HomeMy WebLinkAboutBuilding Electrical 2008-9-19
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. DEVELOPMENT SERVICES DEPARTMENT~ ~
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225 FIFTH STREET ~~
SPRINGFIELD, OREGON 97477 ~ ,
INSPECTION REQUEST: 726-3769 ~
OFFICE: 726-3759.
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number COJ4Al.Oo&" -0 0 ~3 I
COMPLETE FEE SCHEDULE BELOY
1.
3.
LOCATION OF INSTALLA'lJQN <0 "1-' rD
n s9 \~ 't:> ,) ~\ (-:rl'J\) Uf-- A.
LEGAL DESCRIPTION Q
1/0335/Y 0 (100
New Residential-Single or
Multi-Family per dwelling unit.
Service Included: .
Items .Cos t
Expiration Date 12> 1\
I I J C. Temporary..Services or Feeders
Constr Contr. Number "1 Lo3o~1 Installation, Alteration or Relocation
Expiration Date I b 11'1 200 amps or less $ 40.00
I '. 201- amps to 400 amps $ 55.00
Signature of Supervising Electrician Over 401 to 600 amps $ 80.00
~ \ ... (I _ Over 600 amps or 1000 volts see "B" above
\ ~)~ "-G~ NOTIGE" ,. .
Owners Name !lVI, uJ;voJ Q THIS PERMlTsWKttWP'JRE1FTHEWORK ..
-r v, 1/' '. ._m AUTHORIZI~lU1N01E18e'ThlISiBIiRMITBSt~IUion Per Panel
Address ~ t:'O~MENC~.PnO~.IS A~~NDONED FOR . $ 35.00
Ci ty Phone 7'1; I ).~80 ~ ~~'tional
Circuit or with Service
.... or 'Feed~r Permi t l.f
. ~\,
!f
JOB DESCRIPTIZN 1000 sq.ft. or less
SlA~ .[>/t,J(::L 4 c.c.rc.......;- J-s; Each additional 500
sq. ft or portion
Permits are non- ransferable and expire thereof
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
__,_ , \01\1' Oreqon law requires you,to
2. CONTRACTOR INSTALLATION ONLY 1\, ,t..I\ITI'B~dO~~JcY\b9<l\sB&:llell@\1d>>~~~Y
C' <~n(:,w ru e" &r.S{1!i'l.~tl1im1l,\'eJ9Jlt ions
Electrical Contractor ~~"g~~_g~~:6\l\cl\<hfoagltoM\952-00'
, 0 :c ~ 1ft VI'''' ~ in copies of the rules by
Address /,'0. (J)..'0 0090, You may ~~e:.liVetelapl10~e I
\ I, , . ..Q . ~':J;l!~' the ce I:ltimy ~i0lW9!J
Ci tyl~a}J..JJv-\ . u}>none ')I.fj ()luJ11Pe for tei\.D ~2:~ amps
/ 01 er 1,'0 amps to 1000 amps
Supervisor License Nu",ber, :3;7 J~ Over 1000 amps/volts
Reconnect Only
OYNER INSTALLATION ,
'~
The installation is being made on .
property I own which is not intende~~
for sale, lease or rent. ~'
Owners Signature: ~~ ~
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Li~'ted Energ~Comm
Willi!. SZ-
SUB TAL OF A VE
12% State Surcharge
I~ Administrat~ve Fee
TOTAL S' % ra:tt ~
DATE~-----,;;t,;1.O~------~~~----------
RECEIPT #:/. yx (
RECEIVED BY: ")-. ~
5.
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60. 00 .
$100.00
$130.00
$300.00
$ 40.00
,B'~'uo
" .~'
,.,>' '
.f~<e,-
$' 5.00 . 4,t>
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
--9'5
( _.._ III".
- 130 ~
I./W-
$n8!.L
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00931
ISSUED: 08107/2008
APPLIED: 06/26/2008
EXPIRES; 03/19/2009
VALUE: $ 13,440.00
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726_3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1258 D ST
ASSESSOR'S PARCEL NO,: 1703351409100
Springtield TYPE OF WORK: Garage
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Garage
Owner:
Address:
WADE KERRY G
1258 D ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Contractor LicenseJ to Expiration Date
.~ lq'./-I roqU\it:" Y"" .' .
