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Home My WebLink AboutPermit Electrical 2008-6-20 _.._ ~,o. lJ.{ I.ii.::: INITIAL~ DATE ~" - SOURCE _ P""'p?) Date (or~O) 0 <6 I. " "Ii' -, .'0 eIT)j 0l=i}d~l?j3JN_GFIEpD,'ORJBG@N :;_ - 22~ FIFTII STREET - SPRINGFIELD, OR 97477 - PH (~41)726-3753 - FAX (541)726-3689 ELECTRICAL PERMIT APPliCATION CIty Job Number COIM ?~ 7 - 0 ( :s- , '1 I I LOCATIONOFINSTALLATION: I 3 I COMPLETEFEESCHEDULEBEWW _ Zbf,o If ^ 7 ~tr<: -:ELI bG-/? LEGAL DESC~ION A I New ResldentJ,al- SIngle or MultI-FamIly per dwellIng UDlt. 170.5 ZL( CSC:> CJ c> I D ( Service Included E]ectneal Contractor ~;~" lE/4. ~ r 0 Amps or less , $ 70 00 "" /Jow rul ~~~1I420 Amps $ 83 00 Address ~cj.5.I.f4- L()~j. ~~at;ort1, ~~8~h1!?lp6'lres $13800 0090 'rl9S2-6D.,"/J!r'A~p,j;..~0:~f/o $]8000 CIty _h.~ v..P ~ Phone 4- &c:::- 7.S. bi/J/;lIg ~~ ~6flJYA 1Jl~i#f:t Set f~;{ $413 00 ----J C; l "" I LJ7nUfTIber fo e rtet/tef.e~'l AQn,es Of th 952-00/" $ 55 00 ( -.J - '0\ I C rthe 0 (NO'e th erlJ/e b - '-f I ~ '7 S e'l!e~ it-:.J:E.o.!!.JJJIf. e te/e!lliifI~rrs ---~ ~-~2,~ffcat / / '~""4) '<)11 (0 {J 1 f~ InstallatIon, Alterat,;n or RelocatIon I I 200 Amps or less Constr Contr Number .:::> IJ -t./t)7 L- 201 Amps to 400 Amps I / 401 Amps to 600 Amps Expll1ltlOn Date 7 - II f ( Over 600 Amps or 1000 Volts see "B" above SIgnature of SupervISIng E]ectncIan NOTICE- D I Branch CIrcUits 111 . ~ ()) J/ II THIS PERMIT S New AlteratIon or ExtenSIOn Per Panel ~~4~&AIIT'=UJRllED fb1Iet.cmun'RE {,I; hWi ~ { GOMMENCED g~ 1Mq,~~Woml 2.. $ 400 :>s- Owners Name .)..LA '" 1;ty 180 nAY PER f3")fflJ?fvDONED_FO~ NOT - - Address Z b b D ~h.. -r L E /liH'scellaneous (Sen:l~e/reeder not mcluded) -Each Installahon I - , ~-i>F ~ Phone 5c.' - ? ~ 51 JOB DESCRIPTION _c:;..u,"""":...., ? 00 \ Permits are Don-transferable and expire .fwork IS not started wlthml80 days of Issnance or .fwork IS Suspended for 180 days 2 I CONTRACTOR INSTALLATION ONLY I SupervISor LIcense Number Expll1ltlon Date City OWNER INSTALLATION The mstallatJon IS bemg made on property [ own whIch IS not mtended for sale, lease or rent Owners Signature InspectIOn Request 726-3769 1000 sq It or less Each addItIonal 500 sq It or portIOn thereof Each Manufact'd Home or Modular Dwellmg Service or Feeder $11700 $2100 $55 00 B I Servlc~ or Feeders - InstallatIon, AlteratIOns or Relocahon I 70 $ 55 00 $ 76 00 $11000 $ 48 00 Pump or lITIgation $ 55 00 SIgn/Outline LIghtmg $ 55 00 LImIted EnergylReSldentlal $ 28 00 Llllllted Energy/CommercIal $ 50 00 MInImum ElectriC PermIt InspectIOn Fee IS $50 00 + Surcharges 4 I SUBTOTAL OF ABOVE I 7 J' 'j--:Tb 7,gc ~$O (lo~ 12% State Surcharge 10% AdmInIStratIve Fee 5% Techno]ogy Fee TOTAL Shared Dnve(T )/BUlldmg FormslElectncal Penmt ApplicatIOn 1"()8 doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO' COM2007-01599 ISSUED 01118/2008 APPLIED, 10/25/2007 EXPIRES 12/20/2008 VALUE $ 58,000 00 225 F,fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541.726-3769 InspectIOn Lllle SITE ADDRESS 2660 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO 1703240000101 SPRINGFIETYPE OF WORK SWlmmlllg Pool TYPE OF USE AdditIOn ReSIdentIal PROJECT DESCRIPTION Inground pool & elevated deck Owner COBB JOHN R & R S Address 2660 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Phone Number 541-501-2854 Contractor Type General Electrical MechanICal Plumblllg I CONTRACTOR INFORMA T10N I ATTENTION Oregon law reqUires you to Contractofollow rules adopted by the Oregol1icense HIGH P A~d00N8iM1l!li11Ii16NTiIJlro;e rules areS51i~rth, RICHARDl8~~~~~ugh OAR 952-001- PACIFIC MltlQ;dfwtmt1lfR~\n copies of t~::!~)JobY JOHN THE ~~r.~~~~~~,},~:!