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Home My WebLink AboutPermit Electrical 2008-3-19 ZON Li6~~/ INITIALS {'J Y'- DATE -::.12.'-f -0:'( SOURCF\:<\. '?"~.).{\:} 311 C1 ( O~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELEl.-1KlCAL PERMIT APPLICATION City Job Number (XJy-n 200,~ 0 \0(P2- Date 1. LOCATION OF INSTALLATION":::", , ~ ,~, F , ~ r...,"1<wi:'8:f \ '2./4-- '~:::'rd ~ LEGAL DESCRIPTION: \10~ '60 ?L:t OS~O-D JOB DESCRIPTION: t:::1-l-ctrl U~ .ftsy uttkiLti CJ'h Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. CONTRAqrOR ~STALiATIONONiy:;" 2. Electrical Contractor I Address CIty Expiration Date I Owners Name r LA-v voll t?r\ ~/ Address \2-14 ~~.~ City~I~e1d Phone 2$~OS4S- OWNER INSTALLATION ~fM~jon IS being made on property I own which IS iiM hftIlMded for sale, lease or rent. THIS PERMIT SHALL EXPIRE IF THE WORK O~tf$l6i~.:YJj..?~~~I~ PERMIT IS NOT (~~~~DONED FOR ANY 180 DAY PERIOD. Inspection Request: 726-3769 3. / i ~""x " 'l'jlli oil"t'u..," "'W'! ! ' COMPu:*',1Jf.FEESl;n1!;DULEBEWW' ",' 'C , / .)l /-0~/..v..f~h",> ~ 'o~ "'~ ~ "" / "" " ^" V ",~~~,l ,,> ~~'>WiVkt'0'" <. ~ ~> ~ N ^<:f[,+'l ~'l')> w' > >>>~>> ~> , " , ^ A. "~~~ ,Resi~~~tial:'" '~ipgle or Multi-Family per dwell,in~ unit. ':'<: " Service Included 1000 sq ft orless Each addItIonal 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwellmg Service or Feeder $11 7 00 $ 2100 $55.00 ~ >> '> '~1hWt:i'>V,M, ,> " ~ B. Services '\)r':F~~ders - Installation, Alterations or Relocation: !!!,~~"i1i~;,A.t""tn"""'" ~ ~ -"<-"'; '", >>>>> > ~<i>j;ij )kWi'i~i" ~,d, dH ,:. 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only / $7000 70,07) $ 83 00 $138.00 $180.00 $413 00 $ 55.00 c. :' Temporary ServiceS'or'F:~'d~rs '" i1 i ~"!,~!\~, ,{ ,0 < ~, ,> ,m l ' Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above D. Branch Circuits $ 55 00 $ 76.00 $110.00 New Alteration or Extension Per Panel One CirCUIt Each Additional Circuit or with Service or Feeder PermIt $ 48 00 $ 400 ~.ol) 4- . E. MisCellaneous (Service/feeder n'Ot included) -Each Installation ..u ' " -... ~ Pump or irrigation $ 55.00 SIgnJOutlme L~tin~ . ~ 5.500t .. ATT TI. N: Oregon la'.v rcqUlresycnr 0 Lumted l%if~ tii ~~pted by thp. Ore~LOtlllty Lunited ~~g~ter. Those rules a~lJorth Minimum Ele~~.Qiia-mtr~~ tP~Q~f-rt~ ~~r~Q!:ges 'HIOC~D ~Bu biajgmQ(Jples 0 'lne r'OYeSIf1Y 4. SVBTO!lMti~!i," i' '(Note:~the"l~'e~ho~es& ,00 12% State 5\ifBMfgtOr the Oregon Uflfity Notifl\.iClllVllo ~2- 10% Administrati*"8eer is 1-800-332-2344). <6.', ,....1) 5% Technology Fee 4--. 3D TOTAL lOq.z~ Shared Dnve(T )/BUlldmg Forms/Electncal PermIt ApplicatIOn 1-08 doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01562 ISSUED: 11/16/2007 APPLIED: 10/17/2007 EXPIRES: 09/19/2008 VALUE: $ 37,080.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1274 33RD ST ASSESSOR'S PARCEL NO.: 1702303405800 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Bedroom & Bath Addition Owner: BRILEY CARROLL & SANDRA Address: 1274 33RD ST SPRINGFIELD OR 97478 Phone Number: 541-285-0595 I CONTRACTOR INFORMATION I Contractor Type General Mechanical Plumbing Contractor OWNER OWNER OWNER License Expiration Date Phone BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R3 # of Stories: 1 Height of Structure 14.00 Type of Heat: aseboard Electric Water Type: Range Type: 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: 360 VB I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 30.00 30.