HomeMy WebLinkAboutPermit Electrical 2008-7-25
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INITIALS - .rif'l')
DATE ~,-A)'{.,
SOURCE '\):\ ~":.C}ll
Date I. \,:}S It"\ ~
3 I COMPLETE._1<~E SCHEDULE BELOW
i CITY OF g'PRlNGFIELD, OREGON
..
.15 FtF fit STRF~T . SPRINGFIFI D, OR 97477 . PH (541)726-3753 . FAX (54t)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number f VIm ~ <lO'?<:(""'.C) 2, ~ 7
L~OCA110N OFINS1'ALLATIO~: 'l
27Z') 5'JfZ--
I
----~
A ~ew Re;,denhal- Smgle or MultI-Family per dWcllmg -u-~,t--1
----- ----
Service Ineluded
LEGAL DESCRIPTION
1 70Z I 7 J (
oo")o<{
1000 sq It or less
Each addItIOnal 500 sq It or
portion thereof
Each Manufact'd Home or
Modular Dwellmg ServICe or
Feeder
B I Services or Feeders - Installdhon, Alterdhons or RelocdlIon
$11700
JOB DESCRIPTION
A,j ~ (
C l <t'c.. ......-:-1-
$ 2100
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 LCONTRACT()RINS1ALLATIONONLl'l
$55 00
200 Amps or less
201 A~ to 400 Amps
Il\tael'l~o 600 Amps
go(l I'o.'/J ~:~tlll@9(1~fJil~1000 Amps
Phone ..,.\n~ OI~\Pc\ \)~ ~ IIl\e~e '9{f)ll9~psNolts
''''''If . - _\>ur \i\Os~ XI l!<l~~1
~ ~.."~ (\\13\ i\tOllg \'iIl!' .iItI' y
, \..~ -" \~~\'()()\()~co~\es;e\e\e5l"~\\O\\
Supervisor LIcense Number \ ~"" 'o't.-,_~\J 0\)\'0-\ \~o\ec\\\~ ~~,*grary ServIces or Feeders
~~ '(OU" ce(l\'" gO(\ \)\\:2;'2.~l\41'
ExpiratIOn Date (j I'.';~\\\(lg \~~l \\"Ie ~I~.\)()().~~ I~stallahon, AlteratIOn or Relocahon
'-' ..(\0'0' :\6\ ,:..
(l1l1" ce(l 200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
Electncal Contrdctor
$ 70 00
$ 83 00
$13800
$18000
$41300
$ 55 00
f"'""... '
I'
Address
City
$ 55 00
$ 76 00
$110 00
Constr Contr Number
ExpIratIOn Date
Over 600 Amps or 1000 Volts see "Boo above
D I Branch CIrCUIts
J
Signature of Supervlsmg Electrician
New AlteratIOn or ExtenSIOn Per Panel
One CIrCUIt ~"''(. $ 48 00
Each AdditIOnal CirCUit or lr'N i\\t ~I)i
sea~e or Feed~\..t~\~ \,t?.,,^I" \S $ 400
l\01~ - .~-S~ - Wi~\S--"\t~ fl)?.
i"W5 i~~1 O'(I~\l~er~~H not meluded) -Each InstalldtlOn I
\"I -~I)?.\l. elL - -?. \S'~\)"
p..~~\V>>~~a~?.\I)~. $ 55 00
C~~~I~g>tlghtmg $ 55 00
~Imlted Energy/ReSldenlia1 $ 28 00
Limited EnergylCommerclal $ 50 00
Mmlmum Electnc Permit InspectIOn Fee IS $50 00 + Surcharges
4 L~U~TOTAL~OFABOVE ____~~J ~-o
17m, State Surcharge b
'1;0% AdmInistratIve Fee }"
5% Technology Fee '7 0-'
