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Home My WebLink AboutPermit Electrical 2008-4-25 SPRINGFIELD ZON \ c\-. ( lNITIALS t-.., f\^- ~, DATE. l-U, --u Y{ ~JlI SOURCE 0, lZ,] (\ r-.J / ,\ l-(125 / cJ~ 225 FIFTH STREET - SPRINGFIELD, OR 97477 - PH:(541)726-3753 - FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number CON\~O~ oo~, ~ Date 1. U)CA nON OF [NSTAI,LA nON. N~~ 3. , COlvIPU:TE rEf: ~'CHEDULE BELOW ~'{ffO LEGAL DESCRIPTION. 17D5 Z)/L{ ocr s-o a A. New Re!\idential- Single or Multi-j<'amily per dwelling unit. Service Included 1000 sq ft. orless Each addItIonal 500 sq. ft or porhon thereof $11700 JOB DESCRIPTION: , I ~ * , I b_"- (rU'-'-,':- \....... ~ Permits are non-transferable and expire if ~k is not started within 180 days of issuance or if work is Suspended for 180 days. $ 21 00 Each Manufact'd Home or Modular Dwelhng SerVIce or Feeder $55 00 2. CONTRA CTOR [NST ALLA nON ONLY B. Service~ or Feeder~ - In~tallation, Alteration~ or Relocation: Electncal Contractor ~t+t"~ k. 'l;::1 ~d-t~&\Jif8S 'J~~mps or less $ 70 00 ~ ~ 3t ,_~~,_::,f\ \s'N "-; .,oc.ooWl \\'Lps to 400 Amps $ 83 00 t U ' I' ~ ~(:"' \..Hl..'i.:J ~to~~ Address (~ .,~{,\.."."~;\:,~:\lf0\\esare I~ijJst0600Amps $13800 - , d -\'\-':0'-' -' o'H95 - ~ ,,\ h:?-"\~ (Sr~o\J't~,)rine~~sto 1000 Amps $180.00 CIty, , Phone,t~~l'~_~~~~~\e~anrooo Amps/Volts $41300 ,',,:, "CA,;.'9" 'te~. (Not8,.t\','~O\~~ctOnlY $5500 U.J~ _" tl'l8 edr, , -0 \j1,\ \l.y CL' ~,:., ~ ore~ '~3Z.2.34.4). Supervisor License Number \\J\f,\ \0 '.r \S1~O-~ C. Temporary Services or Feeder~ Exprrahon Date I ~ 10 , I 0 Installation, Alteration or Relocation t.. ! t"'" . 200 Amps or less Constr. Contr. Number } J tJ~la 201 Amps to 400 Amps O~, J I () 401 Amps to 600 Amps Exprrahon Date v~ J C l' I' Over 600 Amps or 1000 Volts see "B" above SIgnature of SupervIsing Electncian D. Branch Circuit!\ / -' '/ t. New Alterati~~ WxlE\i\iidtl~~anel p).../P, V~.:, ~ ~n1\C :~\.Q~~~~ E?~\\\S -1 " '1 ~~ is tJ[? ~~i&; ~EI0' ~}} 141.(' ~- -r-~ \.\'-r\O?\IE3'~no~ ~J errmt Owners Name /,/,,-,' - -,'pi"''' -1//,;{/7 f\ :'\~N\t~CED 00. Address :7.:/-;-:;(; I~/f/;i(' ~ T :::r c..\)~1 -I8~~'ii~'t\~aneou!\ (Service/feeder not included) -Each In!\tallation v. / ..~ I ;.,N 1 \ < /I / !>"-f' /. j-J j ...-' 'Yo ........ City /'# /~_r/' Phone -. 7 / I- I,!;. ,(j ,~- Pump or irrigahon $ 55 00 / /' SIgn/Outline LIghting $ 55 00 OWNER INSTALLATION LImIted Energy/ResIdentIal $ 28 00 The mstallatlOn is being made on p.vperty I own which LImIted Energy/Commercial $ 50.00 IS not mtended for sale, lease or rent. Minimum Electric Permit Inspection Fee~~ Surcharges Owners SIgnature. 4. SUBT07AL Of ABOVE - -Sb 12% State Surcharge lC~ ~ , -=;-(, 10% Admmlstrative Fee c:; ')f; , '3 0 5% Technology Fee :t:.L.. 0 t1 ~J-. 5~ ' $ 55 00 $ 76 00 $11000 $4800 l.{f' . (H $ 400 Inspection Request: 726-3769 TOTAL " Shared Dnve(T )/BUlldlllg Forms/Electncal Perffilt ApplicatIOn 1-08 doc CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00369 ISSUED: 04/11/2008 APPLIED: 03/18/2008 EXPIRES: 10/29/2008 VALUE: $ 4,320.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2480 Maia Lp ASSESSOR'S PARCEL NO.: 1703251404500 Springfield TYPE OF WORK: Garage PROJECT DESCRIPTION: Enclose breezeway TYPE OF USE: Alteration Residential Owner: TERPENING HAROLD GENE & PAULINE JAN Address: 2480 MAlA LOOP SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type General Electrical License 107505 154326 Contractor GARY HAAG THINK ELECTRIC I BUILDING INFORMATION I ,,,es yOU ,t? # of Units: tt., Oregon laW ~'~Rf~t1 Ut\\lty Primary Occupancy Grou",~OslfldoPted bY~I~~%~~f~t!ie\:ti)PJ'I Secondary Occupancy GrdjJiloYl ru e (lenter. 