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Home My WebLink AboutPermit Electrical 2006-10-24 1) CITY OF SPRINbFIELD, OREGON &PR....... ZON LDZ_ ~ ~ INITIALS tViV' AI. DATE l,f)--r,-~(Oy., ~, SOURCEill/r r~j Date If) ~:2. L/- Ob 125 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S4I)71~753 . FAX: (S4I)71~689 ELECTRICAL PERMIT APPLICATION City Job Number ::l to/') t:. r t) I O,~ () Supervisor License Number ~.)b C. I Temp~ra~~", or Feeders ~O\\C~:. \:'iPIR\: If \ t\ ~Ini Expiration Date / D /? ,,<'if _ n\;.o,",\1 S\-Ito-\..\..'lnstalltlffiV,I"!tt~llllOit or Relocation . i Ii"" Rll\:D \lND\:Rl~c\'~~lfSSR $ 50.00 Constr. Contr. Number '-(.2 ~\-IO . ~r'i OR IS to-l2&l'lA'rli'p; to 400 Amps , $ 69.00 /. / CGMN\tlw~'{ p\:RIOD401 Amps to 600 Amps $100.00 Expiration Date /0 1/2. 0 -c,,"7iV \ 80 D Over 600 Amps or 1000 Volts see "B" above. Signature of Supervising Electrician D. I Branch Circuits /\ J (\ New Alteration or Extensl8n f~r Panel I _ I (~----fA ' -'oL--:c-J ' One Cirsui~\N (equireS ~ \ ~i\iW , , L)I" Eacnl)((idillOnatGirciiii\Sr with 10(W kh /;'1. i ~VI:- '11 I 'Service:'orFe~C'r Rennife 51:1' 00' '$ 3.00 , . - c' J \..... a.v~r Se Ill.I::: 9"'2-' Owners Name ~A' -: - 'J (u ",v 'ar ino ~p." _"" . I u'2~ reF'~" u \eS UJ Address b 0 'f.2 ~ 'h e,\n\\lkp~O(\ l(;c',~~lill~uS' ~"6ti\IClfel!~\!.ot included) -Each Installation \ r> - .ft. ,J O<2'Or'~~- 'ob\al(\lN \\'Ie\elel' \0(\ City >-L? /', A j '7"~hone / (/ o'''""ft. 6((IJ ll\ ~~M~f(i.~g&t!r~\\\iW NO\ilica. \ $ 50.00 , JV ~\\'\(\g \\'IfSIll'!IOutlme:IlIg!il1!l8"344). $ 50.00 Cu. ..toP' VI"'~ 'l~~I."~ OW~ER lNST ALLA nON . ,ull\be( I~~\~\t~g EnefgylReSiQenti~1 I $ 25.00 The mstallal10n IS bemg made on property I own whIch C -LImIted Energy/Commerclal $ 45.00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. I SlJi'HnAL OF ABOVE I, /0J;. 8% State Surcharge /"J ., "/ 10% Administrative Fee 11:.70 5% Technology Fee 8 (r ' 7"';' '-t9, TOTAL --1 c..-- _. Shared Drive(T:)IBuilding Forms/Electrical Permit Application~8'()6.doc I. I LOCATION OF INSTALLATION: I 6 f7b Iv." Sr LEGAL DESCRIPTION: ,Boi031J:l- oottOO A ~ 7b If/v.s.r, / JOB DESCRIPTION: S:'i1dl/e Jt1/J1,I~/ f) . -;:;;;;;7,;'re non-transfer:ble and expIre If wor is not started within 180 days of Issuance or If work is Suspended for 180 days. 2. I CONTRACTORINSTALLATIONONLY I Electrical Contractor R\ A ; \~<ti'S f=:"\e.r-\.n'c...... Address I q c;- /'r1 c- c1.,'Jo.'\ sJ . City ;;;1A~1.fl-P,/tJ!t. Phone 3.B~~092.'2- ~Af1": -peLl , ,v- /a-r/....(..--.,.. I Inspection Request: 726-3769 3. I COMPLETE FEE SCHEDULE BELOW A. I New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. orless Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder I lOb S"7 / 3 $106.00 $ 19.00 $50.00 B. I Scrvices or Feeders - Installation, Alterations or Relocation: J . -" 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 43.00 :;;1C) .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01050 ISSUED: 1012012006 APPLIED: 08/15/2006 EXPIRES: 04/24/2007 VALUE: $ 203,649.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6876 Ivy St ASSESSOR'S PARCEL NO.: 1802031400400 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single Family Residence, Lot 26 - South Hills North Residential 1 # of Stories: 2 R-3 Height of Structure 24.00 U Type of Heat: Forced Air Hl'l VN Water Type: r ,\It. '-N(}~~ ~: Range Ty~et'i-?\\\t. \ ~\, \~ ~\)"\\C . .~,\e'J.Y.ll!atb, 1;\\'21 ?t.\\ ~ 1 .1\'21 ?t.WSl>rin~glJ\t.iidm2:u1.)~t.U qUa if' _.1\'\"\ I.l _ .nll.l'I ~b}l,V~hOP.M~NT.~ORMATION , eM.!' u~-( r U. REQUIRED PARKING JI,~'{ '\ ?l~verlay Dist: Hillside Total: 2 # Street Trees Rqd: 2 _ OU IvHandicapped: Paved Drive Rqd: lel),\Yes" ~ \j\ili\€ompact: % of Lot Coverage: r;,on 1a.\N 35:40pn e\ \01\ __CN"i\Ot-\"?~:\eo t:l'} :~~I.l\e~ ~~ ~S?-OO~, I PUBLIC iM~ROVEMEN'fS'I~~'~nIOI.l~: ~\ \ne 11.l~;e '0'0""- QO'-v- . _!'9\e _ .",\e~n . n F II I d NO\\I\ agS?'- o:o\a.\nSlde.lralk~TYP'e:\iCa.