HomeMy WebLinkAboutPermit Electrical 2007-2-26
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726.3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number -L~1)#/l ?-A-iJe, -IJ /I'J 7<lP Date 2/2-~k 7
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I. :'iOC.4TIONOFiNSTALiAriON:;;'.',~;,; 3., COMPLETE FEE SCHEDULE BELOW," '. +" ";,.;',.:
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JOB DESCRIPTION:
AJ J /77tJd
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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, '.CbNrRAcrORINSTAiUTION ONLY~'.
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Electrical Contractor
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Supervisor License Number /'
/
ExpiNiJ'YfC'f: /
ConslH~fJ~JJ..?rHALL EXPIRE IF THE WORK
AUTHORIZED U,JUtt1 1 MI" t'tt1MII I" I'IU I
ExpiGgMM>litdGED OR IS ABANDONED FOR
Sign~~r! Jf8s~Pe~sfn~f1WRncian
Address
City
Owners Name -c\ -I\~ GE~
Address \...9..\-1 d.",) (\c.~'V::, ~€
City~ '<; \ "J \:t\~ Phone 2:, ~'\. ~ 'Z..
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
~ners Si~e: /'-
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Inspection Request: 726.3769
1000 sq. ft. or less
Each additional SOO sq. ft. or
portion thereof
$106.00
$ 19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$SO.OO
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B~ t,'~~_~~:~~~.t~tJf'~~'~c~t~:l~~~~al~~ti.~~~:\~~~~.a}.~~~~s ~~~.~,~L~~a~i?~: \~::
200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $12S.00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsNolts $37S.00
Reconnect Only $ 50.00
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c. 1}':eni~?[alJo'IPJwq'Ul~s\iJ5~"j5!edtiy:the 0re'gonUti~:y" .:;
Notification Center. Those rules are set for'
Installatio'1ly~!,tA'i'\tjpJ2'.ctW!\5etj~hrough OAR 952-001
200 Amps QtOOID. You may obtain conie\l~O/he rulA!,; h
20 I Amps to 4flQ\l\.i>>W'tha center. lI'I!ote,: ~i@.ephone
401 Amps to 6QuJ.:...,.,rorthe Qreflon Utilit)lO>Wtitication
Over 600 Amps or 10ae:~mr~ tIMilio~~2-2344).
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New Alteration or Extension Per Panel
One Circuit I/'$ 43.00
Each Additional Circuit or with
Service or Feeder Permit '2..-- $ 3.00
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E. Miscellaneous (Service/feedei',iot includcd) -Each'Iilstall'atioi"
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Pump or irrigation $ SO.OO
Sign/Outline Lighting $SO.OO
Limited Energy/Residential $ 2S.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. "SmiTOTAL'OFABOVE:';~:~\;-:;}\,~":;;'" -10, lJ-o
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8~o tate urc arge '> ," "-
I 0% Administrative Fee 4. '70
5% Technology Fee ?_.'f' j
TOTAL ?t7,z. 7
Shan.-d Drive(T:)/Building Fonns/Electrical Pennil Applic::nion 8-06.doc
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.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-01078
ISSUED: 10/17/2006
APPLIED: 08/21/2006
EXPIRES: 08/26/2007
VALUE: $ 34,056.00
Status
Iss u ed
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6772 Jacob Lane
ASSESSOR'S PARCEL NO.: 1702341109200
Springfield
TYPE OF WORK: Family Room
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Addition to existing single family
Owner: JASON GENCK
Address: 6772 JACOB LN
SPRINGFIELD OR 97478
Phone Number: 541.868-4758 eel
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
OWNER
SUNSET ELECTRIC INC
THOMAS E WHITE
License
8699
Expiration Date
12118/2010
Phone
158859
86252
02127/2008
09/25/2007
541-915-4883
541-726-9778
BUILDING INFORMATION I
VN
# of Stories: 1
Height of Structure: 14.00
Type of Heat: Forced Air Gas
Water Type:
Range Type:
Energy Path: Path I '
Sprinkled Building: nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
344
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Sidewalk Type:
Curbside 5'
Curb and Gutter
DOWDspoutslDrains:
Notes: Storm drainage tied to existing approved system.JLP
Paee I of4
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-01078
ISSUED: 10/17/2006
APPLIED: 08/2112006
