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Home My WebLink AboutPermit Electrical 2008-6-25 3 SP~'NGPIELD , ZON \0..;{' INITIALS, \\\'0 J ~- A!.. DATE~V/? lor;, ~ I1iVI SOURC~ 1M;'!':,;"'?) 4 '11- Date b/Z.y~! / I COMPLE11; FEE SCHEDULE Bb"LOW . - (CI'[)' OF~ SPRINGFIELD, OREGON ,. " _-- '<" " "I"..... " '"' ~"t;. r < 225 F'IFI1l STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number rO/A/l 7- 0 0 y- - 00 JI I ~ - -- -- - -~-- I LOCATION OF INSTALLATION: fJ1.-' ( ) +-~ LEGAL DESCRIPTION 1703Zb3) /'-123 JOB DESCRIPTION AJJ s-- 003cO t. I r c....., I h 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 CONTRACI'OR INSTALLATION ONLY B ServIces or feedejill"'\&tstallatlOn, AlteratIOns or Relocation n laW le~U\les ~tt\l\tV -- ,.,..,.Chl' ~N O!P~?b4JyJltlllrGl!~~ set fOlth $ 70 00 \:l\\O\~ III ~ ~~~~If~It'c\'~8~~'9B2-OO'. $ 83 00 NollllcatlOIl Go' 01_(J\ll\IOA\\!IlU.9.~B~\:I'IlJ1f/1lle5 bY $13800 OP-i'I >:152.- """ \~bPtl! i~~l.'"one In 0 'Iou may \OO'j! eO\l1lll~;.,tlflCat\OR $18000 Phone OO?~"ng the cefl)~fe~BwAAlI\W.~~s $41300 Yl\umber lor thEk~'f~1 $ 55 00 ~ (' center IS SupervIsor LIcense Number ~ {;' C Temporary ServIces or Feeders nv'/ / Over 600 Amps or 1000 Volts see "B" ab6~ N\rneeCh c.~~u.~?\R~ \t:'~{~ MOl lH\!yqaM\1.~~l'tllli\iidfi~rJW1V AU~_~R ~\Rt~At-lOOl'iE $ 48 00 / ~ ^ \)' t . C(j!lWl~I~th~~ or Wlih l.( $ 400 OwnersName (")-f\m\\ t\ > PU\\f'Jt A~1~e<l!l e It Address \.l\ U ~ \,U ~ -; l KG\:.\ CIty <)'~~\\-S('\\lS\b Phone 6~ ~ -~ \\ L\ Electncal Contractor Address City ExprratlOn Date Constr Contr Number Explral10n Date SIgnature of SupervisIng ElectricIan OWNER INSTALLATION The InstallatIOn IS bemg made on property I own whIch I n t Intended for sale, lease or rent Inspection Request 726-3769 A New Resldenl1al- SlUgle or MultI-Family per dwelhug UOlt ,____ _ 0~_ ~_~ ServIce Included 1000 sq It or less Each addItIOnal 500 sq It or portIOn ihereof Each Manufact'd Home or Modular Dwelhng ServIce or Feeder $11700 $2100 $5500 Installation, AlteratIOn or RelocatIOn 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 55 00 $ 76 00 $11000 '18 /6 E MIscellaneou, (ServIce/feeder not mcluded) -Each InstallatIOn Pump or lITIgatIOn $ 55 00 SIgn/Outlme Llghtmg $ 55 00 LimIted Energy/ReSidentIal $ 28 00 LImIted Energy/CommercIal $ 50 00 MinImum ElectrIC Permit Inspection Fee IS $50 00 + Surcharges 4 '~lJBTC!TAL O!: ABOVE , ~ t./ 12% State Surcharge 7f::.IJ 10% Admmlstral1ve Fee b '{O 5% Technology Fee J I'" B/:!- TOTAL Shared Dnve(T )!BUlldmg FonnsIElectncal Permit ApplicatIOn 1-08 doc -~~= t'Ji WIt:" ~i ~ ' ,- ""'~ ~ _ v'- ;.r Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO. COM2008-00517 ISSUED 05/1612008 APPLIED 04/1412008 EXPIRES' 12/1912008 VALUE. $ 37,380.00 225 F,lth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 1423 MILL ST ASSESSOR'S PARCEL NO 1703263300300 Spnngfield TYPE OF WORK Smgle Family ReSIdence TYPE OF USE AdditIOn ReSIdential PROJECT DESCRIPTION Master Bedroom/Bath Addition Owner GARRATT BLAINE Address 1423 MILL ST SPRINGFIELD OR 97477 Phone Number 541-686-6114 I CONTRACTOR INFORMATION I Contractor Type General Electncal MechaOlcal Contractor law reqUIres you \<tlcense OWNER ':~\T\ON Orego~ by the oregon U\I\1\Yh OWNER ,\,,\es a~~~:\hose rules are s;i~g~1. OWNER ,,~d'~~ ~~'_f\r11othrOugh O~~_9...,,,~ b'l , '-~;"y;; mHY Bl:lreoiNlnffliRlffi\l1'IC!N I vu calling the 00\ ,,- 'on Utllly N~W,J'...!I~ number tor the ok~~ciU~a44), R-3 Center's A.,ght of Structure 1600 Type of Heat dseboard Electnc W.lter Type Range Type Energy Path Spnnkled Buddmg ExpiratIOn Date Phone # of UOIts Pnmary Occupancy Group Secondary Occupancy Group Pnmary Construction Type Secondary ConstructIOn Type # of Bedrooms VB Lot Size Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load 23,958 356 Path I No I DEVELOPMENT INFORMATION I Frontyard Sethack SIde 1 Setback Side 2 Setbdck Rearyard Setback Solar Setbdcks 23 60 9000 ..Q~'i!'ldY DlSt NO III\5lreet Tr):~~ ,RqdEXP1RE IF THE WORK THISPli'ffi~;1;velJ(g!!\.. OT AUTf'IDRIi'Ji/.X:l.l~ijt THIS PERMIT IS N COMMENCED OR IS ABANDONED FOR rrom::lt~IM~~~~~~R~s I REQUIRED PARKING Totdl HandIcapped Compact 9800 Street Improvements Storm Sewer Avadahle SpecIal InstructIOn Storm to curb & gutter Sidewalk Type Downspouts/Drams Curh and Gutter Notes Paee 1 of 3 -~_. Status Issued 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 F dX 541-726-3769 InspectIOn Lme DescrIotlOn TVDe of ConstructIOn Dwelhnl!s V Wood Frame Fee DescrIPtion Plan RevIew ResIdentIal -Mechamcal Issnance Fee- + 10% AdmmlstratlVe Fee + 12% State Snrcharge + 5% Technology Fee Bnddmg Permit Fire SF Fee - Residential FIXture Mmlmum/AdJustment Mechamcal Plan ReVIew Mmor - Planmng Samtary Sewer - Improvement Samtary Sewer - Reimbursement SDC Samtary/Storm Admm Storm Drainage ImpervIOus Ared Storm Sewer - 1st 50 Feet Vent Fan + 10% Admmlstrahve Fee + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Orc Add, Alter, Extend Orc Ea Add Total Amount PaId CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO. COM2008-00517 ISSUED. 05/16/2008 APPLIED. 04/14/2008 EXPIRES: 12/19/2008 VALUE: $ 37,38000 I ValnatlOn DescrmtlOn I $ Per Sq Ft or multlpher $10500 Square Footage or B,d Amount 356 00 Value Date Calculated Total V dlue of Project $37,38000 $37,38000 04/14/2008 Fpp<~ Amount Paid Date Paid Receipt Number $21519 $20 00 $52 89 $6133 $3135 $33106 $1780 $80 00 $43 00 $1l600 $14283 $18783 $22 79 $125.09 $50,00 $700 $640 $7,68 $320 $48 00 $1600 4/14/08 5/16/08 5/16/08 5/16/08 5/16/08 5/16/08 5/16/08 5/16/08 5/16/08 5/16/08 5/16/08 5/16/08 5/16/08 5/16/08 5/16/08 5/16/08 6/24/08 6/24108 6/24/08 6/24108 6/24108 2200800000000000456 1200800000000000507 1200800000000000507 1200800000000000507 1200800000000000507 1200800000000000507 1200800000000000507 1200800000000000507 1200800000000000507 1200800000000000507 1200800000000000507 1200800000000000507 1200800000000000507 1200800000000000507 1200800000000000507 1200800000000000507 2200800000000000964 2200800000000000964 2200800000000000964 2200800000000000964 2200800000000000964 $1,58544 I Plan ReViews I Imhal ReVIew 04/15/2008 04/16/2008 APP LLH Pubhc Works ReVIew 04/16/2008 04/16/2008 APP LKW Planum!! ReView 0411612008 05/0112008 APP TAJ Structural ReView 04/16/2008 06/03/2008 APP DLM Storm to curb & gutter See documents for Plan review comments Plan I eVlew completed 5/15/08 hut not entel ed mto Tidemark System Pal!e 2 of 3 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2008-00517 ISSUED 05/16/2008 APPLIED. 