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Home My WebLink AboutPermit Electrical 2007-4-24 SPAINhijFIBLD ZON Lp? -4 -"'" INITIALS ,..., I VI. , U~ A!. '..Y! DATE '-{ ~ ;;ly - n ~ ~" SOURCE (Y1 \ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54J)72&-3753 . FAX: (541)72&-3689 ELE(:TRICAL PERMIT APPliCATION City Job Number C (JJAo1 2-0" <:: - (JllI.J S '. _... '" ",< .. ,_ -c,,, ,.., ,. ; . '," (~..:.,-- ,- ". ,--.'- '1- "s,...; I. ,LOCA.TIONOF INSTALLATiON:">;: _lib:S'i-' .~ ~ li~'- c~cf" I LEGAL DESCRIPTION: 1602. OS/2 /O{OO JOB DESCRIPTION: A-dJ. '3 C-I ( r ...\.. -: ~ 0~7 Date ll',.....~.-., ,~;" .". J\'''lh'''-' ". ,-,' ,~.-; . !' ." ...., '. t ,.". ,,' "V',:':"- 3. i,COMPLETE fEE SCIIEDULE BELOW; __ '__".d'. __".....J"'""_'--'j..-.~,.....H....<....."'.~ _.....,_"'-....v'""_~,:~ ..,," "-,'.;.,,:,>,'.'-y'y.~'r:.'f'l" ,~.~..,.-...,:~".... .. "':-~;;t, "'::' ..'\ '" .."....~!. A. ~~,e~':.~:_~~~~~~~_~_~ Si~.gle~o~ Mul!!.F.~~~I~"))~~~~~';!ll~~g u~it: _. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof ' $106.00 $ 19.00 Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder _",""_ .r-c:-M'1".r":",~"'- ~~1..-V<""7' :--;:~.~ <>-~_..", --;~'.-:"'<.~h.:':';"""';':::""""')';~~<;;'" -~.... ,- OJ, ~''',~'''~r -~"~"<<," 2. ., ~9!'!.~FqlfZl'!~1:Y:-f1~:?}Y.??.~f..l", B. ~~e~~~~~~deri'':2~~~al.I~t!?~ Alte~~.\~~n! <i(~e'.?-.:~~0~~:~}'; Electrical Contractor Jl7 ~an};~';"-'\I ~\-\~L\.. t.'1.I'\?~t~~;,~?1s $ 63.00 ""\\\\<2> I't\\W\ \1 ~~\1t.? ""\\\\S fll.!\1.nfp~il, 400 Amps $ 75,00 Address .II\\-\O?\lt.~n I:; ~\)~~\1~o'i Amps to 600 Amps $125.00 'C'QtJ.w.t.~~t:V \:WO\1. 601 Amps to 1000 Amps $163.00 City PhoR~" ~ 'DO Over 1000 AmpsNolts $375.00 ;/' , Reconnect Only $ 50.00 ~. --:-_ " "t"'~ ,'ci::' J":"-<'~~~~...;-'" 7 -:-~ ,'>: ";" '-:-;:r,- ~:"':-:'i':F',;:"'~. (''''':..) _:"'-:- .-~;....: ":"~.::-:. -"- Supervisor License Number .C. tTel~p<!rary ~erYI(:es,_or,_ F~r~ers',':: :,.1 $,;'!;~ "~-1'.',~',~-; "j{,-i,.:,i.. ....... "<,: _.~,' _..i...._.."",,,,:.&.o.-"'b..',,,, ~_.,. ...~.,.._....J;~,""_-'--:""_''''''' ~.......",L~___'_ <....,;.:;.. " . In~tallation, Alteration .or Relocation 1\1 TEi'<TIO". 00 "80''-ocw requires you 0 b th 0 1M Amns or less $ 50.00 follow rule~ adopted Y e regorn:''''''t - Conslr. Conlr. Nu er Nv~;;;w';':':"::c~::-. Th~~n ,rules ar€.29~tilm~ to 400 Amps $ 69.00 in OAR 952-001-0010 through OAR1.Q.l2A:l1iJ1s-to 600 Amps $100,00 Expiration Date .:;.:;:;.:;. Y.:..:. ;',~~j ::::,;n ~nfl-\es of theoWF1l00YAmps or 1000 Volts see "B" above. Signature of Supervising Elec/,iic,aJhe center. (Note: the tlj)~~fB1\lftCli cii~;~M);i(:;'l": ' number for the Oregon Utility Nottlicatlon-" ":" ,,".'-~--. -':-- --".. . Center is 1_800.332.2344)j'lew AlteralIon or ExtenSIOn Per Panel / One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Pennit Expiration Date Owners Name ]:Lt'.1< f 4.. f-l,utl'" Address ?/Isl. /#,,'/~ CI, City fPlld Phonc !//J-73t"() OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ~tut;1t- , I IF' Inspection Request: 726-3769 $50.00 z 1(3 b $ 3.00 -.. '-. '~-"-".r-~-:-'".