HomeMy WebLinkAboutPermit Electrical 2008-8-19
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~ INITIALS
DATE
. SOURCE
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SPRINGFIELD
2:1..' FIITH STREET. SPRINGFIELD. OR 97477 . PH (541)726.3753 . FAX (541)726-3689
ELECTRICAL PERMIT APPLICATION
CIty Job Number C OM ZOO b - 0 0 7 () 9
2 CONTRACT()'R INS~ALU.TIO:Z;' 0 B ,~rfd~~J~- In<;lallatlOn, A,lterdtlO,~s or RelocatIOn
""'-- 10'" Olegon \)'e Olegon \ 10rth
ElectrIcal Contractor . €."'~!>ll adopte~tl~sIH'tlle$>e.I&l:2-001. $ 73 00
" /10\10'#' .~ centel "Wk~~g~y $ 8600
Address '" / __ ",0~I~C~~~2_001.0~~b~~{\Q.%~ $14300
'" //' 'Oo~O. ,{oUl1\aJe~tefad.~l'; .tw_~n $18600
City '" /Phone calling tr:1 the 01 ~~olts $42600
. nuOW"'cen\el Ie nnect Only $ 57 00
,
,
/
Supervisor Llcense,Number
//
/
ExpIratIon Date
//
Constr .Contr Number
/
I LOCATION OF INSTALLATION:
t2/~ L-cc.u,.+. ST
LEGAL DESCRIPTION
17032441
01700
JOB DESCh'TlON
:-AJJ; A-lk 2.- LlrC......~ ~
PermIts are non-lransferable and expIre If work IS
nol slarted wltbm 180 days of Issuance or If work IS
Suspended for 180 days
ExpiratIOn Date
,
Signature of Supervlsmg ElectriCian
\
Owners Name f2. p/ d SfncJ;we,U
Address '.2--7 ro to {~cu<:. +- c" (
efl .
CIty ~(I<<f) fI-e..rd./ Phone 9f ( 7C{7 tf8Cf ()
OWNER INSTALLATION
The mstallatlOn IS bemg made on property I own which
IS not mtended for sale, lease or rent
oMruydfJ)
InspectIon Request 726-3769
Date
3 COMPLETE FEE SCHEDULE BEWW
A ,New R,,~ldent13l- S~ngle ~r M~ltl-Famlly "er dwellIng umt.
ServIce Included
1000 sq ft or less
Each addITIonal 500 sq ft or
portIOn thereof
Each Manufact'd Home or
Modular Dwellmg ServIce or
Feeder
x
$12100
(
$ 22 00
$5700
c
Temporary ServIces or Feeders
Inslallahon, Alterallon or RelocatIon
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 5700
$ 79 00
$11400
,
\
Over 600 Amps or I 000 Volts see "B" above
D Branch CIrcUIts 'f.lOv,.\(.
"o~tl,ltera~\-\~~\.~k~\~~~~~~:01 $ 50 00
1\\'in3 ; ~'i}~ ~t
~~~ {ff~ I $500
t.QW\tJ\t~ PtR\Q~.
"M~t'l6QIQ~ous _(ServIce/feeder not mcluded) -Each InstallatIOn
Pump or lITIgatIon $ 57 00
SIgn/Oudme LIghtmg $ 57 00
Lumted EnergylResldentIaI $ 29 00
LimIted Energy/CommercIal $ 52 00
MlDlmum Electnc PermIt Inspechon Fee IS $52 00 + Surcharges ..-
$~
~o
S-
4
SUBTOTAL OF ABOVE
12% State Surcharge
10% Admmlstratlve Fee
5% Technology Fee
bf>~
:::>>"
'::::' )
h78L
TOTAL
Shared Dnve(T )/Buddmg FormslElectncal Permit ApplicatIOn 7...()8 doc
_...N_......-N
~'.
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00709
ISSUED: 08/19/2008
APPLIED: 06/09/2006
EXPIRES: 02/19/2009
VALUE $ 14,11200
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 2766 LOCUST ST
ASSESSOR'S PARCEL NO 1703244101700
Spnngfield TYPE OF WORK Gar.ge
TYPE OF USE New Resldentoal
PROJECT DESCRIPTION Plans modIfied from ongmal subnuttal - GARAGE ADDITION ONLY now 080806
DB
Garage addItIOn and convert eXlstmg gar.ge mto hvmg space
Owner REID STOCKWELL
Address 2766 LOCUST ST
SPRINGFIELD OR 97477
Phone Number 541-747-4890
I CONTRACTORINFORMAlION I
Contractor UIleS 'IoU \~ LIcense
OWNER nO" \e.Vlle~Oleno" \.l\~\I.... 8699
l'l Ole", \\\e '" e\ ,0....
