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Home My WebLink AboutPermit Electrical 2006-8-15 W12- " - , '" CITY OF~c'RINGFIELD, OREGON \. _..' . ~ 225 J'U'lO STREET. SPRINGFIELD, OR 97477 . PH:(541)726-J753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City JobNwnber (liSYVl2lXJb-D075~ Date <6p5J()~ 1. LOCATION OF INSTALLATION 4S~() 1)Oll~ LEGAL DESCRIPTION 11 0;2 ,'J:l A~ ()qYJ() JOB DESCRIPTION NR-w Sf1L 3. COMPLETE FEE SCHEDULE BELOW A. New Residential- Single or Multi-Family pcr dwclling unit. Service Included 1000 sq, ft, or less Each additional 500 sq, ft, or portion thereof I ~ /Ofo,07J ~~.OO $106.00 $ 19,00 Permits are non-transferable and expire If work Is not started within 180 days of Issuance or If work is Suspended for 180 days. Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 CONTRACTOR INSTALLATION ONLY B. Sen'iccs or Fccders -Installation, Altcrations or Rclocation: 2. Electrical Contractor Alert Eleetr ie Ine . 2W. ~~'biless XPIRr- II'" TUC ~~3,po.\,\ -roD' ,,;:t' CL!.I\.LL E L II "'~ v 201. 2\fu1 PSt!91~,AD:iPS' ~r-"'" niT \$.75.001' ITI v R lHIS v I~U 401 Am Sfu''''~'~E ,LI \IVI" $],25.00 t'l15"Pv. ,,~./ P- -"-n r:Ut"I 601 rAni' srio1iOO6l..QP JS ABANUUI\lCU I $163.00 vQ".P...~,~ - p 747 - 2 213 Oyer\lOOO)~pSIVoHsR\OD. $375.00 Reconnect Only $ 50.00 Address 1970 N. 28th Street " City Sprincrfield Phone (541) '. C. Temporary Sen'iccs or Fccders Supervisor License Nwnber 2 4 3 S E~ntionDare 10/01/2007 Constr. Contr. Number 12 7 7 2 InstaOation, Alteration or Reloattion 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 Circuits N' ---""~'~ti' " """-E,~.~_lrl:''' "p",,,,,\p:rpc:lyou tG) I "e"c-Al""ra OR,or: .X..,..SIVD' er .ne . 't f@.i1!l\GircUit; adopted by tile Oregon Utl~$-'43.00 I Each.AdditiOnal GircUi~or.mthJles are ::It;;l iOrt\1 ~'(~i~:o~rF~/Permithr'Ough n.'.R %2-$(61.00 11"1 ~.:r'", vVL'.-\.JV I \:Iv...... .. n"\I:~l \0':)11 may obtain COpi8S of the rul:;s l::~ E.' '; ~ii~~I~~n~~~.- ~~~.\ ~~{~~s~~rl !!o.tJ.n<~liJ d~~)~-Ea ch In sta lIa tio n '. n",\, ,. f~1 t1.1R Or:.;oon U'~:lily ~'L',Ii,,;;;ncn Pu1ripor ~g~l!~~ _ 1-\;CQ-':t32-:2~).'\ $ 50.00 SignlOutlirie ~ightihg u '- '$ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 MInimum Electric Permit Inspection Fee (s 545.00 + Surcharges $ 50,00 $ 69.00 $100.00 0'5/22/2007 Expntion Dare Signature of Supervising Electrician .LJ4~~__ V () . Owners Name MiKel 6l~ Address QOfrJ8 ~ Y2.d City Sflvi~~Jd. Phone ...J47-0MD OWNER INSTALLATION The installation is being made on I'."I'''.~I I own which is not intended for sale, lease or rent. /t.J4-JOO , / I. 5/). ~ 177. J:;J Owners Signature: 4. SUBTOTAL OF ABOVE 8% Stare Surcharge 100;0 ~dministrative Fee S~/~ I~ '~ TOTAL ' Inspection Request: 726-3769 Shared Drivc(T:)lBuilding FonnalElcctri<:a1 Pcnnit Application I-%,doc _~'!H"~P'~E,;J~ tl . