -'
Address J ~oN-breg~ reqllll'9B \"''' ." E 1\1Js~~~,:~_u~_ (Se.':':'~~/feed!r not mcl".d"d) -Each InstallatJon
CIty ~ ru)eS adoptjlh\,~lIlhe Oregon Utlhty Pump or ImgatlOn $ 55 00
~hon venter Thos" ..I.,,~ .arc sel farth
1.9.5f!-p01-0010through OAR 952-001- SlgnlO,wM'l!otmg $ 55 00
OWNE~~~'MtI-if1al~laln copies of the rules by Llmlte11'lfrS' Mlf~All EXPIRF IF TI$E!W:0RK
The mstall'llIllhn~IfuBg:tffimrod~rlbff6WllfWh%\I' Llmlte~~~1 r. fIl"IleJl:t5'ER THl!; PERMlJjScMOT ~':..
IJdrmful 1M ttillls!;lbi'l'eW-miiiiy Notllcatlon b I:U UI' me
IS not lUte r~e~ter IS 1-800-332-2344) Mmlmnm E ffM iffi'e~~ iJ'I'f l~oAB'1!NG_~NEIibf!\,/tDrcharges
Owners SIgnature 4 SUBT~f)mOD. ?::fl 00
8% State Surcharge 4-.00
10% AdmlUlstratlve Fee C; 60
5% Technology Fee ,:::),5;;...7J
(f) (StJ
SupervIsor LIcense Number
ExpIratIOn Date
Constr Contr Number llo Lj \ ILl
ExprratIon Date
SIgnature of SupervlSlUg Electnclan
~ti
~')d ~cEB
Inspechon Request 726-3769
C Temporary Services ~r Feeders
InstallatIOn, AlteratIOn or RelocatIOn
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above
D Branch C'rcUlts
$ 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
$ 400
TOTAL
Shared Dnve(T )/Bulldmg FormslElectncal Permit Apphcallon 7-07 doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01822
ISSUED. 12/12/2007
APPLIED' 12/12/2007
EXPIRES: 06/18/2008
VALUE' $ 20,00000
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 1462 t ST
ASSESSOR'S PARCEL NO 1703362203700
Spnngfield TYPE OF WORK Smgle Family ReSIdence
TYPE OF USE AlteratIOn
ReSIdential
PROJECT DESCRIPTION Intenor remodel & enclose porch
Owner BETTY TAYLOE
Address 1462 I ST
SPRINGFIELD OR 97477
Phone Number 541-726-1236
I CONTRACTOR INFORMATION'
Contractor Type
General
Electncal
Low V oUage Electncal
Mechamcal
Plumbmg
Contractor
OWNER
RITE ELECTRIC
TTC COMMUNICATIONS INC
OWNER
OWNER
License
ExpIratIOn Date
Phone
178518
164114
09/24/2009
04/11/2009
541-895-4466
541-689-2650
BUILDING INFORMATION'
VB
# of Stones 1
HeIght of Structure
Type of Heat orced All Electnc
Water Type
Range Type
Energ) Path Path 1
Sprmkled BUJ1dmg nla
Lot S,ze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occnpant Load
30
# of Umts
Pllmary Occupancy Group
Secondary Occupancy GI oup
Pnmarv ConstrnctlOn Type
Secondary ConstructIOn Type
# of Bedrooms
I
R-3
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Setback Overlay DlSt
Side I Setback # Street Trees Rqd
SIde 2 Setback Paved Dnve Rqd
Rearyard ~~TION 0 I I % of Lot Coverage
Solar Setb regon aw requ res you to
w rules adopted by Ihe Ore~.?n UtllllX.
"UlIlI"<llIUII venter I nose rUles afi;l'litro'~ 1.-rlrlC
In OAR 952-001-0010 through OA~..1C'IMPROVEMENn r E:
Street Im~9~n};mUnay obfaln caples of the rules by , RIS Psf.lMJ;rI~IIIA1..tf.. EXPIRE IF THE WORK
calling the center. (Note the telephone AUTHOR1?EJ.J.jMnCD
Storm Se"l'ioi41!J@'1~""he Oregon Utility Nollflcallon COMMmeEUClJ'fs'fIJ.aTM!S PERMIT IS NOT
