HomeMy WebLinkAboutPermit Electrical 2008-1-15
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, . CITY 9~ SPRIN(If~LD, OREGON
ZON L pz.
INITIALS IJM
DATE 1-1<-"oV
SOURCE I\J Ii\-
225 F1FfH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
ELECTRIC~'pERMlT APPliCATION
CIiy Job Number COfY12tJlJl ~nl..z;5 <,
I. rLOCAT!ON()FllvSTALIATiON:_ '1":,,,j 3 fTOMJi!ETEFi';~SCHEDULEtilill)W_
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LEGAL DESCRIPTI6N
/ '703 'J7 2<-{ 0 ~7c),-
JOB DESCRIPTION
BA'l1tl20?) u {/6,mod,Jl
PermIts are non-transferable and expIre If work IS
not started wlthlD 180 days of ISsuance or If work IS
Suspended for 180 days
f'.--~' .. '.'.'" ""'.".' " - ".1
2 (CON7.J~1-CTQl! INSr~LATiqiilONff~
Elecincal Contraclor k S EilP'r;i'/i/f~-
Address (1 () 1-3c,iY .;;LV'95'3
- ,
CIiy
&/w........",.o
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Phone 6/6' 6 ::J 31:,
SupervIsor LIcense Number
:5 V97 S
ExprratlOn Dale / d // //0
Constr Contr Number 10 ? J> 7
Exprratlon Date
/0 - ']O-OP
~m':=J"
OwnersName milD,!" L .~ ~IOH7J
Address //'-Ih S<"<;Ud/A
u
Cliy .:or; '^'ff (/ - /-J Phone f5 ')9,').,j'7J(J !mzr
OWNER INST ALLA nON
The msiallal10n IS bemg made on property I own whIch
IS not mtended for sale, lease or rent
Owners SIgnature
InspectIon Request 726-3769
(OM 200 7-('J/SSJ
/--- I S-(Jff
Date
A. I_N~~;ii~;d~iit.;;j'= SI;;g~::;.M~it;~ii!;lIif p~?dJY~ii;~g )foil f 1
ServIce Included
1000 sq It or less
Each addJl10nal 500 sq It or
portIOn !hereof
$11 700
$2100
Each Manufac!' d Home or
Modular Dwellmg Semce or
Feeder
$55 00
B Fser;if~_~~';F~!~~'I~r~i~~tl,o_~?;U_~;~Jlt-;~~;J~~!?~h~0:',' 1
200 Amps or less $ 70 00
20 I Amps to 400 Amps $ 83 00
401 Amps to 600 Amps $13800
60 I Amps to 1000 Amps $180 00
Over 1000 Amp~~NTION $41300
Reconnecl Only follow rul dO. ~yon law $>StL~s yOU to
~,'''',,",~~~~fl~~~~;;~:~~~I.uJ.l!llY~
C r,'TeiiIporarY'~:C~~~dl\~d~t::'i~~Ii;~~~~~mt~~'\,')
may obtam copies of the rib
InstallatIOn, Altefiil~16W oll<Rel!ll:tlj"'~Note the tel ~ es y
200 Amps or leS~umbe~or the Oregon l!.tllll:~.1\Illl~f,~';,eft
20 I Amps 10 400 Amps enter IS I-llUU-332$21ll1~ .
40 I Amps to 600 Amps $110 00
Over 600 Amps or 1000 Volts see "B" above
[h>~~ '" -'-C"" ""'$"" ':'l-~"'?;~;*ft.~~P1l"~
D ~c.~_.,lrcu~;:s_i;~r~~'tBrW<
New AlteratIOn or ExtenSIOn perlWli.\j:ld 1\ ':\,)N~\I~I;':
One CIrcwt ~OGN\;f9\;f S\ 'dp Od~JfOlbL\ I \,
Each Addll1onillful:&\il 3'it~\1-\1 'd3GN\ \ 3L~~d S\Ii~
Semce or1~I':!'I9teHlli'i \ 3'd\dX3 "1",lJ~c:. !\\4l~~I.l.Ul"
E. rM~ili~6'~l:=;tet,ni;t~~~~~~h~tillatlOn~j
- I _',)
''-",''*;;'
Pump or lrl1gal1on $ 55 00
SIgn/Ouilme LIghtmg $ 55 00
LUOlted EnergyfResldenl1al $ 28 00
LlIOlted Energy/CommercIal $ 50 00
MlDlmum ElectriC PermIt Inspection Fee IS $50 00 + Surcharges
4 ~JSWiTOTA1ToE.':ABOvE:~:l~"i"!,'1;rE'~ L cJV
~;;,,_, '.' '"",h.0~-~_~%"io='"~~h _'V~~,;JJe'~"~Jt~f;;"L,,WJ'1,~~J~~ :::> ~
12% Slale Surcharge \ I:; , Z-U
10% Adtmmstral1ve Fee <0 :? Y
5% Technology Fee ",) / _ ()
-
U~_ 0,-/
TOTAL
Shared Dnve(f )/Buddmg Fol1lL'ilElectncaJ Penmt ApplIcatIon 1-08 doc
225 Fifth Strcet
Sprmgfield, Oregon 97477
541-726-3759 Phone
~4it1
City of Sprmgfield Official Recclpt
Development SerVices Department
Public Works Department
Job/Journal Number
COM2007-01553
COM2007-0 J 553
COM2007-0 1553
COM2007-0 J 553
COM2007-01553
Payments
Type of Payment
Check
cRlcemtl
RECEIPT #:
1200800000000000038
Date: 01115/2008
DescnptlOn
+ 12% State Surcharge
+ 10% AdminIStrative Fee
Add, Alter. Extend Clrc
Add. Alter, Extend Clrc Ea Add
+ 5% Technology Fee
PaId By
KS ELECTRIC
Item Total
Check Number AuthOrizatIOn
ReceIVed By Batch Number Number How Received
5636
In Person
Payment Total
nJm
Page I of I
9 59 58AM
Amount Due
624
520
4800
400
260
$66 04
Amount Paid
$66 04
$66 04
111512008
CITY OF SPRINGFIELD C
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED.