OWNER .' __, 'Ti~l\'\: ".,-n : oreqon Utility
WALTERJ CANNON', " ,j: C.." "Ij! ~\;~,\cl6~Pd5etlorth 09/09/2009
".1 BUlLDINCiNEORiYiA'TI0N} ;~~;5vbY
\ .. ,.", ,: ;.~~, obtain cO\-)l~O 1~ te\~phOne
\JJ~L {~rJ~tPJ\il(~ir. (Note,t\ Notilicat'lOn
U ca\\lliHeighl'\of ~roJlsttlr~)tlhtX344)
nU1nbfYi!J MUgat:.800-332-.. .
n",eli1an
yy ater Type:
Range Type:
Energy Patb:
Sprinkled Building'~ ..
..",...--
Phone
Contractor Type
General
Electrical
541-747-0959
VB
Lot Size:
Sq Ft IstFloor:
Sq Ft 2nd Floor:
. Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupaut Load:
480
No
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Fruntyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
46.00
5.50
34.50
50.00
12.50
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Comllact:
'Yo of Lot Coverage: 18.80 1\\f '/'JOR\<.
t.,nl\C~:_ ...uM \: ~?\R~;~M\1 \s t-IOi
I PUBLIC IMI"Rm'!~m~iINOER 1 \'\~NOONE\) fOI'\
".',[,J, Oo\~r>.B"
"u ""CEO" 'lIewalk Type'
Fullv Improved 'COWWoJ\<-" ~ ?ER\ u. '.
Yes />.t-I'i 180 \)P\ Downspouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction :
Notes: Stormwater to splash box
\.
Paee I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Garaf!e .
Garaee
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Fire SF Fee - Residential
Garage/Carport
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
+ 100/0 Administrative Fee
+ 12% State Snrcbarge
+ 5"10' Technology Fee
Add, Aller, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Total Amonnt Paid
Initial Review
06/26/2008
Pnblic Works Review
06/26/2008
Structural Review
06/26/2008
Plan nine Review
06/26/2008
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$28.00
Square Footage
or Bid Amount
480.00
Total Value of Project
L.F~~~ P~W
-,
Amount Paid
$99.42
$17,70
$18:36
$13.45
$24.00
$152.96
$116.00
$9.90
$197.92
$9.30
$] 1.16
$4.65
$20.00
$73.00
$767,82
Date Paid
6/26/08
8/7/08
8/7/08
8/7/08
8/7/08
8/7/08
8/7/08
8/7/08
8/7/08
9/19/08
9/19/08
9/19/08
9/19/08
9/19/08
06/26/2008
I Plan Reviews I
07/01/2008
07/22/2008
07/29/2008
APP NJM
APP LKW
APP DLM
APP T AJ
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00931
ISSUED: 08/07/2008
APPLIED: 06/26/2008
EXPIRES: 03/19/2009
VALUE: $ 13,440.00
Value
Date Calculated
$13,440.00
$13,440.00
06/26/2008
Receipt Number
,1200800000000000699
2200800000000001205
220080000000000]205
2200800000000001205
2200800000000001205
220080000000000]205
2200800000000001205
2200800000000001205
2200800000000001205
]200800000000000983
1200800000000000983
1200800000000000983
1200800000000000983
1200800000000000983
..
7/212008 Storm water to splash box ,
Urban Malabon soil #76, well
drained. 7/1/2008Called and left
message for information ad.dressing
roof drainage for garage.
Approved as noted on the
ddrawings.
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Paee 2,of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR .
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2008~00931
ISSUED: 08/07/2008
APPLIED: 06/2612008
EXPIRES: 03/1912009
VALUE: $ 13,440.00
Re'1uired Tnsoections.~
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Sbear Wall Nailing: Before covering sheathing with finish materials. .
Hold Downs'lnstalled: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspcctor.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
f
By signature, 1 state and agree', that 1 have carefully examined the completed application and do hereby certify tbat 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 of the City of Sp,:ingfieldand the Laws of tbe State of Oregou pertaiuing to the work described herein, and
that NO OCCUPANCY will be made ofany structure witbout permission of the Community Services Division, Building Safety.
I further 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 inspcctions are requested at the proper time, that each address is readable from the
Owner ofc:ontractors Si ... l.-/' Date?' /
Page 3 of 3
225 Fifth Street
Springfield,'Oregon 97477
541c726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number'
COM2008-0093I
COM2008-0093 I
COM2008-0093\
COM2008-00931
COM2008-0093I
Payments:
Type of Payment
Check
cRcccintl
RECEIPT #:
Date: 09/19/2008
1200800000000000983
Description
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee'
+ 12% State Surcharge
+ 10% Adininistrative Fee
Paid By
DEBORAH WELKER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1151
In Person
Payment Total:
Page 1 of 1
10:22:15AM
Amount Due
73.00
20.00
4.65
11.16
9.30
$118.11
Amount Paid
$118.11
$118.11
9/19/2008