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm ~ATf.C&iIable: Special T~qQEfilMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT Notes: COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I PUBLIC 1ivu'I{OVEMENTS I AII:tI~fJY:1ij~on law requires you to folloW rules ~~o~ted by the Oregon Utility Notlfit1Strcm~e'ntl:l{ffiAse rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Pal!:e 1 of3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01562 ISSUED: 11/16/2007 APPLIED: 10/17/2007 EXPIRES: 09/19/2008 VALUE: $ 37,080.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Dwellin!!:s V Wood Frame $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 360.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $37,080.00 $37,080.00 10/17/2007 ~ Fee Description Amount Paid Date Paid Receipt Number ~Mechanical Issuance Fee~ $20.00 11/16/07 1200700000000001413 + 10% Administrative Fee $44.91 11/16/07 1200700000000001413 + 5% Technology Fee $21.55 11/16/07 1200700000000001413 + 8% State Surcharge $34.48 11/16/07 1200700000000001413 Building Permit $331.06 11/16/07 1200700000000001413 Fire SF Fee - Residential $18.00 11/16/07 1200700000000001413 Fixture $48.00 11/16/07 1200700000000001413 Minimum/Adjustment Mechanical $43.00 11/16/07 1200700000000001413 Minimum/Adjustment Plumbing $2.00 11 /16/07 1200700000000001413 Plan Review Minor - Planning $116.00 11/16/07 1200700000000001413 Plan Review Residential $215.19 11/16/07 1200700000000001413 Sanitary Sewer - Improvement $122.42 11/16/07 1200700000000001413 Sanitary Sewer - Reimbursement $161.00 11/16/07 1200700000000001413 SDC Sanitary/Storm Admin $20.40 11/16/07 1200700000000001413 Storm Drainage Impervious Area $124.57 11/16/07 1200700000000001413 Vent Fan $7.00 11/16/07 1200700000000001413 + 10% Administrative Fee $8.60 3/19/08 1200800000000000254 + 12% State Surcharge $10.32 3/19/08 1200800000000000254 + 5% Technology Fee $4.30 3/19/08 1200800000000000254 Add, Alter, Extend Circ Ea Add $16.00 3/19/08 1200800000000000254 Perm Serv/Fdr 200 amps or less $70.00 3/19/08 1200800000000000254 Total Amount Paid $1,438.80 I Plan Reviews I Initial Review 10/20/2007 10/22/2007 APP LLH Public Works Review 10/22/2007 10/23/2007 APP LKW Structural Review 10/22/2007 11/09/2007 APP DLM See documents for Plan review comments Plannin!!: Review 10/22/2007 11/14/2007 APP TAJ Pa!!:e 2 of3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01562 ISSUED: 11/16/2007 APPLIED: 10/17/2007 EXPIRES: 09/19/2008 VALUE: $ 37,080.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Reouired Insoections 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. 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. 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 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 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 COM2007-01562 COM2007-01562 COM2007-01562 COM2007-01562 COM2007-01562 Payments: Type of Payment Check Cash Job/Journal Number COM2007-01562 COM2007-01562 COM2007-0 1562 COM2007-01562 COM2007-01562 Payments: Type of Payment Check Cash cRecelOt I RECEIPT #: 1200800000000000254 Date: 03/19/2008 DescriptIOn Perm Serv/Fdr 200 amps or less Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmInistratIve Fee PaId By Item Total: Check Number AuthorizatIOn ReceIved By Batch Number Number How Received SANDRA & CARROLL BRILEY ddk 2012 In Person In Person Payment Total: DescriptIOn Perm Serv/Fdr 200 amps or less Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Paid By Item Total: Check Number Authorization ReceIVed By Batch Number Number How Received SANDRA & CARROLL BRILEY ddk 2012 In Person In Person Payment Total: Page 1 of 1 1l:47:47AM Amount Due 7000 1600 430 1032 860 $109.22 Amount PaId $71 12 $38 10 $109.22 Amount Due 7000 1600 430 1032 860 $109.22 Amount PaId $71 12 $38 10 $109.22 3/19/2008