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Home My WebLink AboutPermit Electrical 2005-5-18 CITY OF 3rRINGFIELD, OREGON ~ _~ ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICALtfl:i.RMJI..4fPLICATION ~ City Job Number !' ,"::)...'),CjIf J/ Date~'>':3'~o" - '0 ~'e-'J). I. l'IlJ@'Ci;1f;t1!'iillS';(@!\,i1Nst~tlQNi'nil I 3. ICOMPLEFEFEJ!)JJCHE;;vi'iY~.ow a. 'bS 1);Yl, ~o 1\ lrirY1~ ~.:,~o,~" ''''>';'". .'>o;:~~':'f LEGA~m"~~ c:::.' ~\ A. I New Residential- S~e~M~Famirf'~~iellillg unit,', \\ n l.!:'1.Ll.O \ L. Ll...-l ) Service Included Y'J~~~ ' -. ~eC}~iI.s ~ JOB DESCRIPTION . M 1000 sq. ft. or less ",- >~~106C'6fp;o~o, 1.10' ~ l. {\ I An 1 Each additional 500 sq. ft. or ""- ~... "~" "'>" \. } \J. ~ \ ^ y\ UL,V portion thereof "71< I. Permits are non-transferabl and expire iCwork is Each Manufact'd Home or ~ not started within 180 days DC issuance or iCwork is Modular Dwelling Service or $ 00 Suspended for 180 days. Feeder 2. IcqW'~q:O~INSTALLATlONONLY I Electrical Contractor QOO'<; ~C. ~O')l.. ~d-{ Address 1:>, h , City -p;~U (J Phone J..$t,.,rS4!:fj B. I Services or Feeders -Installation, Alterations or-Rel.oca,tion: 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Supervisor License Number 4:1 <-t 4:S c. I Temporary Services or Feed'ers Expiration Date I ())O I (or Installation, Alteration or Relocation , I ~I J:r,p;f)QAON: Oregon rallf920'u'1'f€sor less $ 50.00 Conslf. Conlf. Number ~vl0'es "rlnnted by tHgIo'j-W81/YRW~mps $ 69.00 ~~ot~'f'catlon Center. Thoset~1 A.n}p's Po 60WWmps $100.00 E . . 0 (0r . R le~ are set forth xp"atlon ate _ ;;<~ Qs?no1.""1 0 throLQ.veC600IAlljpS,QJl~000 Volts see "B'" above. v. You ..nay obta'~ CCD',IO . , h~' . . Signature of Supervising Electrician . . ~q~ ranc_ !of:!~C,ql!~1 I r,;C (./ '\!'l'"'\.tl',..i I... - ... ././ A ~, .....-;7 _ " I : New ~t~~~!i~~ror Extension Per Panel ~~ - ~ One Circuit,;]'IOn \ $ 43.00 '\ Each Additional Circuit or with \ Service or Feeder Permit $ 3.00 The installation is being made on property I own which is not intended for sale, lease or rent. NCTlCt' TH OwnerS Signature: 10 t'cnll'lll ~H!\LL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NIlT (,U,VIIVltNCtU UH IS ABANllONED FOR "NY 1 Ill! DAY ~ERIOD. Inspection Request: 726-3769 ~~\O.%~ I A!!:JrP ()pO E. I Miscellaneous (Service/Ceeder not included) ~E.ch IgsJ,;II~tio~1 Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4\D~ ~.'l'J... __4..IoD -b'f>. ~ 4. , SUBTOTAL OF ABOVE 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)lBuilding Forms/Electrical Permit Application I-03.doc . . Lll t OF SPRIr'l\.:o-"l~LD Building/Combination Permit PERMIT NO: COM2005-00282 ISSUED: 05/17/2005 APPLIED: 03111/2005 EXPIRES: 11/17/2005 VALUE: $ 28,152.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 935 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1703261200500 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence Residential Owner: WALLY ACKERMAN Address: 935 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Phone Number: 541-747-7969 Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER I, CONTRAClvlu,,,,ORMATION I License Expiration Date Phone BUILDING INFORMATION I # of Units: # of Stories: 1 Lot Size: Primary Occupancy Group: R-3 Height of Structure 14.00 Sq Ft 1 st Floor: 212 Secondary Occupancy Group: Type of Heat: Electric Sq Ft 2nd Floor: Primary Construction Type VN Water Type: Sq Ft Basement: Secondary Construction Type: Range Type: Sq Ft Garage/Carport 312 # of Bedrooms: Energy Path: Path 1 Sq Ft Other: Sprinkled Building: nla Occupant Load: 1 DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side 1 Setback: 30.50 # Street Trees Rqd: Handicapped: Side 2 Setback: Paved Drive Rqd: Compact: Rearyard Setback: 73.40 % of Lot Coverage: Solar Setbacks: 0.00 .' I PUBLIC IMPROVEMENTS I Street Improvements: Partiallv Improved ATTENTION: ~'!vTf"lllJlres you to Curbside 5' Storm Sewer Available: Yes follow rules