~"-~""('.-',' '--'..->~" ,-,"~'''''''_~~''''~~''~-~.:-.: f ..="'-. .... ,... E. '~Ii;~elliIi-;'o'ii;-(Servic'e/j-eeiler'not iI;chided) '~E:ich'If,st~llatiOlt: ';";:"~.S.;":'t~ __';>;'-~d::._.~::".:.1..-:" _ ._~4._":" ~.\_;;.__..~,;";>~,~l',~';':__..,,~-.:,--::..:.-,__.~.. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 , Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~.,... .....~,~..._-.'.,.~~.....,' -,.."..- .- ,.....-~,., -.-~"<'"';.'- 4. : sUBmTAi'OF;ABOvE:/;" "'j~?:':>: L......~.,:.:.. '~'bL.~.l>_..,~_:;;.......~ ...:,~__.,--,L..'... _ ... ......._._.. __.to....:....., 8% State Surcharge 10% Administrative Fee 5% Technology Fec /.f7 "]'tL I.{)'v ztlr 607;1. TOTAL Shm;ed Drive(T:)/Building FOIms/Electrical Permit Application 8-06.doc , _CITY OF SPRIN~l'1J<.LD . Building/Combination Permit PERMIT NO: COM2006-01433 ISSUED: 12/13/2006 APPLIED: 11/08/2006 EXPIRES: 10/23/2007 VALUE: $ 48,708.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4652 HAILEY CT ASSESSOR'S PARCEL NO.: 1802051210100 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Addition to residence. TYPE OF USE: Addition Residential . I DEVELOPMENT INFORMA'lI01" I e~\).~I- \)\\\\\.) ~'O.-.N I le90\\ \0\\'\\ .'bIer!a ~t.l.,eO 'O.lese\ r;:F/I- 5,6~\':.~\\O~MWle ""o~"!~bP.~ 9<:J~;es 'oi P. IoN IIl\eS 1'~\~!I.Drive~gl!l ~ \,\\e III a \0\\0 'O.'ilO\\ G9. ~t.J<.dcC'Jvcrr"ge:O \e\e?'\\O\\ \\ ~o,wc 9<:J?.-OO :0\'3.1\\ c ~e" \,\\e \i\IC'O.\IO "I>.~ ~,,\1 0 . n~O.,..h' ~O "Oo9Ppua1ica ~~o.V;..EtY1~Sf"'" c".. ,\0\". '\-U~ . Fully 1"l~'il1 Ce\\\e\ IS SIdewalk Type: Yes Downspouts/Drains: Owner: Address: KAUFFMAN TRENT K 4652 HAILEY CRT SPRINGFIELD OR 97478 Contractor Type General Electrical Mechanical Plumbing .'1-.J... .~v' ;.\ , I CONTRACTOR INFORMATION'I~ V' ~,. ~ Contractor . s~\~ ~I:SCt~<el\5 OWNER ~\..\.. "\~ ~\:J~ OWNER -<\CV~. ~-0 cf, ~\:JS~ ~~~~ OWNER ~~' S<<:- \:J \l {::> KEVIN LEE KIKER~S ~ <,-~1..':.(.\) \:?;9-,\\)\). 159330 .. .\ I tlBUlllDING.."rv"jdA TION I ~\,. \'Ov ~f Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 I 21.00 VB Electric Electric Path 1 n/a Frontyard Setback: Side 1 Sethack: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Speciallnstruclion: Notes: Storm drainage must be tied to existing sytem ending @ curb & guller.JLP Paee 1 of3 Expiration Date Phone 03/30/2008 541-221-3212 Lot Size: Sq Ft 1st Floor: 492 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED. PARKING Total: Handicapped: Compact: Curbside 5' Curb and Guller Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame Dwellines Fee Description Plan Review Residential -Mecbanical Issuance Fee- + 10% Administrative Fee + 5% Tecbnology Fee + 80/0 State Surcharge Building Permit Fire SF Fee - Residential Fixture Miscellaneous Mecbanical Plan Review Minor - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet + 10% Administrative Fee + 5% Tecbnology Fee + 8% State Surcbarge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . .Lll i' OF SrKll~GFIELD Building/Combination Permit PERMIT NO: COM2006-01433 ISSUED: 12/13/2006 APPLIED: 11108/2006 EXPIRES: 10/23/2007 VALUE: $ 48,708.