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Home My WebLink AboutPermit Electrical 2008-8-20 S PA'NGfiiil'1ELD ZON \ r\,{" j _--'~ lNITIALS t-J M , JirIi: _ DATE 6.--z..-1 - 0K SOURCECG.fl3pV Date fS' /ZC)~ K , , , - .';:',.. q~Y-Olf: SP~GI~JELD, OREG:O~: _' - 125 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (54t)726-3689 tLECTRICAL PERMIT APPLICATION CIty Job Number COW1.'Zoo8- 607 S" 1 1 I LOCATION OF INSTALLATION: '33'5'Y PAR/(EIZ LEGAL DESCRIPTION ) 702 I 7St( 0Z-800 JOB DESCRIPTION gE.moD EL PermIts are non-transferable and expIre If work IS not started w.thm 180 days of ISsnance or If work IS Suspended for 180 days 2. I CONTRACTOR INSTALLATION ONLY I Electncal Contractor [; "5T 5/ D EO cae Tt< 1(, CIty 5~r;;LO ExprratlOn Date )0-1-09 Signature of Supervlsmg EleclncJan OWNER INSTALLATION The mstallatlOn IS bemg made on property I own which IS not mtended for sale, lease or rent Owner> SIgnature InspectIOn Request 726-3769 3 I COMPLETE FEE SCHEDULE BEWW A I New Resldenllal- Smgle or Multi-Family pe~ dwelling UDlt ServIce Included 1000 sq ft or less Each addItIOnal 500 sq ft or portion Ihereof Eacb Manufact'd Home or Modular Dwellmg Service or Feeder $11700 $2100 $55 00 B. I ServIces or Feeders - Insj:allallon, Alterallons or Relocallon. Over 600 Amps or 1000 Volts see "B" above D I Branch c.rcUlts - TOTAL $ 70 00 $ 83 00 $13800 $18000 $41300 $ 55 00 -~'^ "--l 200 Amps or less 201 Amps to 400 Amps Address ., '8" ) S- 3 Bos G^ G {; l /J. 401 Amps 10600 Amps lIeS '1dlll tQ\mps to 1000 Amps Phone ~~ \6'41 "'&egon moo AmpsNolls ,oiY1El-ll10 dopted '0'1 \\I~les ale Silt S'clOnly 10110Vl luleS a ~l l\'1ose I ... O",p.. 952 ..." .\call/'rnC~ NlQ t\'llOUg\l kA 1~_I.I.,- w- ~~ Supemsor License Numl!Uflt\I~.:f_Oll~ v-? ~es 01 t'~p\1b1W1porary ServIces or Feeders In 0 '( ma'l ou.~lrtNote tM tel i\ca\lOft ExprratlOn Date J () ao?~li.n~~ ~t;~'''o9n \It\I~~nstallatlOn, Allerallon or RelocatIOn '~roPel 101 \\I~ 1& 1..so0~2- 200 Amps or less Constr Contr Number r I - ( 70'f!) 201 Amps 10 400 Amps 401 Amps 10600 Amps ()\. _ I)' A_ New Alterallon or ExtenSIOn Per Panel (So _ IVIIq}1 '\ktj One.Cl!cwt-,' $ji(oO ..sO , Eacb Add_ or wllh 1- J /0 JL......--'"~. ..8f:nIII&e\1t "~lt $ ,.4'00 Owner> Name M \ ~- _11/' mn ,u~:~~~\.\. t.]o.",~~cP.l& WI" Address ::3 "5 r l{ - fh- ffH~ ~;~\l~tlE% '\~\~\lThervlce/feeder not mcluded) -Each InstalIahon j " ~ ;WYIN' Etl o? \$ t.: City <;.,. (- ~ Phone ----CD!II\WlE~C .;:{ PE?\O~p or lITIgallOn $ 55 00 AN'i 18U UI' SIgn/Outline Llgbtmg $ 55 00 Lmllted EnergylReSldentJal $ 28 00 Lllmted Energy/Commercial $ 50 00 Mmlmum ElectTlc PermIt Inspechon Fee IS $,000 + Surcharges 4.[ SUBTOTAL OF ABOVE S L 1 / () 1_7 h ;i% State Surcbarge 7 Z 10% AdrrumstratJve Fee b 5% Technology Fee :s 7h~ $ 55 00 $ 76 00 $110 00 Shared Dnve(T )/Buddmg FormslElectncaJ Penmt ApplIcation 7..fJ7 doc -~~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO. COM2008-00759 ISSUED. 