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Home My WebLink AboutPermit Electrical 2006-9-12 L 1">,2, q-13-O)o '.. SPRIN~~ ... 'j~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~~r.~ " '-" ELECTRICAL PERMIT APPLICATIOIf .' CityJ?bNumberLo.MZOO<e.-O,O 7{ Dale 9'-/2-0 . If.-''-. '.... "'r-' ... ,", ,. "'"".. ~.. -'-, , 'll' .~~ 'l:-'-'~';:O""" ~.~_.~... 1. .'LOCATION, OF INS'rAliA:fldN;",'~ ';':'~ -1J.'.. ",._ '.~.~..;;.":,_"-",-,,,,,-=,,:,,,=.'" t.;...; -;.&.:..~".,:,,,,,,.;.'.,;,"'_'-'..l.'..:...ad Ybb 7 J-IAILtY . - .~-- ""'~""'. , -~"--~. '~'.' ""',-...:.-" _.~. ..~~...~ ' ~~"":"" .,~.., .<::"'1'-...., ~.'''T'')-i>,-:-<'''''':I''''- ,~'t..-~,;; 3. '::C()MfLE.'iEXEE SCffEPULE B~toW'::,f1,:ch'!;i,.)!.:::~:i) t..:...,__'-'..__. ..~....__ ~......~.'_'_'1tt"'......_..~.......__...~_M_<_,...~.....,_\_Io<._"___~ LEGAL DESCRIPTION I BO'Z. OS" L JOB DESCRIPTION o 'l~oo t}:-::;~,~~~JF!'.~'YiJ:i;: .~~-::.. Z. '.::;'f'.c>.'~":fr"u_'1>'- ;""~:''':qf: -;;:~7W: {~'~',:~'\:,F~"~'''{ "':~"'f' _,,~.,'C' A. :'Ne,,'_R~sidential':"":Single!or.Multi~Family Jler.:dwellingunit.~:t7~~ >:'f:,;.,-...:.t......:.~_-~.U'-il.:.>.~;:.,;;"_.. ...::~,,;a.:J. 't..o.i:.';:;;o,"">f""'--._.._:;;::::;"~t:;'.I:'::"'-':"", _ ~_',.:._....:...,"-.; -kJ 1., ~ c. (t'c..v..-:' ~. . Service Included 1000 sq, It or less Each additional 500 sq, ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder \ $106.00 $ 19.00 Permits are non.transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. r';':" ;- .,(~- ~"'~.. ~: ,'+r!!Oi:. ..r_~ "" ,': : .....; ~'''':--.:;'';.s:,'.~,';,..1Iu:0~.,. ',.CONTRACTOR:INSTALLATION ONLY', 2. L;;...::,_~~;~..<!~~'':;'-';.~:':'';,;!: ir;;-"".i:~~ $50.00 . ",.~"F;!_'l':~:-:~-:;-r;~"'f;'''1';~~{'i'$0'7'''!:";".~: ,~.~-;:;:'7 '~{""":~;';:~4".~:;\ ~~~7 B. rr.Serv_ices:oiFeeders,~ Insta Ilation'; :'Alte"ration ~i' or'll.e_locatio'ri': ~\'.~,: ~'-""." ..,.,>.;.r.~-' i',';~:' '~<!:;~";_.;t:.....tz:..:.:'" '.~";\~.";'_';:':~>':"i!'"".~:.~-...:J , Electrical Contrac'tor Address '3~;),n n.STSIDE 6<..(c'r!?/C 200 Amps or less "flIt: \I\i\jn" '''1'~€' ~'iP\Rt IF 1201 Ampt\t0400Amps ~8:9:5'~~~6;c\l (LI~~~~(n)f,7.3"Ptt\~4'o) 'A'j,)~s t~ 600 Amps ~u1~ciR\It~ \JNU~;' ~'5~NOONW)IF~~ps to 1000 Amps _(jRhone:Nfho/)(~9\Y:9f!t Over 1000 Amps/Volts W\l'~1 " Vf\N'{ ,ell Dp-.'{ ytr\IVC . Reconnect Only '17;),75 $ 63.00 $ 75,00 $125.00 $163.00 $375.00 $ 50.00 City SP~W, Supervisor License Number trr' '; ~:'",.",- '....i;~";',.;!"~rn,T-:.~'!:~;"J,~t'~I'r"'C;.f":;. :Y,":,,' +~'~.":""t,'" "",-,'1 :j~-:' ~ C. e;Tempora-ry~Serylcesor:;,Feeders>. ":'Ti:Sgt.~;';:'~:'"::~'i~~~i:',, ";,:,/\~,.t '4i$~..i~=~~ ._, ..... ..~..._~:s~;..~."'a'""~.~...:.....~..;.;;...;:.~'1 " , Expiration Date 10-1- 07 Installation, Alteration or Relocation 200 Amps.or less 201 Amps to 400 Amps 401 Amps 10 600 Amps $ 50.00 $ 69.00 $100.00 Expiration Date 117770 Ib-ol{-o7 'Constr. Contr. Number ~~ O~~r ~O .A.mps, or IOSlQV o~~:: "~_ov~.:- _ _ '_ v ..,... ..,.".......,.,'"'!f" '7.' ":~~"":"",,,:;,~(.,,,,-_,:"-"':';;?'.,,\.'\O"..-<-."'''~. -.., "r-. ".~~"'\ D. ~tBranch:Eircuits;;<t~:~'~'~-:J;.~.'t-:~;.,~~)l'--,$:,:~"OV': ,i,,;l~~;g,~'~',~ ;', .