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Home My WebLink AboutPermit Electrical 2006-9-15 w'& , S?RnCr:I~ .=r-'":"~. il_.[l:;~'?-':~ ' "~'-'''~'',<;,''\ ~~LL~ ,"c;,' v5 ri;!,:",-,~..l;'::?~::.!"";., .~ ., ":';';;~'~;~""f,,':'~",,..\m'-"'o"""'':' ~n.i'~ ",,' _'0""" ,i";""" " ... r""" '.' '-'.illY F> ..u'l' . OREGON..,..' ',. :.~,~.~.-ft/;~,~..~~:~:':..1::::":-:..:,.,~2~..{.....~{,~'-_,.,.. ~~"-t~_.. l~....,~,. . .)_~::h_'.., .,::._....,~ 225 FIFTH STREET. SPRlNGFIELD, OR 97477 . PH:(541)726-3753 . FA-X; (541)726-3689 ELECTRICAL PERiYIIT APPLICATION City Job Number c.O~"Z-crO''- 0041::1 Date Installation, AUeratioD or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above, D '~':B-"':"':'~''":'::~-;;=:~ ~''':'::rtF~:~.~~~~F~1l~Nlf:r~:~'15~~~:J7,':.~:'i~~~i~ri:;:-"~?i~:t.,~?",~,,.....~ . raDCu~'\::;.lrcw~,,<. ..~,.. ~,,-~,,:\:-~ "~~"'='''1~''-':''''',-: . "~\';J~-' ':'.':-~I(I'.J1,....~,.;~:>:)l, .' . . .. .... ,," _.~"....~.;,....~ ',."" . "'~.-'~'" ,.".'.. "'~~"~~I.!.J;;t..:i.;:;>"'" ,.'.";";" _.d" /,..;,/'. " --..-- New Alteration or Extension;PerJPanel ) One Circuit C';;ui.U~f':<'.; $ 43,00 1./ J Each Additional Circuit or;with?9,.",%-,/'-, 2 ( Service or Feeder Pe;;:;;\:/I:1~ '<"I', ,-,/ $ 3,00 '-t.. '."-:~"""""'-:"''''''~f~'' _~.;:.,!r4;r;r;:~~~J:lf7"'':''"'~(;'''-: -:'l';~~:~""~'~'':';F-::;r;-;ri) E, iV!isceHaneoos(Ser.vicelr.~~r.no;v inc!i1d",,)'-Eaclic~~s.tall:ltio.~'1 '..... ". ....'..' ..-,..,', -,.....,~,..I"-,o/-)/1;o ,,,.,_..,--,, ..~........ Pump or inigation '<<'~;~ -1<9/.%:''6'0'-0 SigniOutline Lighting '~ 1~50:00) 0^ UA, '1;/~, fA ATTENTION '0 LlmuedEnergy/Resldennal S 25~o.O, /, ,.. '1/" : regoll law I t;YUll.....,:) yuu ~v 'v U _ The lDsraHanon IS belDg made on propenydlo,mt I'!.hlchadoptedIrJgu,\'ie S'1"'eyj~'<.l1)!1'!'Jclal $ 45,001'0; ,z,~/'Y,f is nOt intended for sale, lease or rent. Notification CentMiJiimumlElectfiaPefiiiitfIh's~ection Fee is 545,00 .;- Surcharges in OAR 952-001.001 01hrouall0AR952~00:1~,,~::<::::, - 0::'::.. , 4, ' SliBTOTAL:,OE'ABOJ1R:' ',< .,,"", ",'_ ' 0090, You may oti.alr~'!~'.<':?..",'_~~~::-,c,,!,'':::::=!'.,::;:~;;;:::.:,,~:,LL:.::,~' calling the center, ~10'P.: thp. te,lephone ~CT/O State Surcnarg~ t' IIUllluer for tbc...~ '''g,on UlIIlty I'UUhvd ~on Al(\'v"18,O%)Aommlstranveree _ ~~,' ~\~t fSi :~::~-'S.,.,...",.<< ~~ 0 Shared Dri""T:VBu;ld;ng FOrmYEleecioai Peon;' ,'opile..ion 1.03,000 ,'.. ~ ~~."""".'''''':'':I.~''''.~''''',....,.._~:.,'''"",,,,"'''1"'''''''"'':"''~''''.''':''''~~~'"~'-''-'''''~'~1 I ,:, LOCATIONOF:-INSTALFlATION:~l::'f&*1?:;;; . _ ,. .' '",-, .,"~- ..T __' ~.- ....,. _''". '" _ '0 '_'0" ....... '._ -,_ ._<<,._ ....__._ _,>r;;,~ .i-{i('-,-t:A~'AeW U'r.J\~-.p...{ LEGAL DESCRlPTION } 70 Z. I 9 C( Z JOB DESCRIPTION o S'J 00 -Psrjcf. ~ c...lrc....".-;!-r Permits are non-transferable and e'pire If work is not started witbin 180 days of issoance or if work is Sospended for 180 days. ~"""";"""-""~-""""'~''''''~'''''''''''~':'''''''''':i,_'''''";,'''''''..' ~.::-" . ..._,-.~..~-:;; 2. :~'1~~~gg&~~~B9~~~,!t, Electrical Contractor D - ,('In \r\~ 'S1l?ctn(., ~ ' Address d lIS l.n ;::;2 0<:\ A \J r? City eLiCjC:1\1' Phone,~ :"');;)C\ l Supervisor License Number ~SOl[) 10,\,01 s Expiration Date Constr, Contr, Number ;:::l (j . \ 5'-) G Expiration Date ,- \-C,lr Signature of Supervising Electrician ~~~ tzrsName ~../~ 'wI ~€ Address 3f.z" ( '~c:J6N 1St- City s;.?,: b ~J Phone OWNER /NST ALLA TION Owners Signature: Inspection Request: 726-3769 'p!