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Home My WebLink AboutPermit Electrical 2006-6-9 225 FIFTH STREET. SPRINGFIELD. OR 97471 . PH:(541)726-37S3 . FAX: (541)726-3689 SP~"'LD' ZON L-D e... !. _'" '.' INITIALS D L '~- ~. DATE !p'-q~O"- ~~ """ SOURCE YY\~ I~ r ELECTRICAL PERMIT APPLICATION City Job Number COrnatYVn - 001-\-2, ., .' "'-'<'.':-"-~"'_ "''':'.._ . ,!;,_,~",,":h"',;..o;~,'''_(~':._'-'';''.~'';':.:C' I. : ~Oc::AnON OF,.[N$TALLATIOl'foj,:;":;'.''.,,:,:(;," .~ "., ." .'. !>;>,.;, ",;,~_''-''.'" 1..-;.,; ....~.l:...l.,..~, ,;:~. "",~"'y.!)!-..a'::.._. . ...-" 'j.-lOqc, )a).I~.pr 'k'MC^ LEGAL DESCRlPTION \ ~ f)~OSb2:J., Date {p -9-6u I'.~' " ".''-'' ~_". ;'," "'~.~"7",,,:"JU..;,....~s;;::~--"~:,: :...........~'-"...........-..<. ;:-~...~1...~....~.\,.;.'.:""....,~..-.::'..t-..,.~ 3. :;,COMPLETE FEE'SCHEDULEBELOW.:~..,,,,:,,,;!;~~;~~,~.';:t":4-~ ~.;;.!,.:..'...;......:cl:.-.,...;:;,;; ~(:~.~!:.....,)~~~","--~it....~ ....;.~~r <<" ," -..... 't>...:,'::i.-\:,:,'~~"~'!.'€.,::t:t."3:..t.:-g.~i~:stl~ .~ I': 0';-9" ~l'_"'~"'N~1':'t .~s:-><tf';'.;J~J "?"~.~:;_<-.."-:"_::! ;:"~"~~:':'\1! ;~!t..r:t. 'j1jY',-,' ...~:.~. ;;!~ ,....)',t;;~;'f J-;::"f~~~ A. y,Ne~v Resid~n!iar~:~ingleorl'1ul.tI.~Fa.mily'jier,oih\'elling ,uiiit8P,; _"c..... "'_.' .";~'.r.~.... ,,,,~,,,,,,"./:"','i:t..... _.",.,~-, .;". "'__~~. ,.x..,....",.!..".... '1,...:1...,,,,, -" ";'-"'~~'...,,....,... ~ ........::'""",...,~...;~ 00 L\-O U Service Included JOB DESCRiPTION (~ \'~rlv. r.r,,: I~" Wr) I~\D(\ Per';;its are non,transferable' and expire if work is ~!"acr:ly1a~ufact'd Home or, .. - " not started within ]80 days of issuance or if work is Modular-D",ellingSe!i:'ice',oi,KE IF I Ht WUhl\$50 00 "-1-11" ~t.rd~l\ I t,.}." ,,- -.' . -.o IT tC' ;"'1(\1 ' Suspended for 180 days. Fe,eder ,RIZE!:' UNDER lHIS PEL..;" .- .... e' '.,:,~,.....t:.....'.~"....'. _':I.~;~ "-"';''';'''1'~''-'''~':-::'~ ti.~:t,'.'~;j.i<.!".'.,~j,; 1\1..:1:..Q. . 'd~~"~~~A~\:i-:'!\\lt~Eil'r.!J-8,. ..."" ,,,,. '1t'~. .,.-t.l:~~;r-'!ih\,"'''- 2. \i C:()NT,RA,CTOR INST Al:IA1]Plf.QNL y; B.c.r~~:'i~:~;ifr.!f,e~il~~s '::CJ;~dJI:ill.o~, :it~riti~n~:'~~~~lotiltio~~,@;l ..., <, "~.'",-, .",,~. ..-?o\'~,:I: 1..:1...(',..-...,., t....~'T~~......~:::.d:S-H.....-f.""..:.......d A-~i\'''''-fr~'~'r'"'!-.;t''.!~'~\~te &~,~,,'l_' ,.>,;!\.-~,.......~~'i'.. "~,~,:..,,<,~~,,,, ":.,,,!.~"':"';1j.,;,'rl,.;$:~"'S Electrical Contractor c; UY1C>,,+. f:J t"rrl-('(2... .J~C 200 Amps or less $ 63.00 01 201 Amps to 400 Amps $75,00 Address 3'1 f)o& <;f'~ ~v (f KA 401 Amps to 600 Amps $125,00 ( , 601 Amps to 1000 Amps $163.00 City ~5P/1f Phone t;'Qr-'1lr-I(Ji3 OverlOOOAmpslVolts $375.00 Reconnect Only $ 50.00 1000 sq, ft, or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Supervisor License Number \6 {~O <:::. ~'1<"7(,~-.;:ry.~;'l,:,:?~'\i1~~f..~.8::'tt""~'",,;:'~'I~" ......~~ji~'~M~~~I'". ,...~...~. C. 'ft;J~r;r.lporary:Ser;YI~f';~;_orJ.Ee_e<1er:s:~ ."~~~!ff~.~t:'~\:;';~:~elin- : :1.,.,,'-;. t to."_",..<"~.;,ct,i;;~.~.;..,_.~~t_,,,.,~~__.-=-.;;t~~.,,,l-l: . ,"r:.I.....;!'.i-'21.^"~.~ -, .. ...~< ;:,el,...