HomeMy WebLinkAboutPermit Electrical 2006-10-5
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~ INITIALS N M
.A&. DATE \n -n'5 -2.<J'OY:::>
213 FIFTH STREET. SPRINGFIELD. OR <r1477 . PH,(541)726-3753 . FAX, (54t)726-3689 'lIIU' SOURCE N'\0{>~r? 'j..::s::..
ELECTRICAL PERMIT APPUCATION I
City Job Nwnber CoW'!?' --0"66. v 0 c> 6 2 :s Date lli-! n 6! :::;) riD
1. I WCA710N OF INSTALLA710N: I 3. I COMPLETE FEE SCHEDULE BELOW
/41D IM;H...~~
CI'I Y OF SPRINI.::'/II~LD. ORECiON
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LEGAL DESCRIPTION:
/7D3.2533-
JOB DESCRIPTION:
., ~,,"I' ;>l;vE"- DA. 1_,
,
Permits are non-transferable and eIpire if work is
not .tarted within 180 days of issuance or if work Is
Suspended for 180 days.
DS~oO
A. I New Resldential- Single or Multi-Family per dwelling unit
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
$19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
2. I CONTRACTOR INSTALLA710N ONLY J B. I Service. or Feeders - In.lallation, Alteration. or Relocntion:
Electricalcontrnctor,'~()~~ O. OV00(l't ~OiJ 200 Amps or less $63.00
7"'\ \ { 201 Amps 10 400 Amps $ 75.00
Address ~ctq'll.t t )(1-.\.1 (Q~ 401 Amps to 600 Amps $125.00
Q 11 , 601 Amps to 1000 Amps $163.00
City l.ll Oi' 0 .A I Phone LQ.~tn -0<105 Over 1000 AmpsIVolts $375.00
Reconnect Only $ 50.00
Signature of Supervising Electrician
~Rtn(?_
L I ATTEN~~ ~"i~'Ij'unl1?s yUiJ (V $ 3.00
Owners Name "'" I"C I.J ,- ICu >/ follow rul~c\'aoprelff{y fh'WOre!lon Utilitv
Address /l.{(O /VI It i2..~ T !'lotificat'i~ IMlllt4l!inUIRl{g.WlMew.&ilttItilE1~ded) -Eacb In.lallatlon I
;-; ,;)A~95;C-001~OO11)throu9trOAR-952;0O1
~-:--..,...-,- .....u7 l!ll...q
City _ T" .1:::. Phone , 7 - 1Jl#'Ii(). OUmhlllidi'lMilillli01l)pies 01 the rules bl $ 50.00
calling t~lhl: l(.o.i!Itt1n8 tha telephona $ 50.00
OWNER INST ALLA nON 'lumber fofutlrea ~tietllll7Rddal!lltjllNotiflcation $ 25.00
The installation is being made on y.vy...j I own which CfllMfiEJ!}<;il.eI!@~.aM4). $ 45.00
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
Owners Signature: 4. I SUBTOTAL OF ABOVE SO
8% State Surcharge '/
10010 Administrative Fee S
5% Technology Fee Z '$0
b ';)0
TOTAL I _
Shared Drivc(T:)lBuilding FonnalElcctrical Permit Appliw.ion 8..o6.doc
Supervisor License Nwnber \ -blo ~ ~
\ D \ ' \ ~C:>'l
COlllltr. Contr. Nwnber 64 L\ 2> \
Expirntion Date q \ DO f ,:;2..OC){">
Expirntion Date
c. I Temporal1HSel;V,U;e, ~r .Jr.eeden ..
-;;Jtlll:Ija-Avu-08J-AN\
\'" j rJimliJtI.lWA'IQhlI~na~~i1~WIj:>
lC'j ~;iLl~2'oo~~~~.ll.MSlaNn mZIl:lOH I nlf / $ 50.00
H;C/d Aj,i20jl&\lMl(8IqJ]~PHII"Il:l3d SHoll $69.00
401 Amps to 600 Amps ::J:lH~r,; $100.00
Over 600 Amps or 1000 Volls see "ll above.
D. I Branch Circuits
~-u
New Alteration or Extension Per Panel
One Circuit
$ 43.00
Inspection Request: 726-3769 e ~ e
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00623
ISSUED: 07/10/2006
APPLIED: OS/24/2006
EXPIRES: 04/04/2007
VALUE: $ 93,620.00
SITE ADDRESS: 1410 MARKET ST
ASSESSOR'S PARCEL NO.: 1703253305500
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition and remodel to existing single family residence
Residential
Phone Number: 541-74'7-9998
Owner: LAURIE WILCOX
Address: 1410 MARKET ST
SPRINGFIELD OR 97477
Contractor License
LEE EDGAR \)~ ~ }M'lI397
ROSE CORPORATION . (\{\I'dj? ~~~I\"l\l,\\Il\~1
'J!}llkDlNG4 N ~:qRMA.~~
'dO:l Qj~ ~. ,u \ ~1U(,{I, -~-"''djd slh\
1~'djO S#'bt~'5 1..1" 1.0~ 2 Lot Size:
~OW31.. :1\ j'd~t ofStructur'e,';)\ 21.00 Sq Ft1st Floor:
)\.'OQtt'J j't\l.. Type of Heat: orced Air Electric Sq Ft 2nd Floor:
VN Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Path I Sq Ft Other:
Sprinkled Building: n/'ljo\.l \0 Occupant Load:
. -"J ,,,;. ,.,,,S l\ v~,\'.\;1
I DEVEL0mJ"'J"Ir~.,vR'MA:rd@~' e\ \Ont
p.-,H:.N "~ adopted' (.1 s9 {\.lIeS ...~ :~2'OO~
26.00 \o\lO'l<:N~~~I!1i1f:{ .lh~{OUg" o~ "'S {\.lIeS P)
16.00 ~ol:\\icfl1'S~e.h!ir,ea<R~~ co~les 0\ sle~"ol\ca
. Ojl.~~e;tDi)ledbia: t-Io\lr. ",cat 1.\\Ca\lO!'
