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HomeMy WebLinkAboutPermit Electrical 2008-6-12 I " OP";.,..",,~ ZON I.A V ((iJ1J'1Y ({>>If ~(P)~((]IfO!EIL[l)). mlf1rO<CJ)~ j ~-L"^----/""'" INITIA~_ , DATE .0~ 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 . ."""- SOURCE . ()2./ ELECTRICAA PERMIT APPLICATION I J CIty Job NumberUlr'() 2rm/"" nI:7C1, Date \.0 11;2 o?: (l2 (7CATIONOFIN~~tT~ LEGAL DE~:dJ 1\. - - \ ~tJ7 ,0.P \ L.l;1 S \ \]7) 108_ DESCRIPTION / OOcidt~--{)(},t rOp dlf Permits are non-transferable and expire If work IS not started wlthm 180 days of Issuance or If work IS Suspended for 180 days 2. CONTRACl'OR INSTALLATION ONLY Electrical Contractor GMD Electrlc In("'. - ---- Address 957 Northrldge Ave City Spfld Phone 726-8601 Supervisor License Number 4874S Expiration Date 10/2007 Constr Contr Number 1 62 1 91 ExpiratIOn Date 11/2008 SIgnature of Supervising Electrician w1!.I/1 /" - ~ ownc.,";~ \..\.l. ,vI. II , \ Address q 'U..o \A{\ J 0.1 (\{A-l- CltA-nI,J) (~ - Phone \ \.r ()f2J OWNER INST ALLA nON The installatIOn IS being made on property I own which IS not Intended for sale, lease or rent Owners Signature InspectIon Request 726-3769 3. I COMPLETE FEE SCHEDULE BELOW .. A l New Resldenlml- Smgle or MultI-Family per dwellmg UUlI ServIce locluded 1000 sq ft or less Each addItIOnal 500 sq ft or portIOn thereof Each Manufact'd Home or Modular Dwellmg Service or Feeder $] 1700 $ 2100 $55 00 B Services or Feeders -InstallatIon, Alterations or Relocation. In . JO C 200_ Amps or less I $ 70 00 20 I Amps to 400 Amps $ 83 00 40] Amps to 600 Amps $13800 60] Amps to 1000 Amps $180 00 Over 1000 ~,$.VN OreqOn low rO'1~f\-!ilJo,'bll In Reconnect ~w rules ar.oliocll'" tho r:$E?JJ19 Uhl,'y Notlheatlor. C61ltl" 1 hDse I ules at e set fOI th TempokllGl&EhlIii!s~1'&delis"hrough OA.R 852-001- 0090 You may olJtam caples of the rules by 10stallatlOn~llIrriltlli1ilOl€Rerucattoiite the telephone 200 Amps Jl.4wer for the Oregon Utility ~'S"\9atlon 201 Amps to 400 ArIf~snter IS 1.800-33Z.214fJ'00 40] Amps to 600 Amps $110 00 Over 600 Amps or 1000 Volts see "8" above D I BflO1'reE'?"IS Ne"f~~q~'I!'~ll'!l!e'F THE WORK OneJl!Jrpf'I!lRIZED UNDER THI~ D~D''''II$ ~ %T Eac", Add,lIonal-C'<CUll,or WIth _ S 'IJI\' I'F"r-.!.~1 tpfT I jL1 t:-- J P f: }dr 1\ r $ 4;>'0 ervlce or ecuer emllt .,. , - , " ~ "U A~~Y ~~' r .", pr- c '1 E MIScellaneous (ServIce/feeder oot IOcluded) -Each 10stanalIon Pump or Imgat'on $ 55 00 Slgn/Outhne LIghting $ 55 00 LImIted EnergylResldenllal $ 28 00 Limited Energy/Commercial $ 50 00 Mm,mum ElectrIC PermIt Inspecllon Fee IS $50 00 + Surcharges 4 SUBTOTAL OF ABOVE d 10 JD 8% State Surcharge 7 {)(j 10% AdminIstratIve Fee K 4b 5% Technology Fee =:l ;-;'1\ TOTAL (1IlX,,( _ -CF U Shared Dnve(T )!BUlldmg FormslElectncal Perrmt Applicatlon 7-07 doc CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01297 ISSUED. 12/12/2007 APPLIED' 08/29/2007 EXPIRES. 