The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2008-3-21 2251'1J! ul STREET 0 SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number --C tJ)kt ~ 7 - ~o 5 7 5 Date Phon A.....~'jluJII: Ore on law requIres you to follow rules ad ted by the Oregon Utility Notification C ter. Those rules are set forth .' , , " Supervisor 4fl~liMn1-00" 0 th ... OACI n.c:"-OO1. C. Temporary ServIces or Feeders ,,",u -f roUgH. ... --:-..l,ll; 0090. YoV"'may obtain copies of the rules by . . . ExprratIOn DatlCalliodthe center. INote: the teleDhone Installation, AlteratIOn or Relocation n~er for the Oregon Utility Notification 200 Amps or less Constr. Co~umbepent8r is 1-800-332-2344). 201 Amps to 400 Amps / 40 I Amps to 600 Amps Expiytfion Date Over 600 Amps or 1000 Volts see "B" above D. Branch Circuits 1'_'tO 12% State Surcharge G... 2...,- 10% AdminIstrative Fee 4ll) .. L.o THIS PERMIT SHALL EX~JftEcun(Ji~WQRK 2-.t. D AUTHORIZED UNDER THIS PERMIT IS NOT /' (!) ~ COMMENCED OR IS A~ED FOR (~ . ,. ANY 180 DAY PERIOD. Shared Dnve(T )/BUlldmg FormslElectncal PermIt Apphcaii.o~08 doc , ", 'i'>i"~"" ", 1 f .<'~~.: 1. LOCATION OF lNSTALLATI01Y~ /~7~7 dk:d 51': LEGAL DESCRIPTION /7t!:J 2- J 5"3~1/J() JOB DESCRIPTION: Ab 1> ( TI tJl) 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. ~~ r~" > x, i CON{jiAcrOR INSTALLATION ONLI:;~ { ...-,,;, " / ' ~ Electrical Contractor / Address City Signature of SupervIsing ElectncIan Owners Name ~~t:1~ ~A("t11tI Address ~9tP 7 ,#1 A-/~/ .(7: City ~~~J Phone 7~ -~:?~f OWNER INSTALLATION The installation is being made on property I own whIch is not mtended for sale, lease or rent. Owners Signature' Y6~.. NuTter:: Inspection Request: 726-3769 3. ~V1' ,~, COMPW'11!. J:<J!.l!, SCHEDULE BELOW '" A. New Residential- Single or Multi-Family per dwellhlg un~t. 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 B. Services or Feeders - installation, Alterations or Relocation: 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 70 00 $ 83 00 $138.00 $180.00 $413.00 $ 55 00 $ 55 00 $ 76.00 $110.00 New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or WIth I ServIce or Feeder PermIt $ 48.00 $ 400 #1>0 4tJV E. Miscellaneous (Service/feed~r not included) -Each Installation , '" <, ~,~ ~ Pump or irrIgatIOn $ 55.00 Sign/Outline LIghting $ 55.00 Limited EnergylResldential $ 28 00 LimIted Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges < -"<~ > 4. SUBTOTAL OF ABOVE' , ' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00575 ISSUED: 07/20/2007 APPLIED: 04/19/2007 EXPIRES: 09/21/2008 VALUE: $ 52,736.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6967 Main ST ASSESSOR'S PARCEL NO.: 1702353309700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence Residential Owner: Address: MASON GEORGE W 6967 MAIN ST SPRINGFIELD OR 97478 Phone Number: 541-746-0364 I CONTRACTOR INFORMATION. Contractor Type General Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: # of Stories: 1 Lot Size: Primary Occupancy Group: R-3 Height of Structure 17.00 Sq Ft Ist Floor: 512 Secondary Occupancy Group: Type of Heat: Wall Heat Sq Ft 2nd Floor: Primary Construction Type VB Water Type: Sq Ft Basement: Secondary Construction Type: Range Type: Sq Ft Garage/Carport # of Bedrooms: Energy Path: Path 1 Sq Ft Other: Sprinkled Building n/a Occupant Load: I DEVELOPMENT INFORMATION . REQUIRED PARKING Front yard Setback: 35.00 Overlay Dist: Total: Side 1 Setback: 25.00 # Street Trees Rqd: Handicapped: Side 2 Setback: Paved Drive Rqd: Compact: Rearyard Setback: 27.00 % of Lot Coverage: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Storm drainage tied to existing system.JLP APP 4/24/07 I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00575 ISSUED: 07/20/2007 APPLIED: 04/19/2007 EXPIRES: 09/21/2008 VALUE: $ 52,736.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Dwellines V Wood Frame $103.00 512.00 $52,736.00 $52,736.00 04/19/2007 Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $248.53 4/19/07 2200700000000000555 + 10% Administrative Fee $45.30 7/20/07 2200700000000001175 + 5% Technology Fee $26.97 7/20/07 2200700000000001175 + 8% State Surcharge $34.19 7/20/07 2200700000000001175 Building Permit $382.35 7/20/07 2200700000000001175 Fire SF Fee - Residential $25.60 7/20/07 2200700000000001175 Plan Review Minor - Planning $112.00 7/20/07 2200700000000001175 SDC Sanitary/Storm Admin $8.59 7/20/07 2200700000000001175 Storm Drainage Impervious Area $171.84 7/20/07 2200700000000001175 Storm Sewer - 1st 50 Feet $45.00 7/20/07 2200700000000001175 + 10% Administrative Fee $5.20 3/21/08 1200800000000000268 + 12% State Surcharge $6.24 3/21/08 1200800000000000268 + 5% Technology Fee $2.60 3/21/08 1200800000000000268 Add, Alter, Extend Circ $48.00 3/21/08 1200800000000000268 Add, Alter, Extend Circ Ea Add $4.00 3/21/08 1200800000000000268 Total Amount Paid $1,166.41 I Plan Reviews I Initial Review 04/20/2007 04/20/2007 APP LLH Public Works Review 04/20/2007 04/23/2007 WI JLP Rcvd 4/23/2007---Waitmg in order PW rcvd for rvw.JLP WI 4/23/07 Public Works Review 04/24/2007 04/24/2007 APP JLP Storm drainage tied to existing system.JLP APP 4/24/07 Structural Review 04/20/2007 05/08/2007 APP LLH Plans reviewed by Dave Mortier with the Building Department under contract with the City of Springfield Plannine Review 04/20/2007 05/11/2007 APP T AJ 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. Paee 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00575 ISSUED: 0712012007 APPLIED: 04/1912007 EXPIRES: 09/21/2008 VALUE: $ 52,736.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line L 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. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. 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 COM2007-00575 COM2007-00575 COM2007-00575 COM2007-00575 COM2007-00575 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 1200800000000000268 Date: 03/21/2008 Descnption Add, Alter, Extend Orc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmInistrative Fee Paid By GEORGE W MASON Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dkn 171888 In Person Payment Total: Page 1 of 1 12:04:35PM Amount Due 4800 400 260 624 520 $66.04 Amount PaId $66 04 $66.04 3/21/2008