HomeMy WebLinkAboutPermit Electrical 2006-3-23
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5'!.lmu~i~~~, no I~ fJr ~\1 '
ELECTRICAL PERMIT APPLICATION / g ~ . . ,
City Job Number COlMZOOb - OooS J Date ~/Z:~b
I. 1:'L06,Aj10NOFINS1'4itA:r1o'N. ',"1 3. t<;oMj>iifit:i:~ESCftE:.jjcJjE:HELOW .,'
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LEGAL DESCRIPTION
/70 -:; z. 7'{ (
00101
A. IDNew'ResId~nJi~l~ !iIngle or(l\lulti-Fami'ly:per_d';'~lIingullil. '1
Service Included
JOB DESCRIPTION
..-nc::k. c.kA....~j!,. " ?D' c.crCY.(fs
PermIts are non-transfe;able atd expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
1000 sq. ft. or less
Each additional 500 sq, ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50,00
_..\0
2. Vc:omRACroRiNSTALUTIo'N.,qiiibrl B. LS~tv\~e":i/~:_Ee;j:e~i.:~~ia~iion,AIt~r:ili~;lSO/~C.IOc;tiO1':.1
(" or ",e'i. "",\,\CU1v,", se\IO"" /7
Electrical Contractor LUtv\ I VM'" f:\lclnc..._v.\,20~~g'.J'JP!I"'~'3.l~9S2'OO~- / $63,00 p->
Fb B 4 '1.;.!J!.:,te20i'Ainpsto:400~mps\l\es\)'l $75.00
t--./ \Coo \ .....v. . "tnluv.... ""'~ 1
Address . . VJ.- -I ' ," ...\1<"0 ()O~,C401~Amps.to,600IAmp.!,nO(\e $125.00
I' f lV'J2~ . "":1ln GUt' ,'~"" \e\vt' . ('\
__ ~ II Cli..' ~ ",a" (601 Amp.~to'lOOO Ampsca\\O $163.00
J-.. 101" .....,.l \1~/i1'I)\JI"" H~( \\1 ,,'h\dl~Uo"
City \...I...If'.,( 0'\" -\ '1{) hone I '1 In ..~~ \ne ceo~~Jgl2,qoAiriP~'1!!'iI' $375.00
I ca\\\(lg \o( \\,Reconnec\pnly.2 $ 50.00
Supervisor License Number sa;;t S S'\lI1'\)e(Ce~~l;~e~::r~~,y'~er~ices:ll'r,Feede~~' ,..' ;" ,..,:: ,'j
Expiration Date I a' I r\ \ I 0 I
lto 4~ll
Expiration Date t)\ () \ f) q Il.-tJD l
InstallatioD, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100,00
Conslr. Conlr. Number
Signature of Supervising Electrician
Over 600 Amps or 1000 Volts see "S" above.
D. ~tltr.:l~~J!'tlrc:.u!t~', ~~;,.r..:,..~' ,o'r. '.,':~~' . .
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New Alteration or Extension Per Panel
One Circuit $ 43.00
~ A ~ Each Additional Circuit or with "7 c-.. / -
II Service or Feeder Pennit ....,(p..~ $ 3.00 ~
Owners Name "''s/lAc. ""i"~";" . ~t\'t."v 1
1 V .' ,,\\<ot.,\~ ,.,. \'" \\~ . . I
lJ ~ 'rvlt.....~ hit E,\;Miscella~~1\s @,~rv~l'(f~~~.r~~O,!,,iJlclUl!ed)-Each Illstalhitloll
~\\,,- \'.11\\ ",il \:\\ WP . - \,\'t.D ~
PhoneSJlJ -(t11'L-q,II7~\S lj>ijli\PI~rjrQg'ul\ion JI.~JI.\'\D\) $ 50.00
JI.\)\\S~O'iitline:.llig'ffii~ $ 50.00
OWNER INSTALLATION c.\)l'J.liliii~~0~~rgyJR~~id~ntial $ 25.00
The installation is being made on property I own whIch JI.\'\'Liill}~d Energy/Commercial $ 45.00
is not intended for sale, leose or rent. Minimum Eledric Permit Inspection Fee Is $45.00 + Surcharges
/ -
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Address ~b
City
~a:':\..
