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Home My WebLink AboutPermit Electrical 2008-9-15 ~ 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(54l)726-3753 -FAX: (541)726-3689 ELECTRIL"AL PERMIT APPLICATION . City Job Number ("O"v\.e.c>o8'- (') II b i I. P~T~.Kfl~1!J!iFii@N!lIi1lf~ 3. '3;~jz."'#l iL,,-ki~~r LEGAL DESCRIPTION: A. I&ol Dbl{ \ ObbOO 200 Amps or less, $ 73,00 20 I Amps to 400 Amps $ 86,00 . 401 Amps to 600 Amps $143,00 60 I Amps to 1000 Amps $186,00 ;;:--;-[NTIONEb\'eUtflllhWI~81\'es you to $426,00 _ ; :j,,".^! rules Jtf6~~gtfb9'lWe Oregon Utility / $ 57,00 '" 7 ~;~l~r:t~t~1f:!:!~~!I~~;,-~~ calling the do~at(bn,tMt.\Hitt6ll.~Bcation number for tJ1'609Mlli1J?& UWlty Notllicalion Cent~bisA1naPPci~~iJ"~~~t). 40 I Amps to 600 Amps Over 600 JOB DESCRIPTION: S~"lc..e ~v\lAe-c....1 Permits are non-transferable and expire if work is not started within.180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor Address City Phone SuperVisor License Number '(,4.-- .r- \r o Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Ele~trician Owners Name OVSft'l'\. /t1C-t:a!lVI<'1 AddressS q] ,t;1f; LA / <'LA/ ~,j, City cp,I"."I'/dc/ Phone -2!i/- <~S;~ OWNER INST ALLA TION The installation is being made on property I own which is not intend a f::sale, lease or;: / L - V' Inspection Request: 726,3769 .: Date Service Included, 1000 sq, ft. or less Each additional 500 sq, ft, or portion thereof " Each Manufact'd ;Home or Modular Dwelling Service or Feeder $121.00 $ 22,00 $57.00 B. .-- ----- $ 57. 00 $ 79,00 $114,00 -f) D. New Alteration o,r Extension Per Panel One Circuit ' $ 50.00 'E~ch Additional Circuit or with Service "or Feeder Penn it $ 5.00 E. .f:1D1'tlli,..'€tWil!1!'ar~,''FIi~"m~:p~,+'''F\~kl lIii.l.l!_. .. 'l&"h.".""H'A~rEX1'lRE"'to"I:I'I[l'-'M!fI'\~"~' Pump or ~I" ,l~~i6 ~NDEfl THIS pE$\MlJolS NOT sign/outl~gri h!~CED OR IS ARA.NDO~ffil~O, R LimitedE b~[fA~1 PERIOD ,,$ 29,00 Limited Eli: /t" mmercial $ 52,00 Minimum Electric Fee is $52.00 + Surcharges S7 4. 12% State Surcharge I 10% Administrative Fee 5% Technology Fee I I I , TOTAL ! bl:l'T. 570 zar 7ZE- Shared Drive(T:)/Building Forms/Electrical Pennit Application 7-08.doc " ._S~~I!!!~I;;IIIli"'I:I: :i" . f Status Issued 225 Fifth Sli'eet, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 541-726"3769 Inspection Line SITE ADDRESS: 3936 RICHLAND ST , ASSESSOR'S PARCEL NO.: 1802064106600 CITY OF SPRINGFIELD J}uilding/Combination Permit , PERMIT NO: COM2008-01169 ISSUED: .09/02/2008 APPLIED: 08/06/2008 EXPIRES: 03/15/2009 VALUE: $ 115,000.00 SPR]NGFIETYPE OF WORK: Single Family Residence ~ . ",' TYPE OF USE: Addition Residential PROJECT DESCRIPTION:' Family and dining room addition Contractor License KURT ALBROCHT,lKBR!fTlON' 0 ' CHUCK BAILEY f,iN..~W rUles ~doregon laW'reqUires . ROGER WINDHEIM'tldC9.tion C t pled by the Ore YOu, !O Ifl 0 ^ R c en er. rhos gon Ultllty OWNER 0090'" tJ52-001-0010 th e rUles are setforth OWNER cali, You may obtain c~ou9h OAR 952-001_ OWNER numh~ ~~ecenter. INI'l/:,~e,:~f the rUles bv BUfQ}f~G;lWFB~~I~J,!fic~ipe '- Ju.c;-.!.;44). 01) # of Stories: 2 Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Owner: Address: MCCALLUM DUSTIN N & C L 3936 RICHLANDST SPRINGFIELD OR 97478 Contractor Type Applicant Architect General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary COllstruction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 26.00 29.00 36.00 10.00 Street Improvemeuts: Storm Sewer Available: Special Instruction: weep hole to curb Notes: I CONTRACTOR INFORMATION' Expiration Date Phone 485-3315 541-485-3315 541-953-1110 1 R3 Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 11,195 781 VB , Heat.'Pump Electric, Electric ~ No I, DEVELOPMENT INFORMATION , , )1 REQUIRED PARKING Overlay Dist: Ur,banFringe Total: . # Street Trees Rqd:" Handicapped: PaN-'O~,Rqd: I Compact: %nG/S'P'EWr(ifj~S'HAll EXPIRE IF THE WORK ~UTHnRm:n mlnro TI.I': Pffl:\\IT i3-H;>l I PUBLI(SIlMI1I'1.I::l~$~ABANDONED FOR "'V I IOU JAy ,...lHItl'D. Sidewalk Type: , DownspoutsfDrains: Curb and Gutter Page 1 of 4 I Status Issued , ,','. . CITY OF SPRINGFIELD Building/Combination Permit P.ERMIT NO: COM2008-01169 ISSUED: 09/02/2008 APPLIED: 08/06/2008 ' EXPIRES: 03/15/2009 VALUE: $ 115,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726,3676 Fax 541-726-3769 I nspection Line I Valuation Descri?tio.~ I Bid Amount Dwellings Tvpe of Construction Use Bid Amount! 