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HomeMy WebLinkAboutPermit Electrical 2006-1-10 i...-DL I - I C>~ 0(,.,> SPR1~~t\ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54J)726-3753 . FAX: (541)726-3689 . ~'. ~ ELECTRICAL PERMIT APPLICATION / / City Job Number COw\ Z.OO S" - c> 17 I b Date I "/0 b I I L LOCATION OF INSTALLATION 3. COMPLETE FEE SCHEDULE BELOW t' .,. OJfY (}f SPRINGFIELD, OREGON 'J . . I Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is '. Modular Dwelling Service or It $5000 :~spe;::::::s~NSTALLATION ONlt~~%~~;~~~~~:t:~~ Alterations or Relocation: 1~~l?~1i' ~~'~\\\\'\O~~~ fO~' I ~~1~ t~ ~ilr""'" $ 63.00 b "3 v~Q~~fS~ rJ.~ Amps $ 75.00 ~\l~' nmps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpslVolts $375.00 Reconnect Only $ 50.00 bb(O c:;T II1A 1/\/ LEGAL DESCRIPTION nOz. 3l(l/1 07(00 JOB DESCRIPTION ~ a P"'-F 1 c:I t( c. (r~ I -r-r Electrical Contractor Address City Phone Constr. Contr. Number Supervisor License Number ~!'- Expiration Date ,y o Expiration Date / Signature of Supervising Electrician Owners Name ///;/k//J U Address 6l ((). ~r City ~~Mf/~one 2q;-~ 'iY.r OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ?~~r Inspection Request: 726-3769 A. New Residential- 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 C. Temporary Sen'ices or Feeders . 'leS '{OU to Installation, Altera(i.o~f\!~HJ~o.OU~gon Util'lt'{ ...,,-nON. \ d b'l tl1e I ifortn 200 Alj1l%"or-less adopte .,~c 0\\$)50':"0 201 A"lIl~.tl\'~!id\A~p~1tel, I\'1OS", '~~- nl>,'$69iOov~ 1. 401 ~$\to:iiO'(\l~~~i_0010 tnru~,,~' n'_t\$~{fO!OO'5 v, . O,/\,I'\ 952.- "'ail' CW'V- . \ pnon" Over 600 ~R'~8l:l ~QP.OJ\QiltS setN~l~~lloveie e.. a\\on D. Bra,Q\l'Cii-cuit'\ne cen\el, on Ut\\\t'{ Not\\\C callt"\'! '", ,ne Oreg _ ""2_2344). New Alter,ation:"" Extension f(rU!onel -. C n\el \'> - One Circuit e Each Additional Circuit or with Service or Feeder Permit $ 43.00 if rZ $ 3.00 E. Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTAL OF ABOVE 7<; b ,ro 8r~ 8% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)fBuilding FormslElectrical Permit Applicalion \..()6.doc . . CITY OF SPRINGFIELD - Status: Issued . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Building/Combination Permit PERMIT NO: COM2005-01716 ISSUED: 12/29/2005 APPLIED: 12113/2005 EXPIRES: 06/29/2006 VALUE: $ 76,812.00 SITE ADDRESS: 6610 MAIN ST ASSESSOR'S PARCEL NO.: 1702344107100 Springfield TYPE OF Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Add garage and living space. Owner: SMITH MICHAEL A & MICHELLE S Address: 6610 MAIN ST SPRINGFIELD OR 97478 Phone Number: 541-741-0893 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Contractor License Expiration Date AARON SA~TRU~rJpN~E 1~5fPl!WORK 02/28/2007 OWNER ~t>ll~ fiI~!\\\Il11J' $I'lALI. ... IS NOT OWNER ill.A"ilm!\I~!)) Y\\\DE.~ YHI~~!~~lle'I'\O @O\\J\Btiren~RMATio~I' ~~ ff,^,/~~'~' # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Phone 541-517-4460 # of Units: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: R-3 2 22.00 Wall Heat Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 672 VB Path 1 nla 492 i 'DEVELOPMENT INFORMATION I REQUIRED PARKING Total: 2 Handicapped: Compact: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 40.00 Overlay Dist: 9.50 # Street Trees Paved Drive Rqd: % of Lot Coverage: 12.60 25.00 IPUBLIC IMPROVEMENTSI '" 'c"' "v",. Orenon law requires you to Street Sidewalk TNp.e" U '1' PartialIv Improved follow rule~ adoptt;u uy lii-e~. egon tl ,ty CurbsIde 5' . Storm Sewer Available: Yes Notification Center.Do'wnspout!llDi'ItlriS3t forth Curb and Gutter Speclallnstructlon: in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by Notes: Storm drainage piped into existing to the curb face 12/16/20051CAS'nter (Note' the telephone \".oaoll18 ~ I~""'\J. . number for the Oregon Utility Notification Center is 1-800-332-2344). 