HomeMy WebLinkAboutPermit Electrical 2008-8-4
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225 FIFI1I STREET. SPRINGFlliLD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
ELECTRICAL PERMIT APPLICATION ,/
CIty Job Number CD~7oc8 -00 9/b Date
1 : LOCATIONOFINSTALUl70N:
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LEGAL DESCRIPTION /80t.O U \
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JOB DESCRIPTION
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COMPLEt!'J~J:: ~ClI!E!?!!P'.BELOW
,-
A l Ne~cResl~~ntiaL-;"~mgle_or ~lIltI:Famlly per_dwellIng unit
Service Included
1000 sq ft or less
Each add,tlOnal 500 sq ft or
portIOn thereof
$11 700
$ 2100
PermIts are non-transferable and expIre If work IS Each Manufact'd Home or
not started wlthm 180 days of ISsuance 9f7tr,ork IS Modular Dwellmg ServICe or $55 00
Suspended for 180 days fOlloW ~ION' Ore 0 Feeder
2 iCONiiAcrORniSTAL~~:OPt~~~~;gWji~~1flS =-instaIlatlOn, AIt~ratI~n~ 0; Rel~catJOn
- ----" " O~ y:2-001-0~1 ThoserUle::f!dfI Utility - -
ElectrIcal Contractor l'Yf vi 0 ~1JiI#M\: ~JIYQJ)fjffvJft.~grSreUOrth $ 70 00
nUmbe~ te,centl;P!(NCOFlIAs~~~f!!YfM:Bps $ 83 00
Address fO.D _ EiG)C z:sl? 2.. C,,~!~he Or~gOno~o1'1A1fJp1!>~8~~~Ps $13800
-~. ." 1 BO III~" ne
'f7~O-z. - O~ ~Watllll9 Amps $18000
CIty e-U6k/.4"" Phone CS-'-fI)Y4-:J-CGf,? Over o AmpsNolts $41300
Reconnect Only $ 55 00
SupervIsor LIcense Number ~ '73 2 s
C Temporary ServIces or Feeders
ExpIratIOn Date /C) /o~'!~ InstallatIOn, AlteratIOn or RelocatIOn
THIS p'"r:., 200 Amps or less /
Constr Contr Number :7 &:> -'8!1rff~RMfT Sli1Ll EXi 20 I Amps to 400 Amps
,qQMM IlED UNDER PIRiJIFAfflr W,600 Amps
ExpIratIOn Date 7' /z":1M' ENCfn OR'S THIS FlffiRMJqoI~lJ/OJK 1000 Volts see "B" above
I/jO DAYp'" I ABAA/nOAlt'... _Jvlif'
SIgnature of SupervISIng ElectrICIan c:RIOD. "11 '~'f&JfIr~Ults _ _ '. .. _
j4~/,$~
Owners Name ~ r:L.- ,e;. +-c:==... so:.......
Address 'rOC> 8'( Ulc..fCov2f~
Phone fry - 'f lbO
CIty
,?F':h
OWNER INSTALLATION
The mstallatlOn IS bemg made on property I own wh,ch
IS not JDtended for sale, lease or rent
$ 55 00
$ 76 00
$1 JO 00
.--...- Cc-
<;; -"-
New AlteratIOn or ExtenSIOn Per Panel
Ooe CrrcUlt
Each AddItIOnal CrrcUlt or wIth
ServIce or Feeder PenDIt
$ 48 00
$ 400
E
MIscellaneous (Servlce/feeder not meluded) -Eacb InstallatIOn
~^'~~" -~---
Pump or lITIgatIOn $ 55 00
SIgn/Outhne Llghtmg $ 55 00
LImIted EnergylResldentJaI $ 28 00
Lumted Energy/Commerclal $ 50 00
Mmlmum Electnc PermIt InspectIOn Fee IS $50 00 + Surcharges
~~~ - ~ ~
A. 4 SUBTOTAL OF ABOVE
, ,~<:--. \ 12%S;"teSurch';;'ge
() \v:;;U ~ 10% Admlmstratlve Fee
CS)), \,\.\05%TeChnOlogyFee
InspectIOn Request 726-3769 ('\ ~\: ~Q}7 TOTAL
~ ~ - Shared Dnve(T )lBUlldmg FonnslElectncal Permll ApplicatIOn 1-08 doc
Owners SIgnature
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00916
ISSUED 07/25/2008
APPLIED. 06/24/2008
EXPIRES 01/25/2009
VALUE: $ 96,49500
Status
Issued
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SPRINGFIETYPE OF WORK Smgle FamIly ResIdence
SITE ADDRESS 655 S 71ST ST
ASSESSOR'S PARCEL NO 1802022105501
TYPE OF USE
New
ReSldenllal
PROJECT DESCRIPTION Smgle FamIly ReSIdence
Phone Number 541-954-4260
Owner CHRISTENSEN STEPHEN KIM
Address 40084 MCKENZIE HWY
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION.