07/14/2008 APPLIED. OS/29/2008 EXPIRES: 02/20/2009 VALUE: $ 36,33000 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 3354 PARKER LN ASSESSOR'S PARCEL NO 1702193402800 Springfield TYPE OF WORK Smgle Family ReSIdence TYPE OF USE Addllton ReSldenltal PROJECT DESCRIPTION AddItIOn Owner WANG MIKE W & LAURA C LEDSWORTH-WAN Address 3354 PARKER ST SPRINGFIELD OR 97478 1 CONTRACTOR INFORMA nON. Contractor Type General Electrical Contractor LIcense DUKES AND DUKES CONST 65060 EASTSIDE ELECTRIC INC 117770 I. BUILDING INFORmA1}tp/~~l-. \'I \a.~ . - QI0'llJ, se\ \o?<<\ # O!iStlltl~Sj'l \~0 ~eS ale 9o'2...o0~ R-3 < ~.rHelgnrW~tla@tW~op..? '\I\ell"~ . u"':I;ipe\S# ~..tlIOU \e~"~~ VB "e :'\'J\'Wi%~r~D!t\\ CO~ \~e \e ,:\\" ) \.' 9S')'\ '" ~o\e. ~o"" 0[>.'<' R\\W (!le ~ \,\\\\\\'!ftA4)' ,\'I 090 '{O~\\~~ e:lju~ol\ $7/liT' < Path I o Ga.\\\l\<:8ft3t1~,\~~g nla -",'oe _ftC:llt .,~l ,..... I. DEVELOPMENTlNFORMATlON , Expiration Date 03/1612009 10/04/2009 Phone 541-747-3130 541-915-9828 # of UDlts Primary Occupancy Group Secondary Occupancy Group Primary Construclton Type Seconddry ConstructIOn Type # of Bedrooms Lot S,ze 5,227 Sq Ft 1st Floor Sq Ft 2nd Floor 346 Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupant Load REQUIRED PARKING Fronty.. d Setback 22 00 SIde I Setback 8 00 S,de 2 Setback Rearyard Setbdck Solar Setbacks Total HandIcapped ~act _Qt't~~"Q~ I PUBLIC IMPRQ.yep:Nf~to.\.\. ~\S V"~tQ ~Q\'\ ~~\~ vt~~~~ \)~~~~~ype ~\)'\'t\O~\'\ctQ ~ t~SpoutslDrams CO~~ ~~ Q~ V ~\,\'f\ Overlay D,st # Street Trees Rqd Paved Drive Rqd % of Lot Coverage Street Improvements Storm Sewer Available SpecldllnstructlOn Notes Storm to eXlstmg system Paee I of 3 -ki: jij Status Issued 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectiOn Lme DescriPtIOn Tvpe of ConstructIOn V Wood Frame Dwelhnl!s Fee DeScriptIOn Plan RevIew ReSIdential -MechaDlcallssuance Fee- + 10% AdmlDlstrahve Fee + 12% State Surcharge + 5% Technology Fee BUlldmg Pel mlt MIDlmumlAdJustment MechaDlcal SDC SdDltdl ylStorm Admm Storm Dramage ImpervIOus Area Storm Sewer - 1st 50 Feet + 10% AdmmlStralIve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Clrc Add, Alter, Extend Ore Ea Add Total Amount PaId Imhdl ReView 05/30/2008 Puhhc Works ReVIew 06/0212008 Planom!! ReView 06/0212008 Structural ReVIew 06/0212008 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00759 ISSUED: 07/14/2008 APPLIED: OS/29/2008 EXPIRES: 02/20/2009 VALUE: $ 36,330.00 I V~llu~lrion Descriohon I II IIII ., $ Per Sq Ft or multlpher $10500 Squdre Footage or B,d Amount 346 00 Value Date Calculated Total Value of ProJect $36,330 00 $36,330 00 05/29/2008 I<'P~~ P1\liU Amount PaId Date PaId ReceIpt Number $211 00 $20 00 $42 46 $50 95 $2123 $324 62 $50 00 $221 $44 29 $50 00 $600 $720 $300 $50 00 $1000 5/29/08 7/14/08 7/14/08 7/14/08 7/14/08 7/14/08 7/14/08 7/14/08 7/14/08 7/14/08 8/20/08 8120108 8/20/08 8120108 8/20/08 2200800000000000784 3200800000000000491 3200800000000000491 3200800000000000491 3200800000000000491 3200800000000000491 3200800000000000491 3200800000000000491 3200800000000000491 3200800000000000491 1200800000000000889 1200800000000000889 1200800000000000889 1200800000000000889 1200800000000000889 $892 96 I Plan ReViews , 06/0212008 APP LLH 06/04/2008 APP LKW Storm to eXlStmg system 06/0512008 APP TAJ No PldnDlng ISsues 06/16/2008 APP RWC To Request an mspectlOn call the 24 hour recordmg at 726-3769. AlImspectlOns requested before 7:00 a m Will be made the same working day, mspectIons requested after 7:00 a.m Will be made the following work day. Paee 2 of3 CITY OF SPRINGFIELD - Building/Combination Permit Status Issued PERMIT NO: COM2008-00759 ISSUED: 07/14/2008 APPLIED. OS/29/2008 EXPIRES: 02/20/2009 VALUE: $ 36,33000 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Reo III red Insoecttons 1 , , Footmg After trenches are excavated FounddtlOn After forms are erected but prior to concrete pldcement Floor InsulatIOn Prior to deckmg Shear Wall Nalhng Before covermg sheath 109 wIth fiDlsh materials Franllng InspectIOn Prior to cover and after all rough 10 mspectlOns have been approved Wall InsulatIOn Prior to cover Celhng InsulatIOn PrlOI to cover Roofing Prior to mstalhng any roof covermg Fmal BUlldmg After dll reqUIred mspectlOns have been requested and approved and the butldmg IS complete Perimeter Foundahon Drams After gravel and filter cloth IS mstdlled but prior to backtill Storm Sewer Lme P, lOr to filhng trench Fmal Plumbmg When all plumbmg work IS complete Rough MechaDlcal Prior to Cover Fmal MechaDlcal When all mechaDlcal work IS complete Rough ElectriC Prior to Cover Fmal ElectriC When all electrical "ork IS complete By SIgnature, I state and agree, that I have carefully exammed the completed apphcallon and do herehy certlf, that all mformatlOn hereon IS true and correct, and I further cerllfy that any and all work performed shdll he done 10 accorddnce wIth the Ordmances of the CIty of Sprmgfield and the Laws ot the Stdte of Oregon pertdmmg to the work desCribed herem, and that NO OCCUPANCY ",II be made of any structure wIthout permlS"on of the CommuDlty ServIces DIvISIOn, BUlldmg Safety I further cerllfy that only contrdctors and employees who are 10 comphance wIth ORS 701005 WIll be used on thIS proJect I further agree to ensure that all requIred mspectlOns are requested at the proper lime, that each address IS readdble from the street, that the permIt card IS located at the front of the property, and the approved set of pldns WIll remam on the sIte at all times durmg construction Owner or Contractors SIgnature Ddte Pal!e 3 of 3 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone a~, ":C - _ CIty of Sprmgfield OffiCIal ReceIpt Development ServIces Department PublIc Works Department . Job/Journal Number COM2008-00759 COM2008-00759 COM2008-00759 COM2008-00759 COM2008-00759 Payments Type of Payment CredltCard cRecelOLI RECEIPT #: 1200800000000000889 Date: 08/20/2008 Descnptlon Add, Alter, Extend CIfC Add, Alter, Extend C,rc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmlDlstratlve Fee Paid By ROGER KING Item Total Check Number AuthorizatIOn Received By B.ttch Number Number How Received dJb 045278 In Person Payment Total Page I of I II 41 OIAM Amount Due 5000 10 00 300 720 600 $7620 Amount Paid $7620 $7620 8/20/2008