~ 3. ~L~p~~~t~~fi~ifEj:p~!B@?FJ1~'~~~h~]ls~~ F..":::-,......;.~:r.....~.,.'r?'>':~:'?~.~~jfF':""i;;:;,~~:~~:3<:;!t;;~$~7;'l;7..~r::~~~~ A. ,_'.~~~,~..~.~.?e~~.~;~,~I~jt~)':l~lti-r~~Jr~.c;r~~!~.~~~~}E:1~ Service Included 1000 sq, ft. or less Each additional 500 sq, fj, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 19,00 $50,00 B. ;t~~~H~~~:f~;~~~~!~!&~~l~~~r&fr!?~~g~;~J1t~~~~~ 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to I 000 Amps Over 1000 AmpsIV olts Reconnect Oniy $ 63,00 $ 75,00 $/25,00 $163,00 $375,00 $ 50,00 ..', ~~:~';;:-;;.m.r.:....~,.,,-''':;t:.,-.";.', """.~~;;;....>- .--:: ;;.-:::tf;;o.:l...;,.(i>:.:.:tj.l'_.....,:~,.""~~...~.'!..~J<W.,..~i''''...&..''''>M C. ',j'.Tempora ru.:'ser:vu:emor:\Feeaeni;"J7"~:;;Ei.:':<':::"~"''J.,.,",..f'\~'~~'1\~)'"~",;: ;~:';.':t~-j ...-.:r..........~~... ,A-';..,.. -. \... -. '-,',-,., . ." "~;'';'':;''''j.r~;'L',,j;''~(~~'--('i~~~~ $ 50,00 $ 69,00 $100,00 ~'ZP be{ S'L bVO 787Z ~SP-*!~ ~INQ,i!l,: Ii"" '; -, - _ ~. lit: . .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00461 ISSUED: 06/06/2006 APPLIED: 04/19/2006 EXPIRES: 02/28/2007 VALUE: $ 29,700.00 Status Issued 225 Fifth Street, Springfield. OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3621 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO,: 1702194205300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence Residential Owner: DOUGLAS WISE Address: 3621 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Phone Nnmber: 541:747-5289 I CONTRACTOR INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Contractor License DA VID ZARZYCKI GENERAL CONTRACT1I105626 REYNOLDS ELECTRIC 17252 DA VID ZARZYCKI GENERAL CONTR INfea~9.?&2~'OU to ROCS PLUMBIN~,~r=~rnON: oregor: \a~h~ ,M91-l'7, Utility, i~ilnBl'JmD1NGiNF0R'MA1iION'" :~~:~;;1~ NotilicallU11 '::~;()O~ 0 througn v." \ \es bY '0 O!\R t#/of,'Stories: '0 copies 01 the ru 1 e Lot Size: \ H i -fj"/ ",..'al tele-!y.,q S F R-3 0090. Yu e, g ~ o~~JfUC!W# the ),7;~~\o.rl q Ft 1st loor: callio:J;ypC)of'H~l: \ 00 '!)~.rc~d'\AIr Gas Sq Ft 2nd Floor: (l\b~a:terl11Ype: e~00.332.2344). Sq Ft Basement: nu Ra,yge,(J;Yi>e:~- Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled Building: n/a Occupant Load: Expiration Date 04/26/2009 02/08/2007 04/26/2009 01103/2008 Phone 541-688-0243 541-343-7297 541-688-0243 541-607-8704 Contractor Type General Electrical Mechanical Plumbing 300 VN I DEVELOPMENT INFORMATION , Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10,00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: , I PUBLIC IMPROVEMENTS' \-It. iNCl?-~ Street Improvements: . Sidewalk T.ype:?,\:. W :'1'1' IS ~Cl\ , Partiallv Improved ,'U\ \\;~'. . c.\.-\i:>-\.\. \:"-' :c.,P't.?-I'" \ ~r.>. Storm Sewer Available: Yes \" 1''t.(\w.Downspo~ls(Dra,"s: t;-\rSl tGurb and Guller Special Instruction: ,\'lIS (\ll't.\J \)t;-\U\ r>.'Or>.t;-\\J\l . ",\)\\'10 't.\J 0(\ I Notes: Storm drainage piped into existing to curb face 4/24/2006 CASO\'fl\'fl't.t;-\~~,< 1''t.(\IO\:l, \JI\~'< 'I'DC) Paee 1 of 4 -i:i:',~ fII, ' I,' ~. