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HomeMy WebLinkAboutPermit Electrical 2008-2-19 3. ZON L~ INITIALS k.J ~ , .A!a DATE 2 ~ 2-1 - c.J 0 .,, SOURCE '0A..'IC> '::S\ n / Date Z;{ y{ t' . . COMPLErEFEE SCHEI~'~EWW 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 'F"'T\6N' G~"H~d!1IS~VQJ!li~ , ' I v, d by the Oregon fitiflty b:c\!f ~ules adopte 1iE3}. re sEU. iorth t' -, IllGatlon <JOIUUai[6D\S~li~h'dl~'g5f!d~tion I In OAR 952-~1r~Est~Jd~~s of the rules by 0090. You rT2tM9~Jr(lQoWP. D\GIlelephone calling the4X~n'~~~cwiU~t/1~tifiCatiOn number for tfiE09_~SU'lC\-.~2-2j44\. CelOijlt4%OU'1'tfil'p]or l1J"ObV olts see "B" above D. Branch Circuits / \ I New Alteration or Extension Per Panel ~ \itt( ~ -\lit Jia---- One Circuit ~ !:t- ~Each Additional CirCUlt or with ( U G.. ~_.. 7"n... ervlce or Feeder Permit Owners Name (c...r\. ,~' '7 I ""'\ Address C .s--~ II I , -f-t..... ~/ f- E. Miscellaneous (Service/fee~~r not included) -Each Installation City S"P I;:' \ Phone 7f 7 - 2 8')"J ELECTRICAL PERMIT APPLICATION CityJobNumber (O#'fAt:-007- O/76S- / <3' ~~ ~~" '~'~i~-""~"", ";' ',W' " / 1. LOCATION OR INSTALfATION: / 7 50L ~hvl J,A A.;t- , LEGAL DESCRIPTION: /70:5 21.(00 JOB DESCRIPTION: ~V' ( IL €;:.- Ho(.A..sc: OO(;D( Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY v ~ ~>i~ i Electrical Contractor ( r~'\vl t--z.- Glec-h".( / Address ?-lll ~ ,-d\AJ(y-Irl AJ i City G. Jd f rJr '-J Phone ~r:S -~ Zc;! Supervisor License Number 6J-415 ExpiratIOn Date IO/(TL) 7j]~O Constr Contr Number I 700 b!~, Expiration Date l C / \./ 7~'C,q Signature of Supervising Electrician I OWNER INST ALLA TION The installation is being made on property I own which IS not intended for sale, lease or rent. Owners Signature Inspection Request: 726-3769 A. New Residential-, Single or Multi-Family pe~ dwelling unit. 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 $11 7 00 $ 21.00 $55 00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only 3 $ 70.00 $ 83 00 $13800 $180.00 $413.00 $ 55.00 21D $ 55 00 $ 76.00 $110 00 5"S- $ 48.00 Z c::::> $ 4 00 80 Pump or irrIgation $ 55 00 Sign/Outline Lighting ~5.00 Lumted EnergylResldential 1\'r- \NQ 8 00 LimIted Energy/CommeM\v..cc. \~-,,J\\\ \S ~ 0.00 Miniml\'~tricrf~r~R~~iO_~O + Surcharges 4. ~~~~~~l\~O ,: 3LfJ :~~OO. 5~~~gy Fee TOTAL L/38 IS- #v" C!: 'I'. 7 Z Z t> FfNL f ,4-/""~ f Shared Dnve(T )/BUIldmg FormslElectncal PermIt Apphcatlon 1-08 doc ( O~/O-O77~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01705 ISSUED: 01/25/2008 APPLIED: 11/20/2007 EXPIRES: 08/19/2008 VALUE: $ 101,341.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1950 YOLANDA AVE ASSESSOR'S PARCEL NO.: 1703240000601 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence and interior remodel Residential Owner: HELFRICH FAMILY TRUST Address: 2587 N 19TH ST SPRINGFIELD OR 97477 Phone Number: 541-913-7220 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor License OWNER SCHULTZ ELECTRIC INC 179066 JUNG ENTERPRISES INC 102455 READY ROOTER DRAIN CLEANING & R SIl92524 BUILDING INFORMATION I Expiration Date Phone 10/30/2009 11/17/2008 02/18/2009 541-505-8351 541-741-0002 541-744-7991 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 U VB # of Stories: 2 Lot Size: Height of Structure 22.00 Sq Ft 1st Floor: Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: fL' l""!( N: nrA9fJ1J law~8cfJi~~r~gt1'~rport Energy Path: ,. " ~ . Pa~tilbY thl~(!5M?J\M'tJtility Sprinkled Bui,ll1i?~'.~~~ G:~fJY.aThose RR~~thH~ith I DEVELOPMl!,l~ 1 ri~ii,O-~MtUlp~~nll~I~~~~ ~t7~eCl~t~~J~y calling the center. (Note: the tel~Ji&RED PARKING Overlay Distl1umber for ttJ~~~RoVtility NotpbqtMon # Street Trees Rqd: Center IS 1-aO~2-2344>nandicapped: Paved Drive Rqd: Compact: % of Lot Coverage: 742 105 180 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10.00 35.00 25.00 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Not\CE: \RE \f THE WO~l{ lH\S PERM\T SHA~~ ~S PERM\T \S NOT AUTHOR\ZED UNRD\S ABANDONED fOR COMMENCED 0 ANY 180 DAY PER\OD. - Notes: Connect to new gutters to existing gutter system on home Pa2e 1 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01705 ISSUED: 01/25/2008 APPLIED: 11/20/2007 EXPIRES: 08/19/2008 VALUE: $ 101,341.