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $99.00 Square Footage or Bid Amount 492.00 Value Date Calculated Total Value of Project $48,708.00 $48,708.00 11/08/2006 Fpp<, ~ Amount Paid Date Paid Receipt Number 2200600000000001562 2200600000000001695 2200600000000001695 2200600000000001695 2200600000000001695 2200600000000001695 2200600000000001695 2200600000000001695 220060000000000[695 2200600000000001695 2200600000000001695 2200600000000001695 2200600000000001695 2200600000000001695 2200600000000001695 1200700000000000453 1200700000000000453 1200700000000000453 1200700000000000453 1200700000000000453 $237.12 $[0.00 $49.34 $23.44 $37.50 $364.80 $24.60 $[4.00 $45.00 $112.00 $118.74 $156.16 $23.91 $203.38 $45.00 $4.90 $2,45 $3,92 $43.00 $6.00 11/8/06 12/13/06 [ 2/13/06 [ 2/13/06 12/13/06 12113/06 12/13/06 12/13/06 12/13/06 12/13/06 [ 2/13/06 12113/06 12113/06 12/13/06 [ 2/13/06 4/24/07 4/24/07 4/24/07 4/24/07 4/24/07 $1,525.26 I Plan Reviews I [nitial Review 11/[5/2006 11/15/2006 APP LLH P[annine Review 11/[5/2006 12/11/2006 APP TAJ Public Works Review 11/[5/2006 12/08/2006 APP JLP Storm drainage must be tied to existing sytem endiug @ curb & gutter.JLP Structural Review 11/15/2006 12/01/2006 APP DLM See documents for Plan review comments Paee 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01433 ISSUED: 12/13/2006 APPLIED: 11/08/2006 EXPIRES: 10/23/2007 VALUE: $ 48,708.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line 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. Rp.{)u~p.ctio'lJJ Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placemeut. Post aud Beam: Prior to floor insulation or decking. Floor Insulatiou: 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: 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 huilding is complete. Undertloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumhing 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. By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and I further certify that any and all work performed shall he do De 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 ofthe 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 reqnested 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 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . r;...'jJ~'~ ~..~Y - C..li..of Springfield Official Receipt .Iopment Services Department Public Works Department Job/Journal Number COM2006-01433 COM2006-01433 COM2006-01433 COM2006-01433 COM2006-01433 Payments: Type of Payment Check cReceiotl RECEIPT #: Date: 04/24/2007 1200700000000000453 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Eo Add + 5% Technology Fee + 8% Slale Surcharge + 10% Administrative Fee Paid By TRENT KAUFFMANN Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1395 In Person Payment Total: Page I of! 8:07:30AM Amount Due 43.00 6.00 2.45 3,92 4.90 $60.27 Amount Paid $60.27 $60.27 4/24/2007