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Home My WebLink AboutPermit Electrical 2008-12-4 .. CITY OR SPRINtJFIELD, OREGON ZON INTI1ALS DATE SOURCE SPRINGPlELD _.'''.........." J ~- 225 FIFTII STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 J . " ~"'} ~-' ELECTRICAL PERMIT APPLICATION City Job Number (' ollV\ z...c:> 0 g- - D I Z ~ g . Date /2--:Z-0 ~ 1 ,ilW, ~r"'GliTIDNi~1imS~@N]I!III1r.,' . ",," -," ''''''"'''"''"''' A ';c'" :c....:>; ,," ,; '''-', , 'h_,,,~f+~~iiill,,& 11'" , , bl{ ~ W'l <;: lA)Q, IV. t).. ~ VD \-'-~v 3.' [@A4'iiB"'i;;;;'t';c:;;wl;mJ7'.BEilDW'JlJ!ili!&~llllfr~ .~~"', "-"'a.~"'''''',"'''-'''ID''''~~!~~11Hl#i'f",4ilJriil\4!:1:\!tlf1~~ LEGAL DESCRIPTION: /I 0 S ;2 bL{ ~ o 7600 '", "~,M:", ',' ~w"~,"':'A;tp'.":"~:r.,:'W;-" -<iiiF~,ffiW,~j,ffii:"i~,'~',r$1i, :iJlNl',m~,"'_~" ' A. e!\il.l!es' Mti!~!J!jSi\!gl<:,'j)~~~I~E'!.i!>lljjme.!:~i1~mrig']1njfil. Service Included JOB DESCRIPTION: A elLs . cere",,;- (s. , ,1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof . $ 22.00 $121.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Each Manufact'd Home .or " Modular Dwelling Service "or "'-':' Feeder $57.00 2. !ili!,1J1';W:t4iR;'>3k+~0i1Wi(:jNYkW~J;''';':*~;,l'fft;;V~fi1'"WIji1$a<JO"",~~~~,, &ONFR:AexOR-:uvST~'1:TON:ON.JJl',:' "~"""''''F''+''G''''ij.K~d;i1i*,giMlr:n$iY$i.1%hji;''j!"~;jiiik""i;ji,2ili\d;;*-'"0i%;",,0.1i"' '''-,- . . E!-_C~__.M~~,",~~Itlt'-'-''''m,,~,~u''''~'''',jlIi'i!R~~'''lm' ' , B "~_'''.''W,C," :'~"~I!'- ,7""""""'1" cI'-ltim":~::n: '"w"ti' ":,,: . "1"":" ' . 'eTVlcos:or,' eeuelSmr' ns a on ;.u e~JI:~~ eocabon:c,. ,....,."i.fuS1ii"'.~;;u/!',j"\%"*ii"';Il'.''''''':mqso/~ii>1,',''M_~W0%FP~qj=">>_,~""'-' "i ;; tisi;.!k'd;;iiii;'i""'.'ot5 -',' -''P Electrical Contractor ,200 Amps or less $ 73.00' 201 Amps to 400 Amps $ 86.00 401 Amps to 600 Amps $143.00 601 Amps to 1000 Amps .: I _. .:,,,,. "l)~I,tl!P.OO .=q.'T'nW, r.\regon aw rc~_" ,,' Over"""""ronps7voltS t d b\' the nrpnnn 1$42~.00 R ,LoJhw""':ilP.s adop e,' - , $" .. eCWlll~~""'!-"J C t r Those n tiP' 8re 58 ,57'.00 , Notification en en"f\'h,n ,nh Of\R 952-001- I"'.''': -_. ",' "nn.,..",,,:."'./;\,,,"".: c. ".~",..."". ".~\. "..-'"~trJ1rtl~IS"" , '. , ~"l'~r"'"'' , caliing the center, (Note:.. e . ' .F"u,.' In.tala" ..Ut '''tioiilor;Reld.!~ti~hNotlflcatlon mr/Rlll......'tt/ll1l. 0332-2:;44). 200 Amps or ~nter IS 1-80 - , $ 57.00 201 Amps to 400 Amps $ 79.00 401 Amps to 600 Aplps $114.00 Over 600 Amps or 1000Volts see "B" above. D. Address City Phone Supervisor License Number ~f.f:.t J' V Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician :, New Alteration or Extension Per Panel ( Ooe Circuit $ 50.00 Each Additional Circuit or with 7 $ 5.00 $ 57.00 $ 57.Db OWNER INSTALLATIONBO DAY PERIOD ONED FOBmited EnergylResidential $ 29.00 The installation is being made on property I own which , Limited Energy/Commercial $ 52.00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $52.00 + Surcharges 4.' fli:1!JB, '1J"Oi':Ml\'~1\7A!ltQmr~)~'ll" ~;""'i!'f1T.?-.iDJ'1%ifillBi\MI"Wi..)s#>f2i'Ulf1Wl .%'.. :P~5 ,E4t , 12% State Surcharge 10% Administrative Fee 5% Technology Fee ~~tur : ,Inspection Request: 726-3769 $0 10 {;,O 72.0 . (.., . l' 7b~o TOTAL Shared Drive{T:}lBuilding FormslElec1rical Permit Application 7-08,doc CITY OF SPRINGFIELD " Status Issued Building/Combination Permit PERMIT NO: COM2008-0I258 ISSUED: ' 09/08/2008 APPLIED: 08/20/2008 EXPIRES: 06/02/2009 VALUE: $ 9,975.00 225 Fifth Street, Springfield, OR . 