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Home My WebLink AboutPermit Electrical 2005-7-18 I I ''!..\00 \':~,c W' '1J~' ee' SlC;'J .{es.'Q . aC' e; ~0o.'V' ~ (:\0\ S . . SPRIN 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54!9~36l1ll"\"~ ." ~ ,. ELECTRICAL PERMIT APPLICATION .~. ~\l\a .._-, ~ City Job Number COM z.oo c;- - c:n:> L.- 7L( Date ~ ,,[; ~.r 1. ,. LOCATION OF INSTALIATION ~ '7 g-t . /f(~o.fC. - _.... .__ _. .v .__..,. .-.. LEGAL DESCRIPTION A. . New Residentlai -'Single or Multi-Family per dwelling unit. .- -.. ".. ...' -., - -..'-... ..- -. " I YC Z- Ob( ( 0 Sl.fOO . Service Included ~I DL~RIPTION Jll n h l:? L /, ~~~~ :~d~i:~~I~~O sq. ft. or _Jdc~-{.-\~n ~1'ft;.~Jhl'./) J.}Jr(2)Nort,on thereof . I I) I . Permits are non-trarisferable and expire if ork 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 Pump or inigation $ 50.00 Sign/Outline Lighting $ 50.00 OWNER INST ALLA nON Limited Energy/Residential . $ 25.00 The installation is being made on property I o;,:~ whifh;. Limited Energy/Commercial $ 45.00 is not intended for sale, lease or rent. l\ ~ ~ \ '" t... Minimum Electric Perlriit-IRsp' ect1d~ Fee is 545.00 + Surcharges .. t..:'~I\ ';)tif\LL L[\I Ill.... II ...~ 1 hiS PLr.,li .,. "': T' 'it' Ol:1r\TI1I~ NOl' - AUl HORIlt[4.UtSUB'fqTAL OP)ffifJ'E CUI"i\IENCEO OK'1S~i:lRNDOWW- . ti. .- , '1 BO DAY P'Z:'\'~I~~~ Surcharge. ~ ~ 10% Administrative Fee ~~ TOTAL ~~. , . ~t- _.-.--,.-'.'~ --" ~-_.._. - -.---.,...,.------- . , 2. -1.CONrRACTORINSTALIATIONONLY.. _. .___._ .___ - - _-0 ._"'_.~.__~.,.__, Electrical Contractor S' '^<.~ -\- ;::rrcJ n~:;:-;' Address <;4/'lXo 'W-."7'r (,021' City iffJf!if Phone ~ 1-7/)~3 ~ V).ffIL '. Supervisor License Number ~(00::; Expiration Date I() ~/-cl) Constr. Contr. Number ,--$l() < I t~ /~~? ;""'0/ / ExPira?9 . - :- f<;-r-d] Sig ~g E1ectrici .? /~ Owners Name ::: ~~<- Cnss I Address '3 ,-n i~ s r- City S P Ph Phone Owners Signature: Inspection Request: 726-3769 , __,'( ._.. .._ _. . p...v.\"...._...~~. , 3. " COMPLETE FEE SCHEDULE BELOW. L. -._. \. ~. ..... $106.00 $ 19.00 $50.00 .-,. .,---:-,- ._~ B. . Services ~r Fee~.ers - Installation, AiteratilJ"ns or Relocation: 200 Amps or less. $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $\lr'OO 601 Amps to 1000 Amps la'll t"nulles ~?~\~~OO Over 100&-M'R~1{8g01l b'i \he Olegon ~fdtl!'l Re~~ 9r& adopted se t"\"~ at" "V~~N- \0110'1'1 to tet, lnO n OP-t\."iS c.~~lifiJj.~W's~~~PF~~S~s 0\ the-tules.bY - in dJ>.? ~'~~;'i~b\aill co~~~ \ne \eie?no~~~ - InstJl!la'tlo~?XU~~~!9.tf,Ol: ~~Utl\lt'i NO\\\\ca 200 Amp,\llPr~esfol \ne Oleg~O_33?-2.344h 50.00 201 A6\lW?);>~oe~WIlS is 1-8 $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. I .. "- :-. , . --.-.- -- - '-', ..... D, ~:.!l~~nch <::~c~it~_ __ ._ _ _ New Alteration or Extension Per Panel / ---- One Circuit . Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 l{> '; ] E, 'l\;Ii.scellaneous(!iervicelfeeder not included) -Each Installation j........ ._.... ._....._ ,_._ .w.+ ", _...... _, ,-~- ~ ' sz. 36<f .,-z.= bo8;L Shared Drive(T:)/Building Forms/Electrical Permit Application 1-03.doc . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00274 ISSUED: 07/15/2005 APPLIED: 03/0912005 EXPIRES: 01115/2006 VALUE: $ 62,208.00 . -Wt&P-~I~G:"1III.Q; <- 1, .: ~ ....-- . - '-'~ Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 3982 NORTH ST ASSESSOR'S PARCEL NO.: 1802061105400 Springfield TYPE OF Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence . Owner: STEVEN CROSS Address: 3982 NORTH ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor OWNER SUNSET ELECTRIC INC Residential Phone Number: 541-726-5905 License Expiration Date Phone I BUILDING INFORMATION' 158859 02/27/2006 541-915-4883 # of Units: # of Stories: PrImary Occupancy Group: R-3 Height of Secondary Occupancy Type of Heat: to Primary Construction Type TI~' Oregon l~I'laiS1l%~OUT Secondary Construction ATTEN . t d b~€l~!I Utll~ . # of Bedrooms: follOW rules adop e Thog.yt"", " ",tB,set forth . Notification center'10 th~~"~R 952-001- n/a ;" :.nn~?_nn1-Ool_' r;'" ,._,..111.: _.1001'\\1 0090. '(ou may Ff;EVEUlPMEN'fWJllIIORMATION I calling the ce.I':.