~ {::IBtl\ILDIIII6lIJ)IIfOlRMJ\'IlION I Expiration Date 02(24(2010 03(25(2010 07/24/2009 Phone 541-501-2854 541-485-7311 541-672-9510 541-686-4888 # of UDlts Primary Occupancy Group Secondary Occupancy Group Primary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms U # of Stories Height of Structure Type of Heat Water Type Range Type Energy Path Sprinkled BUlldlllg Lot SIZe Sq Ft I st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage(Carport Sq Ft Other Occupant Load 1,382 VB n(a Front yard Setback SIde 1 Setback SIde 2 Setback Rearyard Setback Solar SetbJcks CEo I DEVELOPMENT I~F.o~M'fflIlN I ~~I~\ERMIT SH~rw~pi~~\1 IS No-! f>.UiHORIIEOO U~R"I~tPd?I\"~W'\t~d fOR COMMENCE E~\\3t}! Dnve Rqd AN'( 180 DA'( P Y. of Lot Coverage REQUIRED PARKING Total HandIcapped Compact I PUBLIC IMPROVEMENTS I Street Improvements Storm Sewer AvaIlable Spec131 InstructIOn SIdewalk Type Yes Downspouts/Drains Notes Per notes on dIScharge of water to storm system Page 1 of4 Status Issued 225 F,fth Street, Spnngfield, OR 541.726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme DescrIPtIOn BId Amount Deck/Balcony EstJmate Type of ConstructIOn Use B,d Amount Deck EstImate Fee DescnptlOn Plan RevIew ReSldentJal + 10% AdmmlStratIve Fee + 12% State Surcharge + 5% Technology Fee Backtlow DevIce BUlldmg PermIt FIre SF Fee - ReSldentJal Flxtu re Cas Outlets 1-4 Not Covered Mechamcal Plan RevIew MaJor - Plannmg Plan RevIew ReSldentJal Plan Revlew/ReSldent..1 Hourly SDC Samtary(Storm AdmIn Storm Dramage ImpervIous Area + 100/0 Admmlstrahve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend C1rc Ea Add Perm Serv/Fdr 200 amps or less Total Amount PaId Imt..1 RevIew 10/26/2007 PublIc Works RevIew 10/26/2007 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO. COM2007-01599 ISSUED' 01/18/2008 APPLIED 10/2512007 EXPIRES' 12/20/2008 VALUE: $ 58,000 00 I Valuation DescrmtJon I $ Per Sq Ft or multJpher $100 $1900 $100 Square Footage or BId Amount S,330 00 930 00 32,00000 Value Date Calculated $S,330 00 $17,67000 $32,000 00 $5S,000 00 OIf04f200S OIf04f200S 10f25(2007 Total Value of ProJect Fpp<. P..fl , Amonnt PaId $ I 90 07 $63 OS $67 40 $3S 33 $1600 $442 66 $6910 $4S 00 $500 $50 00 $205 00 $97 67 $75 00 $1239 $247 SS $7 SO $936 $390 $S 00 $70 00 $1,72664 Date PaId Receipt Number 10/25/07 If IS(OS IfIS(OS IflSf08 IfIS/OS IfIS/OS IfISfOS IfIS/OS IfIS(OS IfIS/OS IfIS(OS IfIS/OS IfIS/OS IfIS(OS If18/0S 6f20fOS 6/20/0S 6f20/0S 6/20fOS 6f20(OS 120070000000000133S 2200S00000000000064 2200S00000000000064 2200S00000000000064 2200S00000000000064 2200S00000000000064 2200S00000000000064 2200S00000000000064 2200S00000000000064 2200S00000000000064 2200S00000000000064 2200S00000000000064 2200S00000000000064 2200S00000000000064 2200800000000000064 3200S00000000000420 3200S00000000000420 3200S00000000000420 3200S00000000000420 3200S00000000000420 Plan Reviews I 10(26f2007 10/3 If2007 APP LLH APP LKW LDAP WIll be rcquIred (LDP2007-00IS3) Per notes on dIScharge of water to storm system Pal!e 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO' COM2007-01599 ISSUED. 01/18/2008 APPLIED. 10/25/2007 EXPIRES: 12/20/2008 VALUE: $ 58,00000 Status Issued 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Structural ReView 10(26/2007 III 1 9(2007 WE DLM Plannme ReView 10(26(2007 II127(2007 WE TAJ Planmn2 ReView 12/14/2007 12/14(2007 APP TAJ Structurdl ReVIew 12f14/2007 0](04(2008 APP DLM Called Emerald Pools (Rod) re pool structure & calcs Layout drawmg by gen contr IS "prellmmary" and does not IdentIfy Important matenals and site condlhons that affect the pool structure 11(19/07dlm Met w( deSigner, reviewed additional drawmgs and pool engmeerlng reqUired for a complete plan revIew Also dIScussed the flood zone requIrements for the pool equlpmenl and enclosure 1I/20(07dlm ReceIVed fax from pool engmeer WIth sample drawmg for pool retammg wall Slgned(stamped copies wi engmeenng were reportedly sent overmght to Emerald Pools for conveyance to the City 1 ](26/07dlm Need more specIfic Site plan Spoke WIth John Tuttle today and he saId wIll provIde one Floodpldm approval SHR2007-00002 IS amended to add thIS proJect to It ThIS mcludes condItIOns 3-5 of the reSldent..1 plan review Received revISed Site plan and pool deck draWIngs from deSigner, and revISed pool wall engmeermg from pool co Copy of revISed plans were also delivered to Tara for her review 12fI3/07dlm To Request an InSpeChOD 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 Rpn...ln<.npl'tJ..