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Bid Amount Carport Dwellin2S Use Bid Amount Carport V Wood Frame $ Per Sq Ft or multiplier $1.00 $20.00 $103.00 Square Footage or Bid Amount 10,500.00 180.00 847.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $10,500.00 $3,600.00 $87,241.00 $101,341.00 12/04/2007 11/20/2007 11/20/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $379.75 11/20/07 1200700000000001423 -Mech Iss 2+ Appliances- $40.00 1/25/08 1200800000000000072 + 10% Administrative Fee $110.14 1/25/08 1200800000000000072 + 12% State Surcharge $126.00 1/25/08 1200800000000000072 + 5% Technology Fee $58.30 1/25/08 1200800000000000072 Add, Alter, Extend Circ $48.00 1/25/08 1200800000000000072 Add, Alter, Extend Circ Ea Add $56.00 1/25/08 1200800000000000072 Appliance Vent $7.00 1/25/08 1200800000000000072 Building Permit $630.00 1/25/08 1200800000000000072 Dryer Vent $7.00 1/25/08 1200800000000000072 Exhaust Hoods $10.00 1/25/08 1200800000000000072 Fire SF Fee - Residential $51.35 1/25/08 1200800000000000072 Fixture $224.00 1/25/08 1200800000000000072 Not Covered Mechanical $7.00 1/25/08 1200800000000000072 Plan Review Minor - Planning $116.00 1/25/08 1200800000000000072 Plan Review Residential $29.75 1/25/08 1200800000000000072 Plan ReviewIResidential Hourly $150.00 1/25/08 1200800000000000072 SDC Sanitary/Storm Admin $8.58 1/25/08 1200800000000000072 Storm Drainage Impervious Area $171.63 1/25/08 1200800000000000072 Vent Fan $28.00 1/25/08 1200800000000000072 Wood Stove/Insert $33.00 1/25/08 1200800000000000072 + 10% Administrative Fee $34.50 2/21/08 2200800000000000230 + 12% State Surcharge $41.40 2/21/08 2200800000000000230 + 5% Technology Fee $17.25 2/21/08 2200800000000000230 Add, Alter, Extend Circ Ea Add $80.00 2/21/08 2200800000000000230 Perm Serv/Fdr 200 amps or less $210.00 2/21/08 2200800000000000230 Temp Power 200 amps or less $55.00 2/21/08 2200800000000000230 Total Amount Paid $2,729.65 I Plan Reviews I Initial Review 11/21/2007 11/21/2007 APP LLH Pa2e 2 of 4 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: COM2007-01705 ISSUED: 01/25/2008 APPLIED: 11/20/2007 EXPIRES: 08/19/2008 VALUE: $ 101,341.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Planninl! Review Public Works Review 11/21/2007 11/21/2007 11/28/2007 11/28/2007 APP APP TAJ BRC SDC Worksheet Attached Structural Review 11/21/2007 12/03/2007 WE DLM Need add'l in for to complete review. E-mailed owner and designer a request for info (see documents) 12/3/07dlm. E-mailed designer add'l request for info. (in job folder) on 12/4/07dlm. Structural Review 01/04/2008 01/17/2008 APP DLM Received revised building plans and lateral engr'g.1/4/08dlm After cursary review, distributed revised plans to PW & Planning due to add'l info. that may affect them 1/17/08dlm. 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. ~eouire~nsDections 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After aU 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. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Pal!e 3 of 4 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2007-01705 ISSUED: 01/25/2008 APPLIED: 11/20/2007 EXPIRES: 08/19/2008 VALUE: $ 101,341.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Wood Burning Insert: After installation. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. Temporary Electric: Approval required prior to Utility Company energizing pole. 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 Pa2e 4 of 4 225 Fifth Street Springfield; Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01705 COM2007-01705 COM2007-0 1 705 COM2007-01705 COM2007-01705 COM2007-01705 Payments: Type of Payment CredltCard cRecelOtl RECEIPT #: 2200800000000000230 Date: 02/21/2008 DescnptlOn Temp Power 200 amps or less Perm ServIFdr 200 amps or less Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmistratlve Fee Paid By AARON HELFRICH Item Total: Check Number Authorization Received By Batch Number Number How ReceIved dJ b 021792 In Person Payment Total: Page I of 1 8:17:52AM Amount Due 5500 210 00 8000 1725 4140 3450 $438.15 Amount Paid $438 15 $438.15 2/21/2008