--. Utility NOtltlcallulI bG' fnr the Oregon '>..'.A\ num 4}IlJ''lter is 1-80Q~- S:QO # Street Trees Paved Drive Rqd: % of Lot Coverage: Frontysrd Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 14.00 8.00 IPUBLIC IMPROVEMENTS I Street . Storm Sewer Available: Special Instruction: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 600 Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: 32.70 FuIIv Improved No Sidewalk Type: Downspouts/Dralns Curbside 5' Curb and Gutter . Notes: Storm drainage to existing piped to curb face. 3/11/2005 CAS t\ C1YICt: lHIS Pt.RMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COIVIiv1ENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 1 of 3 -i:i.::' . a.. . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00274 ISSUED: 07/15/2005 APPLIED: 03/09/2005 EXPIRES: 01115/2006 VALUE: $ 62,208.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line DweIlines V Wood Frame I Valuation Descriotion I $ Per Sq Ft Square Footage or multiplier or Bid Amount $96.00 648.00 Value Date Calculated 03/W2005 Description Type of Construction Total Value of Project $62,208.00 $62,208.00 L.Ff'f'~ Paid I Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $261.20 3/9/05 1200500000000000311 -Mechanical Issuance Fee- $10.00 4/7/05 1200500000000000429 + 10% Administrative Fee $51.14 4/7/05 1200500000000000429 + 7% State Surcharge $35.79 4/7/05 1200500000000000429 Building Permit $421.35 4/7/05 1200500000000000429 Gas Fireplace $15.00 4/7/05 1200500000000000429 Gas Outlets 1-4 $4.00 4/7/05 1200500000000000429 Minimum/Adjustment Mechanical $20.00 4/7/05 1200500000000000429 Minimum/Adjustment Plumbing $45.00 4/7/05 1200500000000000429 Miscellaneous Mechanical $6.00 4/7/05 1200500000000000429 Plan Review Minor - Planning $59.00 4/7/05 1200500000000000429 Plan Review Residential $12.68 4/7/05 1200500000000000429 SDC Sanitary/Storm Admin $11.31 4/7/05 1200500000000000429 Storm Drainage Impervious Area $226.22 4/7/05 1200500000000000429 + 10% Administrative Fee $5.20 7/15/05 1200500000000001013 + 7% State Surcharge $3.64 7/15/05 1200500000000001013 Add, Alter, Extend Circ $43.00 7/15/05 1200500000000001013 Add, Alter, Extend Clrc Ea Add $9.00 7/15/05 1200500000000001013 Total Amount $1,239.53 I Plan Reviews I Initial Review 03/10/2005 03/1 0/2005 APP SKG Plan nine Review 03/10/2005 03/1 6/2005 APP TAJ Must have at least 5' side setback. Public Works Review 03/10/2005 03/1112005 APP CAS Storm drainage to existing to curb face. 3/11/2005 CAS Structural Review 03/10/2005 03/11/2005 IO LLH Plans forwarded to Jason Bush for review Structural Review 03/1112005 03/15/2005 APP JB 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. 2 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00274 ISSUED: 07/15/2005 APPLIED: 03/09/2005 EXPIRES: 01/15/2006 VALUE: $ 62,208.00 Status: Issued 225 F1fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Footing: After trenches 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. Final Building: After all required inspections have been requested and approved and the building Is complete. Storm Sewer Line: Prior to filUng trench. Rough Mechanical: Prior to Cover Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work Is complete. Final Mechanical: When all mechanical work Is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 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 wiD be made of any structure without permission ofthe 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 of the properly, and the approved set of plans wiD remain on the sIte at all times during constructlolL Owner or Contractors Signature Date 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00274 COM2005-00274 COM2005-00274 COM2005-00274 Payments: Type of Payment CreditCard " 7/15/2005 . RECEIPT #: ..R~ ~ ~ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000001013 Descripllon Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By SUNSET ELECTRIC INC Received By djb 1 of I Date: 07115/2005 Item Total: Check Number AuUlortzatlon Batch Number Number How Received 051349 In Person Payment Total: 1l:13:42AM Amoo nt Due 43.00 9.00 3.64 5.20 $60.84 Amount Paid $60.84 $60.84