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Home My WebLink AboutPermit Electrical 2008-2-27 ZON Lt~v INITIALS ~ M DATE 7; \...kV c C SOURCE ~S\/Z.r 2:,5 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ~ lJl J! - 0 lo 1r Date 1. ,LOCATION OFINSTALLATION: a~q~ ~C;~ ~~ill"" LEGAL DESCRIPTION. \~ 0'2 \0 4'3> Oc3b r5lJ ( --,---rOB pESCRIPTION: '---~_c:' L'\(\~-\-mu Permits are non.4J'ansferable Jd expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. '" "\ ''', < -'" If' ~ / 3. "COMPLETE FEE SCHEDULE BEWW /'~ No""Y'>^"'="A~" ~" ~ <,A , '~"r:;"" / ' / >~\ ~ , '/' // A. ; New ReSidential...,. Single or Multi-Family per dwelling unit ',,)h",,-;:;'"0.< /, ~ '~ , 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 $117.00 $ 21.00 $55.00 ~p " ,H, CONTRACTOR INSTALLATIONONLY-i 2. __ ,_ Electrical Contractor (!~.{:!T ~U ~' ")i;>'},' ", A '''., */ "THV~H' v B. ' Service8"6r"Feeders - Installation, Alterations or,Reloc~tion: 'I, /~ " >> "> " , .;iii> ' Expiration Date S--oX'" 200 Amps or less $ 70.00 201 Amps to 400 Amps $ 83 00 l'\~vfrJ~,-& c _ 401 Amps to 600 A1AtD~f:f ITlr:N Oreaon la$.t1~res you to 601 Amps to 1000 Xfupsv !'llltos adopted bY$~g~gon Utility Phone 5 'II 9 5V~ 7S~~"Over 1000 AmpstJ!mt~~JC~jt!O~ Ce~ter. ~ nosu~~re s_e.: T.,?rtn '-, . - IReconnectOnly'irlt)AR95,;;.-OO,-JC1vll,,~~. RS;.l,,-vul. 0090. You may-obtcun c.uples 0 the-rl.la.. Lr , ' .ca.lJmgJhe centeh-: (~9te: the teleP8~pe c. ,Temporary Se~>>i"f6f1~OregeJl ,Utitity NotlficatioD, ' Center is 1-800-332-2344). Installation, Alteration or Relocation 200 Amps or less $ 55.00 201 ~JH~~qfl.Amps $ 76.00 401 Altl'pHJ~W~HALL EX!=,!Rl= \fJ~~ 1:~~tb1~ Over 6~~'~~it~~MQ}~:~1~~N' 'O~OME~ lF~~~OT D. ~~6~'EO OR '$}~8A n New AANiiti1OO>f)~tJ>,iH,~er Panel One Circuit / $ 48 00 Each Additional CIfCllIt or with -'j Service or Feeder Permit 4?\ $ 4.00 37S-C.S Address //j' -5 0 CIty ~)A-/U, SupervIsor LIcense Number Exprration Date / 6~. t"'"./., ..2. ~j <", Constr. Contr Number ) 7 (') I J!'3 ~:;smg~=- - it 8;, {)1J 'i crV ownerSNaIJle~\ &., ~\-)-C\~ Address L L cl 2.. , <. s \\,...... s-c-- Ci~ Q "- Phone 7 "1(., - '7 <.7 f OWNER I~TALLATION E. Miscellaneous (Service/feeder"'n~t in~l~ded) -Each Installation " ~~ "" >,~ ~(\'-'-v The installatIOn IS bemg made on property I own WhICh is not mtended for sale, lease or rent. Pump or imgatIOn $ 55.00 SignJOutlme LIghting $ 55.00 Limited Energy/Residential $ 28.00 Limited Energy/Commercial $ 50 00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 5 6V ,,,-,' "'" lo . l~W (,1 . 7 2- 6-C-o '" 'f, '1 '~~ ~~j, iHkq~ *%'If'.,>' 4. 'SUBTOTAL OF ABOVE -, <~ < ~"'"", /' / Owners SIgnature: 12% State Surcharge 10% AdmInistrative Fee 5% Technology Fee Inspection Request: 726-3769 TOTAL 1f7 / . / ~ Shared Dnve(T )/Bmldmg Forms/Etectncal Perm7;..\,pt;catIOD 1-08 doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2292 35TH ST ASSESSOR'S PARCEL NO.: 1702194303600 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01877 ISSUED: 01/16/2008 APPLIED: 12/19/2007 EXPIRES: 08/27/2008 VALUE: $ 8,400.00 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Patio cover Owner: DA VID JOHNSON Address: 2292 35TH ST SPRINGFIELD OR 97477 TYPE OF USE: Addition Residential Phone Number: 541-746-7374 I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor L YN PHILLIP GUTRIDGE CRAFTSMAN License 136875 170183 Expiration Date 09/30/2009 05/30/2008 Phone 541-747-9882 541-954-7589 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building. VB 2 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Path 1 Sq Ft Other: n/a Occupant Load: 420 I DEVELOPMENT INFORMATION I .r......C'?