<.. ',\'1; ~'l "'-'-'=-~'~"'~~""''''=='--'\)\1''''''''i3~\N'd ,"" " ',,". . New Alleration or ExtensionJPe,;<P.aueIO(\ ,\o(ln . (\,V U\'/~ S'" . 4'2 OneCircuil \' OleQoA'o'l\ne ,., ale $,t3iOO' ;;,00 Each AdditioIDiI'Circuii,or.with.;e W'/If\f>.?> "'~ 'DC, '0'1 . I "\ Gb6-JL b-<>H~f::AC seryic~;~s,dezJi~rjl ';~lo"(\~7~.\.~p'$~~~~e cJ.,OO ";;\O~~Jc~tt;,~Qlk;!'~\i\~~;';;CCQ~'-J"',e\~\~~'-";gj,\O~.c::.,.,,,~. 'u;;', . I AI LL.." c."<r' E. tiiMiscel.laneous:(Service/feed.er)~ofincliided)'\S;Each:lnstallalioo'.( fi1'+ ~ \~ I t:;\~;()W'~'~~(i\-t'I:~~-~"o"'\)\\\\\'l-~~A): ." -~.,.. " Phone II.{ 7 - J 'it.{:! Pump(l!i'[rrigatien.r.e C OleQO ^ "",?:'t. $ 50.00 Sign/Outlin{i?ghting' \\;\e is V'O(,v $ 50.00 L. , d E ""'~/'Ro' "d,,,\<'\l, $ 25 00 Imlte nergy eSJ entia .' Limited Energy/Commercial $ 45.00 ~ Signature of Supervising Electrician Owners Name Address c.r b6 ( S~~ City OWNER INST ALLA TION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Minimum Electric Permit Inspection Fee is $45.00 + Surcharges t"f'>f?,?_,:;;;'.nr::-:;~0~ 1'":l'~~ (~'- '.' 1f-;.7"";.~~9:Zi- -;:'-:--."01 4 ;"SUBTOTAL"OEABOVE.': ;':', ',C ..,.."'<c'....;. . It:ii..~'''''~ ~,,'j'~r,.":"i:_" ,-';' ...,-~:_:.6:;.. t";.. r:&J<';;~.'~ ,~.( Inspection Request: 726-3769 8% State Sutcharge IOo/~1dministrative Fee 50/.> I~ Fet-r TOTAL b 76!- 5S ....,1/0 SSe;> Z?'f" Shared Drive(T:VBuilding FonnslElectncal Permit Application 1.06.doc . .CITY OF SPRIl'I\..o1' IJ'..LU Building/Combination Permit PERMIT NO: COM2006-00871 ISSUED: 08/14/2006 APPLIED: 07/1312006 EXPIRES: 03/12/2007 VALUE: $ 42,273.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4667 HAILEY CT ASSESSOR'S PARCEL NO.: 1802051209900 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: Addition to existing single family residence-\r. 'NORK " MOi\Ct~....,- c.\-\~LL r.'i-?\R~;~:;\i IS NO\ Owner: EDGAR GONZALEZ \\-\\lI~;~R\I~O Ut-lOr.! ^\;~NOONr.O I'OR Address: 4667 HAILEY CRT i\ \ Cr.O OR Iv " SPRINGFIELD OR 9747_8)~~;~ [)i\'I l'r.RIOD. , Addition Residential Phone Nnmber: 541-747-3843 t\l" . I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor RICKY LEE PEACOCK EASTSIDE ELECTRIC INC License 162739 117770 Expiration Date 01113/2007 10/04/2007 Phone 541-688-2471 541-915-9828 I BUILDING INFORMATION I VN # of Stories: Lot Size: Height of Structure Sq Ft \~g!f.Ot.:;o Type of Heat: ~q(Ft\2ndd\I0.9'r.:I\i :n Water Type: Ole9on \a:SHd'ilBa~emel!t:\O~ Range Type: ,t:.~-(\O"t cio?\eci 'Oi~8 fJ,!C;a'~\~~g.hl:'p'bt Energy Path: 1'-' ... 1\l\eS a \el ,\"IOSy F;tlOth~r': 1\lleS 'Oi . . . .\\n'll'l ce(\' \to"r.Ju'::) 1 ""he Sprinkled BUIJUlDg: a\iOn n/a00"\O . ccullant t-oad;,One . .~~\\\c ,..... r\(Y\" ...... r.O'O\\:'.... _ \,p,\e\.>\ ......1"'\ I DEVELOPMENT IN~ORM'iTioN"'1 o~~. ~~O\~\~,~ ~o:'\\lP' OU""v'. r\ \\"Ie ve(\ Ole90n 3'2.RJ~QUIRED PARKING ca\lln", \ I \\'Ie ~O()-3 Overlay Dist: \lll\pel 0 \el is"\- Total: # Street Trees RqdF' ce(\ Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: 427 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Fronlyard Setback: Side I Setback: Side 2 Setback: Rearyard Sethack: Solar Setbacks: 10.00 I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 5' Cu rb and Gutter Notes: Storm drain to existing system. Paee I of 3 . .CITY VI' ~rlUr'>ll..I'JJ!.LJJ- Building/Combination Permit PERMIT NO: COM2006-00871 ISSUED: 08/14/2006 APPLIED: 07/13/2006 EXPIRES: 03/12/2007 VALUE: $ 42,273.