1'hosN ft i6,ijl~2.-00'\- Primary Construction TytMOtffiCat'0~l6~)1..o01~ thr9P, ~rOfl1De:rU\eS bY Secondary Construction 1l1>QAR ~u may ob\81n c~J)l{t\erillAepno~e n # of Bedrooms: 0090. 0 \he center. {NiUti"t'/It3dil.Matlo ca\\\ng tor the Oregoe~il!~a)Iilding n/a IIWmber . .18- le 1.800 \1'1:;" . I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ~~ 23.00 5.00 Overlay Dist: 1!>, # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Expiration Date 07/05/2008 02/11/2009 Phone 541 746-2629 541-232-1212 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 216 Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: NOT'CE~ EXP\RE \f "THE \NORK 1HIS PERM\T SHA~~ TH\S PERM\T \S NOt AU1HOR\ZEO UNRO \S ABANDONED fOR COMMENCED 0 ANY 180 DAY PER\OD. Notes: No SDC's need for storm Pa2e 1 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00369 ISSUED: 04/11/2008 APPLIED: 03/18/2008 EXPIRES: 10/29/2008 VALUE: $ 4,320.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 4,320.00 Value Date Calculated Description Total Value of Project $4,320.00 $4,320.00 03/18/2008 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $49.23 3/18/08 1200800000000000247 + 10% Administrative Fee $8.65 4/11/08 1200800000000000341 + 12% State Surcharge $9.09 4/11/08 1200800000000000341 + 5% Technology Fee $3.79 4/11/08 1200800000000000341 Building Permit $75.74 4/11/08 1200800000000000341 Fire SF Fee - Residential $10.80 4/11/08 1200800000000000341 Plan Review/Residential Hourly $50.00 4/17/08 2200800000000000475 + 10% Administrative Fee $5.00 4/29/08 1200800000000000413 + 12% State Surcharge $6.00 4/29/08 1200800000000000413 + 5% Technology Fee $2.50 4/29/08 1200800000000000413 Add, Alter, Extend Circ $48.00 4/29/08 1200800000000000413 Minimum/Adjustment Electrical $2.00 4/29/08 1200800000000000413 Total Amount Paid $270.80 I Plan Reviews I Initial Review 03/18/2008 03/18/2008 APP NJM Public Works Review 03/18/2008 03/20/2008 APP LKW No SDC's/ no new added impervious surface, roof is connected and gutters are collecting current run-ofl per conversation with contractor Gary Haag on 3/20/2008. Plannin{! Review 03/18/2008 03/24/2008 APP TAJ No Planning issues. Structural Review 03/18/2008 04/09/2008 APP RWC 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. Pa{!e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00369 ISSUED: 04/11/2008 APPLIED: 03/18/2008 EXPIRES: 10/29/2008 VALUE: $ 4,320.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reouired InsDections I Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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. 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 Page 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00369 COM2008-00369 COM2008-00369 COM2008-00369 COM2008-00369 Payments: Type of Payment Check cRecemtl RECEIPT #: 1200800000000000413 Date: 04/29/2008 DescriptIOn Add, Alter, Extend Ctrc MInimum/AdJustment Electrical + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Paid By THINK ELECTRIC Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 2488 In Person Payment Total: Page I of 1 1:15:50PM Amount Due 4800 200 250 600 500 $63.50 Amount PaId $63 50 $63.50 4/29/2008