-:>" Expiration Date ~-~ Installation, Alteration or Relocation 200 Amps or less $ 50,00 201 Amps to 400 Amps $ 69,00 '401 Ampsrto606J;GU'psl: Oregon law requir$f(jo:oo to fr)lIow ru1po w1o"tcd r'" th0 UrEfJ"ln Utility Over 600 Amps or 1000 Volts see "B" above. ' . ;;'1',~j-~OI'l,,":iII!"9'~;;<::1~i~J:,1;"fl~~j;,*'<1'i":~i~~:'!~ . r."''''~\~'''fJJ:'I D. ~Br. anch,Clrclllts;i;~~."",i!T'.,(~M;1,.". '~~"'~'iJ>f.:""""i!-' :%lJ.jl~"":''::'''' l~t...,.''';'''.-'l--H.,~~~~-c\.~'\J!n":\~~~:{:t "". ..lful.o..,.;.,.,,:,,~~ ,.,~...; .... .x",'I;~ New Alt(Watlon(6rJEjh~nsion7Per~Panel; r;f ~t..: rll';-S ~..,y One Circui~alling the center, (I"";2/"1'} "$43:00 '11(3 - Each AdditionalIGircuit'--aBW'ith:QG'l L,;'," \: . "," 1/___ Service or Feeder Permit!r is 1'B')()'"':Z~' ,$ ,3,00 (jJ Expiration Date 10 - 0'7 Constr, Contr. Number /<;,f 8<;9 SignatUl:e of ervisin ~~</ ..:::::----- Owners !<lame (iX 6d ~ 0Js Iii\. u{ Address 4OC\51.,J:\,('Oe;V' City s"pfvdJ Phone 71.fu; -<610t-f .' :)' ,~:'rl:r7~l<.'~ ~tCJ"'~\;"'~'~ ~r,:tt"~"':f;.{;")'''~'~~'.,.~~t\'''''~':''''''':''','~~;''''''';''''''''-~_"1'0"'< ~...",# ;~,' '~',_,;:;~; E. j'Miscell""eou~ 'is.;;:~;ice/feed'er 'lot in'cluded) :::Ench Ili'siall:i'iion' .~......~'-J:~;~.~A~..~.,""i.::>..;:;.,.'i'v:..:,,",::-:,;' ,...:~..: ~';:'~e.J:l:.,_~~"''':'.-~.,~.It :;.,'\..../-;:.;..... ....;,L"::'';'''j;"l'"'~~~ OWNER ]NST ALLA nON Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50,00 $ 50,00 $ 25,00 $ 45,00 The installation is being made on property I owo which is not intended for sale, lease or rent. Inspection Request: 726-3769 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges L ~ 4 r~~if6TAlv-OF1Bbv~':';:Sr.&%:i-"4;;;:~:'~} . ~it~ .~....... ,_....~ ..~~:.: r.-~~ ~ "i~k: . .~; ,,:,:-':~'.:,":i:'""..~ ~::1i;;;:;'<-1!,:~~.:t I-( q ---- _ ~~ -'~~:~'t~;:;:::~:::'""''''''~~'''''"'''~ 3.g~ ~ ~":S 10% Administrative Fee t-l, q 0 "(;. ~ TOTAL c:; /, g~ Shared Drive(T:)IBuilding FonnsJElectrical Pennit Application ]..Q6.doc . OwnerS Signature: . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-00437 ISSUED: 05/1012006 APPLIED: 04/12/2006 EXPIRES: 12/06/2006 VALUE: $ 29,700.00 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54] -726,3676 Fax 54]-726-3769 Inspection Line SITE ADDRESS: 4095 JASPER RD ASSESSOR'S PARCEL NO.: ]802052300400 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Dining room addition Owner: CRAIG PASLAY Address: 4095 JASPER RD SPR]NGFIELD OR 97478 ~JOT/(~~: Phone Nnmber: 54]-746-8]04 TfiIS PERMIT SHALL E ~UTHORIZEO IINni:O T~,~!R~~I~THE WOHi( l,UMMFNrFn no ,<' --- , ~'IIVII J I;) NU f I CONTRACTORJNF0RMATlON.I~BANDONED FOR -.......... Contractor Type General Electrical Contractor PLUEARD CONSTRUCTION LLC SUNSET ELECTRIC INC License ]67960 ]58859 Expiration Date 01/09/2008 . 