Owners Signature:
4.I'S.UiJTo'T1L.:OF:Ailo~;' .' .
'-'-<c'" t''',
....R
I 123
98~
/7.. 70
/ l./ r !!f...
7% State Surcharge
10% Administrative Fee
Inspection Request: 726-3769
TOTAL
Shared Drive(T:)lBuilding FonnsIElectrical Pennit Application ~'()3,doc
.
. CITYOFM'Kll'liGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00051
ISSUED: 03/22/2006
APPLIED: 01/12/2006
EXPIRES: 0912212006
VALUE: $ 82,500.00
~
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 313 FAIRVIEW DR
ASSESSOR'S PARCEL NO.: 1703274100101
Springfield TYPE OF
Duplex
TYPE OF USE: Remodel
Residential
PROJECT DESCRIPTION: Accessibility remodel
~ Owner:
Address:
~.
HOUSING AUTHORITY & URBAN
300 W F AIRVIEW DR
SPRINGFIELD OR 97477
,_no ,ileS ,!D~,~~"
~ ._non "".' ('\''''9011 ~. ID(\fI
I ...,m. r{ACTOR'INFORMATlONlale sel .00"
ro' \.lIe" ,,-" \\\O,,~,. O~\\ 9<:)'2-
C lo\lo~ I cenlel, .,.._"nfl ~.....,,\"S \)~ D
ontractor .r "a\IOn 0' O.!;lcense 01 II.."xplratlOn ate
WHITEW A TER CONSTRuctIO~iIN!C"O bla:':7.18s7'e~fle lele?\10SWN2008
CAMP CREEK ELECTRlC':'tLC;o\.l fl\a'i 0 lel.l~7'" 'III'! 1'l0\lliq16}~9/2007
HARVEY & PRICE CO 00:.Uilin91f1e cen O('Z7JO~ \.J~~,'2-344). 10/31/2006
THOMAS ANTHONY RYDER"I.~nel 101 \\\~;" -159'425> 05/12/2006
I BUILDING INFORMA nONI
Phone
541-485-3937
541-746-1471
541-746-1621
541-343-0975
Contractor Type
General
Electrical
Mechanical
. Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy
~ P'rimary Construction Type
. Secondary Construction
.# of Bedrooms:
:v
VB
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft
Sq Ft Other:
Occupant Load:
R-3
Front yard Setback:
Side I Sethack:
Side 2 Sethack:
Rearyard Setback:
'; Solar Setbacks:
\\l'~'i-.
,DEVELOPMEN. mruRMATlON I W;~t., W \\'\~ \? ~~\
~: I>-\.\. t.~J\l;~k~.",\Ij'llI<KlNG
Overlay nist: \\01\C 't.~~'\ c;,~\'\\)'t.~ \~;~lJ\'\'t.\)
# Street Trees \~'S ? ()~'l't.\) 'J ()~ ,c;, il-'iFandicapped:
Paved Drive Rqd: il-'0\~ x.\,\c,'t.\) 't.~,()\(;;ompact:
% of Lot Coverage: c,()~WI ~ \)1>-'1 ?
\>.\,\'1 \~
IPUBLIC IMPROVEMENTS I
nla
Street
Fullv Improved
Yes
Sidewalk Type:
Downspouts/Drains
Curbside 5'
Curb and Gutler
Storm Sewer Available:
, Special Instruction:
Notes: SDC fee for new hard surface, credit given for removal: plus washer dryer connection 3/8/2006 CAS
I of 3
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
, 54]-726-3676 Fax
, 54]-726-3769 Inspection Line
Description Type of Construction
Bid Amount Use Bid Amount
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ ] 0% Administrative Fee
+ 8% State Surcharge
Building Permit
,- Dryer Vent
Exhaust Hoods
Minimum/Adjustment Mechanical
Plan Review Residential
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Vent Fan
+ 10% Administrative Fee
, + 8% State Surcharge
Add, Aller, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount
.