SpeclallnstructlO'Genter IS 1-800-332-2344). ANY OR IS ABANDONED FOR
180 DAY PERIOD.
Total
HandIcapped
Compdct
Notes
Pa2e 1 on
-f.i~
Status
Issued
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Line
DeSCrIPtIOn
Tvoe of Construction
Eshmate
EstImate
Fee DescnptlOn
-Mechdmcallssuance Fee-
+ 10% AdmmlStrahve Fee
+ 5% Technology Fee
+ 8% State SUI charge
BUlldlDg PermIt
FIxture
MlDlmum/AdJnstment PlumblDg
MIScellaneous Mechamcal
Plan Review ReSIdentIal
+ 10% AdmlDlStrahve Fee
+ 5% Technology Fee
+ 8% State SUI charge
Add, Alter, Extend Ore
Add, Alter, Extend Ore Ea Add
+ 10% AdmlDlStratlve Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - ReSIdential
MlDlmum/AdJustment Electrical
Total Amount PaId
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. cOM2007-01822
ISSUED: 12/12/2007
APPLIED. 12/1212007
EXPIRES: 06/1812008
VALUE. $ 20,00000
I Valuation OescrmtJOn I
$ Per Sq Ft
01 multlpher
$100
Square Footage
or Bid Amount
20,000 00
Value
Date Cdlculated
Total Valne of ProJect
$20,000 00
$20,000 00
12/1212007
Fpp< P~lrl 1
Amount PaId
Date PaId
ReceIpt Number
$20 00
$30 44
$1522
$24 36
$204 44
$32 00
$1800
$50 00
$13289
$720
$360
$576
$48 00
$24 00
$500
$250
$400
$28 00
$22 00
12112/07
12112/07
12/12/07
12/12/07
12/12/07
12/12/07
12/12/07
12112/07
12/12/07
12/17/07
12/17107
12/17/07
12/17/07
12/17/07
12/27/07
12/27107
12/27/07
12/27/07
12/27/07
1200700000000001495
1200700000000001495
1200700000000001495
1200700000000001495
1200700000000001495
1200700000000001495
1200700000000001495
1200700000000001495
1200700000000001495
2200700000000001849
2200700000000001849
2200700000000001849
2200700000000001849
2200700000000001849
2200700000000001909
2200700000000001909
2200700000000001909
2200700000000001909
2200700000000001909
$677 41
Plan ReVIews I
Plannm2 ReView 12/12/2007 12/12/2007 APP TAJ No Planmng Issues
Pubhc Works ReVieW 12/12/2007 12/12/2007 APP EW No SDC'S, no fixtures, and
ImpervJOus surface
Structural ReView 12/12/2007 12/12/2007 APP DLM See documents tor Plan review
comments
To Request an inspection call the 24 hour recording at 726-3769. All inspectIOns requested before 7 00
a.m. wtll be made the same working day, Inspections requested after 7:00 a.m. wIll be made the following
work day.
Pa2e 2 of3
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO. cOM2007-01822
ISSUED: 12/12/2007
APPLIED 12/12/2007
EXPIRES: 06/18/2008
VALUE: $ 20,00000
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 FJX
541-726-3769 InspectIOn LlDe
Re~I',lired I nsoectlOns I
Footmg After trenches are excavated
Floor InsulatIOn PrIor to deckmg
Frdmmg InspectIOn Pllor to cover and after all rough III mspectlOns have been approved
Wall InsulatIOn' Pnor to cover
Celhng InsulatIon Pnor to cover
Fmal BUl1dmg Alter all reqUIred mspectlOns have been requested and approved and the bUIlding IS complete
Rough Plumbmg Pnor to cover and mcludmg reqUIred testmg
Fmal Plumbmg When all plumbing work IS complete
Rough Mechamcal Pnor to Cover
FlnJI Mechamcal When all mechamcJI WOI k IS complete
Rongh Elecll IC Pnor to Cover
Fmal Electnc When all electncal work IS complete
Low VoltJge Pnor to cover
By sIgnature, I state and Jgree, that I have carefnlly exammed the completed apphcatlOn and do hereby certlly that all
mfOl mallon hereon IS true and correct, and I furthel cerllfy that any and all work pertormed shall be done m JccordJnce With
the Ordmances of the CIty ot Sprmgfield and the Laws of the State of Oregon pertallllng to the work descllbed herem, and
that NO OCCUPANCY w,lI be made of any sll ucture WIthout permISsIOn of the Commumty ServIces DIVISIOn, BDlldmg Satety
I further cerllty that only conll actors and employees who are m comphance WIth ORS 701 005 wIll be used on thIS proJect
Iturther agree to ensUl e that all reqUIred mspectlOns are requested Jt the proper lime, that each address IS I eJdable from the
Stl eet, that the pel mlt card IS located at the fl ont 01 the property, and the approved set ot plJns will remam on the SIte at all
times dUrIng constructIOn
Owner or Contractors Signature
Date
Pa2e 3 00
225 FIfth Street
Sprmgfteld, Oregon 97477
541-726-3759 Phone
~:t:G~ tij,
..: '
CIty of Sprmgfield OfficIal Receipt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2007-0 1822
COM2007-0 1822
COM2007-0 1822
COM2007-01822
COM2007-01822
Payments
Type of Payment
Check
cRecemt I
RECEIPT #:
2200700000000001909
Date. 12/27/2007
DeSCriptIOn
Low Voltage - ReSIdential
Mmlmuml Adjustment Electncal
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% AdmmlStratlve Fee
Paid By
JODIE WOOD
Item Total
Check Number AuthonzatlOn
Received By Batch Number Number How Received
ddk
3782
In Person
Payment Total
Page I of I
11 16 22AM
Amount Due
2800
2200
250
400
500
$6150
Amount Paid
$61 50
$6150
12/27/2007