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Home My WebLink AboutPermit Electrical 2007-1-24 8Jit ~ :~~LS 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-37S3 . FAX: (541)726-3689 . - SOURCE . ELECTRICAL PERMIT APPLICATION City Job Number LolM. 'Z.O 0 ~ - 0 I Z '3 r Date '/- Z 4 - 0 r /J New Alteration or Extension Per Panel . ...' ;;fL -r:;;,,%~ r -O~~:EiicuitJ4}.00 Each AdditionalACircuit or with ,. u.. . .. 'lltll' l)~ I' ~'iDIR $'300 ~ .1.1:;\ . Serviceor..FeederPennit E'FJu~",~~.,_,,,, . Owners Name .J..>e);IV WIT ~ to. . 't U UNDER HI . ..- .. v, or, (d,-If. '.d_ ~/, ) 7ME: ~~~ttiWrli,~!(~~~e\!~~tJ;;~~WJfd;l.:Efch;Qi;,'II;;i.io;;1 . Address S4( HI oI't_.<- ~ ..,T?'" "'1 . ....~";,.:1fPERIOD.v,..,,~cu.....,;,JI''''W'-_. .''''......,.,.... . -.- . City .h)..C~ Phone bE 7 - bV! If Pump or irrigation . . $ 50.00 Sign/Outline Lighting S 50.00 Limited Energy/Residential ,.',$ 25.00 Limited Energy/Commercial u-$'45.00 . Minimum Electric Permit Inspection Fee is $45;00 + Surcharges ;'l:\o;""".l:.;:-p.:t:::;r;.~~..r;:-...,-::S:-'.~:"?"?"r.:.~J;P'\1'!~'''~ 4. r SUBTOTAL OF~OVE.: ':'.;;:,f.;9,,'(.,/;f:~"l.~ ;.is;;.;.~:'::'~"'''''nJ'':.:::..A!::!U ..,:.l",.'.l"~"J.'h:-'",.oJoC.:~~2.,:!f;:-..:..s.J.:.i:.' 8% State Surcharge 10% Administrative Fee 5% Technology Fee 1.-'t't',',""'''~\~~r-,,"'''''''o;;'':l'\.''''':~'l:''', ..t'I'~+:;- ,.......~.~~.:~~~" I. ,,"LOcATIONOFJNSTALLATIONi'-;iitip",!'.-i l..!. ~,~,p"'T' .~...~,.,_ '~.",'.'...''''~~~ _..~....,'I.f.:J"...."., A'q 7 . fC~i(~ -nrI~ , LEGAL DESCRIPTION: I/()~ "1 fZZ It bOO JOB DESCRIPTION: ~~c,.. W'W Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended f9r 180 days. ~coR7'1t1tT61f.zN1T~mi~()&i~l 2. I., ~,.~ ..,.', 1;' ".",-,_ ~ c.,' -........''''IT. . _"t""': .....,_~. .'.."...:.....~"'''''',- ...2.. "-""J' ';i;l(~ ~~.....__-..........~~~...........~..._."",,"~,l._~.......... .:;;0;. '3 Electrical Contractor L';:;:'~/) <' ~/.-,,"~c: Address Pl). '/;{/)X City f..Aeklk.J~ //93 'Phone Y95- '1'/1.(,. Supervisor License Number ,}.. 'J 71) ~ 5' /!J .- cd - ~ 7 Expiration Date Constr. Contr. Number /5'9.<'..'?? Expiration Date 7" - /~ - dX'" Signature of Supervising Electrician OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, 'lease or rent. Owners Signature: Inspection Request: 726-3769 ......., __~,l<!,...."""".""l!~;-''''''':<'~'''''''''::'"'''t''~l'l'~-+~ .....-:-N'4..'......:~. .~.-~.. . ,. , 3. \COMPLETE.FEESCHEDlJIJEBELOW; .,~,.;,>>:,",.-' f,:. ~~4&.;..;c:...;...""::",,,,;,-,::, -., - ',-"',,',.....;.'.::.;.,;~~l~.t~~:t..:'...!...w.:.~" -(~ _,<:t>.>J~:...:.a.lo: !P~(~'\"',::--o/~.-:>'!V:-.:;'tll~.rR;'}!\l'!"':"F:--~~~;r,:..-;."8l.::;:,..l~r-r". .' '1 ,:T~ A. t!~~~~~~~t~l.ilH!!e~<<?r~I\J~'J.~::f.~R~!!~.;p~~'le!~~.lf~. .fi:fj Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufac!' d Home or Modular Dwelling Service or Feeder $106.00 lOb " S 19.00 $50.00 ~4C~"'''''~ ';'-'~"4" .~'-!t'.~!?,~~r.F'~'71;;:t~;:;,zt,'= ."<' j :''',12;:;~ ~.,' ~ '':~~~.t ...~~ .~ B. ,'Services or Feederst..Jnstallatio.n; Alterations,'nr Reloc.ation:"":'1 fL~'4J.~:;"i-;'.W"::~~':.\<<'~~'~W~1'~'''Al~;. "':"\~'~~J't.:..~.;.;:;.....~....L:~~1..;~.w 200 Amps or less S 63.00 20 I Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpslVolts $375.00 ':Re~';-";''eCi OnI" t.'" ",,':,' . "LtlJllf~:; YOU'S,''sO:OO k"~l:-'.N ',U1t:~ i1~opted ay ~b{' Oregon Uti;j+ ~ Jotl~~}jt:0ef'!ur"";fnr.;.::7"""''''=''""''..r''D~-;''~-'7rr;,.-:-'r''>'';'Sl C",,^. :r.emporarvl$".~~lces'or,F"ders:ft~IiI'",~.:,,-m 4'1...,.''''.,.....,. ". ~ ,:,' > 'V_"''<1~~j. :.vv'H:l111t'Oil!Ji'i VflH ~15';tdo~~'" " ....."., .