HomeMy WebLinkAboutPermit Electrical 2007-6-11
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICA}j PERMIT APPliCATION
. City Job Numbereo /Y1 2. cIJ1 r (j Q r;, 0 's
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LEGAL DESCRIPTION:
I-J 0 ~~ y ~3 0 1/ J. &,
JOB DESCRIPTION:
d ~ /'/6diZ- ,l)d'c/;.,4 "'"" ;
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
/;- /1- ~ cJ-v('
Date
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3. .1;COMPLETE;FEE'SCHEDULEBELOWi':o.;:r1::;;i,t,~.,.!!'it:~,>'~~
~'W~:;:-":<~t'~",,"~;~~~~,~~l:"~.ol..~.....~b'!.i,:"; -.' "~~;.'!i:f:."':':l.::"'\
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Service Included.
1000 sq. fl. or less
Each additional 500 sq. fl. or
. . portion thereof
Each Manufact'd Home or
Modular Dwelling SeIVice or
Feeder
$106.00
$ 19.00
$50.00
FtCM7:1ilCt"'6R'1iNSTAirxTION.tJmY~ B. ~~si;~~~fJ~;?f~Ih'~~il~tffih<~lt~:~1i'ifg-:if~~f~~~mA~~.~J
2. tt~,-..~ti..i~f~.~,'?.Jrr~;9''''';':1:l>i'd~t~!;.\.:>'"'' ~'r"',.<\'4~-':"~:'.~.,~~ ~~",'-'.'<j'.";<I:v,::,;,'!l;~i\y.~~~;~:-~~.;;!;:~;;:;:,....t...y.K'",'""'" ~';:~4i1"'i';';*..~,....~w.u..;...t.
':~',~:
Electrical Contracto~ k.s f.:;;;'~ v,..u" /Ihtr.:p;.. 200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
Address 0.0 3~ .).f''Y?:7 401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
City J:-~, /"4!htL Phone brt/ "1::..;34 . Over 1000 AmpsNollS $375.00
~ Reconnect Only $ 50.00
. SupeIVisor License Number 3'/97 S.
Expiration Date I () -(- 0 7
Constr. Contr. Number iI O? n
. Expiration Date
1;;2..-30-09
Signature of SupeIVising Electrician
V'"
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Owners Name ~ L.#? M #7V
Address / '/7 ? '7J /Q /J? A4'1"? ,j,r-
City ~} Phone 571'-.).J'Z!()
OW1l1E~m&:r:~I.;,~J,~Q.Nv requires you to
TIi~linst!illlmoril iheiiig In~&~oncprop'erty [jti*'1'which .
NS1jjofin\:i,nMdfforlsaleTlease;Q1C~~J.are set forth
in OAR 952.001-0010 through OAR 952.001-
(0wners,SloMture'bt . . f h
'. -. ., -""""'J"" am copies 0 t e rules by
.. callina the r.AntAr fl\lntp' tho tala~h,:,"":,
number for the Oregon Utility Notification
Center is 1800.332 2344).
Inspection Request: 726-3769
Co.M 1.007 - e>d:.O 3
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, . ':~~g2:.:!J!K~~~Jt!~~~~~;;n~.S~)~lS:i:~': 1P~,,,~)t~~: f.i,.'T~;~'-wJ~E.:&l.i:.':~:
Installati~n, Alteration or Relocation
200 Amps or less $ 50.00
201 Am~\'li~<Gt~ps $ 69.?O
401 Ampt~MO~tifl\~fT SHALl: EVPIj:l~ IF$lloO.doiORK
Over ~2.0 A\mPri~12l{fb,~J1ts~K~3 'a~o'Ve.'l.M~T.IS NOT. .
D. it'BfiW~\;;\!'}CUi.t'S.f.'R,..rt. ">if1,*:\\~'c;;,G.;:~'\'tW~1l~l\Yi'\!OIf'::;.t:t::,"j;'.I~:t:
~~'~iJl1IM'M1:i"t\),n~'Llo.;.t\~tL..r;Z!...:::,~~""""".c. .~'" -'.
New Altel'.~~ipnl'1TJElj!'~iisiQn'ii(,)[Panel ~ I? lIV
One Circuit I $ 43.00 7.5 .
Each Additional Circuit or with , I $ 3.00. /~ . 0 oJ
SeIVice or Feeder Permit -;
~t:"~iit:#4:;'~.~-t~..'Oq~$it1,,~~,.-~~~:;ttit~~-~:,:.~";~,~'rf('I,.,.'y'.q
E. ~~'m=1~t~~c~/~~l?2!.~lii~~,ilr:i~A1hl~~!:!.I!.a!i~JiJ
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 0 v
f:~':''':'.'':J"!1'~~:.'~''V'::W-:'~-!T::.;...''t',,:>r,~r:..;~'~'~'-.;;;.,)!:~.'''''l-''''\':'' r-.5
4. liSUBTOTAEOEABOVE:-""I'ft";"<!."""'~;';'" O. ..
, (;:<;.;~;~iU; ,-:~,;_ ;',~.',,"IS' ~~_~,."",:: .;o;.."",,} t..:;(,~._;,./l-f""....t~-i,,;....