Owners Name (l9:-.Ql\UO'~'O""""""~'~
G -
Address .---:'1 " ..::l,-;)::1, \ ?-'?-'Qd ~
City ~~ Phone I~\"t-.-=>A\
OWNER INST ALLA nON
The IDstallatlOn IS bemg made on property I own which
IS not mtended for sale, lease or rent
Owners SIgnature
C'\'lN\""--'9 ~"~
o ~
h "] .::::-
InspectIOn Request 726-3769
TOTAL
Shared Dnve(T )/BUlldmg FormslElectncal Permit ApplicatIOn 7-07 doc
Status
Issued
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: cOM2008-00337
ISSUED. 04/18/2008
APPLIED: 03/11/2008
EXPIRES: 01/22/2009
VALUE' $ 12,600,00
225 Filth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fa.
541-726-3769 InspectIOn Lme
SITE ADDRESS 2723 33RD ST
ASSESSOR'S PARCEL NO 1702193100304
Spnngfield TYPE OF WORK Smgle FamIly Residence
TYPE OF USE AddItIOn
ResldenlIal
PROJECT DESCRIPTION ResidentIal AdditIOn
Owner FERGUSON CHERYL ROXANA
Address 2723 33RD ST
SPRINGFIELD OR 97477
Phone Number 541-747-8341
Contractor Type
General
Electncal
I CONTRACTOR INFORMATION I
Contractor License
CUTTING EDGE CONSTRU'CTION & DESIG 165023
OWNER
ExpIration Date
06/08/2009
Phone
541-459-3941
I BUILDING INFORMATION.
# ofUmts
Pnmary Occupancy Gronp
Secondary Occupancy Group
Primary ConstrnctlOn Type
Secondary ConstructIOn Type
# of Bedrooms
500
# of Stones t
HeIght of Str~fes ~Il':'
r~~! Olegon U ""
V~n:.1'l1'OI'l ~t\\llule9 ate5~t~t\'.
f', leS ~ ",v:;:;:~':."'.9 I .095..."""
lollOW IU C e. (! gh Ot'<' ~e9 '"
l'lot\l\Ca\IOl\ 0 ~9 ~~,\e,~ot \he "!.one
f>,.R 952- ~ If.'U' \ele~" ~"....
Il\~^ "nU ltI u:-.:;-rNb ' @ '-l'lllt\oau-'
uV~_f.l~p~Bl'iiriUkL\rION I
nuilftll!" centel II . . I
Overlay DISt,
# Street Trees Rqd
Paved Dnve Rqd
0/0 ot Lot Coverage
I
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Gardge/Carport
Sq Ft Other
Occnpant LOdd
120
Front yard Setback
SIde] Setback
Side 2 Setback
Rearyard Setback
Soldr Setbacks
Urban Fnnge
REQUIRED PARKING
Total
Handicapped
Compact
I PUBLIC IMPROVEMENTS I \f~t~"~
Street Improvements l\O't\C~~ ~ 'S~~\.\.~l~~~\'~:O
Storm Sewer AvaIlable 't~\S ~EP.~Etl \)~tlE%~~w..ams
SpeclallnstrnclIon ~\)1~0F.\ Etl OF. \$ ~
Q~,,^E~C ~t.F.\Otl.