1 of 3 . ~iii- Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description DwelIines Garaee Type of Construction V Wood Frame Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee-- + 10% Administrative Fee + 7% State Surcharge Building Permit - Misceilaneous Mechanical Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - Ist 50 Feet + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Total Amonnt Initial Review Plan nine Review 12/14/2005 12/15/2005 Public Works Review 12/15/2005 Structural Review 12115/2005 . CITYlJt< ~rRlJ\junELD. Building/Combination Permit PERMIT NO: COM2005-0I716 ISSUED: 12/29/2005 APPLIED: 12/13/2005 EXPIRES: 06/29/2006 VALUE: $ 76,812.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $96.00 $25.00 Square Footage or Bid Amount 672.00 492.00 Value Date Calculated 12/13/2005 12/13/2005 $64,512.00 $12,300.00 $76,812.00 Total Value of Project Fpp<. PiWJ Amount Paid $309.37 $10.00 $56.60 $39.62 $475.95 $45.00 $85.00 $12.60 $251.94 $45.00 $7.50 $6.00 $12.00 $63.00 $1,419.58 Date Paid Receipt Number 2200500000000001689 2200500000000001761 2200500000000001761 2200500000000001761 2200500000000001761 2200500000000001761 2200500000000001761 2200500000000001761 2200500000000001761 2200500000000001761 1200600000000000029 1200600000000000029 1200600000000000029 1200600000000000029 12/13/05 12/29/05 12/29/05 12/29/05 12/29/05 12/29/05 12/29/05 12/29/05 12/29/05 12129/05 1/9/06 1/9/06 1/9/06 1/9/06 I Plan Reviews I APP LLH APP TAJ Solar setback short by 3.5 feet, used Performance Option: proposed building will shade no more than 20% of a south-facing building wall of an existing habitable building. Storm drainage piped to curb face 12/16/2005 CAS 12115/2005 12/20/2005 12/16/2005 12/23/2005 APP CAS OK RJB To Request an inspection caD 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. wiD be made the following work day. 2 of 3 . . CITY OF SPRINGFIELD' Building/Combination Permit: PERMIT NO: COM2005-01716 ISSUED: 12/29/2005 APPLIED: 12/13/2005 EXPIRES: 06/29/2006 VALUE: $ 76,812.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line ~R~f1J~ Footing: After trencbes are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections bave 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: Wben all electrical work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Storm Sewer Line: Prior to filling trench. Electric Service: Approval required prior to utility company energizing service. " By signature, I 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 m accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaming to the work described herem, and that NO OCCUPANCY wiD 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 oftbe property, and the approved set of plans wiD remain on the site ?);7;/~0~ M- d{ Owner or Contractors Signature Date 3 of 3 :225 fiftl\ Street llSpringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-01716 COM2005-0l716 ~COM2005-01716 ~COM2005-0l716 I ' Payments: . Type of Payment : CreditCard - L [f' , " '1. 4- ~ " ~ ' , , ~ !\ .... L ,; , ~ 'J'I. f!. :) ~l j , , .i ~ j' ,;. 1/9/2006 . RECEIPT #: .~.~~.... '. ~ .ti : .~ of Springfield Official Receipt velopment Services Department Public Works Department 1200600000000000029 Descrlptlon Penn ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By MICHAEL SMITH Received By djb I of I Date: 0110912006 Item Total: LbecK Number AuUlonzatlon Batch Number Number How Received 756793 In Person Payment Total: 1:09:03PM Amount Due 63.00 12.00 6.00 7.50 $88.50 Amount Paid . $88.50 $88.50