02127/2008 Phone 54],683-5140 54] -9] 5-4883 BUILDING ]NFORMATlON I VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basemeut: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 300 # of Uuits: Primary Occupancy Group: Secoudary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 n/a Frontyard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARK]NG Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Partially]mproved No DownspontslDrains: Drywell - Provide Drywell Engineering Notes: Storm drainage into drywell sized for addition 4/]4/2006 CAS Paee ] of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54] -726-3676 Fax 54],726-3769 Inspection Line Description Tvpe of Construction Dwellines V Wood Frame Fee Descriptiou Plan Review Residential + ]0% Administrative Fee + 8% State Surcharge Building Permit Fire Fee - Residential SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - ]st 50 Feet + ]0% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00437 ISSUED: 05/10/2006 APPLIED: 04/12/2006 EXPIRES: 12/06/2006 VALUE: $ 29,700.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $99.00 Square Footage or Bid Amount 300.00 Value Date Calculated Total Value of Project $29,700,00 $29,700.00 04/] 2/2006 FpP~, P<;J\lU Amount Paid Date Paid Receipt Numher ]200600000000000468 ]200600000000000633 1200600000000000633 ]200600000000000633 ]200600000000000633 ]200600000000000633 ]200600000000000633 ]200600000000000633 2200600000000000783 2200600000000000783 2200600000000000783 2200600000000000783 $] 64,87 $31.37 $23.89 $253.65 $]5.00 $3.]7 $63.31 $45.00 $4.90 $3.92 $43.00 $6.00 4/12/06 5/] 0/06 5/] 0/06 5/] 0/06 5/]0/06 5/]0/06 5/]0/06 5/]0/06 6/9/06 6/9/06 6/9/06 6/9/06 $658.08 I Plan Reviews , Initial Review 04/14/2006 04114/2006 APP SKG Plannine Review 04/]4/2006 04/27/2006 APP TAJ No Planning issues. Public Works Review 04/]4/2006 04/]4/2006 APP CAS Storm drainage into drywell sized for addition 4/] 4/2006 CAS Structural Review 04/] 4/2006 04/25/2006 WE RWC waiting for truss details. called contractor 4/25/2006 Structural Review 05/05/2006 05/05/2006 OK RWC 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. Rp~ Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to 1100r insulation or decking. Paee 2 of 3 -ii=-- . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00437 ISSUED: 05/10/2006 APPLIED: 04/12/2006 EXPIRES: 12/06/2006 . VALUE: $ 29,700.00 Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 54]-726-3769 Inspection Line 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. Drywall: Prior to taping. Hold Downs ]nstalled: 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 tbe building is complete. Storm Sewer Line: Prior to filling trench, Rough Electric: Prior to Cover Final Electric: Wben all electrical work is complete. Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file. 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 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .i;~ Caof Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2006-00437 COM2006-00437 COM2006-00437 COM2006-00437 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By SUNSET ELECTRIC INC 2200600000000000783 Date: 06/09/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 040491 In Person Payment Total: Page I of I ]O:54:47AM Amount Due 43.00 6,00 3,92 4,90 $57.82 Amount Paid $57,82 $57.82 6/9/2006