HomeMy WebLinkAboutPermit Electrical 2008-5-30
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COMPLETE FEE SCHEDULE BELOW
ZON
225 FIFTH STREET 0 SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELEl-l. KlCAL PERMIT APPLICATION
City Job Number C~z..c~ 7- 00 '6s~
1. LOCATION OF INSTALLATION:
bOt) a./"A-7S~-'~-
LEGAL DESCRIPTION:
170734'35 04'OD
3.
II
A. New Residential- Single or Multi-Family per dwelling unit!
Service Included
1000 sq. ft. or less
, I Each additional 500 sq. ft. or
lV'I1 €" rc:r-c:::>...-gortion thereof
Permits are non-transferable and expire if work is Each Man\}f~9t'8,~~~ ~w requires yoU ,to
not started within 180 days of issuance or if work is Modular Dwelling:RWcYf8lj ~ne Oregon Utility
Suspended for 180 days. Feeder \, I:- ~,i:h 1 :el r v Those rules axaset foor~h $55 00
c -\ vent . hOAR 952-0 ,-
I.\._ 'r' J -.9.Q1 0 throug
2 CONTRACTOR INSTALLATION ONLY B", I Sev.vices-6yt}ile8'be~ntW~&lJilltdfi~A~B~ns or Relocation:
. OG90. You may l (Note: the telepho~e
Electrical Contractor ~L( nSl'r 6lt, lYl( cltt. 20g9\~1 ~b7~~~~gon Utility Notlflcatlo~ 70 00
t2 I 2<fiU~m~tlAA' A.:ou1-A300-332-2344). $ 83.00
Address e>> ri2iJf- 10lil.f8j '11LfDJ 401 Amps to 600 Amps $138.00
~ 601 Amps to 1000 Amps $180.00
City Phone 14/- 3crs Over 1000 AmpsNolts $41300
Reconnect Only $ 55.00
~
$117.00
JOB DESCRIPTION.
:3 C-l.lUAl~
$ 21 00
Supervisor License Number
5Dft;() -<;
off
C. Temporary Services or Feeders
Expiration Date I D. I
Installation, Alteration or Relocation
200 AmNe\f~: $ 55.00
201 Amnfffi4p~PmlPf SHAll EXPIRE IF TStf6WJHK
401 AmVUJ,j!j~jt.tlfj UNDER THIS PERMlTltEo~O I
Over 60Q;5MM6NlUOO '0Rt!SeABMmQ~D FOR
D. Bra~CJ1Miri80sDAY PERIOD. .
Constr, Contr. Number ~
ExpiratIOn Date --:l n'8
;~~rettElern=--
, v
Owners Name vl4 ( tc..tN'T'Aw\,
gl{S- ?t~~ ~+-
City 8L6-&V~ Phone 73 J - 72 L( (
New Alteration or Extension Per Panel
One Circuit /
Each Additional Circuit or with 2-
Service or Feeder Permit
$ 48.00
$ 4.00
'18
8
Address
E. Miscellaneous (Service/feeder not included) -Each Installation
OWNER INST ALLA nON
The installation is being made on property I own which
IS not tntended for sale, lease or rent.
Pump or imgation $ 55.00
SIgn/Outline LIghting $ 55.00
Limited EnergylResidential $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
4. SUBTOTAL OF ABOVE
~tate Surcharge
10% AdministratIve Fee
5% Technology Fee
-5b
b7L
'560
Z80
Owners Signature:
Inspection Request: 726-3769
TOTAlL 7/ (!
Shared Dnve(T )/BUlldmg Fonns/Electncal Penn It Apphcatlon 7-07 doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00836
ISSUED: 08/20/2007
APPLIED: 06/08/2007
EXPIRES: 11/16/2008
VALUE: $ 20,333.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6015 Graystone Lp
ASSESSOR'S PARCEL NO.: 1702343304900
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: Adding 190 s.f. (to media room. & wine room) at 2nd story. Bldg. is under construction
(permit #COM2007-00110) See primary job number for inspection history. This
number is for report purposes only.
