HomeMy WebLinkAboutPermit Electrical 2008-11-3
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Date
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1NITlALS
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SPRINGFIELD
~.
. 'i"" - CITY OF SPRJ,NqFIELD, OREGO~ .
225 FninI STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54t)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Nnmber ~~ Betel?- dtl' ""/~
Electrical Contractor ~~tI) .~Tt.e.t ~ 200 Amps orles~ $ 73,00
20 I Amps to 400 Amps $ 86,00
Address /).0. I/e;t 2S7r'"2 401 Amps to 600'Amps $143,00
. . 601 Amps to 1000 Amps $186.00
Phone ~lj~~-t:~/' Over 1000 Amps/Volts $426.00
. . Reconnect Only. t $ 57.00
. ATTENTION: Orego~ lav;' requires you, ,0 "
Supervisor License Nnmber 4-...~ ~ '~~~i~i~e~~o~~~~.~~l.iIIIDlIlll.
in OAR 952,001-0010 through OAR 952-001-
0090, You l~la.tiirn..2\jllel'llUbll1cnrIl!Ol\i.!lition
calling th'2Wl\.t&ps Iil''f~~',t,he tele~ho~e $57.00
number f02~~e^Q~\1Q9I'tSdl~t:ll-lotlftCallon $ 79,00
- Cen erJs'1'-'llUd-&gffl44).
411 Amps to 600 Amps. $114.00
or 1000
.Pump or iITigation $ 57,00
Sign/Outline Lighting $ 57.00
OWNER INSTALLATION NOTICefnited Energy/Residential $ 29.00
!he m,smuation is being made on property I own which TH IS PER_tWAUY~1"1'rIl:::'~ HE WORK $ 52.00
IS not mtended for sale,lease or rent. AUffi ~;,..., ;', ", '. 52.00 + Surcharges
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LEGAL DESCRIPTION:
I fl'"C 1i! t:l 2P.1 "S~ 4/
JOB DESCRIPTION:
:All:lV AbS'#0ItJU~...
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
~~OR'm~T~mn@MOmIi~
2. ,'., f0~.1iy"ffit_i:i;:"'1'jiiJcij!,Jt!F$;<R;,iJ(!5fuh7jfl",TJfuiP>i!i%M!,nw~-0YI1ii; !cii:" "
Cily rel4~
Expiration Date
hi :/4 ..
"'
Constr. Contr. Nnmber ,~ _ ~ p C
ExpirationDate .;/.,..~"
Signature of Supervising Electrician
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Owners Name s;r~ Jl'5v CH~~ f""e";\1 ~t"-V
Address 4co8<(' W-f..Il.e1t(~f6:- Hv-y
City s:t>FD Phone 7.5<1 - 4ZbO
Owners Signature:
3. l~igi~i~~!~iiil~D~'~~~if~f'~'~l~gftill...~
A. ~m~R~mrJm~i:~mM~lfirEliiii~3*dw1;lli:m~irJft~
I!il ""'"'"m""".,"""""""A~,,,"g:;;J"""7' ,.'"""."m'''....'y,P.."''''"..._."...g.~.....,-!l
'Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
port;ion thereof ::.
Each Manufact'dHome or
Modular Dwelling Service or
Feeder
$121.00 IZI. t:t:;
$ 22,00 :?? <"~
$57.00
":""'i,^""itS0!{'~1~@?~wm&!t1.]~i1~"::lfl;P%Willmt:t~~iikl~~dr:~~8:;'.'~'
B. .,'St:tyJces<oJ'1meedttsj~tIiisfiillatioti~fAlteratioiIs"br,RefocatioD:;:~i;
"'" .". .i& I), '-,;;W1'Wl"'"'''"';;:)''J're(;1''_UWlll'(;W~{l~Wfl'''iRJ!,iiHM~h'2fuM!.:':'''ir~. ~- . ''"''''lNifAl<<''i"''M .
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder; Permit '.
,
$ 50,00
$5.00
E. ..tl\ii?c'Iif,~~(S~~~:~61'fi1i~Ilfd@)";"'''E~aM:=i1li'R
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Ill!
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7/J-
TOTAL /8/1d..
