HomeMy WebLinkAboutPermit Electrical 2006-5-17
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
. ELECTRICAL PERMIT APPLICATION
City Job Number Co~z.C>O(... -Od"3.8"~ Date S-/6 -ob
, itL;'tt9F.'::tjO~:;T ': 'L<<;~!E{'~Sd<EDULtBEW~"'~~
LEGAL DESCRIPTION A. LNe~:ii~rd;;'tial-Si~gie:o;MJ;rl:i-a;il~:;~:;J\V~li~~ upit' ,:
.. - ----...... .......~._-----.~--~_---.......~_.-:-_.._,~- >
170t.. sL(t..{ 3. OO~OO Servicelnclnded
JOB DESCRIPTION
/tJo-fll"f rau6tl.. I [3 C-l rC."" ~ f-:s-
1000 sq. ft, or less
Each additional 500 sq. ft. or
portion thereof
$106.00
$ 19,00
, 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
Suspended for 180 days. Feeder
.~ ',Iou to
2. I CqNrRACTOimST4LrATIQN'ONi;Yl "B, ~S.~~Vi~!~,~r)',~~~~rs::1J!~!t{~'tfi~~' Aiterati~ris -:;~R~I~~aii~-;;r;
Electrical Contractor ~t7:'~ ~-v:, "~r' 1~2000i:n8psi~r7~~s, I]OAR;~'OOl_---1 $ 63.00 -b:S '
- -- ~~ . r./ \-'Vla" I Ll,.;P.,,:)S of th
h tflt i cc:::ing the @OI,Amps,to[~OO Amps e rules by $ 75,00
/ -, II IP ..., .....d. "..u e. (ile leleph
Address CPR'" !7 ,,'~ number for HIOlrtunPbto 600,Amps 'f' one $125.00
'-, ....:J, I UllI lY I\lotl lcation
~. , II Cent'60IS&ijiSlt031.Q9l!!b-.I})5~ $163.00
City' UBI Phone 7l!/-rl-6Jy Over 1000 AmpsIVolts $375,00
Reconnect Only $ 50,00
$50.00
Supervisor License Number . fff / S-
/Z;/tJ/ /07
f?7 ;)V?___
Expiration Date Do/51/ /).8 J{f
c. I, Temporary Servicesj.!:!eedirs
---I
Expiration Date
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps , .
, -'lr IJ'JOr-.l'
rCo Over 600 Amps or, 1000 Volts see.r~)3" above.
~01\\;"J>.\\~in~'h\'Ctc~l:~\it'~Jl\\'\i~'\""''' -~..- --- ---;-----;:-. -.~
1\-11S I't."", - ~\.n'J:.';-rt.Q-I'()? . --_.:..._,
#' 7th- ^\l"L\ORI1N~,.l.lA1teration~0}\EQ~nslOn Per Panel
,...,. \ r 0-C[) I \t\ Iv 1'-
/' ...... _. '_ GO\JI\JIHIO~~19J,.c\'ff0\)' $ 43,00
~N'i ,\)O EBcn Additional Circuit or with B
:-.... ~ \ ,AI. Service or Feeder Pennit $ 3,00
Owners Name ~ /VlItc-
-- - -- --------,
Address b l{ 0 ( JW,4-{ III ~ r E. !Mis.cellane~us (Service/f~eder not incI~ded) -Ea.chI.nst~natio_n.J
",:>~p\, Phone tsb -5'7" 3
$ 50,00
$ 69,00
$100.00
Constr. Contr, Number
. ian
-z..lf
OWNER INSTALLATION
Pump or inigation
Sign/Outline Lighting
Limited EnergylResidential
Limited Energy/Commercial
$ 50.00
$ 50,00
$ 25,00
$ 45,00
City
The installation is being made on property I own which
is not intended for sale, lease or rent.
Inspection Request: 726-3769
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. rstilli:oiAt OF ABQvE' -;--:--:-~-'--:,l B 7
i.- '> _r.:';'-:~: _~ ~"":.,~::..~~.;
b'r~
B'?'o
IOZ~
7% State Surcharge
10% Administrative Fee
Owners Signature:
TOTAL
Shared Drive(T:)lBuilding FonnslElectrical Pennit Application l-Q3.doc
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00383
ISSUED: 05/02/2006
APPLIED: 03/31/2006
EXPIRES: 11/16/2006
VALUE: $ 24,960.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6401 MAIN ST
ASSESSOR'S PARCEL NO.: 1702344300600
Springfield TYPE OF WORK: Garage
PROJECT DESCRIPTION: 3 car garage
TYPE OF USE: New
Residential
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: X. 'S'lG\,\V-Compact:
% of Lot Coverage: 't.'}.?,\'\'t. ,~ ~\ ,S ~G\
.. "1'\tt.'. ,.,. c.\-\I\\..\ -<\..lIS 1'X.\'\,d\ ~G\'\
I PUBLlC;lM.PReYEMElN~S:'~ I\'OI\~\)\J"-
I\IJ I "~~~c,x.'0 ':,~\,\'G'i) .Sidewalk Type:
c,GW>\ 'i)1\'{ ..
