HomeMy WebLinkAboutPermit Electrical 2006-1-10
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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
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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
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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
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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
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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
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. 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
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Payments:
. Type of Payment
: CreditCard
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1/9/2006
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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