HomeMy WebLinkAboutPermit Electrical 2006-10-23
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City Job Number C/JJU"/ /t7)-0 - (t) /oC;7 __ ___ _ Date__ ~o/2 ~~?, _
'OOMPun;n;EscHEDUUBEWW .~
A. New Residentia!.:: Single or Multi-Family per dwellin~r
LOCATION OF INSTALLATION:
/:"~I 0 $A-~/ .0"
1.
J
LEGAL DESCRIPTION:
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JOB DESCRIPTION:
NriU '\ ;-h:r;;' d?,tJ4,
Service Ineluded
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$19.00
y
Permits are non-transferable and expire if work Is
not started within 180 days of issuance or if work Is
Suspended for 180 days.
$50.00
,
CONTRACTOR INSTALLATION ONLY I
B. : Services or Feeders -Installation, Alterations or Relocation:
2.
(;;, 3 ,0-0
I
Electrical Contractor
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNol1s
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
.... ~
Supervisor License Number /
/
Address
City
C. Temporary Services or Feeders
.- -.
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or_l 000 VollS seeuB" above.
D. ' Branch Circuits
Expiration Date
Constr. Contr. Num/
$ 50.00
$ 69.00
$100.00
Expiration Date
Signature of Supervising Electrician
New Alteration or Estension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
) ~6-P
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Owners Name 1:1/.....)'/" ) /.5A-kBe
Address fc,<PJ//J >>.4A--/#{/ ,~/---
City y/fJ Phone z$h? -3(f5
E. Miscellaneous (Service/feeder not ineluded) -Each Installation
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee Is $45.00 + Surcharges
OWNER INSTALLATION
The installation is being made on property 1 own which
is not iuten ed for sale. lease or rent. J
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4. SUBTOTAL OF ABOVE
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<;?,IO
4.0S-
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL :3 <=J ~:J
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Shared Drive(T:)lBuilding FonnsIElectrical Permit Application 8..()6.doc
Inspection Request: 726-3769
225 Fifth St~eet
Springfield, Oregon 97477
541..726..3759 Phone
-~
.~
car Springfield Official Receipt
~opment Services Department
Public Works Department
Job/Journal Number
COM2006-0 I 057
COM2006-0 I 057
COM2006-01057
COM2006-01057
COM2006-0 I 057
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200600000000001553
Date: 10/23/2006
Description
Perm ServlFdr 200 amps or less
Add, Alter, Extend Cjrc Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
EDWIN BAKER
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
dim 031161 In Person
Payment Total:
Page I of I
9:56:IIAM
Amount Due
63.00
18.00
4.05
6.48
8.10
$99.63
Amount Paid
$99.63
$99.63
10/23/2006
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006..01057
ISSUED: 09/21/2006
APPLIED: 08/16/2006
EXPIRES: 03/25/2007
VALUE: $ 14,976.00
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6810 MAIN ST
ASSESSOR'S PARCEL NO.: 1702344106611
Springfield TYPE OF WORK: Garage
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Engineered steel garage
Owner: EDWIN BAKER
Address: 6810 MAIN ST
SPRINGFIELD OR 97478
Pbone Numher: 541-746-3449
I CONTRACTOR INFORMATION I
Contractor Type
Geoeral
Electrical
Plumbing
Contractor
OWNER
OWNER
OWNER
License
08699
Expiration Date Phone
12118/2006
I BUILDING INFORMATION I
# of Uuits: # of Stories: 1 Lot Size:
Primary Occupancy Group: U Height of Structure 11.00 Sq Ft 1st Floor:
Secondary Occupancy Group: Type of Heat: Sq Ft 2nd Floor:
Primary Construction Type VN Water Type: Sq Ft Basement:
Secondary Construction Type: Range Type: Sq Ft Garage/Carport 576
# of Bedrooms: Energy Path: Sq Ft Otber:
Spriokled Building: n/a Occupant Load:
I DEVELOPMENT INFORMATION I REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side 1 Setback: 48.00 # Street Trees Rqd: Handicapped:
Side 2 Setback: 16.00 Paved Drive Rqd: Compact:
Rearyard Setback: 10.00 % of Lot Coverage: .......,~
Solar Setbacks: 0.00
I PUBLIC IMPROVEMENT:>.. ,
, ... "-':NTION: Oregon law requires you to
Street Improvements: 1 II 1-<:.;<i<>.waIk_TNIlII'th 0 Ut'lm..