~ SIte Inspection To be mdde after excavatIOn but prior to settmg forms Footmg After trenches are excavated Frammg InspectIOn Prior to cover and after all rough m mspectlOns have been approved Paee 3 of 4 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-01599 ISSUED: 01118/2008 APPLIED. 10/25/2007 EXPIRES' 12/20/2008 VALUE' $ 58,000.00 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Remforced Gypsum Concrete When Class B gypsum concrete IS mixed and placed Provide mspectlOn/test results to CIty BUlldmg Inspector FInal BUlldmg After all required mspectlOns have been requested and approved and the buIIdmg IS complete Underslab Plumbmg Prior to fillIng the trench and mcludmg reqUired testmg Rough Plumbmg Prior to cover and mcludmg required testmg Backflow DeVice Prior to covermg and provide a copy of the test report on SIte at the lime of mspectlOn FInal Plumbmg When all plumbmg work IS complete Underfloor GdS After lIne IS Installed and reqUired testmg and cdpped If not attached to an apphanee Rough Gas After Ime IS mstalled and reqUired testmg and capped If not attached to an applIance Rough MechaDlcal Pnor to Cover FInal Gas When all gas work IS complete Fmal MechaDlcal When all mechanICal work IS complete Ufor Electrical Ground Install ground rod at footmg and call for mspectlOn m conJuctIon WIth footmg and(or founddhon inspection Underground ElectriC Prior to cover Rough ElectriC Prior to Cover ElectriC Service Approval reqUired prior to ullhty company energIZIng service Rough ElectriC Prior to Cover ElectriC Service Approval reqUired prior to ulllIty company energIZIng service FInal ElectriC When all electncal work IS complete By SIgnature, I state and agree, that 1 have carefully exammed the completed applIcatIOn dnd do hereby cerllfy thdt all mformatlOn hereon IS true and correct, and 1 further cerllfy that any and all work performed shall be done In accordance With the Ordmances of the CIty of Springfield and the Laws of the State of Oregon pertammg to the work deSCribed hereIn, and that NO OCCUPANCY Will be made of any structure WIthout permISsIOn of the CommunIty Services DIVISIOn, BUlldmg Safety I further certify that only contractors and employees who are m complIance WIth ORS 701 005 Will be used on thIS proJect I further agree to ensure that all reqUired mspecllons are requested dt the proper lime, that each address IS readdble from the street, that the permIt card IS located at the front of the property, and the approved set of plans Will remam on the SIte at all times dunng constructIOn Owner or Contractors Signature Date Paee 4 of 4 225 Fifth Street Sprmgfield, Oregon 97477 541-726-3759 Phone :~~~;~ -....a~., . ~ - City of Sprmgfield OffiCIal Receipt Development Services Department Pubhe Works Department Job/Journal Number COM2007 -01599 COM2007-0 1599 COM2007-0 1599 COM2007-01599 COM2007-0 1599 Payments I ype of Payment CredIlCard cRecemtl RECEIPT #: 3200800000000000420 Date' 06/20/2008 Description Penn Serv(Fdr 200 amps or less Add, Alter, Extend CIrC Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmmlStrat,ve Fee PaId By RICHARD GROSHONG Item Total Check Number Authorization Received By Batch Number Number How Received dJb 082132 In Person Payment Total Page I of] 1I0455AM Amount Due 7000 800 390 936 780 $99 06 Amount Paid $99 06 $99 06 6/20(2008