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Home My WebLink AboutPermit Electrical 2008-4-30 \' W c/o <<;rr1l1f to)]F ~lMRlllN((UlfIlilliILIQ)~ to)T&mOO1Nl ~r~m'!~~~~Q/ I .j\[-;;_l..___ ~ I 225 FIFTH STREET · SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (541)726-3689 ) ~~i <., I ELECTllUCAL PERMIT APPLICATION ' ~J CIty Job Number CC>U1 e..- ~ 8' - cJ C> ( Z- -, Date Y - 'S 0 -oR 200 Amps or less 20] Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Ove.tj ~,,~psN olts Rp(,.ntlrlp.ct u"l1GN. iV,"f'crw fOl . Ore Otificar es ado gon law c~n 0A~'s90~Oer/fJf.J~tj~f~'~fluires I~ "090 ~ 2-001 . rhos e Ore TOu to en.Uu.~fO R1~:/21 q.tll~~t~f.~on Utility nlJ~;::!! I>>e'q ~ulq?n c ~ ~nOAR Set fO/tp. 20U'.f@frlof>tli~nter. (~OPles of tL 952_0~5'U'00 20 1 A~~Ii;~&J^~n Ote.: ~he tG/~f:J rOles. 69 00 40] Amps to 63f> ~,':;t~~llty Nrw.f.none 100.00 "\J40-2\j ""ffIjl;Eltj Over 600 ~mps or 1000 Volts sM.hr aboW, D. Branch Circuits "~~" ' New Alteration or 'Extension Per Panel One CIrcUIt Each AddItIOnal CIrcuIt or with r:t 0."", t 7t'"",fservlce or Feeder PermIt N Pump or lITIgatIOn $ 50 00 rH OrlCla/Outlme Llghtmg $ 50.00 OWNER INST ALLA nON AU IS p~ Energy/ResIdential $ 25 00 The mstallatlOn IS bemg made on property I own WhlchCO~HO~~t~ItAt!~merclal $ 45 00 IS not mtended for sale, lease or rent ANy 1fi~~~ltif,",fJFIGc~rNds $45.00 + Surcharges Sb , 4. ~4YIReJWdtPAfVDtm'%p..'r IS NO~/( - Lftf ~~"'t tl.%" 1..1.1 FOR i't-e\J. p~tr ~Io State Surcharge L/ J _ ,- So... 10% Admmlstrative Fee f/-'O ~~ 7"at.-t F~I:' Z 10 TOTAL r- Yf ~~- .. Shared Drlve(T )/BUlldmg FOl1Us/EleClrlcal Permll~'.u" ,.ua doc i" I. LOCATION OF INSTALLATION 3. S 4 75" r.f~e. k ~,,\ ~~ 1 LEGAL DESCRIPTION )7vZ-z. 843 DOber JOB DESCRIPTl<r C;'J..vL /4 c.,r~rh I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. CONTRACTOR INSTALLATION ONLY 2. Electncal Contractor G e 'rt\ v--.d E- l-ec.. T Address <:" i 9 S 'I CIty So f- t d , Jftl.4 d~ Bv- Ref Phone /~/-259(,.' Supervisor LIcense Number 3bS1,S ExpiratIOn Date /0 -/ - 0 Cf Constr Contr Number ~ 1/ 4 5: ExpIratIOn Date 11- /0 - D<f. Signature of Supervlsmg Electnclan }....,~A~ ../f<:j . Owners Name -' eO f lA- S l( I r t+;~ k !,A-\., l<- (' S~Fb Address City Phone Owners SIgnature Inspection Request: 726-3769 COMPLETE FEE SCHEDULE BELOW A. New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each addItIOnal 500 sq ft. or portIon thereof Each Manufact'd Home or Modular Dwellmg Service or Feeder $106 00 $19,00 $50,00 B. Services or feeders - Installation, Alterations or Relocation: / 70 $ jIf 00 $ 75 00 $125.00 $163 00 $375 00 $ 50 00 70 L..( $ 43 00 " $ too Ib E. Miscellaneous (Service/feeder not included) -Eacb Installation Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00127 ISSUED: 03/03/2008 APPLIED: 01/29/2008 EXPIRES: 10/28/2008 VALUE: $ 21,840.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5475 HIGH BANKS RD ASSESSOR'S PARCEL NO.: 1702284300601 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence Residential Owner: KEOPKA JOINT TRUST Address: 5475 HIGH BANKS RD SPRINGFIELD OR 97478 Phone Number: 541-746-6987 I CONTRACTOR INFORMATION. Contractor Type General Electrical Mechanical Plumbing Contractor MIKE BLANKENSHIP CORP G MILLER ENTERPRISES INC EUGENE HEATING & COOLING DOUGS PLUMBING INC License 78966 87145 149452 110163 Expiration Date 01/0912010 11/1012008 10/22/2009 11/2412009 Phone 541-912-4582 541-741-2596 541-726-7654 541-688-3385 BUILDING INFORMATION I VB # of Stories: Height of Structure Type of Heat: /, 1-'Wat6t Tyvpe: . ,'IM,..., ! '-', R~nge IJP'e:gOn la " 'E cpnt.....~d W reqU' .~.h 1 If' ~ -, ner~~ _ a II:, by th Ir~ 0 009'" It ,'SP.!i9I4~lFBuIlij~ e Dreg V Ut'/~O ,J, v,." v. -001 n 't. rUle.~ e>. fltl( ';"~EVlm&f-l , ~ I, ~~'!