\~090~~6r-t~ l(!l:r.~l'l\ge~ 01\ \)\\\1\'1 t-I02~.50
ca\l\I\~.~fn{ \"e ~~no.'3'3'2. .2.34").
I PUBi;'(t!Ii\lImoV~MENTS I
Contractor Type
General
Electrical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Ayailable:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION I
Expiration Date
05/30/2008
09/30/2006
Phone
541-515-1122
54 I -686-0905
124
548
1,042
REQUIRED PARKING
Total:
Handicapped:
Compact:
20.00
0.00
Fully Improyed
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and GUlIer
Paf!e I of 4
-i:i~,.;'"~,' :
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.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00623
ISSUED: 07/10/2006
APPLIED: OS/24/2006
EXPIRES: 04/04/2007
VALUE: $ 93,620.00
Status
Issued
225 Fifth Street, Springfield, OR
541- 726-3753 Phone
541-726-3676 Fax
541- 726-3769 I nspection Line
I Valuation Descfintion I
Dwellinf!s
Dwellinf!s
Gara2C
V Wood Frame
V Wood Frame
Garaf!e
$ Per Sq Ft
or multiplier
$99.00
$99.00
$26.00
Square Footage
or Bid Amount
652.00
20.00
1,042.00
Value
Date Calculated
Description
Type of Construction
Total Value of Project
$64,548.00
$1,980.00
$27,092.00
$93,620.00
OS/24/2006
OS/25/2006
05/24/2006
L.Fpp< PiWU
Fee Description Amount Paid Date Paid Receipt Number
Plan Reyiew Residential $347.39 5/24/06 1200600000000000703
-Mechanical Issuance Fee- $10.00 7/10/06 2200600000000000956
+ 100/0 Administrative Fee $77.83 7/10/06 2200600000000000956
+ 8% State Surcharge $62.26 7/10/06 2200600000000000956
Building Permit $542.25 7/10/06 2200600000000000956
Curbcut Permit $80.00 7/10/06 2200600000000000956
Fixture $56.00 7/10/06 2200600000000000956
Minimum/Adjustment Mechanical $39.00 7/10/06 2200600000000000956
Plan Review Minor - Planning $112.00 7/10/06 2200600000000000956
Sanitary Sewer - 1st 50 Feet $45.00 7/10/06 2200600000000000956
Sanitary Sewer - Improyement $305.12 7/10/06 2200600000000000956
Sanitary Sewer - Reimbursement $401.12 7/10/06 2200600000000000956
SDC Sanitary/Storm Admin $53.48 7/10/06 2200600000000000956
Storm Drainage Impervious Area $363.38 7/10/06 2200600000000000956
Storm Sewer - 1st 50 Feet $45.00 7/10/06 2200600000000000956
Vent Fan $6.00 7/10/06 2200600000000000956
Water Line - 1st 50 Feet $45.00 7/10/06 2200600000000000956
+ 10% Administratiye Fee $5.00 10/5/06 2200600000000001391
+ 5% Technology Fee $2.50 10/5/06 2200600000000001391
+ 8% State Surcharge $4.00 10/5/06 2200600000000001391
Temp Power 200 amps or less $50.00 10/5/06 2200600000000001391
Total Amount Paid $2,652.33
I Plan Reviews ,
Initial Review OS/25/2006 OS/25/2006 APP LLH
Planninf! Reyiew OS/25/2006 06/21/2006 APP TAJ
Public Works Reyiew OS/25/2006 05/30/2006 APP CAS Storm drainage piped to existing to
cu rb face 5/30/06 CAS
Structural Review OS/25/2006 06/29/2006 APP RJB
Paf!e 2 of 4
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.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00623
ISSUED: 07/10/2006
APPLIED: OS/24/2006
EXPIRES: 04/04/2007
VALUE: $ 93,620.00
Status
Issued
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. All inspection 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.
I R~nll;rprf I~nprtinn~ ,
Curbcut. Standard: After forms are erected but prior to placement of concrete.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excayated.
Foundation: After forms are erected but prior to concrete placement.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before coyering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to coyer.
Ceiling Insulation: Prior to coyer.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Proylde report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
UnderOoor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to coyer and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
final Plumbing: When all plumhing work is complete.
Rough Mechanical: Prior to Coyer
final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Coyer
Electric Service: Approyal required prior to utility company energizing service.
final Electric: When all electrical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Paf!e 3 of 4
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00623
ISSUED: 07/10/2006
APPLIED: OS/24/2006
EXPIRES: 04/04/2007
VALUE: $ 93,620.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, I
!
By signature, I state and agree, that I haye 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 of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will he made of any structure without permission of the Community Services Diyision, 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 approyed set of plans will remain on the site at all
times d~ring construction.
Owner or Contractors Signature
Date
Paf!e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-776-375'9 Phone
- ~;:~~;14
WiL
C~f Spriogfield Official Receipt
~opment Services Department
Public Works Department
Job/Journal Number
COM2006-00623
COM2006-00623
COM2006-00623
COM2006-00623
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200600000000001391
Date: 10/05/2006
Description
Temp Power 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administratiye Fee
Paid By
ROSE CORP
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 018702 In Person
Payment Total:
Page I of I
10:58:28AM
Amount Due
50.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
10/5/2006