adOfjtlUlttjibthgtf)\r&ril!f!l Utilit}turb and Gutter Special Instruction: Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- Not~HJTI~[~m drainage Into existing to curb face 3/14/2005 d\~0. You may obtain copies of the rules by THIS PERMIT SHALL E calling the center. (Note: the telephone AUTHORIZED UNDER XPIRE IF THE WORK number for the Oregon Utility Notification COMMENCED OR THIS PERMIT IS NOT Center is 1-800-332-2344). ANY 180 DAY PER:5;SANDONED FOR Pae.e 1 of3 . . Llll' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00282 ISSUED: 05/17/2005 APPLIED: 03/11/2005 EXPIRES: 11/17/2005 VALUE: $ 28,152.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Dwellin!!s PatiolPorch V Wood Frame Use Bid Amount $ Per Sq Ft or multiplier $96.00 $1.00 Square Footage or Bid Amount 212.00 7,800.00 Value Date Calculated Descrintion Tvne of Construction Total Value of Project $20,352.00 $7,800.00 $28,152.00 03/ll/2005 03/ll/2005 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $161.07 31ll/05 1200500000000000314 -Mechanical Issuance Fee-- $10.00 4/7/05 1200500000000000427 + 10% Administrative Fee $40.98 4/7/05 1200500000000000427 + 70/0 State Surcharge $28.69 4/7/05 1200500000000000427 Add, Alter, Extend Circ $43.00 4/7/05 1200500000000000427 Add, Alter, Extend Circ Ea Add $18.00 4/7/05 1200500000000000427 Building Permit $247.80 4/7/05 1200500000000000427 Exhaust Hoods $9.00 4/7/05 1200500000000000427 Fixture $56.00 4/7/05 1200500000000000427 Minimum/Adjustment Mechanical $6.00 4/7/05 1200500000000000427 Plan Review Minor - Planning $59.00 4/7/05 1200500000000000427 Sanitary Sewer - Improvement $54.84 4/7/05 1200500000000000427 Sanitary Sewer - Reimbursement $72.12 4/7/05 1200500000000000427 SDC Sanitary/Storm Admin $14.56 4/7/05 1200500000000000427 Storm Drainage Impervious Area $164.30 4/7/05 1200500000000000427 Wood StovelInsert $30.00 4/7/05 1200500000000000427 + 10% Administrative Fee $4.60 5/17/05 2200500000000000597 + 7% State Surcharge $3.22 5/17/05 2200500000000000597 Add, Alter, Extend Circ $43.00 5/17/05 2200500000000000597 Add, Alter, Extend Circ Ea Add $3.00 5/17/05 2200500000000000597 Total Amount Paid $1,069.18 I Plan Reviews I Initial Review 03/14/2005 03/14/2005 APP LLH Plannin!! Review 03/14/2005 03/25/2005 APP TAJ Puhlic Works Review 03/14/2005 03/14/2005 APP CAS Storm drainage into existing to curb face 3/14/2005 CAS Structural Review 03/14/2005 03125/2005 APP RJB 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. Pa!!e 2 of3 . . CITY OF ~r.Kll'\j\.d<lJ<..LD Building/Combination Permit PERMIT NO: COM2005-00282 ISSUED: 05/17/2005 APPLIED: 03111/2005 EXPIRES: 11/17/2005 VALUE: $ 28,152.00 Status Issued ZZ5 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line L...IVouired Ins,neetinns I Footing: Afte~ trenches are excavated. Foundation: After forms are erected hut prior to concrete placement. Post and Beam: Prior to floor 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 been 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 huildlng Is complete. Underfloor Plumbing: Prior to insulation or decking. 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. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Wood Stove: After Installation. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 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 Pal1e 3 of3 225 Fifth Street . . I Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00282 COM2005-00282 COM2005-00282 COM2005-00282 Payments: Type of Paymeut CreditCard , 5/17/2005 . RECEIPT #: ~ 2200500000000000597 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By ROBS ELECTRIC Received By IIh Check Number Batcb Number Page I of I .Ji!.ty of Springfield Official Receipt .velopment Services Department Public Works Department Date: 05/17/2005 Item Total: Authorization Number How Received 47256 Phone Payment Total: 1l:S7:43AM Amount Due 43.00 3.00 3.22 4.60 $53.82 Amouut Paid $53.82 $53.82