HomeMy WebLinkAboutPermit Electrical 2006-8-21
Date
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1,-:;'/-06
225 FIFTH STREET. SPRINGFIELD,OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION/". J b
City Job Number ('" r.W'\ Zcso f. _ () C> I:::> ,
Each Manufact'd Home or
Rt-1odUI~rfDwe11ing Service or' $50 00 '
FlJ~" , .
T eeuer.l . .
, g~;ft1~~~~~~~>>~~t~\~~ws:i~~rR,1ill~1~.&~J~3
Af.iOO/Amp.,or-less'1/S ABANDQ RMur IS N~63.00 b 3,00
,I I1U I1I.'V ~- fltu FQ ,
201 Amps to 4001AiB~~. R. $ 75.00
401 Amps to 600 Amps $125.00
.
601 Amps to 1000 Amps $163.00
Over 1000 AmpsNolls $375.00
Reconnect Only $ 50.00
,ATTFYTION: Ore~on~\~"SI'9~.'~.:l9=:r. .....,-
47 J..-.7r5J rulc~ a~:o!;t{.G.h;T~~!1!'p'gr~n'~5X!.~~~Ie.~<le~s ~;.::;:-:_,.lS2f,~:<:i?fi~=~t~~~'::,~;~>Ef']
~c;' :- "on Celter. Those rules are set forth
10- {- 0 if. (c'.;; ,:-:~.O(l1-001 0 t'~S!'!1l\'.t.io.!'.~.-:\!~!~i~~ or Relocation
0(',8, Y:..u r~.y obtain200:Ampsloilless'ules by $ 50.00
/777 ()ro':;'1ri lhe center. (20ltAnips:t6:409IAmps $ 69.00
numour for the OrE g40 IIAiiip~ to 606 fKmpsl $100.00
rAnlAr 'IS 1-8"n-q~"","\44\
'. 'Over'600'Amps' or 1000 Volts see "B" above.
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n 5-7 ~(('- \r E. ~ii;c~.i~~ou~':i~~i~,~~~<!,~r.~~t'l~~I~d!~);--.EHhJ_~;t:ii!~;!on)
S?t~ Phone '3~7. ({)?b pum;~:irri::~-n' ~.. -,-----.- $50.0;'-"-~-~-'
Sign/Outline Lighting $ 50,00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
I. .; LOf;ATI()jJ-,OF INST ALLAT'io}JI \ ~':':'fI
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7J.Cj7 HOLLY 5T
LEGAL DESCRIPTION
Ig{)2DZ~ L
o ~ Z-cZ-
JOB DESCRIPTION /
100 IdflI'I' S /LvL / ~t.......f
Permits afe non.transferable~nd expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
''''',~'.r~~,<:-:,,~;rt,r"''.-1.~\l''....'''"1''':';''''O; ':J><)'~: '.~""'.';"- .~"
, CONTRACTOR-INSTALLATION,ONLY";
2. L.':-:-:. _.....~~"i>-:.......;..:;. ..:::....::.i;.:.J._U-.~~_~.;'O'~.;;.::.:.h.';- t" ," :"C:.;J.;'..
Electrical Contractor
nSTSIDc
€{.(C71</C
Address ., '75 ~)3
BoSGAG-E LN.
'17'17'6
City
SP~W
Phone 7l.f(-IY9ct
Supervisor License Number
Expiration Date
Expiration Date
I
Ib-Ol.{- 07
Constr. Contr. Number
Signature of Supervising Electrician
Owners Name
Address
City
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
;-'1.- '.' <'\..-.. ,.nr..~"""~.~ '. ...,0""'-':'-' .','-. :t:,.~.-'''-'.' _. .'--;" . -~. ~.-".".""1"'J-:":'.--~:::rff"7'"
3. t ,p()Mp'LETE fEE $CflEDYLE.1l.~LPw:J;r;n~-,'~;.'~'.'< ':.T~
f._,...~. "-_,,,,_"'-"'.". -,-'.>':.1 ___ ,'<",','-"._.A..,__,:,___"",,~_~ .:>;l,~i<I-;~ ,~"~,,,,,,,,,--"',-.",'J..'_.;:,,
~ '""i.a..~~V'."f:"f:'''''': r~,r.:-ii:'i!: "-:J-t.T<..::....-:'"',;;~....,,~.-::;';':'~ 7'-:- .,'''t~:.' ,7rt-~>7~r~-:-~.r:-"~ . --