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line DescriPtion Tvpe of Construction Dwellin2s V Wood Frame Fee Descriptiop Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Building Permit Exhaust Hoods Fire SF Fee - Residential Fixtu re Gas Outlets 1.4 Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing SDC Sanitary/Storm Admin Storm Drainage Impervious Area + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00461 ISSUED: 06/06/2006 APPLIED: 04/19/2006 EXPIRES: 02128/2007 VALUE: $ 29,700.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $99,00 Square Footage or Bid Amount 300,00 Value Date Calculated Total Value of Prnject $29,700.00 $29,700,00 04/19/2006 Fpp<. ~ Amount Paid Date Paid Receipt Number 1200600000000000498 1200600000000000801 1200600000000000801 1200600000000000801 1200600000000000801 1200600000000000801 1200600000000000801 1200600000000000801 1200600000000000801 1200600000000000801 1200600000000000801 1200600000000000801 1200600000000000801 2200600000000001292 2200600000000001292 2200600000000001292 2200600000000001292 2200600000000001292 $164,87 $10,00 $35,87 $27,49 $253,65 $9.00 $15.00 $14.00 $4,00 $32,00 $31.00 $4,24 $84.71 $6.40 $3.20 $5.12 $43,00 $21.00 4/19/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 9/14/06 9/14/06 9/14/06 9/14/06 9/14/06 $764.55 I Plan Reviews I Initial Review 04/20/2006 04/21/2006 APP LLH Plan nine: Review 04/21/2006 04/27/2006 APP TAJ No Planning issues. Public Works Review 04/2112006 04/24/2006 APP CAS Storm drainage piped into existing to curb face 4/24/2006 CAS Structural Review 04/21/2006 OS/23/2006 OK RWC 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. Pa2e 2 of 4 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line ~e(]lJirecUnsnections I .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-0046I ISSUED: 06/06/2006 APPLIED: 04119/2006 EXPIRES: 02/28/2007 VALUE: ' $ 29,700.00 Footing: After trenches are excavated. Foundation: After forms are erected but 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, Roofing: Prior to installing any roof covering, Final Building: After all required inspections have been requested and approved and the building is complete, Undernoor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete, 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 Plumhing: When all plumbing work is complete. Underfloor Mechanical, Prior to insulation or decking and including required testing, Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing, Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete, Final Mechanical: When all mechanical work is complete, Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee3 of 4 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00461 ISSUED: 06/06/2006 APPLIED: 04/19/2006 EXPIRES: 02/28/2007 VALUE: $ 29,700.00 Status Issued 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 Paee 4 of 4 . 8F!JUNOPJIILD '~'.""" u...." '". ~.. C.aof Springfield Official Receipt .Iopment Services Department Public Works Department 225. Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00461 COM2006-00461 COM2006-00461 COM2006-00461 COM2006-00461 Payments: Type of Payment Cred itCard cReccinll RECEIPT #: Date: 09/14/2006 2,49:38PM 2200600000000001292 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Eo Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Amount Due 43,00 21.00 3,20 5,12 6.40 $78.72 Paid By ELLEN REYNOLDS Item Total: <.;heck Number Authorization Received By Batch Number Number How Received djb 040215 In Person Payment Total: $78,72 $78,72 Amount Paid Page I of I 9/14/2006