I\~'{ '\ 'Q\) DownspoutslDrains:
Owner: DAVID MACKERACHER
Address: 6401 MAIN ST
SPRINGFIELD OR 97478
, CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
License
Contractor
OWNER
K & K ELECTRIC INC
GARY ALAN MUSTIN
'87202
, ~r\ 'ir~S '1129990
\, ,I t.... ~. ,," ~_ .._
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
..",.
I BUlLDING'INFORMATION'IO'-
':, '1 \'~"_'V ';," O. ,\\ "-:~ ~s \)i
.' # ofStories:'\'" . I,",e Iv'V
c'._)\\.. '_,~c;O\ .....one
. .!.\,\JHelght\!"flStructu~e\ele?" , l\
, --\(,;Tfpe'~fHeat:'f. II'" \,>\o\\liCa\\O
: '. '.;,N ,\,\e Waterl!1pj:, \.lli\il~"-",,,,).
, "J \ R nT'~ "-'3'1--"''''
C..' ,10, .ange y.p..\'~''''
\,\0\1\1'>"\ Oe~!Iergy Path:
Sprinkled Building: n/a
U
YN
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Set hacks:
29.00
12.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee I of 3
Phone Number: 541-736-5793
Expiration Date
Phone
616-455-2223
541-741-2663
541-463-7568
04/30/2008
06/24/2006
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
960
REQUIRED PARKING
.
. LIt i' OF SPRI)'\jl..l'tELD
Building/Combination Permit
PERMIT NO: COM2006-00383
ISSUED: 05/02/2006
APPLIED: 03/31/2006
EXPIRES: ll/16/2006
VALUE: $ 24,960.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Garaee
Tvpe of Construction
Garaee
$ Per Sq Ft
or multiplier
$26.00
Square Footage
or Bid Amount
960.00
Value
Date Calculated
Total Value of Project
$24,960.00
$24,960.00
03/3112006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $145.86 3/31106 2200600000000000411
+ 10% Administrative Fee $5.90 4/18/06 1200600000000000492
+ 8% State Surcharge $4.72 4/18/06 1200600000000000492
Water Line - 1st 50 Feet $45.00 4/18/06 1200600000000000492
Water Line - Each Addtl100' $14.00 4/18/06 1200600000000000492
+ 10% Administrative Fee $5.90 4/25/06 2200600000000000506
+ 8% State Surcharge $4.72 4/25/06 2200600000000000506
Sanitary Sewer - 1st 50 Feet $45.00 4/25/06 2200600000000000506
Sanitary Sewer Each Addt1100' $14.00 4/25/06 2200600000000000506
+ 10% Administrative Fee $26.94 5/2106 1200600000000000583
+ 8% State Surcharge $21.55 5/2106 1200600000000000583
Garage/Carport $224.40 5/2/06 1200600000000000583
SDC Sanitary/Storm Admin $21.94 5/2106 1200600000000000583
Storm Drainage Impervious Area $438.71 5/2/06 1200600000000000583
Storm Sewer - 1st 50 Feet $45.00 5/2/06 1200600000000000583
+ 10% Administrative Fee $8.70 5/16/06 1200600000000000659
+ 8% State Surcharge $6.96 5/16/06 1200600000000000659
Add, Alter, Extend Circ Ea Add $24.00 5/16/06 1200600000000000659
Perm ServlFdr 200 amps or less $63.00 5/16/06 1200600000000000659
Total Amount Paid $1,166.30
I Plan Reviews I
Initial Review 03/3112006 03/3112006 APP SKG
Plan nine Review 03/3112006 04/1 0/2006 APP TAJ No Planning issues.
Public Works Review 03/3112006 04/03/2006 APP CAS Storm drainage piped to curb face
4/3/2006 CAS
Structural Review 03/31/2006 04/24/2006 APP RWC
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.
Paee 2 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00383
ISSUED: 05/02/2006
APPLIED: 03/31/2006
EXPIRES: 11/16/2006
VALUE: $ 24,960.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Reouired InsneetiollLl
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Footing: After trenches are excavated.
Foundation: After forms are erected hut prior to concrete placement.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Storm Sewer Line: Prior to filling trench.
Ceiling Insulation: Prior to cover.
Floor Insulation: Prior to decking.
Rough Electric: Prior to Cover
Electric Service: Approval reqnired prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signatnre, 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 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 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 readahle from the
street, that the permit card is located at the front of the pr~perty, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Page 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2006-00383
COM2006-00383
COM2006-00383
COM2006-00383
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
~...
~
., of Springfield Official Receipt
_elopment Services Department
Public Works Department
1200600000000000659
Date: 05/16/2006
Description
Perm ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
K AND K ELECTRIC INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 143262 In Person
Payment Total:
Page I of I
IO:51:59AM
Amount Due
63,00
24,00
6,96
8,70
$102.66
Amount Paid
$102,66
$102.66
5116/2006