-. , lOgO.you mav "'br:>'" c:nr::~ - ^..... . Glnstallation, Alteration o~'Relocation' rules b' all II II) Oil' comer. (Note: the tele h ..... -. 'L2.Q(l,,:~p,slorr!~sbr'>gon Uf"" r P on(S.50.00 . ~ I hY ,ulIllcaUCs1 201 Amps. 10.400 ...~ps, .,.,., ?3' .. .' ..559.00 "... ......,., 401 Amps to 600 Amps ~IOO.OO Over 600 Amps or 1000 Volts see "B" above.!'''' " .. ~1SI~~-"':G~r;"''''~.'''":t,j;<:,;;r:r'''!''~.;:>..... ..t-l...'.,.~c::~...-"c.?........... ~~. t"")."-f ~ ,."Fm1-:' D. ~~~l!.f~,f.~r5M.!!~~1:"~;"~~~:;:i~'1-r..~:,~:..~;il~~~~~li:,~ ~:.~'\"'. ~~~':<11,?:): TOTAL ~ Izr CQ 1'Z~o I,rr / S'3 ~ Shared Dnve(T:)/Building Fomls/Electncal Pennit Application 8-o6.doc . eLll r OF SPRIN\Jl'u'LD' Building/Combination Permit PERMIT NO: COM2006-01235 ISSUED: 12/05/2006 APPLIED: 09/26/2006 EXPIRES: 07/24/2007 VALUE: $ 131,769.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 849 Kelly Blvd . ASSESSOR'S PARCEL NO.: 1703352211600 Springfield TVPE OF WORK: Single Family Residence TVPE OF USE: New Residential PROJECT DESCRIPTION: Single Family Residence Owner: Address: WARD ALFORD DON 541 WILLAMETTE ST STE 214 EUGENE OR 97401 Phone Number: 541-687-6424 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I CONTRACTOR INFORMATION I Contractor License OWNER C PERKINS ELECTRIC INC 159537 RONS HEATING AND AIR CONDITIONING 169680 CRAIG ARNEY PLUMBING LLC 167015 I BUILDING INFORMATION I yOU ,;) I-\-.-ll::lx-I.'-',,,.......-;.r . U .\., I " '~":,,rl0" L, Oregon \11 Y 110110\'1 ~u (#~~St~ne.~:"n'''.'. .1 ,;es are ~pt I~)rtl R-~otific3ttOrH~'ght.'of S~rtt,ctu'~~:h r'\~p Q~?:~~Oi ul OAR 95~T.ype ofIHea.t: ,r('orced'AIr ElectriC b . . of tt;~ ""0" VN090 YOll W,aterjT.ype:, copies Electric - V" th t 1-"h""P callinA tff.!'~ge;'I)pe:Note: e e EI.~ctric- 3 be'r ,Energy/P.ath:on Utility Notipiith :jln 'lunl j"-'III_ \;J. -..- "Sprinkled Building:?-?344). nla VtJd '\:.> I '." . Expiration Date Phone Contractor Type General Electrical Mechanical Plumbing 04/15/2008 05/04/2008 10/25/2007 541-895-4466 541-343-6829 541-736-9582 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 6,098 658 673 I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: 2 Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2.Setback: Rearyard Setback: Solar Setbacks: 30.00 Overlay Dist: 21.00 # Street Trees Rqd: 10.00 i'O'dCEraved Drive Rqd: 1 'I'S PER%,ofLot^coverageiiE IF THE wm8:10 13.75 ,. '. lVI, I :JHMLL C^, I '" . T~r;:1I71:n 11~lneR THlt; PeRMIT IS NOT . ~. 'I PUBLIG'(MJ'ROYElVIENJI.SlltU FQR F :". ( ; ",cd' <JAY PERIOD. Sidewalk Type: ully Improve Ves 2 Street Improvements: Storm Sewer Available: Special Instruction: DownspoutslDrains: Curb and Gutter Notes: Storm drainage to curb & gutter.JLP Paee 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellines V Wood Frame Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential . Furnace - up to 100,000 htu Plan Review Major - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimhursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer Each Addt1100' Temp Power 200 amps or less Vent Fan Willamalane Single Family + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Total Amount Paid . I' Valuation Descriotion I , , $ Per Sq Ft or multiplier $99.00 Amount Paid $502.87 $10.00 $115.12 $64.13 $86.77 $306.00 $31.00 $669.65 $6.00 $9.00 $66.55 $12.00 $198.00 $474.97 $624.64 $10.00 $961.52 $91.61 $101.49 $73.65 $836.32 $189.58 $314.14 $14.00 $50.00 $18.00 $1,000.00 $12.50 $6.25 $10.00 $106.00 $19.00 $6,990.76 Square Footage or Bid Amount 1,331.00 Total Value of Project FpP~ pq~ Date Paid 9/26/06 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 . 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 1/25/07 1/25/07 1/25/07 1/25/07 1/25/07 Paee 2 of4 . .