ExpIratIOn Date
06/05/2009
0110112010
11114/2008
1112112009
Contractor LIcense
CONSTRUCTION SYSTEMS 2 33758
DA VE STVCK ELECTRIC, LLC 158177
BEYMER HEATING & SHEET METAL CO 4483
SPECIALTY PLUMBING <::.QonUIleS '100. t~. 102974
pO, ,,,N \iO~ a~~_~!?\!II~~?l{R~'J" liON'
IO"uw III e tel 1\105(,) U '"nAR 952.\i\l'1~
# of Umts \~O\\\icatl?1l C~~_0010 ~f6I\.!D\lr~t\\le lules bV
Pnmary Occupancy Group \\'\ OAR ~.B-O a'1 obtalo1W~~IS ~~~m'W'Allfle
Secondary Occupancy Groum090 'lo'tf' center. ~~ 'VlbtlucaUon
Pnmary ConstructIOn Type ca\\ln~~~ the Ole~t 4),
Secondary ConstructIOn Type llLllObelc:en\er IS 1-OO1li ype
# 01 Bedrooms Z Energy Path.
Sprmkled BuIldmg
Phone
541-747-3554
541-485-8855
541-688-5004
541-686-4191
Contractor Type
Genera'
Electncal
Mechamcal
Plumbmg
Lot Size
Sq Ft 1st Floor'
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
14,810
919
I
1500
Wall Heat
Electnc
Electnc
Path I
nla
r DEVELOPMENT INFORMATION'
REQUIRED PARKING
Overlay Dlst HIllSIde Total
# Street Trees Rqd 6 HandIcapped
Paved Dnve Rqd Compact
% of Lot Coverage 7 60 ~~
---rot:' -m'~r 'f-n\~\N\<, ~,rit
fr!n'_l!E- ~~ -,. f.v,Wld to
I PUBL - 1j\4~l>lRlVtl~f;;i 1\,\\$ P ~f.O fO\\
~\li\'\ORILt~o O~ \$ ~6~~~walk Type
COWlWl'C.O~~p.'l PE\'.\OO, DownspoutsfDrams
A~'l ~8
2
Front yard Setback
SIde I Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
3000
10 00
5900
1400
10 00
Street Improvements
Storm Sewer Ava,lable
Special InstructIOn
Notes Stormwater pIped to 8" pIpe m pnvate dramage easement
Paee I of 4
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
DescrIotlOn
Tvpe of ConstructIOn
Dwelhnes
V Wood Frame
Fee DescnptlOn
*** SDC ANNEXA T10N CREDIT
-MechaUlcallssuance Fee-
+ 10% Admmlstrahve Fee
+ 12% State Surcharge
+ 5% Technology Fee
2 Baths One or Two FamIly
BUlldmg PermIt
Dryer Vent
Exhaust Hoods
M.mmum/AdJustment MechaUlcal
Plan Rev,ew MaJor - Plannmg
SaUltary Sewer - Improvement
SaUltary Sewer - ReImbursement
SDC MWMC AdmmlstratlOn
SDC MWMC Improvement
SDC MWMC ReImbursement
SDC SaUltarylStorm Admm
SDC Transpo Improvement
SDC Transpo Re,mbursement
SDC TransportatIOn Admm
Storm Drdmage ImpervIOus Area
Storm Sewer Each Addtl lOW
Vent Fan
WIllamalane Smgle Family
+ 10% AdmlDlStrahve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Temp Power 200 amps or less
Total Amount Paid
IUlhal ReView
06/23/2008
I Valuation DescrIDhon I
$ Per Sq Ft
or mulhpher
$10500
Square Footage
or BId Amount
919 00
Total Value of ProJect
Fpp,. P~iIU
Amount PaId
Date PaId
$-37555
$20 00
$95 60
$11472
$58 05
$280 00
$609 97
$700
$1000
$1900
$205 00
$469 29
$617 17
$10 00
$990 39
$95 35
$96 29
$862 25
$19548
$6776
$41661
$1600
$1400
$2,513 00
$550
$660
$275
$55 00
7/25/08
7125108
7/25/08
7/25/08
7/25/08
7/25/08
7125108
7/25/08
7125108
7/25/08
7/25/08
7/25/08
7/25/08
7/25/08
7/25/08
7125108
7/25/08
7/25/08
7/25/08
7/25/08
7125108
7125/08
7/25/08
7/25/08
7/30/08
7/30/08
7/30/08
7130108
$7,477 23
I Plan ReVIews I
06/24/2008
APP LLH
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00916
ISSUED. 07/25/2008
APPLIED: 06/24/2008
EXPIRES. 01/25/2009
VALUE: $ 96,495.00
Value
Date Calculated
$96,495 00
$96,495 00
06/24/2008
Rece'pt Number
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
12008000000000008]3
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000826
1200800000000000826
1200800000000000826
1200800000000000826
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO. COM2008-00916
ISSUED: 07/25/2008
APPLIED: 06/24/2008
EXPIRES: 01/25/2009
VALUE. $ 96,49500
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
PublIc Works RevIew
