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Home My WebLink AboutPermit Electrical 2008-7-25 ZON \ M 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