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01235 ISSUED: 12/0512006 APPLIED: 09/26/2006 EXPIRES: 07/24/2007 VALUE: $ 131,769.00 Value Date Calculated $1,31,769.00' $131,769.00 12/05/2006 Receipt Numher 1200600000000001451 3200600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 320~600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 3200600000000000606 2200700000000000111 2200700000000000111 2200700000000000111 2200700000000000111 2200700000000000111 Building/Combination Permit PERMIT NO: COM2006-01235 ISSUED: 12/05/2006 APPLIED: 0912612006 EXPIRES: 07/24/2007 VALUE: $ 131,769.00 . Status Issued 225 Fifth Street, SpriDgfield, OR 541-726-3753 PhoDe 541-726-3676 Fax 541-726-3769IDspectioD LiDe IDitial Review PlaDDiDe Review 09/2712006 09/2712006 I Plan Reviews I 09/27/2006 APP 11115/2006 APP LLH TAJ Public Works Review 09/27/2006 JLP 10/1212006 WE Public Works Review 11107/2006 11/07/2006 WE JLP Public Works Review 11/15/2006 11114/2006 APP JLP Structural Review 11115/2006 12/01/2006 WE LLH Structural Review Structural Review Structural Review 12104/2006 09/27/2006 10/27/2006 12105/2006 OK 10/04/2006 APP 11115/2006 IO TR RJB LLH .L11 l' OF ~rKll'llJ"lELD' Need to provide 2 off street parkiDg spaces (may be off the alley). Per Email by Tara. PuttiDg OD hold uDtil OWDer submits Dew revised plans. Placed in hanging file - My office.JLP Lft msg for owner on machine @ 4:30pm 1117106. Site plan incomplete. (I)Needs driveway detail. (2)Sidewalk detail. & (3)Storm H20 plan OD Site Plan before PW COD review.JLP Revisions received from owner on 11/8. Review completed in two (2) bnsiness days (11/t3th&14Ib). Data enlry II/IS. Storm draiDage 10 curb & gutter. Drywcll is NOT allowed.JLP Letter mailcd to Owner from Tom Rogers. I did Dot rcceive a copy to attach to document Plans reviewed by Tom Rogers Revised PlODS submitted 10/25/06. Forwarded to Tom Rogers for review. 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. ~ Tn~nlf'ctions I Erosion/Grading IDspectioD: Prior to ground disturbance and after erosion measures are iDstalled. Ufer Electrical GrouDd:. Install ground rod at footiDg and call for iDspection in conjuDctioD with footing and/or fouDdation iDspectioD. Footing: After trenches are excavated. FoundatioD: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulatioD or decking. Floor IDsulation: Prior to decking.. Shear Wall Nailing: Before covering sheathing with fiDish materials. FramiDg Inspection: Prior 10 cover and after all rougb in inspections have been approved. Paee 3 of 4 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01235 ISSUED: 12/05/2006 APPLIED: 09/26/2006 EXPIRES: 07/24/2007 VALUE: $ 131,769.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Perimeter Foundation Drains: After gravel and filler cloth is installed but prior to backfill. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough 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 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 4 of4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Lj:G~iI' Witr':~'==~.__. 1:. ' ". I , '''., , .,_.. ~-,-'" .... <aof Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2006-01235 COM2006-01235 COM2006-01235 COM2006-01235 COM2006-01235 Payments: Type of Payment Cred itCard cReceiotl RECEIPT #: Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By C PERKINS 2200700000000000111 Date: 01125/2007 Item Total: l:heck Number Authorization Received By Batch Number Number How Received djb 049964 In Person Payment Total: Page I of I 10:09:30AM Amount Due 106.00 19.00 6.25 10.00 12.50 $153.75 Amount Paid $153.75 $153.75 1/25/2007