A. :~_ N ewRe.sidential'7:Single!(n:J\'lul~i~Familv Jler"'<dl\'elling'unit~<:,:: .~.
.;;:;,,'.1 >" - 'u __~~__'..c.n""_'--~..:c._,,>.. 'c.~'__~.$.:.-J:-=-,,-:"::""-.......w.___
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
$ 19.00
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuil. or with
Service or Feeder Permit
$ 43.00
$ 3.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
[-,~.,.,..:-. '.'. --'r~"~"'-:" . ,~,~ /
4.l~~!i?i%t~tfM?~,~.~:;,~~,;,..~~;~\:~"~.,~\ttJ;:} 0 >
SO"
8% State Surcharge
10% Administrative Fee
5?G
TOTAL
1>70
;1"
771{'
Shared Drive(T:VBuilding FonnslEleclrical Permit Application 1-06.doc
.CITY OF :'lrKll'lCFIELD
Building/Combination Permit
PERMIT NO: COM2006-00646
ISSUED: 07/07/2006
APPLIED: 05/30/2006
EXPIRES: 02/16/2007
VALUE: $ 44,408.00
-1tIIr:~7f111. ...
- -
.. :
,.. '. '."..,.
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54t-726-3769 Inspection Line
SITE ADDRESS: 7297 HOLLY ST
ASSESSOR'S PARCEL NO.: 1802021205202
Springfield TYPE OF WORK: Garage
PROJECT DESCRIPTION: Shop
TYPE OF USE: New
Residential
Owner: NOLIN BARNES
Address: 7297 HOLLY ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor
MOIR CONSTRUCTION
EASTSIDE ELECTRIC INC
License
41570
117770
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING INFORMATION I
ATTENTION# ofStorie~: ' I
U i-/J{fhi0o'f sWuHl,reires you 1'21.00
fUllow ruies "fn, "phl" t\)e Oregon Utility
~I 'T t' C ype 0 ea.
. VN Ica Ion €WaferTi'rp,i,' rules are set forth
In OAR 952-00k:l'J'g'{.:1iype:Jgh OAR 952-001-
,0090.You ma\EJii~i-gylRat,,:es of the rules by
calling the CSpi-inkl~d[Buildigg:3Iephonen/a
ntln"lh~..l".....l-.~^____ _ I...... ." ...
I DEY.EIoQPl\1ENTjINF,ORMATlON I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
105.00
50.00
52.00
I PUBLIC IMPROVEMENTS'
Phone Number: 541-343-4396
Expiration Date
02/14/2009
10/04/2007
Phone
541-343-4396
54t-915-9828
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: '
Occupant Load:
1,708
Hillside
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Curb and Gutter
Street Improvements:
Fullv Improved
Yes
Downspouts/Drains:
Storm Sewer Available:
Special Instruction:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
Storm drainage piped into existing to curb 6/4/2006 CA~UTHORIZED liNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Paee I of 4
.J "
..
.
