HomeMy WebLinkAboutPermit Electrical 2008-5-2
Date
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5)2/0~
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225 FIFTH STREET 0 SPRINGFIELD, OR 97477 . P":(54I)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number (l A-~ ~
1. LOCATION OF INSTALLATION:
lJ2VA4 ~OO
\E7)b~T\O\: 0=\\00
JOB DESCRIPTION:
~~l~~ -\- uw\b\-\-
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
3.
-
COMPL.n1.1i.1'}!;}!; SCHEDULE BELOW
A. New Residential- Single or Multi-Family per dweIling unit
Service Included
1000 sq. ft. or less
Each additional 500 sq, ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$117.00
$ 21.00
$55 00
2. CONTRACTOR lNSTALLAlluN ONLY B. Services or Feeders -Installation, Alterations or Relocation:
Electrical Contractor 5u. fLyY 6l1t fill cltt.200 Amps or less $ 70.00
0<1'. () I 201 Amps to 400 Amps $ 83.00
Address td} ruay_ 10il'-l8j 11'1Dl 401 Amps to 600 Amps $lt,w>
~ 601 Amps to 1000 Amps ~stJ!l}\\\\)J,
City ~ Phone 14/- gfJ~)S Over 1000 AmpsNolts o~ \e.~ ,~aO\e~~~~_
Reconnect Only ~. Ote~ eO. 'o~ "'\-v.,es e.~ ~}a6lJ 'e-'J
~~~o s e.o.o~'\! 1~ose u~~ O~\~e tu\eS e
C. Tempo~~~~\~~"~~~tO ~\eS 0\ \e\e~~O~\o~
~o\\,\ce.\\~7:'OO\' O'o\e.\'{\ ~~\e" ~~e ~o\\\\Ce:.
Installatio,\~~~~~~,bd~~ \j\\\\\l~A,A)'
200 Amps ode~~\X\'{\~ \~~,~~e .o'~~O\)'~~7:' $ 55.00
20 I Amps to 40ij~ 6e'{\v~t \S . $ 76 00
401 Amps to 60g Amps $110.00
Supervisor License Number 5Dft;() .'.
ID , ()IJ
Constr, Contr. Number Ef2.B5S
Expiration Date r&
~. Over 6.00 Amps or 1000 Vo!ts se~ "B" above
XSlgnaturje ~rf:/'- e~ /. g E_~~ ician_____ D. Branch Circuits
/ - New Alteration or Extension Per Panel \ ~
One Circuit $ 48.00 J
f 0-.:- ?-r --Each Additional Circuit or with \
Own,,, Nam, ~~ Ifn- ~\.( Rnq e, Seovk, .rF"d" P';~~~~~. . $ 4.00 . ·
Address\.QloC\ 4 _ ~ Co ~ II f"'\. E. Miscellaneo~~ifJJ~eder not included) -Each Installation
,- \ ~ \' I /")/"'4 ~<<., ~~ Y..\)~
City one -uJ\ i.&rr-L{ Pump 0~..i~1a~ ~<<,~ $ 55 00
. ~ ~~).~)}ig $ 55.00 _
OWNER INSTALLATION ~\~<(,. ~Y.l n~~y/Residential \ $ 28 00 'l-'2?cxJ
!he in,stallation is being made on .J1Vperty I own ~~ S <{<<,~"\..~~~ '/Commercial $ 50,00
Owners Signature 0 ~~\)~~\ ~t)bTOTAL OFABOVE Pr J ,cxJ
0. 0 "./'\ ~ '?-~ \ ~ State Surcharge ~ a. _ ( 00
(\ ~ \J ~ &' l \ . '\. \ v.{O% Administrative Fee P,.., :C..Y )
'\}J 'Q""' 5% Technology Fee 2r /1(''/
,,---
Inspection Request: 726-3769 TOTAL \ t j\ _ \ nr ')
~ ~ 503 1 \\.0 '6~2f Shored Dn'<(T )IB",~m. F~<IE"',,,",, _ot Appho.,oo 7~
ExpIration Date
Status
Iss u ed
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00466
ISSUED: 04/15/2008
APPLIED: 04/03/2008
EXPIRES: 10/24/2008
VALUE: $ 3,960.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6694 Jacob Ln
ASSESSOR'S PARCEL NO.: 1702341109700
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Convert existing patio into heated sunroom
Residential
Owner: RIDGE ROBERT D & AMY D
Address: 6694 JACOB LN
SPRINGFIELD OR 97478
Phone Number: Unlisted
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor
PLUEARD CONSTRUCTION LLC
SUNSET ELECTRIC INC
License
167960
158859
Expiration Date
01109/2010
0212712010
Phone
541-683-5140
541-915-4883
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# 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 Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
209
R-3
Path 1
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
5.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction: Storm to existing system
Sidewalk Type:
Downspouts/Drains:
Curb and Gutter
Notes:
Pae:e 1 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00466
ISSUED: 04/15/2008
APPLIED: 04/03/2008
EXPIRES: 10/24/2008
VALUE: $ 3,960.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Patio/Porch
Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
3,960.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$3,960.00
$3,960.00
04/03/2008
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $43.65 4/3/08 2200800000000000405
-Mechanical Issuance Fee- $20.00 4/15/08 2200800000000000462
+ 10% Administrative Fee $11.72 4/15/08 2200800000000000462
+ 12% State Surcharge $14.06 4/15/08 2200800000000000462
+ 5% Technology Fee $5.86 4/15/08 2200800000000000462
Building Permit $67.16 4/15/08 2200800000000000462
Fireplace (Listed) $17.00 4/15/08 2200800000000000462
Gas Outlets 1-4 $5.00 4/15/08 2200800000000000462
Minimum/Adjustment Mechanical $28.00 4/15/08 2200800000000000462
Plan ReviewIResidential Hourly $50.00 4/15/08 2200800000000000462
SDC Sanitary/Storm Admin $3.71 4/15/08 2200800000000000462
Storm Drainage Impervious Area $74.29 4/15/08 2200800000000000462
+ 10% Administrative Fee $8.00 5/2/08 2200800000000000575
+ 12% State Surcharge $9.60 5/2/08 2200800000000000575
+ 5% Technology Fee $4.00 5/2/08 2200800000000000575
Add, Alter, Extend Circ $48.00 5/2/08 2200800000000000575
Add, Alter, Extend Circ Ea Add $4.00 5/2/08 2200800000000000575
Low Voltage - Residential $28.00 5/2/08 2200800000000000575
Total Amount Paid
$442.05
I Plan Reviews I
Initial Review
04/04/2008
04/04/2008
APP LLH
Enclosing existing patio - no
additional square footage. Fire fee
does not apply.
Public Works Review
04/04/2008
04/08/2008
APP LKW
Storm water to existing system
Structural Review
04/04/2008
04/10/2008
WE DLM
Discussed floor insulation
requirement w/ contractor; cannot
fully insulate the existing floor slab.
Therefore, the proposed gas
fireplace cannot be mstalled, or the
floor must be elevated for required
floor insulation. Contractor will
resolve w/ owner 4/10/08 dim.
Pae:e 2 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00466
ISSUED: 04/15/2008
APPLIED: 04/03/2008
EXPIRES: 10/24/2008
VALUE: $ 3,960.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plan nine: Review
04/04/2008
04/15/2008
APP T AJ
No portion of the building may
extend beyond the "no build/no fill
line". No other Planning issues.
Contractor submitted add'l drawing
for floor framing & revised other
drawings for consistency 4/15/05dlm
Structural Review
04/15/2008
04/15/2008
APP DLM
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.
UeouiredJnsoections I
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
Pae:e 3 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00466
ISSUED: 04115/2008
APPLIED: 04/0312008
EXPIRES: 10/24/2008
VALUE: $ 3,960.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
Pa2e 4 of 4
225 FiJth Str.eet
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00466
COM2008-00466
COM2008-00466
COM2008-00466
COM2008-00466
COM2008-00466
Payments:
Type of Payment
Cred ItCard
cRecemll
RECEIPT #:
2200800000000000575
Date: 05/02/2008
DescrIptIOn
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
Low Voltage - ReSIdentIal
+ 12% State Surcharge
+ 10% AdmInIstratIve Fee
+ 5% Technology Fee
Paid By
SUNSET ELECTRIC
Item Total:
Check Number AuthorIzatIOn
Received By Batch Number Number How Received
LLH
071199 Phone
Payment Total:
Page 1 of 1
1 :33:26PM
Amount Due
4800
400
2800
960
800
400
$101.60
Amount Paid
$101 60
$101.60
5/2/2008