-7C'C'-nnp. L 81 JS1Uap I PUBLIC IMPROVEMEN~l30!J!lON AlIII1n uo6aJO eLl1 JOI Jaqwnu OLldale1 a41 :a10N) 'JalUa::> a41 6u!IIl30 Aq SalnJ ~~@tkdQcpel~l31qo Aew nOA '0600 -~OO-Z96Bb~~onuq~~p:hQO:~OO-GS61:1VO U! 41JO! les am salflJ asb~l' J~iuaa uOlleOIJ!lON ^llllln u06aJO a41 Aq PSldopl3 SSlnJ MOllO! 01 noA saJ!nbaJ Mel U06sJO :N011N311V Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 8.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 0.00 Street Improvements: Storm Sewer Available: Special Instruction: NotesNOlt~water routed to existing eaves. THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Paee 1 of3 REQUIRED PARKING Total: Handicapped: Compact: Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01877 ISSUED: 01/16/2008 APPLIED: 12/19/2007 EXPIRES: 08/2712008 VALUE: $ 8,400.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Patio/Porch Tvpe of Construction Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 8,400.00 Value Date Calculated Description Total Value of Project $8,400.00 $8,400.00 12/19/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $71.54 12/19/07 1200700000000001511 + 10% Administrative Fee $13.11 1/16/08 2200800000000000050 + 12% State Surcharge $13.21 1/16/08 2200800000000000050 + 5% Technology Fee $11.30 1/16/08 2200800000000000050 Building Permit $110.06 1/16/08 2200800000000000050 Fire SF Fee - Residential $21.00 1/16/08 2200800000000000050 Plan Review Minor - Planning $116.00 1/16/08 2200800000000000050 SDC Sanitary/Storm Admin $2.80 1/16/08 2200800000000000050 Storm Drainage Impervious Area $56.06 1/16/08 2200800000000000050 + 10% Administrative Fee $5.60 2/27/08 2200800000000000246 + 12% State Surcharge $6.72 2/27/08 2200800000000000246 + 5% Technology Fee $2.80 2/27/08 2200800000000000246 Add, Alter, Extend Circ $48.00 2/27/08 2200800000000000246 Add, Alter, Extend Circ Ea Add $8.00 2/27/08 2200800000000000246 Total Amount Paid $486.20 I Plan Reviews I Initial Review 12/20/2007 12/20/2007 APP NJM Public Works Review 12/20/2007 12/20/2007 APP TSS Storm water routed to existing eaves. Planninl! Review 12/20/2007 01/14/2008 APP TAJ Structural Review 12/20/2007 01/14/2008 APP DLM See documents for 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 7:00 a.m. will be made the following work day. ~e(]uirecUnsnections I Footing: After trenches are excavated. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01877 ISSUED: 01116/2008 APPLIED: 12/19/2007 EXPIRES: 08/27/2008 VALUE: $ 8,400.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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 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 Pa!!:e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01877 COM2007-01877 COM2007-0 1877 COM2007-0 1877 COM2007-01877 Payments: Type of Payment Check cRecelOtl RECEIPT #: 2200800000000000246 Date: 02/27/2008 DescriptIOn Add, Alter, Extend Ctrc Add, Alter, Extend Ctrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmInistratIve Fee Paid By DARRELL ROSIN Item Total: Check Number AuthOrizatIOn Received By Batch Number Number How Received 1018 In Person Payment Total: nJm Page I of I 9:04:53AM Amount Due 4800 800 280 672 560 $71.12 Amount Paid $71 12 $71.12 2/27/2008