.CITY OF ~n(1r~(...' lJ'.,LD
Building/Combination Permit
PERMIT NO: COM2006-00646
ISSUED: 07/07/2006
APPLIED: 05/30/2006
EXPIRES: 02/16/2007
VALUE: $ 44,408.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion J
Description
Garaee
Tvpe of Construction
Garaee
$ Per Sq Ft
or multiplier
$26.00
Square Footage
or Bid Amount
1,708.00
Value
Date Calculated
Total Value of Project
$44,408.00
$44.408.00
05/30/2006
]?PPfO', P.iiiJ
Fee Description Amount Paid' Date Paid Receipt Number
Plan Review Residential $221.91 5/30/06 1200600000000000725
-Mechanical Issuance Fee- $10.00 7/7/06 3200600000000000362
+ 10% Administrative Fee $71.88 7/7/06 3200600000000000362
+ 8% State Surcharge $50.67 7/7/06 3200600000000000362
Fire SF Fee - Residential $85.40 7/7/06 3200600000000000362
Fixture $28.00 7/7/06 3200600000000000362
Garage/Carport $341.40 7/7/06 3200600000000000362
Minimum/Adjustment Mechanical $39.00 7/7/06 3200600000000000362
Plan Review Minor - Planning $112.00 7/7/06 3200600000000000362
Sanitary Sewer - 1st 50 Feet $45.00 7/7/06 3200600000000000362
Sanitary Sewer - Improvement $76.28 7/7/06 3200600000000000362
Sanitary Sewer - Reimbursement $100.28 7/7/06 3200600000000000362
Sanitary Sewer Each AddtllOO' $42.00 7/7/06 3200600000000000362
SDC Sanitary/Storm Admin $71.40 7/7/06 3200600000000000362
Storm Drainage Impervious Area $1,251.45 7/7/06 3200600000000000362
Storm Sewer - 1st 50 Feet $45.00 7/7/06 3200600000000000362
Storm Sewer Each AddtllOO' $14.00 7/7/06 3200600000000000362
Vent Fan $6.00 7/7/06 3200600000000000362
Water Line - 1st 50 Feet $45.00 7/7/06 3200600000000000362
Water Line - Each AddtllOO' $28.00 7/7/06 3200600000000000362
+ 10% Administrative Fee $6.30 8/21/06 1200600000000001307
+ 5% Technology Fee $3.15 8/21/06 t200600000000001307
+ 8% State Surcharge $5.04 8/21/06 1200600000000001307
Perm Serv/Fdr 200 amps or less $63.00 8/21/06 1200600000000001307
Total Amount Paid $2,762.16
I Plan Reviews I
Initial Review
05/31/2006
06/01/2006
APP LLH
Paee 2 of4
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00646
ISSUED: 07/07/2006
APPLIED: 05/30/2006
EXPIRES: 02/16/2007
VALUE: $ 44,408.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
06/01/2006
06/13/2006
OK RJB
Per Moir Construction no trees will
be removed as a result of this
project. The house is larger and
higher than the shop. Prop line
adjustment approved in 2005 to
make this a larger lot
(SUB2005-00053).
Storm drainage piped to existing to
curb 6/4/2006 CAS
Received truss information 6/5/06
Plannine Review
06/01/2006
06/22/2006
APP T AJ
Public Works Review
06/01/2006
06/04/2006
APP CAS
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.
I )?pf\llJrptl Tn<n~
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
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.
Underslab Plumbing: Prior to filling the trench and including required testing.
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 Plumhing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Paee 3 of 4
.
.CITY OF SrKlr\i~l'l~LD
Building/Combination Permit
PERMIT NO: COM2006-00646
ISSUED: 07/07/2006
APPLIED: 05/30/2006
EXPIRES: 02/16/2007
VALUE: $ 44,408.00
Status
Issued
225 Fifth Street, Springfield, OR
54t-726-3753 Phone
54 t -726-3676 Fax
541-726-37691nspection Line
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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
.ii~j
Cwf Springfield Official Receipt
~opment Services Department
Public Works Department
Job/Journal Number
COM2006-00646
COM2006-00646
COM2006-00646
COM2006-00646
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Date: 08/21/2006
1200600000000001307
Description
Perm Serv/Fdr 200 amps or less
+ 8% State Surcharge
+ 10% Administrative Fee
+ 5% Technology Fee
Paid By
ROGER KING
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
djb 055928 In Person
Payment Total:
Page I of I
12:01:44PM
Amount Due
63.00
5.04
6.30
3.15
$77.49
Amount Paid
$77.49
$77.49
8/21/2006