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 645 M ST ASSESSOR'S PJ\.RCEL NO,: 1703264309800 Springtield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Lanndry room addition Owner: HASFORTH DIONNE L Address: 80884 LOST CREEK RD DEXTER OR 97431 Phone Number: 541-741-0223 Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER I ,CONTRACTOR INFORMATION J License Expiration Date Phone BUILDING INFORMATION ~ VB # of Stories: Height ofBtructure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 7,841 95 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 No ' I DEVELOPMENT INFORMATION 1 REQUIRED PARKING Total: 'Handicapped: NOTICE: . Compact: THIS PERMITSHAl A{ITi-inolZI:"Q U' ,. . l EXPIR~ IF TH/= 1M(11K , COMMENCED O'R~~~~ Hli:) PERMIT IS N IT si~~tx.I1tfYDeW PERIOD. ANDONED FOR Frontyard Setback: Overlay Dist: Side I Setback: # Street T'rees Rqd: Side 2Setback: Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: ' ' ^T-rr:r-.ITlflf\I' {)r~nnn \;:1\.,1! roc:uires \lOU to follow rules adopied by t!;cIPUBWiJ'MJi"BOVEMENTS I' Notification Center. 1 flOoB rL Street Improv~w~.W. 9'52-001-001 0 ti;rr,~'n ON; 952-001- ' St ,S ' ,(1"~I(1bIVou may obtain ( Jpie5 of the ruies by , orm ewer t'\.'V81 a e. f"'" ~ I ho 'e Special Instructidif:lling th~lti;I'Iii(j'Wate,~i~i{xi~'iin'i~iteu';~n ' number for tne rG~:',jil." '.'.r ,~'.,I:\...~~' Center is 1-bl>>;)J~~2~';'f!;). Downspouts/Drains: Notes: Page I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Descriotion Tvpe of Construction Dwellines V Wood Frame Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Building Permit Dryer Vent Fire SF Fee - Residential . Fixture Minimum/Adjustment Mechanical SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet + 100/0 Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Exteud eirc Ea Add, Total Amount Paid Initial Review 08/20/2008 Public Works Review 08/20/2008 Public Works Review 08/27/2008 Plaonine: Review Structural Review 08/20/2008 08/20/2008 I Valuatio~ Descriotion I $ Per Sq Ft or multiplier $105.00 Square Footage or Bid Amount 95,00 Total Value of Project Fpp<, P'\il,\j Amount Paid Date Paid $79.87 $21.00 $26.56 $31.31 $13.04 $122.88 $8,00 $4,75 $34,00 $44.00 $ 1.94 $38.81 $52.00 $6.00 $7.20 $3.00 $50.00 $10,00 8/20/08 9/8/08 9/8/08 9/8/08 9/8/08 9/8/08 9/8/08 9/8/08 9/8/08 9/8/08 9/8/08 9/8/08 9/8/08 12/3/08 12/3/08 12/3/08 12/3/08 12/3/08 $554,36 I Plan Reviews I 08/20/2008 08/26/2008 " APP NJM ' WE LKW 08/27/2008 APP LKW 09/02/2008, 09/02/2008 APP , TA:J APP 'CJC Paee 2 of 4 CITYOF SPRINGFIELD Building/Co!llbination Permit PERMIT NO: COM2008-01258 ISSUED: 09/08/2008 APPLIED: 08/20/2008 EXPIRES: 06/02/2009 VALUE: $ 9,975.00 " Value Date Calculated $9,975.00 $9,975.00 08/20/2008 Receipt Number. 3200800000000000590 1200800000000000949 . 