06/12/2008 VALUE: $ 36,462.00 -ii:~ Status Issued 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 InspectIon Lme SITE ADDRESS 926 HAZELNUT LN ASSESSOR'S PARCEL NO 1802061415100 Sprmgfield TYPE OF WORK Smgle FaUllly ResIdence Overlay Dlst # Street Trees Rqll Paved Dnve Rqd % of Lot Cov"I."lig~NTION O.n'1o" I", folIo I "C1r ',rr~ \ '1l; t'1 11.1_....' ~ ~u e~ aC!Orht.:, !J~ T .... U 1\ J(,', J', I PUBLIC IMPRO~O'''cl I 'J ;se rulPJ ar" sellorth "', ~i11" 1-0010 th, ough OAR 952-001 vvov IOU may t"\i-t'" ~ Street Imllfovements F II I d call th ":;,ll'.!,,,iill":;liype:' the rules by IV O~',. r:. u V mprove Ing e center (Note!tw tele Storm Ser&; Wihrble Yes number for the <<>~\l'{J\lmy~ainsDhone To Storm Sewer Spec..1 'AnI'D RJillMIT S,lfAfrtx~!:(.l"11I dram to eXlStmg Center IS 1-800-332'23;~ Iflcatlon UTHORIZED UNO flit IF THE WORK . Notes COMMENCED OR I~R THIS PERMIT IS NOT ANY 180 DAY PERIO~BANDONED FOR TYPE OF USE PROJECT DESCRIPTION AddItIon over eXIstIng garage Owner PATRICK HURLEY Alldress 926 HAZELNUT LN SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION i Contractor Type General Electncdl MechaUlcal Plumbmg Contractor CHALUS CONSTRUCTION L TD GMD ELECTRIC INC COMFORT FLOW DOUG HAXBY PLUMBING COMPANY LIcense 113083 162191 460 140768 BUILDING INFORMATION' # of UOIts Pnmary Occupancy Group Seconllary Occupancy Group Pnmary ConslrucllOn Type Secondary ConstructIOn Type # of Bedrooms # of Stones 2 HeIght of Slructure 22 00 Type of Heat orcell AIf Electnc Water Type Electnc Range Type Energy Path Path I Sprmkled BUlldmg n/a R-3 VB I I DEVELOPMENT INFO~ATlON I Frontyard Setback SllIe I Setback SIde 2 Setback Rearyard Setback Solar Setbacks 2000 1800 1150 Page 1 of 3 AlldltlOn ReSIdentIal Phone Number 541-221-2106 ExpiratIon Date 04/24/2008 11/19/2008 06/27/2009 03/0112010 Phone 541-461-1932 541-726-860 I 541-726-0100 541-995-4725 Lot SIze Sq Fl 1st Floor Sq Ft 2nd Floor Sq FI Basemenl Sq Ft Garage/Carport Sq Ft Other Occupant Load 354 REQUIRED PARKING Totdl HandIcapped Compact -:~.":u' jj WIr., i Status Issued 225 F,lth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme DescriptIOn Tvpe of ConstructIOn Dwelhngs V WoolI Frame Fee Description Plan RevIew ResldenlIal + 10% AdmlmstratlVe Fee + 5% Technology Fee + 8% State Surcharge Bulldmg Permll Fixture Furnace - up to 100,000 btu M.mmum/AdJustment Mechamcal Mlmmum/AdJustment Plumbmg Plan RevIew Mmor - Plannmg + 10% AdmmlstralIve Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Orc Add, Alter, Extend Orc Ea Add + 10% AdmmlstralIve Fee + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Total Amount PaId Pldnnme: Review Pubhc Works RevIew 08/29/2007 08/29/2007 Structural RevlCw 08/29/2007 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO' COM2007-01297 ISSUED. 12/12/2007 APPLIED. 