04/14/2008 EXPIRES 12/19/2008 VALVE $ 37,380 00 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 F dX 541-726-3769 InspectIOn Lme To Request an mspecttOn call the 24 hour recordmg at 726-3769. AlImspecttOns requested before 7 00 a.m will be made the same workmg day, mspectlOns requested after 7,00 a m WIll be made the followmg work day Reomrerl InsnectJons I Footmg After trenches are excavated FoundatIOn After forms are erected but prior to concrete placement Post and Beam PrIOr to floor msuJatlOn or deckmg Floor lnsuldllOn Prior to deckmg Shear Wall Nadmg Before covering sheathmg wIth fiDlsh materials Frammg InspectIon PrlOI to cover and after all rough 10 mspectlOns have been approved WalllnsulatlOo Prior to cover Ceiling InsulatIOn: Prior to cover Fmal BUild 109 After all reqUired mspectlOns have been requested dnd approved and the bUlldmg IS complete Underfloor Plumbmg Prior to msulatlOn or deckmg Underfloor Dram PrIor to cover or placement of concrete Rough Plumbmg Prior to cover dnd mcludmg reqUired test 109 Shower Pan Prior to covering and mcludmg reqUired testmg Storm Sewer Lme Prior to filling trench Fmal Plumbmg When all plnmbmg work IS complete Rough MechaDlcal Prior to Cover Fmal MechaDlcdl When all mechaDlcal work IS complete Rongh ElectriC Prior to Cover Fmal ElectriC When all electrical work IS complete By SIgnature, I state and dgree, that I have carefully exammed the completed applicatIOn and do hereby certIfy that all mlormatlOn hereon IS true and correct, and I further certIfy that dny and all work performed shall be done 10 accorddnce With the Ordmances 01 the CIty of Springfield and the Laws of the State ot Oregon pertammg to the WOI k deSCribed herem, and thdt NO OCCUPANCY Will be made of any structure Without permISsIOn of the CommuDlty ServIces DIVISIOn, BUild 109 Safely I further certIfy that only contractors and employees who are 10 compliance With ORS 701 005 WIll be used on thIS project I further gree to ensure that all reqUired mspectlOns are requested at the proper tIme, that each dddress IS readable from the street, t at the permit card IS focdted at the front of the property, dnd the approved set of plans Will. emam on the site at all times n g construction ~ G '04 J 0 ~ Owner or Contractors Signature Date Pa2e 3 of3 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone iZ~ CIty of Sprmgfield Offielal ReceIpt Development ServIces Department Pubhc Works Department Job/Journal Number COM2008-00517 COM2008-00517 COM2008-00517 COM2008-00517 COM2008-00517 Payments Type of Payment CredltCard cRecemt 1 RECEIPT #: 2200800000000000964 Date: 06/24/2008 DescnptlOn Add, Alter, Extend CIrC Add, Alter, Extend C1rc Ea Add + 5% Technology Fee + 12% Slale Surcharge + 10% AdmmlStratlve Fee PaId By GARRATT BLAINE Item Total Check Number AuthorizatIOn Received By Batch Number Number I-Iow Received DJB 091620 In Person Payment Total Page I of I 9 41 40AM Amount Due 4800 1600 320 768 640 $8128 Amount Paid $81 28 $8128 6/24/2008