EXPIRES: 08/26/2007
VALUE: $ 34,056.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541.726.3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Tvne of Construction
V Wood Frame
$ Per Sq Ft
or multiplier
$99.00
Square Footage
or Bid Amount
344.00
Dwellines
Total Value of Project
I Fppc, PWLI
Value
Date Calculated
$34,056.00
$34,056.00
08/21/2006
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $183.89 8/21106 1200600000000001309
+ 10% Administrative Fee $30.01 10/17106 1200600000000001538
+ 5% Technology Fee $19.75 10/17106 1200600000000001538
+ 8% State Surcharge $22.63 10/17/06 1200600000000001538
Building Permit $282.90 10/17/06 '1200600000000001538
Fire SF Fee - Residential $17.20 10/17/06 1200600000000001538
Plan Review Minor - Planning $112.00 10/17106 1200600000000001538
SDC SanitarylStorm Admin $5.39 10/17/06 1200600000000001538
Storm Drainage Impervious Area $107.73 10/17/06 1200600000000001538
-Mechanical Issuance Fee- $10.00 2126/07 2200700000000000249
+ 10% Administrative Fee $16.70 2126/07 2200700000000000249
+ 5% Technology Fee $8.35 2126/07 2200700000000000249
+ 8% State Surcharge $13.36 2/26/07 2200700000000000249
Add, Alter, Extend Circ $43.00 2126/07 2200700000000000249
Add, Alter, Extend Circ Ea Add $6.00 2126/07 2200700000000000249
Fixture $28.00 2126/07 2200700000000000249
Miscellaneous Mechanical $45.00 2/26/07 2200700000000000249
Storm Sewer - 1st SO Feet $45.00 2/26/07 2200700000000000249
Total Amount Paid $996.91
I Plan Reviews I
Initial Review
Plannine Review
08/2212006
08/23/2006
08/2312006
09/22/2006
APP LLH
APP T AJ
Paee 2 of 4
As per 8/22 memo from Jim
Donovan: I. no portion of the above
ground structure shan encroach into
the 5-foot protective easement unless
it is'fully 8 feet above the
surrounding grade.
2. No new Floodplain overlay
permit is required, but tbe finish
Door of the addition shan be one fOOl
above the Calculated Base Flood
Elevation consistent with the Oood
study adopted by the City Engineer.
.
.ITY OF ~rKll'l\J"'lJ<..LD
Building/Combination Permit
PERMIT NO: cOM2006-01078
ISSUED: 10/17/2006
APPLIED: 08/21/2006
EXPIRES: 08/26/2007
VALUE: $ 34,056.00
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
08/23/2006
APP JLP
Waiting for information 1
clarification on plat from Les.
Structural Review
08123/2006
09129/2006
APP RJB
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.
~rprl Tn~nections'l
ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed.
Footing: After trenches are excavated.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to Door insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
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.
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 Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Paee 3 of 4
.
Issued
225 Fifth Street, Springfield, OR
541.726-3753 Phone
541.726-3676 Fax
541-726-3769 Inspection Line
.ITY OF SPRINGFIELD'
Building/CombinatioJ Permit
PERMIT NO: cOM2006-01078
ISSUED: 10/17/2006
APPLIED: 08/21/2006
EXPIRES: 08/26/2007
VALUE: $ 34,056.00
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 constr~ ~
Paee 4 of 4
!)...f ~(,IN7
I
Date
225'Fifih Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-0 1 078
COM2006-01078
COM2006-0 I 078
COM2006-01078
COM2006-0 I 078
COM2006-0 I 078
COM2006-0 I 078
COM2006-0 I 078
COM2006-0 1 078
Payments:
Type of Payment
CreditCard
cReceinll
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fIR, - ,
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c.ili..of Springfield Official Receipt
.Iopment Services Department
Public, Works Department
RECEIPT #: ' 2200700000000000249
Date: 02/26/2007
Description
Fixture
Storm Sewer - 1st 50 Feet
Miscellaneous Mechanical
-Mechanical Issuance Fee-
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+,8% State Surcharge
+ 10% Administrative Fee
Paid By
JASON GENCK
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dim
832574 In Person
Payment Total:
Page I of I
~
, II :52:09AM
Amount Due
28,00
4S,00
4S.00
10.00
43.00
6.00
8.35
13.36
16.70
$215.41
Amount Paid
$2IS.41
$215.41
2/26/2007