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00758 ISSUED: 07/14/2006 APPLIED: 06/20/2006 EXPIRES: 02/09/2007 VALUE: $ 133,284.00 , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4590 Daisy St ASSESSOR'S PARCEL NO.: 1702324309600 TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Andrews Acres lot 3 'Residential Owner: Address: MIKE BLANKENSHIP 8063 THURSTON ROAD SPRINGFIELD OR 97478 Phone Number~ 541-747-0145 , \J'JOt\~ . 'i-t>\t\t \r 1\it S ~01 a,n1"t',t. _ O"ul\\ l t: _ nCQM\1 \ '~,~,r o~RN\I\ v".,n~~ \ \""II\) I 0- NeD fU\"\ I CONTRACTOR\INEQRM~'FION~II ~'3~ND P\U ' ' ' C\:\J v' \ ' Contractor CON\~~~ ~i~eO~~\OD'Expiration Date MIKE BLANKENSHIP CORP "NY 78966 01109/2008 ALERT ELECTRIC INC 12772 OS/22/2007 JUNG ENTERPRISES INC" 102455 10/04/2006 DOUGS PLUMBING INC 110163 11/24/2007 r BUILDING INFORMATION I ) " , ... Contractor Type General Electrical Mechanical Plumbing Phone 541-912-4582 541-747-2213 541-937-2688 541-688-3385 3 # of Stories: 1 Height of Structure 16.50 Type of Heat: orced Air Electric Water Type: Electric Range Type: Electric Energy Path: Path 1 Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 5,219 1,236 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VN 420 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 11.00 20.00 8.00 11.00 0.00 DEVELOPMENT INf9RMA;I!I0Nrc ) to ATTENl UN, V'V~- the Oregoll vt\\\W ,I~<; 2doot~d by p. s0t torth tollow fl0verlay, Dlst:hose rules ar, 'f' OO~.- " t' r: (~p.r,l~~I. I OJ\f{ Qr)t. J I Notltlca \(~'~~~~t_Jls~~t~q~;\gh t ,': ~ ,Ins \')\,4 ill OAR 9Pave~, DJ~~~i~qjjpi8S o. th\:"~;"'1.yes 0090. Yc.%'OHiot Cove~~g;~-=,)", \,,10 t:~,c,/, ~J):70 callillg the cellter.C\~ollljt\','1\' \'\:~,' (";,.1' , , ... +~< thp. Or...." .. ".., ,\ REQUIRED PARKING Total: 2 Handicapped: Compact: 'H.,lt...,...... A t"l. U ,_ ..... -'I'. <-..... Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: I PUBLI€~IMBR0VEMENTS , Fully Improved Yes Sidewalk Type: DownspoutslDrains: Curbside 5' Curb and Gutter Notes: No connection to Sanitary/Storm Sewer until Council acceptance of project Pa2e I of 4 . _9QI!'!1.J!;;t,~/' . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00758 ISSUED: 07/14/2006 APPLIED: 06/20/2006 EXPIRES: 02/09/2007 VALVE: $ 133,284.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Dwellines Garaee Tvpe of Construction V Wood Frame Garae:e $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 1,236.00 420.00 ' Value Date Calculated Description Total Value of Project $122,364.00 $10,920.00 $133,284.00 06/20/2006 06/20/2006 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $439.50 6/20/06 1200600000000000915 -Mechanical Issuance Fee- $10.00 7/14/06 1200600000000001070 + 10% Administrative Fee $112.00 7/14/06 1200600000000001070 + 8% State Surcharge $82.97 7/14/06 1200600000000001070 2 Baths One or Two Family $254.00 7/14/06 1200600000000001070 Addressing Assignment $31.00 7/14/06 1200600000000001070 Building Permit $676.15 7/14/06 1200600000000001070 Curbcut Permit $80.00 7/14/06 1200600000000001070 Dryer Vent $6.00 7/14/06 1200600000000001070 Exhaust Hoods $9.00 7/14/06 1200600000000001070 Fire SF Fee - Residential $82.80 7/14/06 1200600000000001070 