Notes Storm water run-olf on new proposed addllIon WI~~W"f%il~'tg gutters & dram
Page I of3
Status
Iss u ed
225 FIlth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LIne
DescflPtJOn
Tvpe of Construcllon
V Wood Frdme
Dwelhngs
Fee Description
Plan Review ReSIdentIal
-Mechdmcdllssuance Fee-
+ 100/0 AdmlDlstratJve Fee
+ 12% State Surcharge
+ 5% Technology Fee
BUlldmg Permit
FII e SF Fee - Resldenllal
Mmlmum/Adjustment Mechamcal
SDC SdmtarylStorm AdmIn
Storm Dr dInage ImpervIous Area
+ 10% AdmmlStrallve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend C1rc
Mlmmum/Adjustment Electrical
Total Amount P did
ImtIal Review
03/13/2008
Public Works Review
03/14/2008
Puhhc WOI ks RevIew
03/2 1/2008
PlanmD2 Review
03/14/2008
I yaluatlOn DescrintlOn I
$ Per Sq Ft
or multlpher
$10500
Square Footage
or Bid Amount
12000
Total Value of Project
Ff'P~ P~iLI
Amount Paid
$93 85
$20 00
$20 04
$23 33
$972
$14438
$600
$50 00
$208
$4152
$500
$600
$250
$48 00
$200
$47442
Date PaId
3/11/08
4118/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
7/25/08
7/25/08
7/25/08
7/25/08
7/25/08
I Plan RevIews I
03114/2008
03/17/2008
03/21/2008
03/24/2008
APP LLH
10 LKW
APP LKW
APP TAJ
Paee 2 of3
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' cOM2008-00337
ISSUED: 04/18/2008
APPLIED. 03/11/2008
EXPIRES: 01/2212009
VALUE: $ 12,600,00
Value
Date Calculated
$12,600 00
$12,60000
03/11/2008
Receipt Numbel
1200800000000000224
2200800000000000487
2200800000000000487
2200800000000000487
2200800000000000487
2200800000000000487
2200800000000000487
2200800000000000487
2200800000000000487
2200800000000000487
1200800000000000815
1200800000000000815
1200800000000000815
1200800000000000815
1200800000000000815
Waltmg for contractor to
IIlformatlOn on storm dramage
MIx-up ID contractor names, and
CCB numbers, Cuttmg edge m
Sutherhn IS the contr.ctor
3- 18-2008
Storm water to gutters to eXlstmg
drams
Side setback dIStance IS unclear
because site plan IS not to scale -- It
must be at least 5 feet No other
Plannmg Issues
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2008-00337
ISSUED' 04/18/2008
APPLIED: 03/11/2008
EXPIRES' 01/22/2009
VALUE' $ 12,600.00
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Structural Review
03/14/2008
04/10/2008
APP RWC
To Request an mspection call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7,00
a.m. wIll be made the same workmg day, inspections requested after 7:00 a,m. will be made the followmg
work day
I ReOIJlrerl TnsnectlOns ,
11111 I
Footmg After trenches are excavated
FoundatIon After lorms are erected but pnor to concrete placement
Post and Beam PrlOI to floor msulatlOn or deckmg
Floor InsulatIOn Prior to deckmg
Shear Wall Ndlhng Before covermg sheathmg With fimsh materials
Frammg InspectIOn Prior to cover and after all rough m mspectIons have been approved
Wall InsulatIOn Pnor to cover
Cellmg InsulatIOn Pnor to cover
Fmal BuIldmg After all reqUIred mspectlOns hdve been requested and approved and the buIldmg IS complete
Rough Mechamcal Pnor to Cover
Fmal Mechamcal When all mechamcal work IS complete
Rough ElectriC Pnor to Cover
Fmal Electnc When all electncal work IS complete
By SIgnature, I state and agree, that I hdve carefully exammed the completed apphcatIon and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further certIly that any and all work performed shall be done m dccordance WIth
the Ordmances of the CIty of Springfield and the Ldws of the State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY will be made 01 any structure Without permISSIon of the Commumty Services DIVISIOn, BUlldmg Safety
I further certlly that only contractors and employees who are m comphance With ORS 701 005 will be used on thiS project
I further agree to ensure thdt dll reqUired mspectlOns are requested at the proper tIme, thdt 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 remdm on the SIte at all
times dunng construction
(ll..""'3 ~~.""
Owner or Contractors Signature
., -::l:<'. -c-.\l(
Date
Paee 3 of3
225 FIfth Street
Sprmgfield, Oregon 97477
541-'726-3759 Phone
$P~~~LD~
WiLti
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/JournJ.1 Number
COM2008-00337
COM2008-00337
COM2008-00337
COM2008-00337
COM2008-00337
Payments
Type of Payment
Cash
cRecclOtl
RECEIPT #,
1200800000000000815
Date. 07/25/2008
DescriptIOn
Add, Alter, Extend Clrc
MInimum/AdJustment ElectrIcal
+ 5% I echnology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
CHERYL FERGUSON
Item Total
<":heck Number AuthOrizatIOn
Received By Batch Number Number How Received
OJ B In Person
Payment Total
Page 1 of I
1190lPM
Amount Due
4800
200
250
600
500
$63 50
Amount Paid
$63 50
$63 50
7/25/2008