O"'i~~i\~" j^nlecl ~~~_ ...I..S ~le !:~ nQ~~
\o\lOVllU~" ce"\'l'''R\ill:RIi~I:S1N[ftRiwn,oN'
l'l0\1\~~~5'2.-00~-~.1I!"e \e{e~~1\
#OfUDltS \nO ~U\'l\e.'IO 1""_~0\l
Pnmary Occupancy Group 0090;" the cen\6;~~!!f _ ture
Secondary Occup.ncy Group Ce. e \01 \\\e \S ~ eat
Pnmary ConstructIOn Type I\U~i'(ien\el Water Type
Secondary ConstructIOn Type R.nge Type.
# of Bedrooms Energy Path
Sprmkled Bulldmg
ExpiratIOn Date Phone
12/18120 I 0
Contractor Type
General
Electncal
I
1400
Lot SIze
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Lo.ld
462
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback
S.de I Setb.ck
SIde 2 Setb.ck
Reary.lrd Setback
Solar Setbacks
Overlay Dost Floodplam Total
# Street Trees Rqd ~andlc.pped
Paved Dnve Rqd :t\\~ \NO?i,'(ompact
% of Lot Soverage ~,?~ \f'{t.i\~ ,S ~O
\\O't\~~. ~~'1 S,,~';.;, 'n\\S \'~~~I"I fO?
"\\\t_/ ..r - 1<\~S'L:t~ r..N\.lv\t
I PUBLIOI!YJX~~i\'~ t.~"
Partoallv Improved rC"O\'J\\'J\t.~~~ \,t.?'\O\)' SIdewalk Type
No t.~'l '\~ DownspoutslDrams
Drywell - PrOVIde
Drywell Engmeenng
3300
1850
Street Improvements
Storm Sewer Available
SpeCial InstructIOn
Notes Rcvd rvsd plans Included RV pad 601 sqft mto ImpervIOUS SDC fees effectove 811106 Drywell approval by CAS
durmg pnor submIttal JLP Storm dramage pIped to drywell
Paee I of4
-ii: jijI
Status
Issued
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lone
Descnptlon
EstImate
Garaee
Tvpe of Construction
Estimate
Garaee
Fee Descnptlou
Pldn RevIew Resldeutlal
+ 10% AdmonlStrdtlve Fee
+ 8% State Surchdrge
FIre SF Fee - ReSIdential
FIXture
GaragelCarport
SDC SamtarylStorm Admon
Storm Draonage ImpervIOus Area
Storm Sewer - 1st 50 Feet
+ 10% Admonlstratlve Fee
+ 12% Stdte Surcharge
+ 5% Techuology Fee
Add, Alter, Extend CIfC
Add, Alter, Extend C1rc Ea Add
Total Amouut PaId
Imhdl Review
06/1212006
PuhlIc WOI ks RevIew
0611412006
Structural Review
0611412006
Plannmg Review
0611412006
I ValuatIOn DescriDtion I
$ Per Sq Ft
or multIplIer
$100
$26 00
Square Footage
or BId Amount
2,10000
462 00
Total Value of ProJect
Fpp" Pqul I
Amount PaId
$9516
$22 85
$1643
$23 10
$1400
$14640
$1009
$20171
$45 00
$550
$660
$275
$50 00
$500
$644 59
Date PaId
619106
9129/06
9129106
9129106
9/29106
9/29/06
9/29/06
9/29106
9/29106
8/19/08
8/19/08
8/19108
8/19108
8/19108
I Plan ReVIews I
06114/2006
0612812006
0612912006
06/30/2006
APP LLH
APP CAS
WI RWC
WI TAJ
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00709
ISSUED. 08/19/2008
APPLIED: 06/09/2006
EXPIRES: 02/19/2009
VALUE' $ 14,1l2 00
Value
Date Calculated
$2,100 00
$12,01200
$14,1l200
06/0912006
0610912006
ReceIpt Numher
1200600000000000841
2200600000000001365
2200600000000001365
2200600000000001365
2200600000000001365
2200600000000001365
2200600000000001365
2200600000000001365
2200600000000001365
2200800000000001262
2200800000000001262
2200800000000001262
2200800000000001262
2200800000000001262
Errors corrected d'1"'ell ueeds to he
4'x4 3' 3' depth ReceIved drywell
onfo 6123/06 notIfied owner calcs
oncomplete Need d'1"'ell onfo called
611612006 CAS
waltong for planong Issues about
flood plalll before doong structural
plan review
Waltong for Floodplaon approvdl
SHR2006-00003 ReVIsed plot plan
gIven to Jeff P for revle" 8/30/06
tara
-~~
CITY OJ:< ~rKll~'-'J:<IELD
Status
Issued
Building/Combination Permit
PERMIT NO. COM2006-00709
ISSUED. 08/19/2008