Shared Drive(f:)/BUilding FonnsIElectrical Pemtit Application HJ8,doc
arge
10% Administrative Fee
5% Technology ~ee
)3uilding/Combination Permit
PERMIT NO: COM2008-00916
ISSUED: 07/25/2008
APPLIED: 06/24/2008
EXPIRES: 04113/2009
VALUE: $ 96,495.00
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726_3769 Inspection Line
SITE ADDRESS: 655 S 71ST ST
ASSESSOR'S PARCEL NO.: 1802022105501
CITY OF SPRINGFIELD
.' ' .
SPRlNGFIETYPEOF WORK: Single Family Residence
TYPE'OF USE: New
PROJECT DESCRIPTION: Single Family Residence See permit Com2008-01p3 for addtion of 2nd floor
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
NOTICf~f Lot Coverage: E If THE W01!lK
TUI~ PI=R~\~ SHi\L~ ~:I~ n:~I:r'" Ie MnT
1A\JiIHOO'fMi>Illi~_ONED fOR .
'c'''u'l '1IVltl~V[.U ll:\ '.I!-,
V RIOD Sidewalk Type:
ANY 180 DAY PE. '
Downspouts/Drains:
Owner: CHRISTENSEN STEPHEN KIM
Address: 40084 MCKENZIE HWY
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION i
Contractor Type
General
Electrical
Mechauical
Plnmbing
Contractor Licen'se
CONSTRUCTION SYSTEMS 2 33758
DA VE STUCK ELECTRIC LLC la'll requireS15811i-1 .
BEYMER HElATlNG\~ts;rEET0MET.Ab G0:9~:t83\I\i\Y
" . d!l'l\eu ur"'- :liclrth
SPECIAL T'ItIlb\'JM:Bi-N,~~g, Those rules a~€jjJ';{ 'A\'l1-
NOllllvGl..,,_n.';- - "N'-on'." '.~~.'.;-
in OAR ~~mn :FI RMAm~~-!:~:Y
0090. '(ou may INote: the ie\e1J '
I calling thelPlf(I~&rfi'e h Utility Notification 1
R-3number IOll~lgfrl~~ 1f..~!'2$44). .15.00
U ce~p~Sor eat: Wall Heat
VB Water Type: Electric
Range Type: Electric
Energ~ path: Path I
Sprinkled Building: n/a
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
#, of Bedrooms:
2
I DEVELOPMENT INFORMATION I
Fronlyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
30.00
10.00
59.00
14.00
10.00
Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
Notes: Stormwater piped to 8" pipe in private drainage easement.
Paee I of 4
Residential
Phone Number:. 541-954.4260
Expiration Date
06/05/2009
01/01/2010
11114/2008
11/2112009
Phone
541-747-3554
541-485-8855
541-688-5004
541-686-4191
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
14,810
919
Hillside
6
REQUIRED PARKING
2
Total:
Handicapped: _
Compact:
-~ft~~~,liilJ1!i~11
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IV
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phoue "
541-726-3676 Fax
541-726-3769 Inspection Line
DescriPtion
Tvoe of Constrnction
Dwelliues
V Wood Frame
Fee Description
*** SDC ANNEXATION CREDIT
-Mechanicallssuance Fee-
+ 100/0 Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
2 Baths One or Two Family
Building Permit
Dryer Vent
Exhaust Hoods
Minimum/Adjustment Mechanical
Plan Review Major - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
SDC Transpo Improvement,
SDC Transpo Reimbursement
SDC Transportation Admin
Storm Drainage Impervious Area
Storm Sewer Each Addtl100'
Vent Fan
Willamalane Single Family
+ 100/0 Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Temp Power 200 amps or less
+ 5% Technology Fee
Encroachment Permit
+ 10% Administrative Fee
+ 12% State Surcharge ,
+ 5% Technology Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00916
ISSUED: 07/25/2008
APPLIED: 06/24/2008
EXPIRES: 04/13/2009
VALUE: $ 96,495.00
I VahJ3tion Oeser,iDtion ,
$ Per Sq Ft
or multiplier
$105.00
Sqnare Footage
or Bid Amount
919.00
$96,495.00
$96,495.00
06/24/2008
Valne
Date Cafcnlated
Total Valne of Project
I, F"p~ f.iWJ
Amount Paid
Receipt Number
Date Paid
$-375.55
$20.00
$95.60
$114.72
$58.05
$280.00
$609.97
$7.00
$10.00
$19.00
$205.00
$469.29
$617.17
$10.00
$990.39
$95.35
$96;29
$862.25
$195.48
$67.76
$416.61
$16.00
$14.00
$2,513.00
$5.50
$6.60
$2.75
$55.00
$6.98
$139.50
$14.30
$17.16
$7.15
$121.00
$22.00
7/25/08
7/25/08
7/25/08
.7/25/08
7/25/08
7/25/08
7/25/08
7/25/08
7/25/08
7/25/08
7/25/08
7/25/08
7/25/08
7/25/08
7/25/08
7/25/08
7/25/08
7/25/08
7/25/08
7/25/08
7/25/08
7/25/08
7/25/08
7/25/08 "
7/30/08
7/30/08
7/30/08
7/30/08
8/20/08
8/20/08
10/30/08 .