06/2412008
06/27/2008
APP TSS
Stormwater pIped to 8" pIpe m
private dralOage easement
Structural Rev,ew
06/24/2008
07/14/2008
APP CJC
Plannme Rev,ew
0612412008
07/1612008
APP TAJ
Accordmg to contractor less than 5
trees wIll be removed Add,tlOnal
trees wIll be fenced off from
constructIOn actIVIty If more than 5
trees are removed, a Tree Felhng
PermIt IS reqUIred
Choose street trees from the Nahve
Trees for H,llsIde Development hst
m the Street Tree Handout
To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7.00
a 10 will be made the same workmg day, mspectIons requested after 7 00 a.m. will be made the followmg
work day
I 'pp\,!lIrprlln'il'prhon'J
EI oSlOn/Gradmg Inspection Prior to ground disturbance and after erosIOn rnedsures are IOstalled
Footmg After trenches are excavated
FoundatIOn After forms are erected but pnor to cone) ete placement
Post and Beam PrIor to floor msulatlOn or deckmg
Floor InsulatIOn PrIor to deckmg
Shear Wall Nailmg Before covermg sheathmg With filllSh matenals
Frammg InspectIOn Pnor to cover and after all rough m IDspectlOns have been approved
Wall InsulatIOn PrIor to cover
Ceiling InsulatIOn Prior to cover
Fmal BUlldmg After all reqUIred mspectlOns have been requested and approved and the bUlldmg IS complete
Vnderfloor Plumbmg Pnor to msulatlOn or deckmg
Rough Plumbmg Pnor to cover and mcludmg reqUIred testmg
Water Lme PI lOr to tilhng trench and mcludmg required testmg
Samtary Sewer Lme Pnor to filhng trench and mcludmg reqUIred testmg
Storm Sewer Lme. Pnor to filhng trench
Vfer Electncal Ground Install ground rod at footmg and call for mspechon m conJunctIOn WIth footmg andlor
foundatIOn mspectlOD
Rough Electnc Pnor to Cover
Fmal Electnc When all electncal work IS complete
Paee 3 of 4
CITY OF ~rKmul'lI!.LD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00916
ISSUED' 07/25/2008
APPLIED. 06/24/2008
EXPIRES' 01/25/2009
VALUE' $ 96,495.00
225 F,lth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
Rough Mechamcal Pnor to Cover
Fmal Mechamcal When all mechamcal work IS complete
Underfloor Mechamcal Pnor to msulatlOn or deckmg and mcludmg reqUIred testmg
Temporary Electnc Approval reqUIred pnor to Vtlhty Company energIZIng pole
By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlon and do hereby certify that all
mformahon hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance WIth
the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structure WIthout permIssIOn of the Commumty ServIces DIVIsIOn, BUIld 109 Safety
I further certify that only contractors and employees who are m comphance WIth ORS 701005 wIll be used on thIS proJect
Ilurther agree to ensure that all reqUIred mspectlons are requested at the proper time, that each address IS readable from the
street, that the permIt card IS located at the front 01 the property, and the approved set of plans wIll remam on the sIte at all
tImes durmg construction
Owner or Contractors Signature
Date
Paee 4 of 4
225 FIfth Street
Spnngfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00916
COM2008-00916
COM2008-00916
COM2008-00916
Payments
Type or Payment
Check
LRecemtl
RECEIPT #.
DescnptlOn
Temp Power 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstratIve Fee
PaId By
DAVID STUCK ELECTRIC
LLC
CIty of Sprmgfield OffiCial ReceIpt
Development ServIces Department
Pubhc Works Department
1200800000000000826
Date 07/30/2008
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 2547 In Person
Payment Total
Page I of I
11 16 55AM
Amount Due
5500
275
660
550
$69 85
Amount Paid
$69 85
$69 85
7/30/2008