'V Wood Frame. $ Per Sq Ft or multiplier $1.00 $105.00 , Square Footage or Bid Amount 32,995.00 781.00 Value Date Calculated Description ; Total Value of Project $32,995.00 $82;005.00 $115,000.00 08/06/2008 08/06/2008 f,'~~~ Plli.IU Fee Description Plan Review Residential -Mech Iss 2+ AppIiances- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Building Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fire SF Fee - Residential Fixture Heat Pump Plan Review Minor - Planning Sanitary Sewer - 1st 50 Feet SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Vent Fan Water Line - 1st 50 Feet + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid Date Paid $439.75 $40.00 $119.66 $134.22 $61.88 $676.54 $7.00 $10.00 $39.05 $39.05 $240.00 $14.00 $119.00 $50.00 $9.31 $186.22 $50.00 $21.00 $50.00 $5.70 $6.84 $2.85 $57.00 8/6/08 9/2/08'. 9/2/08 9/2/08 9/2/08 9/2/08 9/2/08 9/2/08 9/2/08 9/2/08 9/2/08 9/2/08 9/2/08 9/2/08 9/2/08 9/2/08 9/2/08 9/2/08 9/2/08 9/15/08 9/15/0~ 9/15/08 9/15/08 Receipt Number 1200800000000000849 1200800000000000927 1200800000000000927 1200800000000000927 1200800000000000927 1200800000000000927 1200800000000000927 1200800000000000927 1200800000000000927 1200800000000000927 1200800000000000927 1200800000000000927 1200800000000000927 1200800000000000927 1200800000000000927 1200800000000000927 1200800000000000927 1200800000000000927 1200800000000000927 1200800000000000968 1200800000000000968 1200800000000000968 1200800000000000968 Total Amount Paid $2,379.07 I P.lan Reviews I I Initial Review 08/07/2008 08/07/2008 APP NJM I I Public Works Review 08/07/2008 08/ll/2008 APP LKW I weep hole to curb Structural Review 08/07/2008 08/14/2008 APP CJC , :' , Plannin!! Review 08/07/2008 08/20/2008 APP TAJ I " I. Page 2 01'4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-01169 ISSUED: 09/02/2008 APPLlED:08/06/2008 EXPIRES: 03/15/2009 VALUE: $ 115,000.00 225 Fifth Street, Springfield, OR . 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line To Request an inspection call the 24 hour recording at 726-3769. AIl inspections requested before 7:00 a.m. ~iIl be made the same working day, insp'ections requested ,after 7:00 a.m. will be made the following work day. ~eolliredJnsnections I Fooling: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials.- Framing Inspection: Prior to cover and after all rough ininspeclions have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: ~rior to cover. Drywall: Prior to taping. Hqld Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed btit prior to backfill. Underlloor Plumbing: Prior to insulation or decking. Undertloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior'to cover and including required testing. - Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior toJillihg trench and including required testin,g. . " Line to Septic Tank: Prior to filling trench and required testing. Storm Sewer Line: Prior to tilling t~ench. Final Plumbing: When all plumbing work is complete. Underlloor Mechanical. Prior to insulation or decking and including required testing. Rougb Mechanical: Prior to Cover' Final Mechanical: When all mechanical work is complete. ,r' . j Electric Service: Approval required prior to utility company energizing service. , ,. T ! Page 3 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01169 ISSUED: 09/02/2008 APPLIED: 08/06/2008 EXPIRES: 03/15/2009 \CALUE: $ 115,000.00 225 Fifth Street, Springl1eld, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I slate ~nd agree, that 1 have carefully examined the completed application and do' hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUP ANc:Y will be made of any structure without permission of the Community Services Division, Building Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, tha the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times du I constr CtiOIl. if L ' " q;; 5/0 g O~nerV ContJa~t;rs Signature - Dale VI f ~- I I I I ! Page 4 of 4 225 Fifth Str.eet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1169 COM2008-0 1169 COM2008-0 1169 COM2008-0 1169 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Service Reconnect + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By DUSTIN MCCALLUM I ;City of Springfield Official Rcceipt Dcvelopment Services Department Public Works'Dcpartment 1200800000000000968 Date: 09/15/2008 3:08:32PM Item Total: Check Number Authorization Received.By Batch Number I Number How Received Amount Due 57.00 , 2.85 6.84 5,70 $72.39 Amount Paid djb 646751 In Person Payment Total: $72.39 $72.39 Page I of I I , I ,I 9!l5/2008