Furnace - up to 100,000 btu $12.00 7/14/06 1200600000000001070 Heat Pump $12.00 7/14/06 1200600000000001070 Plan Review Major - Planning $198.00 7/14/06 1200600000000001070 PW Disc - 2nd Permit (Street) $-30.00 7/14/06 1200600000000001070 Sanitary Sewer - Improvement $381.40 7/14/06 1200600000000001070 Sanitary Sewer - Reimbursement $501.40 7/14/06 1200600000000001070 SDC MWMC Administration $10.00 7/14/06 1200600000000001070 SDC MWMC Improvement $865.31 7/14/06 1200600000000001070 SDC MWMC Reimbursement $82.03 7/14/06 1200600000000001070 SDC Sanitary/Storm Admin $116.09 7/14/06 1200600000000001070 SDC Transpo Admin $66.92 7/14/06 1200600000000001070 SDC Transpo Improvement $805.70 7/14/06 1200600000000001070 SDC Transpo Reimbursement $182.69 7/14/06 1200600000000001070 Sidewalk Permit $80.00 7/14/06 1200600000000001070 Storm Drainage Impervious Area $831.64 7/14/06 1200600000000001070 Temp Power 200 amps or less $50.00 7/14/06 1200600000000001070 Vent Fan $18.00 7/14/06 1200600000000001070 WilIamalane Single Family $1,000.00 7/14/06 1200600000000001070 + 10% Administrative Fee $14.40 8/17/06 2200600000000001155 + 5% Technology Fee $7.20 8/17/06 2200600000000001155 + 8% State Surcharge $11.52 8/17/06 2200600000000001155 Residence Wiring 1000 Sq Ft $106.00 8/17/06 2200600000000001155 Residence Wiring Ea Addtl 500 $38.00 8/17/06 2200600000000001155 Paee 2 of 4 . _~"'f!I,",~A,~I,~~~~~ . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00758 ISSUED: 07/14/2006 APPLIED: 06/20/2006 EXPIRES: 02/09/2007 VALUE: $ 133,284.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $7,143.72 I Plan Reviews I Initial Review 06/22/2006 06/23/2006 APP LLH Plan nine Review 06/23/2006 07/12/2006 APP TAJ Existing Street trees may be counted for the required street trees Public Works Review 06/23/2006 07/06/2006 APP JAP Structural Review 06/23/2006 07/05/2006 OK RJB To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: . Prior to cover or placement of concrete. 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. Paee 3 of 4 _~~~_l,~~gl',~.tg;,-, r . .ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00758 ISSUED: 07/14/2006 APPLIED: 06/20/2006 EXPIRES: 02/09/2007 VALUE: $ 133,284.00 / Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 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 4 225 Rieth Street \ ' Sprmgfield, Oregon 97477 541-726-3759 Phone . Ca of Springfield Official Receipt ~Iopment Services Department Public Works Department RECEIPT #: 2200600000000001155 Date: 08/17/2006 9:06:5IAM Job/Journal Number COM2006-00758 COM2006-00758 COM2006-00758 COM2006-00758 COM2006-00758 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 8% State Surcharge + 10% Administrative Fee + 5% Technology Fee Paid By ALERT ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received ddk ' 017955 In Person Payment Total: Amount Due 106,00 38,00 11,52 14.40 7.20 $177.12 Payments: Type of Payment CreditCard Amount Paid $177.12 $177.12 cReceinll Page 1 of 1 8/17/2006