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HomeMy WebLinkAboutPermit Electrical 2007-2-26 SP,A'N~FlELO _ ZON ,~ . . ~ . INITIALS.--.~.... " ,9' ~ DATE lJ~~ ~.(;.I I ,,' \ioIIIJI' SOURCE <::.. , .- 0: 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 .~~ ._~_.,.. ", .,....-;. "-"~._":~-"r.:'" :J-~~ ,'" ....-..":"-.., ..~~.-...... .....;.,:.~.... ",<*'- I. :'iOC.4TIONOFiNSTALiAriON:;;'.',~;,; 3., COMPLETE FEE SCHEDULE BELOW," '. +" ";,.;',.: .. .',..';. .',~ ..; '.1'.._;. :,..l..-,-:,t.. ..........."... _'.: ....>~.:...~ ~...... . .:;.r,'.:.l'<;:,.:'::,_'.\.; :1:. ~. .'. ~ 'M":~":'_~~"'_" ....- ",",. -~ , :>.o~~._... "--..;. . <, ~.",... ~~ . ~ ,'. 10 77 L.. ..t~ /Ar 7e- 1'-:'''' _ <, " ~ "r -. . .~~ . r '~..- ';.; ,.;_"!.:.::.,"';-~:""'.'~. -, ;:.~-'." ,) "j ::'-;. <r; '~_.l-' "'_'.~:,..;,-"":: LEGA/D7~ZONj ell / () l U;;/ A. s:;~~;,:::~~~.~l- Si~~I~.o~M,~,\~!:~~IiJ.iIY!'ttd.~'~~!~lfu~it:;:.', 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. . .....".\....',~,... '!' .,. "1-'""..:' ."!:- .", ~. """,.0;, . .'". "'".'~ . - .- .--':"",."...... "..'{ , '.CbNrRAcrORINSTAiUTION ONLY~'. 2. t,--" '!....~, ,,:.,;'.,~l::J":'M.f...,~".:~~';~:;"'~:-'.~-":'.'':' ..J Electrical Contractor '"~ / 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: /'- ~/ 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 ;;~:'7 ;-""'~<::'fr"", ... ::.--"c~;;::~ ,~;!i:(""':':"Y:"::' .',' ,..~.; ',~. ';.,: . "",;- '.' .-:- '7:"_~" ..".'r 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 '. '.~ .-;-..;. ,,-, j..J:'I:"JJ::~..:II~Hi.U)ccY,l;'~~':'44lJY'!?"iv,'j~~.-Yy.u-!~..:.. " 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). D. ~~'~~~l~~ S~!5.~i~F~2<'~~~;~5~~::,~;-:'. .,.~~~:.~;.~~"~J;)i.~~"2~-~~.:~:~ :.',~;~~~, . New Alteration or Extension Per Panel One Circuit I/'$ 43.00 Each Additional Circuit or with Service or Feeder Permit '2..-- $ 3.00 ~3 tH) G,o-Gi -;;;..',....,' '~~..i';ri.~-.ll'~~.~--;"-...';:~....,._.~~j,-,'j.~~'~ ,., ..-~,.(:lt' ~.,..,.<~.:"';..:. '_",'1" p.! E. Miscellaneous (Service/feedei',iot includcd) -Each'Iilstall'atioi" ~_~.;.':; .,i..:' ~}}.!..;:;:::'';.'~~:..,;:.,.-~. ..::.~ :,,,,,;..', ..,.;....;.. -..;....:..- ....' - ~~ .....-.:::.._.,~--"''-,,:. 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 ~.:.':; ,_:.::;;:, ...J"-J.:..;......:J....~ "'_.~~r::::t...~...:.:;.::O' ".:-', :.:.:.::~.._......_<O--O;';; LL--/ " S S h I '7,=' 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 ~~ - . .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 . 1;;~:~,'," ..,. fIR, - , , , *",0 ~~ .._" ....,.. ..-- 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