HomeMy WebLinkAboutPermit Electrical 2008-10-13
SPRINGPIELD
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INTl1ALS IVrv'
DATE \O~I3-UO
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225 FIFIH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-375J . FAX: (541)726-3089
ELECTRICAL PERMIT APPLICATION
, City Job Number rOw? ZA 0 'ir - 0 , z. '3 I
200 Amps or less $ 73.00
20] Amps 10 400 Amps $ 86.00
40] Amps to 600 Amps $]43.00
60] Amps to 1000 Amps $]86.00
Phone 7 Y /, / V9'9 Over ]000 AmpslVolts $426.00
f~r;NTION: OreJb~cp~efJ<?u~i~s youto $ 57,00
L) " rules adoPte~,~Y4!l!~~lm.1J2'!JlJEl!il~~_~
. 7), 7'5'!lfl~atlon Cente(. ~Wml:~~~.\!~~:r~~~~~iilJr~~
'" UMn ",o~-001-001 0 through OAR 952-001-
) CJ p (- 10 oO:~~;:_~o~ may obtalilsta/lirtioof ~!lIW Relocation
-......'"' ."d center. io"t\Cli'~'\~l\tlll!S\Phone
II 7 7 -, 0 number for the Ore<lon tilii\'. ~I~ifiao.tinn
Constr. Contr. Number { C"'Iter IS 1-&9~-' ,J!-2~P44 U l'UnJ""
I. () . V _ 0 Q . ' 40] Amps to 6 '() Amps ,
Expiration Date (
Pump or iITigatiml $ 57,00
, Sign/Outline Lighting $ 57,00
OWNER INSTALLATION Limited Energy/Residential' $ 29,00
The installation is being made on property] owNMJ'E: ' Limited Energy/CommerciaI' $ 52,00
is not intended for sale, lease or rent. THIS PERMkTnShW.lEiXmBrdgHfj,~fi'.GR'" Fee is $52.00 + Surcharges S)
~~~HJ:~~EE% I ' "" p:''''81!'~ '-p
.\!JY 180 DAY P }p ~:in;:r;.;~eFee ' 5~
5% Technology Fee 'Z"? r
6'~'
1.,h~~tl@~!:!~~tiY~[~il~l;j~i~ ~~,
30 C,( 7 i='"'1r(c..o-. \ r
LEGAL DESCRIPTION:
17CZI9:JC{
Ob)'OO
JOB DESCRIPTION:
Ad i 2 Cl'''C:I..::-+ ~
Permits are non, transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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Electrical Contractor. fAST .5 ) De 6 (..f elf( Ie
Addr:ess 3'iS)S3
80S CM0
L/v J
Ciiy sPr(w
Supervisor License Number
Expiration Date
Signature of Supervising Electrician
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Owners Name J;...",,,,,,,,, LJ: (C...,
31.{or I FA-lc..o-..
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Address
City
Phone
Owners Signature:
Inspection Request: 726-3769
/0-/ )-03
Date
3.
A. ~JR~rdlA'iltj?~fgEM11ilikFl:ilr~~Wa~fliff'miiP
~_'m"."_~~~g~~_"""".,)!.!'.;;a;:,"....~....g..",,,,,,,,.,_,,_
Service Included
] 000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
,Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$]21.00
$ 22.00
$57:00
B.
$ 57.00
$ 79.00
$114.00
New Alteratiou or Extension Per Panel
One Circuit . .
Each Additiona] Circuit or with
Service or Feeder.Permit
/ $ 50.00
)-0
:r
$ 5.00
I
E.
TOTAL.
Ii
Shared Dri~e(T:)fBuilding FormsfElectrjcalPennitApplication 7-o8.doc
CITY OF SPRIN(.J< H.LU
Building/Combination Permit
PERMIT NO: COM2008-01231
ISSUED: 09/09/2008
APPLIED: 08/]8/2008
EXPIRES: 04/13/2009
Y,ALUE: $ 40,320.00
Status
Issued
225 Fifth Street,.Spfingfield, OR
54] -726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
S]TE ADDRESS: 3407 FALCON DR
ASSESSOR'S PARCEL NO.: 1702193406500
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Single family addition
Owner: JIMMY W]LLlS
Address: 3407 FALCON DR
SPRINGFIELD OR 97477
I, CONTRACTOR ]NFORMA TlON .
Contractor Type'
General
Electrical
Mechanical
Contractor
DUKES AND DUKES CONST
EASTSIDE ELECTRIC INC
COMFORT FLOW
License
65060
117770
460
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING ]NFORMATlON I
] A'''' .., "-#"f St . 2
.r, ' '. i. ,0' ~1:Ws..;n law requires ..