~' ~A'ft6~" l TOrti, M ~001 C or the Or~ ote: the t I rUles by ifJMa, D-tJt~~ Utility N~tfl:cho~e # Street Trees it~&2:344). atlOIl Paved Drive Rqd: % of Lot Coverage: 1 14.00 Wall Heat Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 208 Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 REQUIRED PARKING Total: Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 7.60 44.00 I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: ~OTICE: DownspoutsfDrains: Special Instruction: IS PERMIT SHAL AUTHORIZED L fXPIRE IF TN Notes: Storm water to splash blocks COMMENCED UNDER THIS PERM E WORK ANY 180 DAY ~~:gtBANDONED'~6~ NOT Paee 1 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00127 ISSUED: 03/03/2008 APPLIED: 01/29/2008 EXPIRES: 10/28/2008 VALUE: $ 21,840,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I DwelIine:s Type of Construction V Wood Frame $ Per Sq Ft or multiplier $105.00 Square Footage or Bid Amount 208.00 Value Date Calculated Description Total Value of Project $21,840.00 $21,840.00 01/29/2008 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $144.04 1/29/08 1200800000000000078 ~Mechanical Issuance Fee~ $20.00 3/3/08 1200800000000000193 + 10% Administrative Fee $38.40 3/3/08 1200800000000000193 + 12% State Surcharge $44.83 3/3/08 1200800000000000193 + 5% Technology Fee $18.68 3/3/08 1200800000000000193 Add, Alter, Extend Circ $48.00 3/3/08 1200800000000000193 Add, Alter, Extend Circ Ea Add $4.00 3/3/08 1200800000000000193 Building Permit $221.60 3/3/08 1200800000000000193 Fire SF Fee - Residential $10.40 3/3/08 1200800000000000193 Fixture $48.00 3/3/08 1200800000000000193 Minimum/Adjustment Mechanical $43.00 3/3/08 1200800000000000193 Minimum/Adjustment Plumbing $2.00 3/3/08 1200800000000000193 Sanitary Sewer - Improvement $122.42 3/3/08 1200800000000000193 Sanitary Sewer - Reimbursement $161.00 3/3/08 1200800000000000193 SDC Sanitary/Storm Admin $19.67 3/3/08 1200800000000000193 Storm Drainage Impervious Area $110.03 3/3/08 1200800000000000193 Vent Fan $7.00 3/3/08 1200800000000000193 ~Mechanical Issuance Fee~ $20.00 4/28/08 2200800000000000529 + 10% Administrative Fee $5.00 4/28/08 2200800000000000529 + 12% State Surcharge $6.00 4/28/08 2200800000000000529 + 5% Technology Fee $2.50 4/28/08 2200800000000000529 Air Handling Unit Up to 10,000 $9.00 4/28/08 2200800000000000529 Heat Pump $14.00 4/28/08 2200800000000000529 Minimum/Adjustment Mechanical $27.00 4/28/08 2200800000000000529 + 10% Administrative Fee $4.20 4/30/08 2200800000000000553 + 12% State Surcharge $5.04 4/30/08 2200800000000000553 + 5% Technology Fee $2.10 4/30/08 2200800000000000553 Add, Alter, Extend Circ Ea Add $16.00 4/30/08 2200800000000000553 Minimum/Adjustment Electrical $-44.00 4/30/08 2200800000000000553 Perm Serv/Fdr 200 amps or less $70.00 4/30/08 2200800000000000553 Total Amount Paid $1,199.91 Pae:e 2 of3 CITY OF SPRINGFIELD C Building/Combination Permit Status Issued PERMIT NO: COM2008-00127 ISSUED: 03/03/2008 APPLIED: 01/29/2008 EXPIRES: 10/28/2008 VALUE: $ 21,840,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Plan Reviews I Initial Review 01/30/2008 01/30/2008 APP NJM Public Works Review 01/30/2008 01/30/2008 OK TSS Structural Review 01/30/2008 02/20/2008 APP RWC Plannine: Review 01/30/2008 02/21/2008 APP TAJ Storm water to splash blocks No Planning issues 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. ReQuired Insoections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pae:e 3 of 3 225 Fifth Street Spl ingfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00127 COM2008-00127 COM2008-00127 COM2008-00127 COM2008-00 127 COM2008-00127 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000000553 Date: 04/30/2008 DescrIptIOn Add, Alter, Extend Clrc Ea Add MInimum/AdJustment Electncal Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Paid By GARY MILLER Item Total. Check Number AuthorIzatIOn Received By Batch Number Number How Received dJb 048106 In Person Payment Total: Page 1 of 1 11 :07 :25AM Amount Due 1600 (44 00) 7000 2 10 504 420 $53.34 Amount Paid $53 34 $53.34 4/30/2008