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line I Valuation Descrintion J Dwellines V Wood Frame $ Per Sq Fl or multiplier $99.00 Square Footage or Bid Amount 427.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $42,273.00 $42,273.00 07/13/2006 L.Fpp< Pqi'iLI Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $214.31 7/13/06 1200600000000001059 -Mechanical Issuance Fee- $10.00 8/14/06 1200600000000001251 + 10% Administrative Fee $44.11 8/14/06 1200600000000001251 + 8% State Surcharge $33.58 8/14/06 1200600000000001251 Building Permit $329.70 8/14/06 1200600000000001251 Fire SF Fee - Residential $21.35 8/14/06 1200600000000001251 Miscellaneous Mechanical $45.00 8/14/06 1200600000000001251 Plan Review Minor - Planning $112.00 8/14/06 1200600000000001251 SDC Sanitary/Storm Admin $7.75 8/14/06 1200600000000001251 Storm Drainage Impervious Area $155.05 8/14/06 1200600000000001251 Storm Sewer - 1st 50 Feet $45.00 8/14/06 1200600000000001251 + 10% Administrative Fee $5.50 9/12/06 2200600000000001266 + 5% Technology Fee $2.75 9/12106 2200600000000001266 + 8% State Surcharge $4.40 9/12106 2200600000000001266 Add, Alter, Extend Circ $43.00 9/12106 2200600000000001266 Add, Alter, Extend Circ Ea Add $12.00 9/12106 2200600000000001266 Total Amount Paid $1,085.50 I Plan Reviews I Initial Review Plan nine Review Public Works Review Structural Review 07/17/2006 07/17/2006 07/17/2006 07/17/2006 07/17/2006 07/21/2006 07/19/2006 08/1112006 APP SKG APP T AJ APP JLP APP DLM Storm drainage tn existing system. See documents for Plan review comments 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. ~In\".np,..tinn~ I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Paee 2 of 3 . .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00871 ISSUED: 08/14/2006 APPLIED: 07/13/2006 EXPIRES: 03/12/2007 VALUE: $ 42,273.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Post and Beam: Prior to 1100r insulation or decking. Floor Insulation:' Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have heen approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Hold Downs Installed: Spedallnspection 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. Storm Sewer Line: Prior to filling trench. 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 descrihed 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 he 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 Pa!!e 3 of 3 225 Fifth Street Springfield, Oregon 97477 . 541-726-3759 Phone . Uj;Q~;~ ~... Caof Springfield Official Receipt .Iopment Services Department Public Works Department Job/Journal Number COM2006-0087! COM2006-0087! COM2006-0087I COM2006-0087] COM2006-0087I Payments: Type of Payment CreditCard cReceinl1 RECEIPT #: 2200600000000001266 Date: 09/12/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + ] 0% Administrative Fee Paid By ROGER K]NG Item Total: Check Number Authorization Received By Batch Number Number How Received djb 01581 B In Person Payment Total: Page! of] J2:2J:3JPM Amount Due .43,00 12.00 2.75 4.40 5.50 $67.65 Amount Paid $67.65 $67.65 9/] 2/2006