. CITY OF SPRINGFIELD'
Building/Combination Permit,
PERMIT NO: COM2006-00051
ISSUED: 03/22/2006
APPLIED: 01112/2006
EXPIRES: 09/22/2006
VALUE: $ 82,500.00
I Valuation DescriDtion I
$perSq Ft
or multip6er
$1.00
Square Footage
or Bid Amount
82,500.00
Value
Date Calculated
Total Value of Project
$82,500.00
$82,500.00
03/15/2006
Fees tlWLI
Amount Paid
Date Paid
Receipt Number
$286.55
$10.00
$54.44
$43.55
$499.35
$6.00
$9.00
$24.00
$38.03
$57.21
$75.21
$15.02
$167.96
$6.00
$12.30
$9.84
$60.00
$63.00
1/19/06
3/22/06
3/22/06
3/22/06
3/22/06
3/22/06
3/22/06
3/22/06
3/22/06
3/22106
3122/06
3/22/06
3/22106
3/22106
3/23/06
3123/06
3/23/06
3/23/06
3200600000000000020
]200600000000000325
1200600000000000325
1200600000000000325
1200600000000000325
1200600000000000325
1200600000000000325
1200600000000000325
1200600000000000325
1200600000000000325
1200600000000000325
1200600000000000325
1200600000000000325
1200600000000000325
1200600000000000335
1200600000000000335
1200600000000000335
1200600000000000335
$1,437.46
I Plan Reviews I
.., Initial Review 03/02/2006 03/02/2006 APP SKG
Plan nine Review 03/02/2006 03/1012006 APP TAJ
Public Works Review 03/02/2006 03/08/2006 APP CAS
Structural Review
03/0212006
03/15/2006
No Planning issues.
New hard surface SDC fee credit
given for removal of existing
concrete, plus new washer
conuection 3/8/2006 CAS
See documents for Plan review
comments
APP DLM
~ 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.
2 of 3
.
. CITYOFSPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00051
ISSUED: 03/22/2006
APPLIED: 01/12/2006
EXPIRES: 09/22/2006
VALUE: $ 82,500.00
"
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I RPfI~
Slab: To be made after all inslab building service equipment, conduit piping and other equipment iteins are in
place but prior to concrete.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Walllnsulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Firewall: Located and constructed according to plans.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underslab Plumbing: Prior to IiIling the trench and including required testing.
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.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
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 certit)' 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 certit)' 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, thatthe permit card is located at the front of the property, and the approved set of plans wID remain on the site
at all times during construction.
Owner or Contractors Signature
Date
'.
3 of 3
i225 Fifth Street
Springfield, Oregon 97477
541~72~3759 Phone
Job/Journal Number
COM2006-00051
. COM2006-00051
:COM2006-00051
; COM2006-00051
Payments:
~Type of Paymeat
~ CreditCard
; .1
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3/23/2006
"
.
RECEIPT #:
.~~.~.!~~fI,BLO,"'" ','..,._-_. 1,.'.
Wit I'
_ _,. ;.l
---~~.-.; -~
Jiii..ty of Springfield Official Receipt
.elopment Services Department
Public Works Department
1200600000000000335
Description
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
CAMP CREEK ELECTRIC
Received By
djb
1 of I
Date: 03/2312006
Item Total:
Lheck Number Au Ulortzation
Batch Number Number How Received
526172 In Person
Payment Total:
8:08:41AM
Amou ~l Due
63.00
60100
9.84
12.30
$145.14
Amount Paid
$145.14
$145.14