1200800000000000949 1200800000000000949 1200800000000000949 1200800000000000949 1200800000000000949 1200800000000000949 1200800000000000949 1200800000000000949 120080000000000~949 1200800000000000949 1200800000000000949 1200800000000001192 1200800000000001192 1200800000000001192 1200800000000001192 1200800000000001192 called aud left message for owner Iwaiting for fixture information from owner Storm water to tie into exist!ng system No Planning issues Status, ,Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726"37691nspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01258 ISSUED: 09/08/2008 APPLIED: 08/20/2008 EXPIRES: 06/02/2009 VALUE: $ 9,975.00 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 ~e made the following " work day. ~!rrwirlfrl 1 rsnections I, Footing: After trenches are excavated, Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to,floor ins~lation or decking. ". Floor Insulation:, Prior to decking. Shear Wall Nailing: Before covering sheathing with Iinish materials, FramingInspection: Prior to cover and after all roug~, in inspections have been approved, Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover, Hold Downs Installed: Special Inspection performed p'rior to placement of concrete, Provide report to City BuildingInspector. . Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plnmbing: Prior to cover and including required testing. Underfioor Plumbing: Prior to insulation or decking, ')1 Perimeter Foundation Drains: After gravel and tilter ~Ioth is installed but prior to backlill, Underfloor Drain: Prior to cover or placement of concrete. WaterLine: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to Iilling trench and including required testing. Final Plumbing: When all plumbing work is complete" Storm Sewer Line: Prior to tilling trench, Rough Mechanical: Prior to Cover Final Mechanical: When:ill mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, Pa2e 3 of 4 . Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01258 ISSUED: 09/08/2008 APPLIED: 08/20/2008 EXPIRES: 06/02/2009 VALUE: $ 9,975.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726"3676 Fax' 541-726-3769 Inspection Line I 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 Ordi~ances 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 without 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 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 ,;m..,;;{';;' t'-V~12-!~ / brs- Owner or Contractors Signature Date 'Paee 4 of 4 225 Fifth Street Sllringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1258 COM2008-01258 COM2008-91258 C0M2008'0] 258 COM2008-0]258 Payments: Type of Payment Cash Change Job/Journal Number COM2008-0 1258 COM2008-0 1258 COM2008-01258 COM2008-01258 COM2008-0 1258 Payments: Type of Payment Cash Change cR~ceintl RECEIPT #: 1200800000000001192 . Descr~ption Add, Alter, Extend Cire Add, Alter"Extend Cire Ea Add + 5% Techno]ogy Fee + 12% State Surcharge + 10% Administrative Fee Paid By SCOTT DAHL SCOTT DAHL l:heck Number Received By,. Batch Number njm njm Description Add, Alter, Extend Circ , Add, Alter, Extend Cire Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee " Paid By SCOTT DAHL SCOTT DAHL Check Number Received By: Batch Number njm nJm Page I of ] City of Springfield Official Receipt Development Services Department Publ,ic Works Department Date: 12/03/2008 Item Total: Authorization Number How R.eceived In Person In Person Payment Total: Item Total: Authorizati~n Number How Received In Person' In Person Payment Total: 1:13:47PM Amount Due 50.00 10.00 3.00 7.20 6.00 $76,20 Amount Paid $77.00 ($0.80) $76,20 Amount Due 50.00 ]0.00 3.00 7.20 6.00 $76.20 Amount Paid $77.00 ($0.80) $76.20 12/312008