08/29/2007 EXPIRES' 06/12/2008 VALUE' $ 36,462 00 I ValuatJon DescrlOtJon I $ Per Sq Ft or mullIpher $10300 Square Footage or B.d Amount 354 00 Value Date Calculated Total Value of Project $36,462 00 $36,462 00 08/29/2007 Fpp<. I.:Ai.lIJ Amount PaId Date PaId ReceIpt Number $211 00 $42 46 $27 03 $33 97 $324 62 $1600 $1400 $36 00 $34 00 $11600 $600 $300 $480 $48 00 $12 00 $700 $840 $350 $70 00 8/29/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 9/5/07 11/1107 1111107 11/1107 1111/07 11/1/07 6/12108 6/12/08 6/12108 6/12/08 1200700000000001118 1200700000000001162 1200700000000001162 1200700000000001162 1200700000000001162 1200700000000001162 1200700000000001162 1200700000000001162 1200700000000001162 1200700000000001162 2200700000000001663 2200700000000001663 2200700000000001663 2200700000000001663 2200700000000001663 2200800000000000890 2200800000000000890 2200800000000000890 2200800000000000890 $1,017 78 I Plan Reviews I 08/29/2007 08/29/2007 APP TAJ APP MS Storm dramage to eXlstmg No new .mpervlOus, so no SDC charges - MS 8/29107 08/30/2007 Neell engr's Ictter ou adequacy of ex.stmg ftg for the add.lIon Contractor WIll prov.de 8/29/07dlm ReceIved engmeerlng 8/30/07dlm APP DLM Page 2 of 3 -~~ CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO. COM2007-01297 ISSUED' 12/12/2007 APPLIED: 08/29/2007 EXPIRES 06/12/2008 VALUE. $ 36,462.00 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme 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. I ReQUIred T nsne,chons I Frammg InspectIOn Pnor to cover anll after all rough 10 mspectIons have been approvell Wall InsulatIOn Pnor to cover Floor InsulatIOn Pnor to lIeckmg Cetlmg InsulatIon Pnor to cover Fmal BUlldmg After all reqUIred mspectIons have been requested and approved aud the butldmg IS complele Rough Plumbmg PrIOr to cover and mcludmg reqUIred testmg Fmal Plumbmg When all plumbmg work IS complete Rough Mechamcal Pnor to Cover Fm.1 Mechamcal When all mechamcal work IS complete Rough Electnc Pnor to Cover Fmal Electnc When all electncal work IS complete Drywall Pnor to tapmg By slgnalure, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certIfy thaI all mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed sh.1l be done 10 accordance wIth the Ordmances of the CIty of Sprmgfielll and the Laws of the State of Oregon pertalllmg to the work descnbed herem, and that NO OCCUPANCY WIll be made of any struclure wIthout permIssIOn of the Commumty ServIces DIVIsIOn, Butldmg Safety I further certIfy that only contractors and employees who are 10 comphance wllh ORS 701 005 will be used on lhls proJect I furthcr agree to ensure that all reqUlrell mspectlOns are requested .t the proper tlUle, lhat each addrcss IS rea II able from tbe streel, Ihat Ihe permIt card IS located at the frout of the property, anll the approved set of plans WIll remam on the slle at all times dunng constructIOn Owner or Contractors SIgnature Date Paee 3 of3 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone CIty of Sprmgfield OffiCIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2007-0 1297 COM2007-0 1297 COM2007-0 1297 COM2007-0 1297 Payments Type of Payment CredltCard cRecelOtl RECEIPT #. 2200800000000000890 Date. 06/12/2008 Descnptlon Penn Serv/Fdr 200 amps or less + 5% Technology Fee + ] 2% State Surcharge + 10% AdmlUlstratlve Fee PaId By MICHAEL K GOWINS Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received nJm 52298b In Person Payment Total Page] of I 12 51 20PM Amount Due 7000 350 840 700 $88 90 Amount Paid $88 90 $88 9U 6/12/2008