10/30/08
10/30/08
10/30/08
10/30/08 '
12~0800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000813
1200800000000000826
1200800000000000826
1200800000000000826
1200800000000000826
1200800000000000894
1200800000000000894
1200800000000001099
1200800000000001099
1200800000000001099
1200800000000001099
1200800000000001099
Paee 2 of 4
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11'
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00916
ISSUED: 07/25/2008
APPLIED: 06/24/2008
EXPIRES: 04113/2009
VALUE: $ 96,495.00
225 Fifth Street, Springfield, OR
541-726~3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
Total Amount Paid,
$7,805.32
Plan Reviews .1
Initial Review
06/23/2008
06/24/2008
APP LLH
Public Works Review
06/24/2008
06/27/2008
APP TSS
Stormwater piped to 8" pipe in
private drainage easement.
Structural Review
06/24/2008
07/14/2008
APP CJC
Plan nine Review
06/24/2008
07/16/2008
APP TAJ
According to contractor less than 5
trees will be removed. Additional
trees will be fenced off from
construction activity. If more than 5.
trees are remoyed, a .Tree Felling
Permit is required.
Choose street trees from the Native
Trees for Hillside Development list
in the Street Tree Handout. .
To Request an inspection call the 24" hour recording at 726-3769. AIl 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.
Rpflll}n~1" lnsnections I
Erosion/Grading Inspection: Prior to gronnd disturbance aud after erosion measures are installed.
Footing: After trenches are excavated.
Foundation: After,forms are erected bnt prior to concrete placement.
Post and'Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to deckiug.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in iuspections hav~ been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Final Building: After all,reqtiired iuspections have been requested and approved and the building is complete.
Undertloor Plumbing: Prior to insulatiun 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 testing.
Paee 3 of 4
_.IJ,l~!C!!lI~?) ;
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CITY OF SPRINGFIELD
Status
Issued
"
Building/Combination Permit
PERMIT NO: COM2008-00916
ISSUED: 07/25/2008
APPLIED: 06/24/20'08
EXPIRES: 04/13/2009
VALUE: $ 96,495.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Storm Sewer Line: Prior to filling trench.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Undernoor Mechanical. Prior to insnlat!on or decking and inclnding reqllired testiug.
Temporary Electric: Approval reqnired prior to Utility Company energi~ing pole.
Electric Service: Approval reqnired prior to utility company energizing service.
By signature, 1 state and agree, that I 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 of the City oj' Springfield and the Laws of the State of Oregon pe'rtaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Communily 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, 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 Signat.u.re
Date
Page 4 of 4
225 Fifth Street
, ,
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00916
COM2008-00916
COM2008-00916
COM2008-00916
COM2008-00916
Payments:
Type of Payment
Check
cRcceintl
RECEIPT #:
1200800000000001099
Date: 10/30/2008
Description
Residence Wiring Ea Addtl 500
Residence Wiring 1000 Sq Ft
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
OA VID STUCK ELECTRIC
LLC
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
djb
2638
In Person
Payment Total:
Page I of 1
9:31:00AM
Amount Due
22.00
121.00
7,15
17,16
14.30
$181.61
Amount Paid
$181.61
$181.61
l
10/30/2008