.R-3 L.,' )" !WHeightofStructure' YCZ-2.~
j\j ('. ",-.~,- ~i "'~ Oreaonj Itili
, OII':C"tIOifype'oj;l:le,~!bse r EOHed A t \:ills
VB~n OAR 95~W'fterJ1J)!I!c;hrougUh~A~e9~~.l,\lfi~
. O;~jin~~~ll~~eJ~lj,q:coPies of the rUle~~
',""",,~.at!l~ote: the teleph
' numbe~fe?!;f~ili~~~~~gi:;~~:ific~8n
I DEVELOPM~NT ]NFOR~~tION I
Frontyard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Covera~e:
Residential '
Phone Number: 541-
Expiration Date
03/] 6/2009
10/04/2009
06/27/2009
Phone
541-747-3130
541-9]5-9828
54] -726-0 1 00
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2nd Floor: 384
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
NOTICE: Sidewalk Type:
, THIS PERMIT SHALL EXP/R(J>lIWliHl9WeJ11l1+ins:
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Page I of 3
_~'!I!~l@JIJi!:H?' .
1'.
ji
~.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54]-726-3769 Inspection Line
Descriotion
Tvpe of Construction
Dwellines
V Wood Frame
Fee Description
Plan Review Residential
, -Mechanical ]ssnance Fee-
+ ]0% Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Bnilding Permit
Fire SF Fee - Residential
Minimnm/Adjnstment Mechanical
Sanitary Sewer - 1st 50 Feet
Vent Fan
Water Line - ]st 50 Feet
+ 100/0 Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend' Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01231
ISSUED: 09/09/2008
APPLIED: 08/18/2008
EXPIRES: 04/13/2009
\:ALUE: $ 40,320.00
I V~I~.~~i~n. n~s,cri?tion, ,
$ Per Sq Ft
or multiplier
$105.00
Square Footage
or Bid Amount
384.00
, $40,320.00
$40,320.00
08/18/2008
Value
Date Calculated
Total Value of Project
~
Amount Paid
Date Paid
Receipt Number
$235.42
$21.00
$53.74
$62.]8 '
$25.91 '
$362.18 '
$19.20
$44.00
$52.00
$8.00
$52.00
$5.50
$6.60
$2.75
$50.00
$5.00
8/]8/08
9/9/08
9/9/08
9/9/08
9/9/08
9/9/08
9/9/08
9/9/08
9/9/08
9/9/08
9/9/08
10/13/08'
10/13/08
] 0/13/08
] 0/13/08
10/13/08
]200800000000000877
]200800000000000953
]200800000000000953
1200800000000000953
]200800000000000953 ,
1200800000000000953
]200800000000000953
]200800000000000953
]200800000000000953
]200800000000000953
]200800000000000953
120080000000000]059
120080000000000]059
]20080000000000]059
1200800000000001059
120080000000000]059
$1,005.48
I Plan Reviews I
Initial Review 08/18/2008 08/18/2008 APP NJM
Public Works Review 08/]8/2008 08/] 8/2008 APP LKW No new added surfaces
Planninf! Review 08/18/2008 . 08/20/2008 APP TAJ No Planning issues.
Structural Review 02/18/2009 08/20/2008 WE CJC
Structural Review 09/08/2008 09/08/2008 APP CJC Approved as noted on plans
To Request an inspection callthe24 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 01'3
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CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-01231
ISSUED: 09/09/2008
APPLIED: 08/18/2008
EXPIRES: 04/13/2009
VALUE: $ 40,320.00
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
541-726-37691nspection Line
Reouir'ed Insoec.tiolls I
Footing: After trenches are excavated.
Floor ]nsnlation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
"
Framing In~pection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation:. Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Bnilding: After all reqnired inspections have been requested and approved and the building is complete.
Undertloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to tilling trench and including required testiQg.
Final Plumbing: Wben all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information her-eon is true and correct, and I further certify ,that any and all work pel.formed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure withont 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 inspections are requested at the proper time, that each nddress is readable from the
street, that 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 during construction.
Owner or Contractors Signatnre
Date
: Page 3 01'3
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oreg?n 97477
54]-726-3759 Phone
Job/Journal Number
COM2008-0 1231
COM2008-0 1231
COM2008-0 123 1
COM2008~0 1231
COM2008-0 1231
Payments:
Type of Payment
Cred itCard
cReceintl
RECEIPT #:
120080000000000]059
Date: 10/1312008
10:49:02AMc
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Amount Due
50.00
5,00
2,75
6.60
5.50
$69.85
Paid By
ROGER KING
Item Total:
Check Number 'Authorization
Received By Batch Number Number How Received
Amount Paid
DJB
055I3b In Person
Payment Total:
$69.85
$69.85
Page I of I
10113/2008