Owner: JAY AND SUDHA VAIKUNTAM
Address: C/O 845 PINE FOREST DR
EUGENE OR 97405
Phone Number: 541-731-7241
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
B & H DEVELOPMENTS INC
SUNSET ELECTRIC INC
HOME COMFORT HEATING & AIR
HOME COMFORT HEATING & AIR INC
License
164278
158859
84164
84164
Expiration Date
04/19/2009
02/27/2010
06/25/2011
06/25/2011
Phone
541-915-1129
541-915-4883
541-345-2838
541-345-2838
BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: R-3 Height of Structure
Se~ondary occupa?cy~G~ouP=r :\1 ~)y 'r'0'- 12\''1 reqE~ ~ie~, if~:
Primary ConstructJo? lype l' ;o'e < .v~'j by the 0 a8if ~I
Secondary ConstructJon);'y.pe:, \\:>fllvl. Those rule e fc h
# of Bedrooms: In OAn 2~';2-GJ1-001 0 through dNI:f. !bU~..
0090. You may obtam copies om%\fi%rldmg.
"''';;;''l::lli,,,, ",,,,,,lGo. ,14 \7 l)r;"lp
number for the Orego .
Center Is 1-800-a32-2344 .
2
27.00
Forced Air Gas
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor: 190
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Path 1
n/a
NFORMA TION
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
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:
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Sidewalk Type:
Downspouts/Drains:
Notes:
Pae:e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
A.C. - Residen
Dwellin2s
AC - Residential
V Wood Frame
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Fire SF Fee - Residential
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Structural Review
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00836
ISSUED: 08/20/2007
APPLIED: 06/08/2007
EXPIRES: 11/16/2008
VALUE: $ 20,333.00
I Valuation Descriotiocl
$ Per Sq Ft
or multiplier
$4.00
$103.00
Square Footage
or Bid Amount
190.00
190.00
Value
Date Calculated
Total Value of Project
$760.00
$19,570.00
$20,330.00
06/08/2007
06/08/2007
~
Amount Paid Date Paid Receipt Number
$20.27 8/20/07 2200700000000001315
$9.66 8/20/07 2200700000000001315
$15.46 8/20/07 2200700000000001315
$193.20 8/20/07 2200700000000001315
$9.50 8/20/07 2200700000000001315
$125.58 8/20/07 2200700000000001315
$20.00 5/16/08 2200800000000000684
$10.00 5/16/08 2200800000000000684
$12.00 5/16/08 2200800000000000684
$5.00 5/16/08 2200800000000000684
$50.00 5/16/08 2200800000000000684
$50.00 5/16/08 2200800000000000684
$5.60 5/30/08 2200800000000000785
$6.72 5/30/08 2200800000000000785
$2.80 5/30/08 2200800000000000785
$48.00 5/30/08 2200800000000000785
$8.00 5/30/08 2200800000000000785
$591.79
I Plan Reviews I
06/0812007
06/17/2007
APP DLM
Requested design calcs for revised
and new beams for the added
habitable area. Left voice mail msg.
for contractor to provide the
info.6/8/07dlm. Received revised
engineering for addition 6/14/07dlm.
Found discrepancies in engineering;
contacted engr & faxed request for
resolution 8/6/07dlm. Received
engineer's response 8/16/07dlm.
Pa2e 2 of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00836
ISSUED: 08/20/2007
APPLIED: 06/08/2007
EXPIRES: 11/16/2008
VALUE: $ 20,333.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection 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.
Reouired Insoection1.l
Footing: After trenches are excavated.
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.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Plumbing: Prior to cover 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.
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
Pae:e 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00836
COM2007 -00836
COM2007-00836
COM2007-00836
COM2007 -00836
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000000785
Date: 05/30/2008
DeSCriptIOn
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
SUNSET ELECTRIC
Item Total:
Check Number AuthorizatIOn
ReceIVed By Batch Number Number How ReceIVed
dJb 062567 In Person
Payment Total:
Page I of 1
8:20:01AM
Amount Due
4800
800
280
672
560
$71.12
Amount Paid
$71 12
$71.12
5/30/2008