APPLIED:
EXPIRES.
VALUE.
COM2007-01553
11/21/2007
10115/2007
07/15/2008
$ 10,300 00
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Line
SITE ADDRESS 1146 SEQUOIA AVE
ASSESSOR'S PARCEL NO 1703273402702
Spnngfield TYPE OF WORK Bathroom
TYPE OF USE
AdditIOn
ReSIdentIal
PROJECT DESCRIPTION Bathroom AddItIOn
Owner LITTLEJOHN MARJORIE L
Address 1146 SEQUOIA AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Electncal
Mechamcal
Plumbmg
Contractor License
GRAVELINE ANDERSON CONSTRUCTION 45238
KS ELECTRIC 70889
GRA VELlNE ANDERSON CONSTRUCTION 45238
DOUGS PLUMBING INC 110163
BUILDING INFORMATION I
EXPiration Date
01/31/2009
12/30/2008
01/31/2009
11/24/2009
Phone
541-579-2500
541-686-6236
541-579-2500
541-688-3385
# of Umts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConslructlOn Type
Secondary Constl ucllon Type
# of Bedrooms
R3
# 01 Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled BUlldmg
Lot SIZe
Sq Ft 1st Floor
Wall Heat Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Path I Sq Ft Other
n/a Occupant Load
100
VB
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback Overlay DlSt
Side I Setback 5 00 # Street Trees Rqd
Side 2 Setback Paved Dllve Rqd
Rearyal d Setback, Of{l\' Lot Coverdge
Solar Setb~~k~.J1:: M\T SHl\ll. EXPIRE IF THE W OT ATTENTION Oregon law requires Y I
-nIle DI=P. ...... nrn~nlT l~ N . t()llrilM ,...Ie.... ......l...._.._ _, I:. .. _ ou 0
I\U rHORIZED UNU~; I\~ANO~NEJ[J'tmIHC IMPROVEMENTS' I" Ilcatlon Cent~r -ihO~~';~I~;~~~~e~~~:r"
Street 'mpON'~~~tlltG~3 ~~RIOD oo~~R=~~J~~ilthrOUgh OAR 952-001.
t.NY 180 '6", II th' caples ofthe rules by
Storm SeWer Available ca I"tlO'\'l'IlSfRli\li8ro~ftlll!l!l. Ihe lelephone
SpecIal InstructIOn number for the Oregon UtIlity NOllflcallon
Cenler IS 1-80Q-332-2344).