\\O u y mprove . OJl,P 1I\a.'1 \NO\u' :'\'J \'101' Yes \n gO ,<ol.l e cen\el. Dow....;~outs/.pi'ains: 00 "ling \n ne 0Iegvo_33?:t.:> . Ca. et\OI~ 'S\-~O 11\'0 \el \ Storm drainage to existing lateral storm drain. nl.l Cen Owner: WALTER L BELL Address: 6042 PEBBLE COURT SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION' Contractor Type General Electrical Mechanical Plumbing License Contractor WALT BELL BUILDERS ELECTRIC INC COMFORT FLOW ROUNDS PLUMBING BUILDING INFORMA nON I 4296 460 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 5.00 5.00 18.00 28.75 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee 1 of3 Phone Number: 541-988-3309 Expiration Date Phone 541-988-3309 12/10/2007 541-485-0922 06/27/2007 541-726-0100 541-726-5448 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 994 861 484 Curbside 5' To Storm Sewer Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description A.C. - Residen Dwellines Garaee Tvpe of Construction AC - Residential V Wood Frame Garae.e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 100/0 Administrative Fee + 5% Tecbnology Fee + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment Appliance Vent BoilerlComp Up To 100,000 btu Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - up to 100,000 btu Gas Outlets 1-4 Plan Review Major - Planning PW Disc - 2nd Permit Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC- Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Storm Sewer Each Addtl 100' Temp Power 200 amps or less Vent Fan Willamalane Single Family Wood StovelInsert . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01050 ISSUED: 10/20/2006 APPLIED: 08/15/2006 EXPIRES: 04/24/2007 VALUE: $ 203,649.00 I Valuation Descrintion , $ Per Sq Ft or multiplier $4.00 $99.00 $26.00 Square Footage or Bid Amount 1,855.00 1,855.00 484.00 Value Date Calculated $7,420.00 $183,645.00 $12,584.00 $203,649.00 08/1 5/2006 08/15/2006 08/1 5/2006 Total Value of Project FpP<r P1ilLl Amount Paid $587.37 $10.00 $150.16 $85.63 $110.77 $306.00 $31.00 $6.00 $12.00 $903.65 $80.00 $6.00 $9,00 $116.95 $12,00 $4.00 $198.00 $-30.00 $672.88 $884.90 $10.00 $961.52 $91.61 $161.27 $66.88 $836.32 $189.58 $80.00 $916.23 $28.00 $50.00 $18.00 $1,000.00 $30.00 Date Paid 8/15/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10120/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10120/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10120/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 10/20/06 Paee 2 of~ Receipt Number 1200600000000001261 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 2200600000000001474 . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01050 ISSUED: 10/2012006 APPLIED: 08/15/2006 EXPIRES: 04/24/2007 VALUE: $ 203,649.00 Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 $16.30 $8.15 $13.04 $106.00 $57.00 10/24/06 10/24/06 10/24/06 10/24106 10/24/06 2200600000000001488 2200600000000001488 2200600000000001488 2200600000000001488 2200600000000001488 Total Amount Paid $8,796.2 I I Plan Reviews I Initial Review 08/17/2006 08/17/2006 APP LLH Plan nine Review 08/17/2006 09/1312006 APP TAJ Survey required because of minimum side setbacks. Public Works Review 08/17/2006 08/29/2006 APP JLP Storm drainage to existing lateral storm drain. Structural Review 08/17/2006 10/17/2006 APP RWC All Plan review comments are on tbe drawings. 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. IRI'ou~ ErosionlGradiog Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Rougb 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 1 bave 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 sball 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 witbout permission of the Community Services Division, Building Safety, I further certify that only contractors and employees who are in compliance witb ORS 701.005 will be used on this project. I further agree to ensure tbat all required inspections are requested at tbe proper time, tbat 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 tbe site at all times during construction. Owner or Contractors Signature Date Paee 3 of3 225 Fifth Street SpringlJeJd. Oregon 97477 541-726-3759 Phone . 1):~~;~ WiL,,/ Ciai.I'f Springfield Official Receipt ~opment Services Department Public Works Department Job/Journal Number COM2006-0 I 050 COM2006-01050 COM2006-01050 COM2006-0 I 050 COM2006-0 I 050 Payments: Type of Payment Cash Change Job/Journal Number COM2006-0 I 050 COM2006-0 I 050 COM2006-0 I 050 COM2006-0 I 050 COM2006-0 I 050 Payments: Type of Payment Cash Change cReceintl RECEIPT #: 2200600000000001488 Date: 10/24/2006 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By WALT BELL WALT BELL Item Total: (;heck Number Authorization Received By Batch Number Number How Received djb In Person djb In Person Payment Total: Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By WALT BELL WALT BELL Item Total: L:heck Number Authorization Received By Batch Number Number How Received djb In Person djb In Person Payment Total: Page I of I I2:02:06PM Amount Due 106.00 57.00 8,15 13.04 16.30 $200.49 Amount Paid $200.50 ($0.01) $200.49 Amount Due 106.00 57.00 8.15 13.04 16.30 $200.49 Amount Paid $200.50 ($0.01) $200,49 10/24/2006