Fullv Improved 0 ow ru e:i'UUuptt:V l' e regon I ;'l'.urbside 5'
Storm Sewer Available: Yes NotificationDeWD'Sjfou~iiU!,eS are sllVsltllm Sewer
Speeial11nsiruction: in OAR 952-001-0010 through OAR 952-001-
I '~ ' '., :/.T SHALL EXPIRE IF THE WORK 0090. You may obtain copies oflhe rules by
Notes:C" Sto'rm.drain'age.tofexistingj'storm sewe'Nsovtem per owner.Inspllttlirrtg (iebtoomlflo., (Note' the telephone
... _ ...,.. 1...11,_111 I~ ,T'I I{JII .
ANCy""'~'" ,C) G", 13 i,";,'\NDONED FOR number lor the Oregon Utility Notification
180 DAY PI:RIOO. Center is 1..800-3322344).
,
Paee 1 of3
-li::; .
~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Garaee
Garaee
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 5% Teebnology Fee
+ 8% State Surcharge
Fire SF Fee. Residential
Garage/Carport
Plan Review Minor - Planning
Storm Sewer - 1st 50 Feet
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surebarge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Initial Review
Plan nine Review
Public Works Review
Structural Review
.
ecITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006..01057
ISSUED: 09/21/2006
APPLIED: 08/16/2006
EXPIRES: 03/25/2007
VALUE: $ 14,976.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$26.00
Square Footage
or Bid Amount
576.00
Value
Date Calculated
Total Value of Project
$14,976.00
$14,976.00
08/16/2006
Fpp<. PiilIJ
Amount Paid
Date Paid
Receipt Number
2200600000000001152
2200600000000001328
2200600000000001328
2200600000000001328
2200600000000001328
2200600000000001328
2200600000000001328
2200600000000001328
1200600000000001553
1200600000000001553
1200600000000001553
1200600000000001553
1200600000000001553
$95.16
$22.02
$9.57
$15.31
$28.80
$ 1 46.40
$112.00
$45.00
$8.10
$4.05
$6.48
$18.00
$63.00
8/16/06
9/21106
9/21106
9/21106
9121/06
9/21/06
9/21/06
9/2 1/06
10/23/06
10/23/06
10/23/06
10/23/06
10/23/06
$573.89
I Plan Reviews I
08/17/2006 08/17/2006 APP LLH
08/17/2006 09/15/2006 APP TAJ
08/17/2006 08/30/2006 APP JLP Shop to built on existing impervious
area, no SDC's required. Storm
drainage to existing storm sewer
sytem per owner.lnspector to field
verify.
08/17/2006 09/14/2006 APP RJB
To Request an inspection call the 24 hour recording at 726..3769. All inspection requested berore 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the rollowing work
day.
L..RI31"11' ~"I:Jo1'I lnsnections I
Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Paee 2 of3
.
ecITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-01057
ISSUED: 09/21/2006
APPLIED: 08/16/2006
EXPIRES: 03/25/2007
VALUE: $ 14,976.00
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fas
541-726-3769 Inspection Line
Footing: After trencbes are excavated.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Framing Inspection: Prior to cover and after all rougb in inspections have been approved.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Special Inspection: High Strengtb Bolting Inspection: To be done during constructioo by a State Certified Special
Inspector witb approval from tbe City of Springfield. Copies of inspection results shall be provided to tbe City of
Springfield.
Final Building: After all required inspections bave been requested and approved and the building is complete.
Storm Sewer Line, Prior to filling trencb.
Final Plumbing: Wben all plumbing work is complete.
Rougb Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: Wben all electrical work is complete.
By signature, 1 state and agree, tbat 1 bave 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
tbe Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure witbout permission of the Community Services Division, Building Safety.
I furtber certify that only contractors and employees wbo are in compliance with ORS 701.005 will be used on tbis project.
1 furtber agree to ensure that all required inspections are requested at the proper time, that each address is readable from tbe
street, tbat the permit card is located at tbe front of tbe property, and the approved set of plans will remain on the site at all
....'2Z?"'~ .2 3/f){O~
Owner or Contractors Signature Date (
Paee 3 of 3