Total
Handicapped
Compact
Notes Storm water drams to eXlslmg eaves
P dge I of 4
Status
Issued
225 FIfth Street, Spl Ingfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LIne
Descrlotlon
Tvpe of Const. nctlOn
DwellIn2s
V Wood Frame
Fee DescrIPtIOn
Plan RevIew ResldenlIal
-Mechamcallssnance Fee-
+ 10% AdmInlstralIve Fee
+ 5% Technology Fee
+ 8% State Snrcha. ge
Bmldlllg Permit
FIre SF Fee - ReSldenlIdl
Fixture
Mlmmnm/AdJustment Mechamcal
SanItary Sewer - Improvement
Samtary Sewer - ReImbursement
SDC Samtary/Storm AdmIn
Storm Dramage Impel VIGUS Area
Vent Fan
+ 10% AdmInlstralIve Fee
+ 10% AdmInlStralIve Fee
+ 12% Stdte Surcharge
+ 12% State Smcharge
+ 5% Technology Fee
+ 5% Technology Fee
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
Storm Sewer - 1st 50 Feet
Total Amount PaId
Imtlal ReView
10/15/2007
PublIc Works ReView
10/15/2007
Planum!! ReView
10/15/2007
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO. COM2007-01553
ISSUED. 11/21/2007
APPLIED 10/15/2007
EXPIRES. 07/15/2008
VALUE' $ 10,30000
I ValuatIon DescrlotIon I
$ Per Sq Ft
or mullIplIer
$10300
Square Footage
or BId Amount
10000
Value
Date Calculdted
$10,300 00
$10,300 00
10/15/2007
Total Value of Project
Fpp~ ~'WU
Amount Pa.d
$82 69
$20 00
$24 62
$12 06
$1930
$12722
$500
$64 00
$43 00
$16323
$21467
$20 84
$38 93
$700
$500
$520
$600
$624
$2 SO
$260
$48 00
$400
$50 00
$972 10
Date PaId
Receipt Number
10/15/07
11/21/07
11/21/07
11/21/07
11/21/07
11/21/07
11/21/07
11/21/07
11/21/07
11/21/07
11/21/07
11/21/07
11/21/07
11/21/07
1/15/08
1/15/08
1/15/08
1/15/08
1/15/08
1/15/08
1/15/08
///5/08
1/15/08
1200700000000001306
/20070000000000/434
1200700000000001434
/200700000000001434
/200700000000001434
120070000000000/434
/200700000000001434
1200700000000001434
120070000000000/434
120070000000000/434
120070000000000/434
120070000000000/434
120070000000000/434
/200700000000001434
/200800000000000036
1200800000000000038
1200800000000000036
1200800000000000038
1200800000000000036
1200800000000000038
1200800000000000038
1200800000000000038
1200800000000000036
I Plan Reviews I
10/15/2007
10/16/2007
11/15/2007
APP LLH
APP TSS
Storm water dr.nus to eXlstmg eaves
APP TAJ
AdditIon must 0l3mtam 5' side
setback The eaves mdY not extend
mOl e than 2 feet Inlo that setback
No othel Planmng Issues
P d2e 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2007-01553
ISSUED. 11/21/2007
APPLIED' 10/15/2007
EXPIRES' 07/15/2008
VALUE $ 10,300.00
225 F,lth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Structural ReView
10/15/2007
11/15/2007
APP DLM
See notes on plans, and see
documents for addItIOnal Plan
review comments
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 700 a.m. will be made the follOWIng
work day.
L..I~II,g.uJrpri I nsnectlons I
Footmg After trenches are excavated
FoundatIOn After forms are erected but prior to concrete placement
Post and Beam Prior to tloor msulatlOn or deckmg
Floor Insul4tlOn Prior to deckmg
Shear Wall Nailing BefOle eoverlng sheathmg WIth Iimsh materials
Frdmmg InspectIOn PI lOr to cover and after all rough 10 mspectlOns have been approved
WalllnsulallOn P, lOr to cover
Ceiling Insulahon Prior to eover
Hold Downs Installed Spec.allnspectlOn performed prior to placement of concrete Provide report to CIty
Buddmg Inspector
Fmal BUlldmg After all reqUIred mspectlOns have been requested and approved and the buddmg IS complete
Undertloor Plumbmg Prior to msulatlOn or deckmg
Underfloor Dram Pnor to cover or placement of concrete
Rough Plumbmg Prior to cover and mcludmg requlled testmg
Filial Plumblllg When all plumbmg work IS complete
Rough Mechamcal Prior to Cover
Fmal Mechamcal When all mechamcal work IS complete
Rough ElectJ IC Prior to Cover
FWd! ElectriC When all electrlca! work IS complete
Storm Sewer Lme Prim to filling trench
Page 3 of4
._~..p-"~ ~
IlL
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01553
ISSUED. 11/21/2007
APPLIED 10/15/2007
EXPIRES' 07/15/2008
VALUE' $ 10,300.00
225 F,lth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 F dX
541-726-3769 InspectIOn Lme
By sIgnature, 1 state and agl ee, that 1 have cal efully exammed the completed apphcatlOn and do hel eby cerllly thdt all
mformatlOn hereon IS true and correct, and 1 further certIfy that any and all work performed shall be done m accordance WIth
the 01 dlllance> of the CIty of Sprmglield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY WIll be made of any structure WIthout permIssIOn of the CommuDlty Services DIVISIOn, Bmldmg Safety
1 further cerllly that only contractors and employees who are m comphance WIth ORS 701 005 WIll be used on thIS project
1 further dgl ee to ensul e that all reqmred mspectlOns are requested at the proper tIme, that each address IS readdble trom the
street, that the permIt card IS located at the front of the property, and the approved set of plans WIll remam on the sIte at all
times dunng construction
Owner or Contractors Slgnatm e
Date
Paee 4 of4