APPLIED: 06/0912006
EXPIRES: 02/1912009
VALUE: $ 14,112.00
225 FIfth Slreet, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectoon Lme
Publoc Works Review
08/31/2006
08131/2006
APP JLP
Rcvd rvsd plans Included RV pad
601 sqft mto ImpervIOUS SDC fees
effectove 8/1106 Drywell approval by
CAS durmg pnor su bmlttal J LP
Structural Review
09/01/2006
0910112006
WI RWC
walttmg for plannmg
Plannm!! Review
09/1112006
09111/2006
APP TAJ
Floodplam Overlay
(SHR2006-00003) dpproved effectlv,
9/12106
Structural Review
08/30/2006
0912812006
APP RJB
Revised plans for garage expansIOn -
Now no eXlstmg gardge conversIOn
due to flood zone reqUIrements lhat
the owner chose nol to comply WIth
To Request an mspectton call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7:00
a m. wtll be made the same working day, mspecttons requested after 7 00 a.m will be made the following
work day.
~Rp.nlllrp~~~tlo~
FEMA Certoficate Requlfed FEMA Certoficate requlfed to be completed and presented to the City of Spnngfield
pnor to requestmg dny finalmspectlOns on thIs project
Footmg After trenches are excavdted
FoundatIOn After forms are erecled bul pnor to concrete pldcement
Shear Wall NaJlmg Before covermg sheathmg With fimsh matenals
Framlllg In~pechon Pnor to cover and dUef dll rough III mspectlOns have been approved
Fmal BuJldmg After all reqUIred mspectlOns have been requested and approved dnd the bUlldmg IS complete
Drywell Engmeered Drywellls ReqUIred
Rough Electnc Pnor to Cover
Fmal Electnc When all electncal work IS complete
Pa!!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2006-00709
ISSUED: 08/19/2008
APPLIED: 06/09/2006
EXPIRES: 02/19/2009
VALUE: $ 14,112.00
225 FIfth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
By slgn..ture, 1 st..te and agree, that 1 have carefully exammed the completed apphcatlOn and do hereby certIfy that all
mformatIon hereon IS true and correct, and I further certIfy that any and all work performed shall be done 10 accordance wIth
the Ordm..oces of the CIty of Sprmgfield and the Laws of the State of Oregon pertalDlng to the work descrIbed herem, and
that NO OCCUPANCY WIll be made of any structure wIthout permISSIon of the CommuDlty ServIces DIvIsIOn, Buoldmg Safety
I further certIfy that only contractors and employees who are 10 comphance wIth ORS 701 005 will he used 00 thIS project
I further agree to ensure that all requored mspectlOns are requested at the proper tIme, that each address IS readable from the
street, that the permIt card IS loc..ted at the front of the property, and the approved set of plans will remam on the sIte at all
tlme7iJJo"?l:]j) g-j If loa
l ,.; ( "
Owner or Contractors S'gnature Date
P"2e 4 of4
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00709
COM2006-00709
COM2006-00709
COM2006-00709
COM2006-00709
P dyments
Type of Payment
Check
cRecemlJ
RECEIPT #:
~4'4
CIty of Springfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
2200800000000001262
Date: 08/19/2008
DescnptlOn
Add, Alter, Extend ClfC
Add, Alter, Extend Clrc Ea Add
+ 5% 1 echnology Fee
+ 12% Slate Surcharge
+ 10% Administrative Fee
Paid By
REID STOCKWELL
Item Total
Check Number Authorization
Received By Batch Number Number How Received
DJB
1059
In Person
Payment Total
"
Page I of 1
I 33 50PM
Amount Due
5000
500
275
660
550
$69 85
Amount Paid
$69 85
$69 85
8119/2008