8% State Surcharge' :;:> - 7 :5
10% Administrative Fee "-I . 4' CJ
5% Technology Fee -':> . S ()
0t7, (;5
TOTAL
Shared Driv~T:)/Building Forms/Electrical Pennit Application 8-06,doc
2i5 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00603
COM2007-00603
COM2007-00603
COM2007-00603
COM2007-00603
Payments:
Type of Payment
Check
cReceintl
.
RECEIPT #:
~
WiL..,!
<.iiIrl of Springfield Official Receipt
_elopment Services Department
Public Works Department
2200700000000000941
Date: 06/11/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
KS & CONSULT ANT, INC,
Item Total:
l,:heck Number Authorization
Received By Batch Number Number lIow Received
njm
5420
In Person
Payment Total:
Page 1 of 1
9:38: 13AM
Amount Due
43,00
12,00
2.75
4'.40
5.50
$67.65
Amount Paid
$67,65
$67,65
6/11/2007
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00603
ISSUED: 05/09/2007
APPLIED: 04/2512007
EXPIRES: 12/08/2007
VALUE: $ 54,590.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1473 DIAMOND ST
ASSESSOR'S PARCEL NO.: 1703342301126
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Additon to existing single family residence
Owner: LAURA LITTLEJOHN
Address: 1473 DIAMOND ST
SPRINGFIELD OR 97477
Phone Number: 541-
Contractor Type
General
Electrical
Plumbing
I CONTRACTOR INFORMATION I
Contractor License
GRA VELINE ANDERSON CONSTRUCTION 45238
KS ELECTRIC 70889
DOUGS PLUMBING INC 110163
BUILDING INFORMATION I
Expiration Date
01131/2009
12130/2008
11124/2007
Phone
541-579-2500
541-686-6236
541-688-3385
# of Units: # of Stories: . 2 Lot Size:
Primary Occupancy Group: R-3 Height. of Structure: 34.00 Sq Ft 1st Floor:
Secondary Occupancy Group: Type of Heat: Electric Sq Ft 2nd Floor: 530
Primary Construction Type VB Water Type: Electric Sq Ft Basement:
Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport
# of Bedrooms: 3 Energy Path: Path I Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
0.00
Overlay Dist: Totol:
# Street Trees Rqd=NOT/Ce. Handicapped:
Paved Drive Rqd: TH' Compact:
% of Lot Coverage: IS PERMIT SHAlL EXP
~~THDR/ZEO UNDFR Tl.JI!RL'~.T~E WORK
I PUBLIC IMPROVEME~:is'ivB'C'V(;tO OR IS ABM~DDNED' ~D'''R I'IU I
. 0 DAV PFQI"n
Sidewalk: Type:
DownspontslDrains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: storm tied to existing system. JLP
Pa~e I of3
I Plan Reviews I
04/26/2007 04/26/2007 APP NJM
04/26/2007 04/30/2007 APP TAJ No Planning issues.
04/26/2007 04/26/2007 WI JLP Rcvd 4/26/2007---Waiting in order
PW rcvd for rvw.JLP WI 4/26/07
04/27/2007 04/27/2007 APP JLP No new impervious area. SDC fees
reOect new DFU's. JLP APP 4/27/07
04/27/2007 04/27/2007 10 LLH Forwarded to the Building
Department for structural review
under contract with the City of
Springfield
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-3769 Inspection Line.
Description
Tvpe of Construction
V Wood Frame
Dwellines
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Fire SF Fee - Residential
Fixture
Minimum/Adjustment Mechanical
Miscellaneous Mechanical
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Storm Sewer - 1st 50 Feet
Vent Fan
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
Total Amount Paid
Initial Review
Plan nine Review
Public Works Review
Public Works Review
Structural Review
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00603
ISSUED: 05/09/2007
APPLIED: 04/25/2007
EXPIRES: 12/08/2007
VALUE: $ 54,590.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$103.00
Square Footage
or Bid Amount
. 530.00
$54,590.00
$54,590.00
04/25/2007
Value
Date Calculated
Total Value of Project
Fpp< PiilIJ
Amount Paid
Date Paid
Receipt Number
2200700000000000585
1200700000000000546
1200700000000000546
1200700000000000546
1200700000000000546
1200700000000000546
1200700000000000546
1200700000000000546
1200700000000000546
1200700000000000546
1200700000000000546
1200700000000000546
1200700000000000546
1200700000000000546
1200700000000000546
2200700000000000941
2200700000000000941
2200700000000000941
2200700000000000941
2200700000000000941
$253.60
$10.00
$54.87
$26.11
$41.77
$390.15
$26.50
$42.00
$30.00
$9.00
$138.53
$182.19
$16.04
$45.00
$6.00
$5.50
$2.75
$4.40
$43.00
$12.00
4/25/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
5/9/07
6/11107
6/11/07
6/11/07
6/11107
6/11107
$1,339.41
Paee 2 of3
.
. CITY VI' ~r.Kll'\jt.FIELD "
Building/Combination Permit
PERMIT NO: COM2007-00603
ISSUED: 05/09/2007
APPLIED: 04/25/2007
EXPIRES: 12/08/2007
VALUE:. $ 54,590.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
04/27/2007
05/08/2007
APP . LLH
Pia us reviewed by Dave Mortier
with the Building Department under
contract with the City of Springfield
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. .
Reo\lJretl T n~,ne~tionsJ
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to 1100r insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailiug: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Walllnsulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work 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
Paee 3 of3